• Title/Summary/Keyword: Cardinal

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Incidence and management of mandibular fractures in a low-resource health facility in Ghana

  • Frimpong, Paul;Nguyen, Truc Thi Hoang;Sodnom-Ish, Buyanbileg;Nimatu, Edinam Salia;Dampare, Nana Yaa Asantewaa;Rockson, Roberta;Awuah, Samuel Baffour;Amponsah, Emmanuel Kofi;Newton, Cardinal;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.6
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    • pp.432-437
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    • 2021
  • Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for managing mandibular fractures in low-resource health facilities in low-income countries like Ghana. Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries. Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the leading cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and industrial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) occurred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation. Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, especially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.

Normative-Legal and Information Security of Socio-Political Processes in Ukraine: a Comparative Aspect

  • Goshovska, Valentyna;Danylenko, Lydiia;Chukhrai, Ihor;Chukhrai, Nataliia;Kononenko, Pavlo
    • International Journal of Computer Science & Network Security
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    • v.22 no.10
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    • pp.57-66
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    • 2022
  • The aim of the article is to investigate socio-political processes in Ukraine on the basis of institutional and behavioral approaches, in particular their regulatory and informational support. Methodology. To determine the nature and content of sociopolitical processes, the following approaches have been used: 1. Institutional approach in order to analyze the development of Ukraine's political institutions. 2. The behavioral approach has been used for the analysis of socio-political processes in Ukraine in the context of political behavior of citizens, their political activity which forms the political culture of the country. Results. The general features of the socio-political situation in Ukraine are as follows: the formed model of government, which can be conditionally described as "presidential"; public demand for new leaders remains at a high level; the society has no common vision of further development; significant tendency of reduction of real incomes of a significant part of the society and strengthening of fiscal pressure on businessmen will get a public response after some time. Increasing levels of voice, accountability, efficiency of governance and the quality of the regulatory environment indicate a slow change in the political system, which will have a positive impact on public sentiment in the future. At the same time, there has been little change in the quality of Ukraine's institutions to ensure political stability, the rule of law and control of corruption. There are no cardinal changes in the development of the institution of property rights, protection of intellectual rights, changes in the sphere of ethics and control of corruption. Thus, Ukraine's political institutions have not been able to bring about any change in the social-political processes. Accordingly, an average level of trust and confidence of citizens in political institutions and negative public sentiment regarding their perception and future change can be traced in Ukraine.

International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow's Milk Protein Allergy and Lactose Intolerance in Infants and Children

  • Madrazo, J Armando;Alrefaee, Fawaz;Chakrabarty, Anjan;de Leon, Julia C.;Geng, Lanlan;Gong, Sitang;Heine, Ralf G.;Jarvi, Anette;Ngamphaiboon, Jarungchit;Ong, Christina;Rogacion, Jossie M.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.3
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    • pp.263-275
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    • 2022
  • Purpose: The present international survey among healthcare providers aimed to collect data on theoretical knowledge and clinical practices in the diagnosis and management of cow's milk protein allergy (CMPA) and lactose intolerance (LI) in infants. Methods: A global survey was conducted in several countries with diverse health care settings. The survey consisted of multiple-choice questions in 3 main domains: (1) understanding and clinical practices around CMPA and LI; (2) case scenarios; and (3) disease-specific knowledge and potential educational needs. Results: Responses were available from 1,663 participants. About 62% of respondents were general practitioners or general pediatricians, and the remainder were pediatric allergists/gastroenterologists (18%) or other health practitioners (20%). The survey identified knowledge gaps regarding the types of CMPA (IgE-mediated vs. non-IgE-mediated) and the clinical overlap with LI. The survey suggested diverse clinical practices regarding the use of hypoallergenic formulas, as well as misconceptions about the prebiotic benefits of lactose in extensively hydrolyzed formulas in non-breastfed infants with CMPA. Responses to the two case scenarios highlighted varying levels of awareness of the relevant clinical practice guidelines. While respondents generally felt confident in managing infants with CMPA and LI, about 80% expressed an interest for further training in this area. Conclusion: The current survey identified some knowledge gaps and regional differences in the management of infants with CMPA or LI. Local educational activities among general and pediatric healthcare providers may increase the awareness of clinical practice guidelines for the diagnosis and treatment of both conditions and help improve clinical outcomes.

A study on the formative analysis of Chinese traditional women's clothing design elements and preference of modern Chinese women's clothing reflecting traditional clothing (중국 전통 여성복 디자인 요소의 조형적 분석과 전통복식을 융합한 현대 중국 여성복 선호도에 관한 연구)

  • Jizhen Li;Jihyeon Kim;Mi-hyang Na
    • Journal of the Korea Fashion and Costume Design Association
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    • v.24 no.4
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    • pp.117-133
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    • 2022
  • In order to reflect traditional elements in modern design, designers should be able to creatively apply elements of traditional Chinese clothing. To understand this, a deep understanding of and insights into the traditional clothing culture are required. In this study, the characteristics of traditional Chinese women's clothing from the Wei, Jin, and Northern and Southern Dynasties of China to the Qing Dynasty were analyzed by dividing them into silhouette, color, pattern, materials, and detail. The characteristics of the silhouette were classified into A, H, X, and O types, of which types A and H were the most common. As for the color characteristics, there are relatively many five cardinal colors, and for the contrast of colors complementary colors were mainly used. As the for pattern characteristics, real patterns, animal patterns, character patterns, geometric patterns, and mixed patterns were used. Four types of materials were mainly used: silk, hemp, cotton, and wool. The detail characteristics were also anlyzed by classifying them into collar, sleeve, neckband, and gusset. Based on the results of this analysis, a satisfaction survey was conducted on the design of modern Chinese women's clothing. The result of satisfaction with design elements showed that the images of vest and suit were most preferred, H and X silhouettes, and yellow and white were the most preferred. Geometric and plant patterns were preferred, as were silk and acetate materials. Based on the result of chi-square analysis of design element preferences according to the characteristics of the subject, there was no difference according to occupation, residential area, or income, and there were differences in silhouette, color, materials, and detail according to age.

Advancing Cardio-Oncology in Asia

  • Choon Ta Ng;Li Ling Tan;Il Suk Sohn;Hilda Gonzalez Bonilla;Toru Oka;Teerapat Yinchoncharoen;Wei-Ting Chang;Jun Hua Chong;Maria Katrina Cruz Tan;Rochelle Regina Cruz;Astri Astuti;Vivek Agarwala;Van Chien;Jong-Chan Youn;Jieli Tong;Joerg Herrmann
    • Korean Circulation Journal
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    • v.53 no.2
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    • pp.69-91
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    • 2023
  • Cardio-oncology is an emerging multi-disciplinary field, which aims to reduce morbidity and mortality of cancer patients by preventing and managing cancer treatment-related cardiovascular toxicities. With the exponential growth in cancer and cardiovascular diseases in Asia, there is an emerging need for cardio-oncology awareness among physicians and country-specific cardio-oncology initiatives. In this state-of-the-art review, we sought to describe the burden of cancer and cardiovascular disease in Asia, a region with rich cultural and socio-economic diversity. From describing the uniqueness and challenges (such as socio-economic disparity, ethnical and racial diversity, and limited training opportunities) in establishing cardio-oncology in Asia, and outlining ways to overcome any barriers, this article aims to help advance the field of cardio-oncology in Asia.

Sensitivity of East Asian Summer Monsoon Precipitation to the Location of the Tibetan Plateau

  • Soo-Hyun Seok;Kyong-Hwan Seo
    • Journal of Climate Change Research
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    • v.34 no.22
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    • pp.8829-8840
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    • 2021
  • Recent studies have highlighted that a primary mechanism of the East Asian summer monsoon (EASM) is the fluid dynamical response to the Tibetan Plateau (TP), that is, orographically forced Rossby waves. With this mechanism in mind, this study explores how changes in the location of the TP affect the EASM precipitation. Specifically, the TP is moved in the four cardinal directions using idealized general circulation model experiments. The results show that the monsoon aspects are entirely determined by the location of the TP. Interestingly, the strongest EASM precipitation occurs when the TP is situated near its current location, a situation in which downstream southerlies are well developed from the surface to aloft. However, southerlies into the EASM region weaken as the TP moves, which in turn reduces the precipitation. Nevertheless, as long as it moves in the east-west direction, the TP is likely to force the stationary waves that induce precipitation over the midlatitudes (not necessarily over East Asia). In contrast, moving the TP well north of its original location does not induce strong monsoon flows over the EASM region, resulting in the driest case. Meanwhile, although the southward movement of the TP triggers downstream southerlies to some extent, it does not lead to an increase in the precipitation. Overall, these results show that the location of the TP is crucial in determining the EASM precipitation, and the latter is much more sensitive to the displacement of the TP in the meridional direction than in the zonal direction.

Effects of the Planetarium Lesson on Students' Understanding of Astronomical Concepts (천체투영관 수업이 학생들의 천문 개념 이해에 미치는 효과)

  • Kim, Wansoo;Shim, Hyunjin
    • Journal of Science Education
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    • v.42 no.1
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    • pp.49-65
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    • 2018
  • Astronomy is the subject that can easily draw students' interest in studying science, therefore plays an important role in developing scientific core competence. However, it is difficult to develop spatial thinking that is required in understanding astronomical concepts through the classroom lessons. Planetarium, along with the science museum, is one of the most representative informal educational institution where astronomical concepts can be taught beyond time and space constraints. In this study, we developed the astronomy education program that is operated in the planetarium and applied the program to the elementary, middle and high-school students to investigate the effects of the planetarium lesson compared to the classroom lesson. The duration of this research was about 8 months, and the number of the students involved is 761, including participants of the 1 night and 2 days camps in the Daegu National Science Museum. The newly developed planetarium lesson is comparable to the previous classroom lesson of which topics are cardinal points, constellation, and the rotation of the earth. Test items were developed to evaluate the understanding of the astronomical concepts. The study was conducted based on the pre- and post-test with non-equivalent groups design comparing classroom and planetarium lessons. The results of this study are as follows. First, planetarium lesson is more effective for understanding astronomical concepts such as the cardinal points, earth's rotation, and the constellation than classroom lesson. Second, planetarium has a positive effect irrespective of gender and previous knowledge. Third, planetarium for high school students has the same effect as additional observation activities followed by the classroom instruction. Therefore, planetarium can be used as an alternative, effective tool when night observation is not available. In summary, planetarium is an effective tool that helps students to understand the astronomical concepts.

Academic Enrichment beginning from the Great Learning(大學, Dae Hak, or Da Xue in Chinese) toward the Essentials of the Studies of the Sages(聖學輯要, Seong Hak Jibyo) in the respect of Cultivating Oneself(修己, sugi) (수기(修己)의 측면에서 본 『대학(大學)』에서 『성학집요(聖學輯要)』로의 학문적 심화)

  • Shin, Chang Ho
    • (The)Study of the Eastern Classic
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    • no.34
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    • pp.63-88
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    • 2009
  • This paper was a quest of pattern of holding "Dae Hak - the Great Learning" during Joseon Period having investigated the characteristics of the Essentials of the Studies of the Sages(聖學輯要, Seong Hak Jibyo) that was compiled by Lee I was a reinterpretation of the Great Learning, and also academic enrichment. During the period of Joseon Dynasty, the Great Learning had held the most important position as core scripture in the intellectual society that pursued Seong Hak(聖學, sage learning). Throughout the Joseon Period, the Great Learning was the essential text for the Emperorship Learning(帝王學, Jewang Hak) as well as Seong Hak, and it can also be said that Seong Hak Jibyo compiled by Yulgok - the courtesy name of Lee I, was the comprehensive collections thereof. While compiling Seong Hak Jibyo, Yulgok presented a model of Seong Hak of Joseon, which was based on "the Great Learning". Yul Gok organized the system of "Seong Hak Jibyo" largely in five parts, and properly arranged the Three Cardinal Principles(三綱領, samgangryeong) and Eight Articles or Steps(八條目, paljomok) therein. Particularly, in the Chapter Two, "Cultivating Oneself(修己, sugi)", Yulgok deal with 'being able to manifest one's bright virtue'(明明德, myeong myeong deok) among the Three Cardinal Principles as the core curriculum, meanwhile, Yulgok also covered "Investigation of things, gyeongmul(格物)," "Extension of knowledge, chiji(致知)," "Sincerity of the will, Seongui(誠意)," "Rectification of the mind, Jeongshim(正心)," "Cultivation of the personal life, susin(修身)," among Paljomok(eight steps) as the ultimate purpose of 'Stopping in perfect goodness'(止於至善, jieojiseon) These well preserve the principal system of Confucianism where "Cultivating oneself and regulating others (修己治人, sugichiin)" are core value, and his instructions as such also back up academic validity logically by presenting specific guidelines for practice according to each domain. Reinterpretation of "The Great Learning" by Yulgok in Seong Hak Jibyo is an arena to investigate the characteristics of Confucianism in Joseon Period, which was different from that of China, furthermore, such guidelines might take a role as criteria to understand the characteristics of humans and learning possessed by Korean people.

Optimal Salt Concentration and Temperature for Perilla Seed Germination and Soil Bulk Density, Sowing Depth, and Salinity on Emergence Rate in Reclaimed Soil (들깨 NaCl 농도, 온도에 따른 발아와 간척지 토양에서 용적밀도, 파종깊이, 염농도에 따른 출현 특성)

  • Yang-Yeol Oh;Kwang Seung-Lee;Hee-Kyoung Ock;Hak-Seong Lee;Seo-Young Jung;Bo-Seong Seo;Young-Tae Shin;Kang-Ho Jung;Bang-Hun Kang;Hyun-Suk Jo;Su-Hwan Lee;Jin Jung;Seung-Yeon Kim;Jung-In Kim
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.68 no.4
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    • pp.413-421
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    • 2023
  • Data on salt tolerance, optimal sowing depth, soil bulk density (pb) and cardinal temperatures required for the germination and emergence of perilla (Perilla frutescens (L.) Britt) are scarce for reclaimed land soil. An experiment was conducted across six temperature treatments (10, 15, 20 , 25, 30, and 35℃) to determine the cardinal temperature for perilla seed germination and four salinity levels (0, 20, 40, and 60 mM) to determine the salt tolerance. Another experiment was performed for quantifying the emergence response of perilla to pb (1.1, 1.3, and 1.5 g cm-3), sowing depth (1, 2, 3, and 4 cm) and soil salinity. The results revealed that increased sodium chloride levels caused a significant reduction in the seed germination at Deulhyang and Sodam. The optimum upper limit temperature was less than 35℃. The optimal sowing depth and soil bulk density were 1 cm and 1.1 g cm-3 respectively. Perilla seedling growth was inhibited at 1.9 dS m-1 although varying responses were observed. These results aid our understanding of the germination and emergence rate of these crops and provide data for field cultivation to optimize crop sowing in reclaimed land.

Survey of Risk Evaluation in the Clinical Research for IRB Members and Researchers (임상시험심사위원회 위원과 연구자를 대상으로 연구의 위험평가 설문조사)

  • Choi, Yong-Sung;Lee, Sun Ju;Yim, Hyeon Woo;Choe, Byung-in;Lee, Jae Won;Oh, Sang-cheul;Shin, Im Hee;Huh, Jung-Sik;Kwon, Ivo;Kim, Jin Seok;Yoo, Soyoung;Cho, Hyunin;Lee, Mi-Kyung;Shin, Hee-Young;Kim, Duck-An
    • The Journal of KAIRB
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    • v.1 no.1
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    • pp.5-21
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    • 2019
  • Purpose: Institutional review board (IRB) classifies risks of clinical trials into less than minimal risk, minor increase over minimal risk, and more than minimal risk. Based on classification and evaluation for risk, IRB decides whether permitting consent exemption or asking additional protection for clinical research subject or not. The purpose of this study is to analyze how IRB members evaluate minimal risk by sending questionnaire survey with 12 predetermined scenarios. Methods: IRB members and researchers (pediatrician, gastroenterologist, neurologist, and neurosurgeon) in 11 different hospitals were asked to answer survey questions via email or online. We analyzed the differences of answers among several subgroups in each predetermined scenarios. Result: Responders were 212 personnel(110 researchers and 102 IRB members) from 11 centers. There were significant differences between IRB members and researchers in response such as blood sampling, skin prick test, one time catheterization in a girl, spinal tapping in child, non-enhance MRI in child, non-enhance MRI with chrolal hydrate in a child, spinal tapping without anesthesia in adult, bioequivalence test, gastric endoscopy, and non-enhance CT. significant differences between medical IRB members and non-medical members were also revealed in one time catheterization in a girl, spinal tapping in a child, non-enhance MRI in a child, bioequivalence test. Depending on researchers' department, they responded differently in several questionnaires as well. Conclusions: We have found that IRB members and researchers evaluate the risks differently. Researchers compared to IRB members, medical IRB members compared to non-medical members answered less than minimal risk in many cases. In assessing and evaluating the risks associated with the study, medical IRB members answered predetermined scenarios as less dangerous compared to non-medical IRB members. Difference among researchers where also revealed significantly. Researchers answered predetermined scenarios as less dangerous compare to other department researchers, especially in predetermined scenarios containing procedures they are familiar with.

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