• Title/Summary/Keyword: Common Agency

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Effectiveness of Ultrasonographic Screening for Thyroid Cancer: Round-table Conference in the National Evidence-based Healthcare Collaborating Agency (NECA) in conjunction with the Korean Thyroid Association

  • Shin, Sangjin;Park, Sae Eun;Kim, Soo Young;Hyun, Min Kyung;Kim, Sun Wook;Kwon, Jin Won;Kim, Yeol;Kim, Won Bae;Na, Dong Gyu;Park, Hyun-Ah;Sheen, Seung Soo;Yi, Ka Hee;Chang, Hang-Seok;Cho, Jung Jin;Chung, Jae Hoon
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.5107-5110
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    • 2014
  • Background: The incidence rate of thyroid cancer has been increasing worldwide in recent years, and it is also the most prevalent cancer when it comes to the number of patients among Korean women. With it, ultrasonographic screening test has also become very common. However, there is still controversy over the performance of this screening test. Therefore, the National Evidence-based Healthcare Collaborating Agency (NECA) organized a Round-table Conference on the issues regarding ultrasonographic screening for thyroid cancer in Korea. The objective of the conference was mainly about delivering worthwhile information reflecting social value for the current situation, which was based on evidence surrounding thyroid cancer screening that relevant experts investigated and agreed on. The significance of this Round-table Conference lies in the fact that we reviewed the current evidence, and we were able to discuss the social value and future direction for ultrasonographic screening in Korea.

Effectiveness of Education Interventions for the Management of Cancer Pain: A Systematic Review

  • Lee, Yoon Jae;Hyun, Min Kyung;Jung, Yea Ji;Kang, Min Joo;Keam, Bhumsuk;Go, Su Jin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.4787-4793
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    • 2014
  • Background: Many cancer patients experience poor pain control due to various factors, including misconceptions regarding the use of opioid analgesics. For management of cancer pain, interventions involving education of both patients and physicians have been attempted. Objectives: This review aimed to assess the current evidence of the benefits of education for the management of cancer pain. Methods: We searched the Medline, EMBASE, Cochrane library, and major Korean databases to identify relevant studies. We included most study designs, but excluded case series. The primary outcomes were pain intensity and quality of life (QoL). Two reviewers assessed the risk of bias using the Cochrane's tool for RCT and Risk of Bias Assessment tool for Non-randomized Studies (RoBANS) for non-randomized studies, independently. Results: After extensive searches, 3,324 publications were screened, and 32 studies were selected. The education interventions used in the included studies included a wide variety of education methods, but the most common method was a booklet produced for patients. Regardless of the education method used, the results of the meta-analysis were as follows. The SMDs of the most severe, average, and current pain in the RCTs were significant. The SMD of worst, average, and current pain were -0.34 (-0.55, -0.13), -0.40 (-0.64, -0.15), and -0.79 (-1.35, -0.23). In the non-randomized studies, the effects on average pain were significant, but those on worst and current pain were not. Conclusions: Education intervention reduced the pain of cancer patients. Therefore, patient education could be considered to be an effective method of cancer pain management. However, our data should be interpreted with caution, and studies using standardized protocols are needed to confirm these observations.

A Study of the Fiber Fuse in Single-mode 2-kW-class High-power Fiber Amplifiers (단일 모드 2 kW급 고출력 광섬유 증폭기 내의 광섬유 용융 현상에 관한 연구)

  • Lee, Junsu;Lee, Kwang Hyun;Jeong, Hwanseong;Kim, Dong Jun;Lee, Jung Hwan;Jo, Minsik
    • Korean Journal of Optics and Photonics
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    • v.31 no.1
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    • pp.7-12
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    • 2020
  • In this paper, we experimentally investigate the fiber fuse in single-mode 2-kW-class high-power fiber amplifiers, depending on the cooling method at the splicing point. We measured the temperature of the splicing point between the pump-signal combiner and gain fiber as a function of laser output power. The temperature of the splicing point increased from 20 to 32℃ with a slope of 0.01℃/W, up to 1.2 kW of laser output power. At higher powers the temperature of the splicing point increased dramatically, with a slope of 0.08℃/W. After that, the fiber amplifier was destroyed during operation at 1.96 kW of output power by fiber fuse. The bullet shape, a common feature of fiber fuse, was observed in the damaged passive fiber core of the pump-signal combiner. Later, we adopted an improved water-cooled cold plate to increase the cooling efficiency at the splicing point, and investigated the laser output power. The temperature at the splicing point was 35.8℃ with a temperature-rise slope of 0.007℃/W at the maximum output power of 2.05 kW. The beam quality M2 was measured to be less than 1.3, and the output beam's profile was a stable Gaussian shape. Finally, neither fiber fuse nor mode instability was observed in the fiber amplifier at the maximum output power of 2.05 kW.

Meaning of Life in Wives of Alcoholics: Autobiographical Method (알코올 의존자 부인의 자서전 분석: 삶의 의미찾기)

  • Cho, Sun-Hee
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.758-767
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    • 2008
  • Purpose: The purpose of this study was to explore and describe life-stories and meanings of life in wives of alcoholics by analyzing their autobiographies. Methods: Autobiographies were collected from 20 participants who produced their own autobiographies in the logotherapeutic autobiography program at community alcohol counseling centers in Korea. The data were coded to identify themes of agency and communion using the manual coding system developed by McAdams, and analyzed by the existential approach. Results: There were 214 coded episodes in twenty autobiographies. There were 128 agency themes and 86 communion themes. The most common themes were Love/Friendship. Five themes emerged from the autobiographical episodes on the existential perspective: 1) overcoming the suffering, 2) meaningful people and relationships, 3) spiritual maturation, 4) caring and helping, and 5) finding a meaning of life. Conclusion: These results showed that the wives of alcoholics who participated in the logotherapeutic autobiography program found the meaning of life through their suffering. Furthermore, a study on existential nursing interventions for people who have meaninglessness in life needs to be done.

An evaluation on sealing performance of elastomeric O-ring compressed and highly pressurized (압축 및 내압을 받는 고무 오링의 기밀 성능 평가)

  • Park, Sung-Han;Kim, Jae-Hoon;Kim, Won-Hoon
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.2
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    • pp.86-93
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    • 2009
  • Elastomeric O-rings have been the most common seals due to their excellent sealing capacity, and availability in costs and sizes. One of the critical applications of O-ring seals is solid rocket motor joint seal where the operating hot gas must be sealed during the combustion. This has long been a design issue to avoid the system failure. For laterally constrained, squeezed and pressurized condition, deformed shape of O-ring was measured by computed tomography method and CCD laser sensor, compared with numerical calculations. As clearance gap changes, sealing performance had been evaluated on peak contact stresses at top, bottom and side contact surfaces. As clearance gap increases, peak contact stresses and contact widths in top and side contact surfaces increase, and the asymmetry of stress distributions is promoted due to pressure increase. It is suggested that peak stress of bottom contact surface can be approximated by simple superposition of peak ones due to squeeze and pressure. Under pressurized condition, sealing performance is dependent on not peak stresses of bottom and side contact surfaces but that of top.

Development of super convergent Euler finite elements for the analysis of sandwich beams with soft core

  • Sudhakar, V;Gopalkrishnan, S;Vijayaraju, K
    • Structural Engineering and Mechanics
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    • v.65 no.6
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    • pp.657-678
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    • 2018
  • Sandwich structures are well known for their use in aircraft, naval and automobile industries due to their high strength resistance with light weight and high energy absorption capability. Sandwich beams with soft core are very common and simple structures that are employed in day to day general use appliances. Modeling and analysis of sandwich structures is not straight forward due to the interactions between core and face sheets. In this paper, formulation of Super Convergent finite elements for analysis of the sandwich beams with soft core based on Euler Bernoulli beam theory are presented. Two elements, Eul4d with 4 degrees of freedom assuming rigid core in transverse direction and Eul10d with 10 degrees of freedom assuming the flexible core were developed are presented. The formulation considers the top, bottom face sheets and core as separate entities and are coupled by beam kinematics. The performance of these elements are validated by results available in the published literature. Number of studies are performed using the formulated elements in static, free vibration and wave propagation analysis involving various boundary and loading conditions. The paper highlights the advantages of the elements developed over the traditional elements for modeling of sandwich beams and, in particular wave propagation analysis.

Life Analysis and Reliability Prediction of Micro-Switches based on Life Prediction Method (수명예측 방법에 따른 마이크로스위치의 수명분석 및 신뢰도 예측)

  • Ji, Jung-Geon;Shin, Kun-Young;Lee, Duk-Gyu;Lee, Hi Sung
    • Journal of the Korean Society of Systems Engineering
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    • v.7 no.1
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    • pp.57-69
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    • 2011
  • Reliability means that a product maintains its initial quality and performance at certain period of time(time, distance, cycle etc) under given condition without failure. Given conditions include both environmental condition and operating condition. Environmental condition means common natural environment such as temperature, humidity, vibration, and working condition means artificial environment such as voltage, current load, install place, hours of use, which occurs during using the product. In the field of railway vehicles, although components of railway vehicles with reliability are the trend of mandatory as persisting period of railway vehicles is extended, using components of railway vehicles is insufficient for the practical reliability assessment. but the meaning of the first railway operating agency to acquire the parts in the field, the data suggest the reliability of products if you can and can show the reliability of modular units and modular units can provide the reliability of if you can present reliability of the entire system is thought to be here In this study, lifespan of micro-switch for master controller is analyzed and prediction is performed based on its field data considering the special circumstances of railway vehicles operating agency, such as a large number of trains operates on the same line.

Risk Factors for Breast Cancer, Including Occupational Exposures

  • Weiderpass, Elisabete;Meo, Margrethe;Vainio, Harri
    • Safety and Health at Work
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    • v.2 no.1
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    • pp.1-8
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    • 2011
  • The knowledge on the etiology of breast cancer has advanced substantially in recent years, and several etiological factors are now firmly established. However, very few new discoveries have been made in relation to occupational risk factors. The International Agency for Research on Cancer has evaluated over 900 different exposures or agents to-date to determine whether they are carcinogenic to humans. These evaluations are published as a series of Monographs (www.iarc.fr). For breast cancer the following substances have been classified as "carcinogenic to humans" (Group 1): alcoholic beverages, exposure to diethylstilbestrol, estrogen-progestogen contraceptives, estrogen-progestogen hormone replacement therapy and exposure to X-radiation and gamma-radiation (in special populations such as atomic bomb survivors, medical patients, and in-utero exposure). Ethylene oxide is also classified as a Group 1 carcinogen, although the evidence for carcinogenicity in epidemiologic studies, and specifically for the human breast, is limited. The classification "probably carcinogenic to humans" (Group 2A) includes estrogen hormone replacement therapy, tobacco smoking, and shift work involving circadian disruption, including work as a flight attendant. If the association between shift work and breast cancer, the most common female cancer, is confirmed, shift work could become the leading cause of occupational cancer in women.

Radical Scavenging Activity of Kemenyan Resin Produced by an Indonesian Native Plant, Styrax sumatrana

  • Hidayat, Asep;Iswanto, Apri Heri;Susilowati, Arida;Rachmat, Henti Hendalastuti
    • Journal of the Korean Wood Science and Technology
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    • v.46 no.4
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    • pp.346-354
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    • 2018
  • Kemenyan resin from Styrax sumatrana is a unique non-timber forest product (NTFP) native from Sumatera Island, Indonesia. It possesses a wide range of applications in the pharmaceutical, perfume, and cosmetics industries. In this paper, six kemenyan resin samples were investigated to evaluate their free radical scavenging activity using 1,1-diphenyl-2-picrylhydrazyl (DPPH) reagent. The kemenyan resin samples, which originated from North Tapanuli, Pakpak Bharat, and Humbang Hasundutan, showed high antioxidant activity with $IC_{50}$ < 16 mg/L. The antioxidant activity of common kemenyan resin constituents, i.e., cinnamic acid, ethyl cinnamate, gallic acid, and vanillin was also investigated as positive control, although they exhibited lower antioxidant activity ($IC_{50}$ < 1000 mg/L), except for gallic acid ($IC_{50}$ = 5,23 mg/L). The total phenolic and flavonoid contents (TPC and TFC) for all samples were 44-66 mg gallic acid equivalents (GAE)/g sample and 143-160 mg quarcetin equivalents (QE)/g sample. The results revealed that kemenyan resin has high potency as an antioxidant and could be used as a natural antioxidant resource.

Mass Spectrometric Analysis of Eight Common Chemical Explosives Using Ion Trap Mass Spectrometer

  • Park, Sehwan;Lee, Jihyeon;Cho, Soo Gyeong;Goh, Eun Mee;Lee, Sungman;Koh, Sung-Suk;Kim, Jeongkwon
    • Bulletin of the Korean Chemical Society
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    • v.34 no.12
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    • pp.3659-3664
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    • 2013
  • Eight representative explosives (ammonium perchlorate (AP), ammonium nitrate (AN), trinitrotoluene (TNT), 2,4-dinitrotoluene (DNT), cyclonite (RDX), cyclotetramethylenetetranitramine (HMX), pentaerythritol tetranitrate (PETN), and hexanitrostilbene (HNS)) were comprehensively analyzed with an ion trap mass spectrometer in negative ion mode using direct infusion electrospray ionization. MS/MS experiments were performed to generate fragment ions from the major parent ion of each explosive. Explosives in salt forms such as AP or AN provided cluster parent ions with their own anions. Explosives with an aromatic ring were observed as either $[M-H]^-$ for TNT and DNT or $[M]^{{\cdot}-}$ for HNS, while explosives without an aromatic ring such as RDX, HMX, and PETN were detected as an adduct ion with a formate anion, i.e., $[M+HCOO]^-$. These findings provide a guideline for the rapid and accurate detection of explosives once portable MS instruments become more readily available.