• 제목/요약/키워드: Critical Incidence

검색결과 260건 처리시간 0.024초

Environmental Health in the USA: Chemical exposure to air pollutants in the US-Assessment and response

  • Holler Jim
    • 대한예방의학회:학술대회논문집
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    • 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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    • pp.31-44
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    • 2005
  • In summary, air pollution issues in the United States are addressed by a core group of regulations supplemented by active Interventions as needed by public health agencies. The strategies employed by public health officials must be flexible and innovative to address the needs of the citizens, As you can see from the examples cited above, the collaboration of public health agencies can be critical in protecting communities from adverse exposures. In the US state and local governments have the primary responsibility for health and safety issues, including those associated with air pollution. The federal agencies have responsibilities when activities between states are involved and or the issues are of national significance. Significant challenges and opportunities remain to identify the relationship to air pollution and other environmental factors and the incidence of disease, and hence develop and implement Intervention strategies.

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좌관상동맥 입구협착의 외과적 확장술 (Surgical Angioplasty of Isolated Left Coronary Ostial Stenosis)

  • 서필원
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.247-252
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    • 1995
  • The isolated coronary ostial stenosis is rare and a critical lesion which requires urgent surgical intervention. Recently direct angioplasty is assumed as a preferable approach to conventional bypass grafting. From Mar. 1990 to Aug. 1993, six patients underwent direct angioplasty in Sejong Heart Institute. The mean age of 6 patients was 48 years [range 37 to 63 and they consisted with 5 females and one male. All had severe angina [class III or IV of short duration [mean 5.3 months and a low incidence of risk factors. Despite the crucial location of the lesion, most patients had well preserved left ventricular function and normal wall motion. We performed direct angioplasty with autologous pericardium via anterior approach except one patient who underwent direct angioplasty and CABG. One patient died 4 hours after angioplasty probably due to acute coronary dissection. The survived 5 patients maintain normal life without symptoms during 26.2 months follow up [range 5 to 47 months .Our preliminary results suggest that angioplasty of isolated coronary ostial stenosis in highly selected patient can be carried out with good results and relatively low operative risks.

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Revised NIOSH lifting equation의 현장 적용

  • 기도형;정민근;임종호
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1995년도 춘계학술대회논문집
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    • pp.106-110
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    • 1995
  • A local manufacturing companyin which low back pain(LBP) complaints were frequently reported was selected, and regularly perfomed lifting tasks were investigated using questionnaires and the 1991 NIOSH lifting guide. Among several processes of manufacture in the company, three processes-forming, heating and packing-were studied, where most of tasks were perfomed through manual materials handling (MMH). Questionnaire surveys showed that anthropometric data such as stature, weight and someatotype did not affect and weight of load influenced significantly the incidence of LBP, and workers who expwrienced LBP was older than the inexperienced. In addition, safety education conducted at the company was found to be ineffective in preventing LBP injuries. Lifting indexes(LI) was ranged from 0.86 to 17.0 with an average of 4.49, which revealed that tasks performing in the selected factory were in danger of LBP, and should be ertonomically redesigned. The critical factor reducing LI was found to be the horizontal component in all three processes, and most of weight of load was heavier than load constant(23kg) of the 1991 NIOSH lifting equation in heating process and packing.

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이동전화 서비스의 고객 만족도와 서비스 품질에 관한 연구 (An Empirical Study on Customer Satisfaction and Service Quality in Mobile Telecommunications Service)

  • 이승규;라준영
    • 한국경영과학회:학술대회논문집
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    • 한국경영과학회 2000년도 추계학술대회 및 정기총회
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    • pp.310-313
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    • 2000
  • This paper develops a model of customer satisfaction in the mobile telecommunication services. We examine the relationships among customers'overall satisfaction and underlying dimensions; perceived service quality, service value, and brand image. Variables related to customer satisfaction and dissatisfaction are derived from customer critical incidence survey. The model is estimated with multi-variate data analysis. Results indicate that the (1) technical service quality is the main driver of customer overall satisfaction, (2) some peripheral services are rapidly evolving into the core services of mobile telecommunications, and (3) the current policy of service providers does not focus on customer satisfaction but on establishing churning barrier by increasing switching costs.

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Histopathological Outcomes of Women with Abnormal Cervical Cytology: a Review of Literature in Thailand

  • Kietpeerakool, Chumnan;Tangjitgamol, Siriwan;Srisomboon, Jatupol
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6489-6494
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    • 2014
  • Cervical cytology remains the principal screening method to detect pre-invasive and invasive cervical lesions. Management of abnormal cervical cytology depends on the risk of encountering a significant cervical lesion or high-grade cervical disease. These risks may vary in different areas across the country. Thus, determining the rate of significant cervical lesion associated with each type of abnormal cervical cytology in each area is of critical importance for designing area-specific management approach. This review was conducted to evaluate the rate of high-grade cervical disease among Thai women with abnormal cervical cytology. A relatively high incidence of underlying significant lesions including invasive disease was demonstrated even in those having only minimal smear abnormality. This baseline information is crucial and must be taken into consideration in management of women with abnormal cytological screening to achieve the goals of comprehensive cervical cancer control in Thailand.

Psychosocial adjustment and quality of life of adolescents and adults with congenital heart disease

  • Kim, Gi Beom
    • Clinical and Experimental Pediatrics
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    • 제57권6호
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    • pp.257-263
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    • 2014
  • The incidence of people living with congenital heart disease (CHD) has been increasing every year owing to remarkable advances in surgical and catheter intervention techniques and devices, and improved knowledge of critical care for patients with CHD. However, these patients continue to face physical, psychosocial, and environmental challenges, and a number of studies have shown higher rates of depression and anxiety disorders than the general population. To improve psychosocial functioning and quality of life for adults with CHD, health care providers are recommended to inform CHD patients of an accurate diagnosis, and overall treatment process, beginning in adolescence to facilitate a smooth transition from adolescence to adulthood. Active cooperation with psychiatrists, psychologists, social workers, chaplains, and family members is highly recommended to help CHD patients feel normal and optimistic and to promote good social interactions, close family relationships, and a strong sense of coherence.

원통형 유전체 광 증폭기에 대한 연구 (Dielectric Cylinder Optical Amplifier)

  • 이성수
    • 한국광학회:학술대회논문집
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    • 한국광학회 2000년도 제11회 정기총회 및 00년 동계학술발표회 논문집
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    • pp.146-147
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    • 2000
  • The electromagnetic wave scattering from active objects has only recently attracted attention.$^{(1).(3)}$ Theoretical studies have considered normal-incidence plane-wave interactions with active dielectric cylinders with the prediction of large enhancements in the scattered field for bound mode structures. According to the theory of the electromagnetic wave scattering from a dielectric cylinder, the eigenvector solutions are discrete and have both guided (non-radiative) and leaky (radiative) mode solutions. By using an anti-guiding (leaky) structure instead of a guided structure and scattering at oblique incident angles near critical angle, the scattering resonances predicted by theoretical studies were obtained for the first time. A fine-grained scan of the plane-wave incident angle a reveals the existence of discrete scattering resonances. The diameter and real part of the index of refraction determine the resonant conditions and the imaginary part of the refractive index has a threshold value to make mode up for its radiation loss. The cross coupling between transverse electric (TE) and transverse magnetic (TM) modes is clearly detected for both active and passive scattering as theoretically expected. (omitted)

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신생아 혈전색전증 (Neonatal Thromboembolic Disorders)

  • 김도현
    • Neonatal Medicine
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    • 제18권1호
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    • pp.23-33
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    • 2011
  • The etiology of thrombosis is multifactorial and involves the interaction of inherited and acquired risk factors. Many neonatal thromboembolic disorders are iatrogenic and their incidence is likely to increase as advancements are made in neonatal care. Among pediatric populations, neonates have the highest risk for thrombosis secondary to the unique developmental hemostatic system, inherited prothrombotic disorders, and perinatal clinical conditions. Central venous and arterial catheters present the greatest risk for developing thromboembolisms in neonates. Both venous and arterial thromboses have been reported in a variety of anatomic locations. Prompt identification and appropriate management of thromboembolisms is critical for avoiding life-threatening complications. To date, few data are currently available regarding the contribution of inherited and acquired prothrombotic disorders in the pathogenesis of neonatal thromboembolism. In particular, a lack of information about neonatal thromboembolism in Korea has inhibited the development of appropriate guidelines for diagnosing thromboembolisms in neonates. An overview of the current knowledge about the role of inherited and acquired risk factors for neonatal thromboembolism in the West and a detailed description of common neonatal thromboembolic diseases is reviewed.

Optimal input cross-power spectra in shake table testing of asymmetric structures

  • Ammanagi, S.;Manohar, C.S.
    • Earthquakes and Structures
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    • 제9권5호
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    • pp.1115-1132
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    • 2015
  • The study considers earthquake shake table testing of bending-torsion coupled structures under multi-component stationary random earthquake excitations. An experimental procedure to arrive at the optimal excitation cross-power spectral density (psd) functions which maximize/minimize the steady state variance of a chosen response variable is proposed. These optimal functions are shown to be derivable in terms of a set of system frequency response functions which could be measured experimentally without necessitating an idealized mathematical model to be postulated for the structure under study. The relationship between these optimized cross-psd functions to the most favourable/least favourable angle of incidence of seismic waves on the structure is noted. The optimal functions are also shown to be system dependent, mathematically the sharpest, and correspond to neither fully correlated motions nor independent motions. The proposed experimental procedure is demonstrated through shake table studies on two laboratory scale building frame models.

Gastric Cancer with Peritoneal Tuberculosis: Challenges in Diagnosis and Treatment

  • Alshahrani, Amer Saeed;Lee, In Seob
    • Journal of Gastric Cancer
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    • 제16권2호
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    • pp.111-114
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    • 2016
  • Herein, we report a 39-year-old female patient presenting with gastric cancer and tuberculous peritonitis. The differential diagnosis between advanced gastric cancer with peritoneal carcinomatosis and early gastric cancer with peritoneal tuberculosis (TB), and the treatment of these two diseases, were challenging in this case. Physicians should have a high index of suspicion for peritoneal TB if the patient has a history of this disease, especially in areas with a high incidence of TB, such as South Korea. An early diagnosis is critical for patient management and prognosis. A surgical approach including tissue biopsy or laparoscopic exploration is recommended to confirm the diagnosis.