• 제목/요약/키워드: Early Assessment

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Qualitative Assessment of Breast Cancer Early Detection Services Provided through Well Woman Clinics in the District of Gampaha in Sri Lanka

  • Vithana, Palatiyana Vithanage Sajeewanie Chiranthika;Hemachandra, Nilmini Nilangani;Ariyaratne, Yasantha;Jayawardana, Pushpa Lalani
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7639-7644
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    • 2013
  • Background: Breast cancer is the most common cancer diagnosed among women in Sri Lanka. Early detection can lead to reduction in morbidity and mortality. The objective here was to identify perceptions of public health midwives (PHMs) on the importance of early detection of breast cancer and deficiencies of and suggestions on improving existing breast cancer early detection services provided through Well Woman Clinics. Materials and Methods: A qualitative study using four focus group discussions (FGDs) were conducted among 38 PHMs in the Gampaha district in Sri Lanka and the meetings were audio-recorded, transcribed and analyzed using constant comparison and identifying themes and categories. Results: All the PHMs had a firm realization on the need of breast cancer early detection. The four FGDs among PHMs revealed non-availability of guidelines, inadequacy of training, lack of skills and material to provide health education, inability to provide privacy during clinical examination, shortage of stationery, lack of community awareness and motivation. The suggestions for the improvements of the programme identified in FGDs were capacity building of PHMs, making availability of guidelines, rescheduling clinics, improving the supervision, strengthening the monitoring, improving coordination between clinical and preventive sectors, and improving community awareness. Conclusions: Results of the FGDs can provide useful information on components to be improved in breast cancer early detection services. Study recommendations were training programmes at basic and post basic levels on a regular basis and supervision for the sustainance of the breast cancer early detection program.

섬망의 조기 발견을 위한 진단 및 평가 방법 (Diagnosis and Evaluation for the Early Detection of Delirium)

  • 천영훈;이상열
    • 정신신체의학
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    • 제19권1호
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    • pp.3-14
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    • 2011
  • 연구목적 : 섬망은 병원 내의 임상적 상황에서 만날 수 있는 가장 흔한 정신과적 질환 중 하나이다. 섬망이 고령에서 보다 빈번하게 나타나고 높은 사망률과 연관이 있기에 섬망을 초기에 정확하게 진단하여 치료적 개입을 시행하는 것이 무엇보다도 중요하다. 그러나 이러한 중요성에도 불구하고 여전히 섬망이 잘못 진단되어 지거나 간과되고 있는 것이 사실이다. 치료팀이 섬망을 초기에 정확하게 진단해 내기 위해서는 섬망의 정의, 병태생리 및 여러 가지 다양한 검사 도구들을 특정 내 외과적인 상황에 적절하게 사용하는 것이 중요하다. 본 논문을 통해서 섬망을 조기 진단하기 위한 검사 도구들을 소개하고 임상적 상황에서 섬망을 정확하게 진단해 내기 위한 방안들을 모색해 보고자 한다.

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전과정평가(LCA)에 기반한 터치스크린 모니터 스탠드의 친환경적 기구설계 (Eco-Friendly Mechanical Design of Touch-Screen Monitor Stand through Life-Cycle Assessment(LCA))

  • 이화조;장운근;한훈;조영래;전찬곤
    • 한국산업융합학회 논문집
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    • 제15권4호
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    • pp.117-124
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    • 2012
  • Recent years, many industries acknowledge that environmental substantiality of products must be an essential role and it is one of the major importances for industries to consider the environmental impacts of products at the early stages of product development. This study investigated eco-design parameters and $CO_2-eq$. emissions in each stage of raw material acquisition, manufacturing, transportation, use and disuse in life cycle of touch monitor stand based on Eco-Design. In this study, to fulfill of Eco-Design, the environmental impact assessment of through LCA(Life cycle assessment) was carried out with benchmarking monitor stand and we suggested the direction of new design of touch monitor stand mechanism based on eco-friendly considerations. New design based on LCT(Life Cycle Thinking) showed that the following eco-friendly considerations at the early stage of design to be helpful to reduce GWP(Global Warming Potential) [kg $CO_2-eq$.] in new monitor stand development and it is necessary for Eco-Design process of the product.

Multimax Reactor System을 이용한 시멘트 혼화제 제조시 에스테르화공정의 열적 위험성 평가 (Assessment of Thermal Hazard on Esterification Process in Manufacture of Concrete Mixture Agents by Multimax Reactor System)

  • 한인수;이근원;표돈영
    • 한국안전학회지
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    • 제24권5호
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    • pp.13-20
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    • 2009
  • The risk assessment of thermal hazard to identify chemical or process hazard during early process developments have been considered. The early identification of thermal hazards associated with a process, such as rapid heats of reaction, exothermic decompositions, and the potential for thermal runaways before any large scale operations are undertaken. This paper presents to evaluate the safe operating parameters/envelope for exist plant operations. The assessment of thermal hazard with operating conditions such as amount of process materials, inhibitor, and catalyst on esterification process in manufacture of concrete mixture agents are described. The experiments were performed by a sort of calorimetry with the Multimax reactor system as a screening tool. The aim of the study was to evaluate the thermal risk of process material and mixture in terms of safety security to be practical applications in esterification process. It suggested that we should provide the thermal hazard of reaction materials to present safe operating conditions with cause of accident through this study.

소아의 흔한 질병 상황에서 식이, 영양의 중요성 (The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses)

  • 정수진
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제14권1호
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    • pp.33-44
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    • 2011
  • The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

어린이집 강점평가지표 개발 및 타당화 (Development and Validation of the Strengths Assessment Indicators for Daycare Centers)

  • 홍성희;황해익
    • 한국보육지원학회지
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    • 제14권6호
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    • pp.143-170
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    • 2018
  • Objective: The purpose of this study was to develop assessment indicators and to verify the validity and reliability of the developed assessment indicators. Methods: A Delphi survey, focus group interviews, and content verification were conducted in order for experts to develop an evaluation index of the strengths of the day care center. A main survey was conducted on 438 daycare center principals and teachers to test their item quality, validity and reliability. Results: The final assessment indicators consisted of three areas, seven assessment criteria, 19 evaluation factors, 41 assessment items and a five-point rubric rating scale. As for the common strengths indicators, there were three assessment areas, five assessment criteria, 12 assessment elements and 22 assessment items. In regard to the selective strengths indicators, there were 3 assessment areas, 5 assessment criteria, 12 assessment elements and 16 assessment items. Conclusion/Implications: The efforts to confirm the strengths of daycare centers are expected to facilitate the identity building of the daycare center itself and for its organizational members to make a contribution to the qualitative improvement of childcare.

초기재령 콘크리트의 세공구조 형성 및 발영특성에 관한 미시역학적 모델 (Micromechanics based Models for Pore-Sructure Formation and Hydration Heat in Early-Age Concrete)

  • 조호진;박상순;송하원;변근주
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1999년도 봄 학술발표회 논문집(I)
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    • pp.123-128
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    • 1999
  • Recently, as a performance based design concept is introduced, assurance of expected performances on serviceability and safety in the whole span of life is exactly requested. So, quantitative assessments about durability related properties of concrete in early-age long term are come to necessary, Especially in early age, deterioration which affects long-term durability performance can be occurred by hydration heat and shrinkage, so development of reasonable hydration heat model which can simulate early age behavior is necessary. The micor-pore structure formation property also affects shrinkage behavior in early age and carbonations and chloride ion penetration characteristic in long term, So, for the quantitative assessment on durability performance of concrete, modelings of early age concrete based on hydration process and micor-pore structure formation characteristics are important. In this paper, a micromechanics based hydration heat evolution model is adopted and a quantitative model which can simulate micro-pore structure development is also verified with experimental results. The models can be used effectively to simulate the early-age behavior of concrete composed of different mix proportions.

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참조물을 활용한 역동적평가의 교수과정이 유아의 측정능력에 미치는 영향 (Effects of a Teaching Process using Dynamic Assessment : Young Children's Measurement Ability)

  • 고은미;정명숙;황해익
    • 아동학회지
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    • 제29권1호
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    • pp.275-292
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    • 2008
  • This study investigated the effects of a teaching process using dynamic assessment for a unit on young children's measurement ability. Subjects were 45 5-year-old children in a kindergarten in Busan. The instrument was the Dynamic Assessment Tools for Young Children's Measurement Ability (Hwang & Ko, 2(07). Assessment consisted of four steps: pre-test, learning, transfer, post-test. Results were that at post-test, there were significant differences in scores of measurement ability between the dynamic assessment and control groups. In the dynamic assessment group there was significant improvement in length, width and weight between pre- and post-tests and there were significant shifts of measurement strategies and measurement errors between the pre- and post-tests.

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건설업 위험성평가 적용사업장 종사자 안전보건 인식도 조사 연구 -사업장책임자 및 관리감독자를 중심으로- (A Study on the Research & Analysis of the Health and Safety Managing's Understanding on the Applied Construction Work Site Risk Assessment - Focus on Site Manager & Manager -)

  • 최수환;김치경
    • 한국안전학회지
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    • 제27권4호
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    • pp.62-67
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    • 2012
  • Risk Assessment, a basis of health and safety management system, is an calamity prevention activity which regularly measure the level of a risk to passively improve potential hazard. A problem, the assessment not being improved to be applied to the construction work site where requires diversity and complexity, causes the assessment to be inefficient to bring quality results. A study on the investigates and compares the surveyed degree of recognitions of workers who works in companies executing the risk assessment By the investigation and comparison, it is expected to bring the better solution for early and efficient application for those companies which are not taking the risk assessment.

건설업 위험성평가 적용사업장 종사자 안전보건 인식도 조사 연구 -사업장책임자 및 관리감독자를 중심으로- (A study on the Research & Analysis of the Health and safety Managing's Understanding on the Applied Construction work site Risk Assessment - Focus on Site manager & manager -)

  • 최수환;배준태;이연수;김치경
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2012년 춘계학술대회
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    • pp.1-11
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    • 2012
  • Risk Assessment, a basis of health and safety management system, is an calamity prevention activity which regularly measure the level of a risk to passively improve potential hazard. A problem, the assessment not being improved to be applied to the construction work site where requires diversity and complexity, causes the assessment to be inefficient to bring quality results. A study on the investigates and compares the surveyed degree of recognitions of workers who works in companies executing the risk assessment By the investigation and comparison, it is expected to bring the better solution for early and efficient application for those companies which are not taking the risk assessment.

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