• Title/Summary/Keyword: GIE

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Gastrointestinal endoscopy's carbon footprint

  • Su Bee Park;Jae Myung Cha
    • Clinical Endoscopy
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    • v.56 no.3
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    • pp.263-267
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    • 2023
  • Climate change is a global emergency. Consequently, current global targets to combat the climate crisis include reaching net-zero carbon emissions by 2050 and keeping global temperature increases below 1.5 ℃. In 2014, the healthcare carbon footprint was 5.5% of the total national footprint. Gastrointestinal endoscopy (GIE) has a large carbon footprint compared to other procedures performed in healthcare facilities. GIE was identified as the third largest generator of medical waste in healthcare facilities for the following reasons: (1) GIE is associated with high case volumes, (2) GIE patients and relatives travel frequently, (3) GIE involves the use of many nonrenewable wastes, (4) single-use devices are used during GIE, and (5) GIE is frequently reprocessed. Immediate actions to reduce the environmental impact of GIE include: (1) adhering to guidelines, (2) implementing audit strategies to determine the appropriateness of GIE, (3) avoiding unnecessary procedures, (4) using medication rationally, (4) digitalization, (5) telemedicine, (6) critical pathways, (7) outpatient procedures, (8) adequate waste management, and (9) minimizing single-use devices. In addition, sustainable infrastructure for endoscopy units, using renewable energy, and 3R (reduce, reuse, and recycle) programs are necessary to reduce the impact of GIE on the climate crisis. Consequently, healthcare providers need to work together to achieve a more sustainable future. Therefore, strategies must be implemented to achieve net-zero carbon emissions in the healthcare field, especially from GIE, by 2050.

Analysis of Inequality Effects by Income Sources Using the Gini Income Elasticity (GIE를 이용한 소득원천 별 불평등 효과 분석)

  • Seo, BongKyun
    • Korean Journal of Social Welfare Studies
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    • v.41 no.1
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    • pp.65-84
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    • 2010
  • The purpose of Inequality Index Decomposition is to know the cause of overall inequality through decomposing aggregate inequality index into relevant components. Previous studies have mostly focused on the absolute contribution meaning that how much each component possesses out of overall inequality. However it could be more important to know the marginal contribution and inequality effect of each component in order to implement policies reducing overall inequality effectively. For this, we decomposed Gini Coefficient as representative inequality index into income sources or social welfare programs and calculated each Gini Income Elasticity(GIE). Analysis result says that regular employee income and employer(or the self-employed) income, of which GIE are 1.205 and 1.867, are classified as inequality-increasing income source. GIE can be one of good methods to analyse the inequality effect of various income sources and social welfare programs.

Robot Arm Design with Nonlinearity and Workspace Consideration (비선형 효과 및 작업 공간을 고려한 로보트 팔의 설계)

  • Lee, Sang-Jo;Yun, Yeong-Sik
    • Journal of the Korean Society for Precision Engineering
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    • v.5 no.3
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    • pp.20-30
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    • 1988
  • Using the design parameters of multi-joint manipulator, worspace of the manipulator were evaluated analytically, and the relation between such design parameters and nonlinearity of the manipulator were presented dynamically. The ratio of the volumes of a manipulator's workspace to the cube of its total link length presents a kinematic performance index [NVI] for the manipullator. It is possible to geometrically represent the manipulator dynamics with the generalized inertia ellipsoid (GIE). The relation between the GIE configuration and the characteristics of manipulator dynamics was analysed in terms of inertia and nonlinear forces (Coliolis and centrifugal forces). The nonlinearity caused by the change of the GIE configuration were affected by the difference between the major and minor axes length of the GIE. The results of this investigationare applied to the optimal design of the manipulator.

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IN VIVO INVESTIGATION ON THE INTESTINAL ABSORPTION OF VITAMIN A-ALCOHOL (RETINOL) IN RATS

  • Whang, Eun-Mi;Burger, Hans-Jurgen
    • Proceedings of the Korean Nutrition Society Conference
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    • 1995.05c
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    • pp.21-21
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    • 1995
  • Absorption of fat-soluble vi tamin, retinol occurs mainly in the proximal part of small intestine. But its intestinal transport mechanism isn't yet clear. The aim of the present study was to investigate on the mechanism of absorption of retinol by determining a concentration-dependent kinetic of retinol absorption in rats. The study was carried out by applying in vivo technique in which vitamin solution was infused to intestinal lumen and at the same time thoracic duct and choledochus duct were canulated to collect samples. The investigations showed that retinol is absorbed in the small intestine by a saturable, carrier-mediated transport system, i.e. wi thout signi ficant differences between the proximal and distal halves of the small intestine. The transport of retinol taken up by the enterocytes occured via different mechanisms: while the main vitamin A transport via the thoracic duct was saturated by limiting transport factors such as retinol-CRBP-II-complex formation and retinol esterification with increasing substrate concentrations, the transport of retinol metabolite product via the portal vein was proportional to the substrate concentration.ration.

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