• 제목/요약/키워드: Hard Inclusion

검색결과 36건 처리시간 0.022초

유럽연합의 개방형 정책조정 (Open Method of Coordination)에 대한 이론적 기대와 현실: 빈곤정책의 사례 (Evaluation of the Open Method of Coordination in Social Inclusion: Theoretical Expectations and Reality)

  • 김승현
    • 국제지역연구
    • /
    • 제14권3호
    • /
    • pp.57-80
    • /
    • 2010
  • 이 연구에서는 개방형 정책조정방법이 사회적 포용의 영역에 도입된 이후, 과정의 변화와 정책효과에 대한 평가를 시도한다. 2000년 리스본이사회에서 결정된 개방형 정책조정방법의 정책도구들은 결과지향적인 신공공관리론과 과정지향적인 숙의적 다중질서라는 거버넌스이론을 배경으로 한다고 볼 수 있다. 역사적 변화과정을 살펴볼 때 결과지향적인 신공공관리론의 정책도구인 목표설정, 수범사례의 벤치마킹, 분권적 의사결정의 경우 애매하거나 아예 거부되었고, 제도적 틀을 넘지 못함으로써 효율성을 추구할 수 없었다. 아울러 규범적인 숙의적 다중질서이론이 제시하는 것처럼 학습을 위해 숙의와 상호검토를 추구하고 있으나, 실제 운영은 성찰적인 숙의과정에 미치지 못하고, 상호검토도 제도적 한계를 보임으로써 원활한 학습이 이루어지지 않는다. 10여 년간 개방형 정책조정방법이 집행되었지만 정책효과의 측면에서도 유의미한 결과를 찾을 수 없다. 그렇지만 빈곤문제에 대한 인식이 변하고 시민사회가 활발하게 조직되어 참여가 확대되고 있는 점은 긍정적인 효과이다.

Sound Dispersion in Simple Fluids

  • Chung, Chang-Hyun
    • Nuclear Engineering and Technology
    • /
    • 제6권3호
    • /
    • pp.171-182
    • /
    • 1974
  • 시간상관 함수를 일반화된 동력학적 수력학에 의해 기술하는 방법을 이용하여 단순 유체내에서의 소리의 산포를 분석 검토하였다. 소리의 산포에 대한 전단응력의 음의 산포에 영향을 액체알곤과 희석 경구형깨스에 대해 검토하였다. 액체알곤의 경우에는 광범위한 파수영역에 걸쳐 이론적으로 예언된 산포는 전단응력 이완상관과 구조상관의 복합된 영향을 나타내었다. 희석개스에 대한 결과는 전단응력이완을 포함시킨 이론이 나비어-스토크스 이론보다 정성적으로 우수함을 보였다.

  • PDF

Integration of Tobacco Control in Masters of Public Health Curricula of India

  • Yadav, Aman;Goel, Sonu;Sharma, Vijay Lakshmi
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권14호
    • /
    • pp.5611-5615
    • /
    • 2014
  • Context: Tobacco is the single largest cause of preventable death among adults globally, as it is in India. Despite this alarming situation, there is very minimal inclusion of tobacco in formal education systems, including the medical discipline, in India. Aims: The present study analyzed the extent of integration of tobacco control related content in Masters of Public Health (MPH) curricula of various institutes in India. Materials and Methods: This cross-sectional study was conducted during January 2011 to May 2011 in all colleges of the country offering a MPH course. The colleges were enlisted using various internet search engines (Google Scholar, Pubmed, Medline), other published literature and snowball technique. A 50 items semi-structured questionnaire was designed, posted and e-mailed (followed by hard copy) to the Person-In-Charge of the MPH program. Statistical Analysis: Descriptive statistics were used to profile the tobacco control content in respective institutions. All data entry and analysis was conducted using SPSS (version 16) for windows. Results: The duration of the MPH course was two years in all institutes and had accreditation with some affiliated body. Tobacco related diseases were covered under 'non communicable diseases' section by every institute. However, a mere 41.4% of institute's had faculty who had received specialized training in tobacco control. More coverage was given to health risks and effects of smoking as compared to cessation interventions (5 A's), symptoms of withdrawal and pharmacological treatments. Only 25% of institutes were in process of introducing tobacco courses into their curricula. Lack of expertise and administrative barriers were cited as perceived major problems in inclusion of tobacco control in MPH curricula. Conclusions: It can be concluded that tobacco control is not receiving adequate attention in public health curricula in India. There is a need for coordinated efforts in the area of tobacco control so as to reduce morbidity and mortality from tobacco induced diseases.

A Synbiotic Infant Formula with High Magnesium Content Improves Constipation and Quality of Life

  • Xinias, Ioannis;Analitis, Antonis;Mavroudi, Antigoni;Roilides, Ioannis;Lykogeorgou, Maria;Delivoria, Varvara;Milingos, Vasilis;Mylonopoulou, Mayra;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제21권1호
    • /
    • pp.28-33
    • /
    • 2018
  • Purpose: To evaluate the efficacy of synbiotic formula with partial whey hydrolysate and high magnesium content in infants presenting with functional constipation. Methods: Sixty-five infants with functional constipation were included. Forty infants were treated during one month with parental reassurance and the intervention formula and were compared to a control group of 25 infants treated with parental reassurance only. Parents completed a quality of life (QoL) questionnaire at baseline and during the last week of the study. Results: At inclusion, stool characteristics and QoL were similar in both groups. The control group was slightly older than the intervention group ($7.5{\pm}3.9$ vs. $6.2{\pm}3.6$ weeks). At onset, stool composition was "hard and tight" (Bristol stool scale 1 and 2) in all infants. After one month, stool composition remained unchanged in the control group except in two infants that developed "creamy" stools (Bristol stool scale type 3 and 4). In the intervention group, stools remained "hard and tight" in 27.5%, and became "creamy" in 47.5%, "loose" (Bristol stool scale type 5) in 22.5% and "watery" (Bristol stool type 6 and 7) in 2.5%. The benefit of the intervention formula was estimated to be "very important" in 70%. The median scores for QoL improved significantly in the intervention group for all parameters and for one in the control group. Conclusion: The intervention formula significantly improved functional constipation resulting in a better QoL of the parents and infants.

Treatment outcome and long-term stability of orthognathic surgery for facial asymmetry: A systematic review and meta-analysis

  • Yoon-Ji Kim;Moon-Young Kim;Nayansi Jha;Min-Ho Jung;Yong-Dae Kwon;Ho Gyun Shin;Min Jung Ko;Sang Ho Jun
    • 대한치과교정학회지
    • /
    • 제54권2호
    • /
    • pp.89-107
    • /
    • 2024
  • Objective: This systematic review aimed to provide a comparative analysis of the treatment outcomes, including hard and soft tissues, postoperative stability, temporomandibular disorders (TMD), and quality of life (QoL), in patients with facial asymmetry who underwent orthognathic surgery. Methods: The primary objective was to address the question, "How do different factors related to surgery affect the outcomes and stability of orthognathic surgery in the correction of facial asymmetry?" A meta-analysis was conducted on the outcome parameters, such as skeletal, dental, and soft tissue symmetry, TMD, QoL, and relapse, using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Subgroup analyses were conducted considering surgery-related factors such as surgical techniques (one-jaw vs. two-jaw), use of the surgery-first approach, utilization of computer simulation, and analytical methods employed to evaluate asymmetry (2D vs. 3D). Results: Forty-nine articles met the inclusion criteria. The metaanalysis demonstrated a significant improvement in the symmetry of hard and soft tissues. The subgroup analysis indicated that the treatment outcomes showed significant improvement, regardless of the factors related to surgery. Changes in TMD signs and symptoms varied according to the surgical technique used. Quality of life improved in the facial, oral, and social domains. Skeletal relapse was observed during the follow-up. Conclusions: Our findings support the positive outcomes of orthognathic surgery in the treatment of facial asymmetry in terms of skeletal and soft tissue improvements, stability, relief of TMD symptoms, and enhancement of QoL. However, most of the included studies showed a low certainty of evidence and high heterogeneity.

공동현상을 고려한 소형 정밀 모터용 빗살무늬 저널베어링의 해석 (Analysis of a Hydrodynamic Herringbone-Grooved Journal Bearing in a Small Precision Motor Considering Cavitation)

  • 창동일;장건희
    • 대한기계학회논문집A
    • /
    • 제24권11호
    • /
    • pp.2680-2687
    • /
    • 2000
  • The Reynolds equation, incorporating Elrods cavitation algorithm, is discretized on a rectangular grid in computational space through coordinate mapping in order to accurately analyze a herringbone grooved journal bearing of a spindle motor in a computer hard disk drive. The pressure distribution and cavitation area are determined by using the finite volume method. Predicted results are compared to experimental data of previous researchers. It was found that positive pressure is developed within the converging section of the bearing and that a cavity occurs in the diverging section. Cavitation has been neglected in the previous analysis of the herringbone grooved bearing. Load capacity and bearing torque are increased due to the increased of eccentricity and L/D and the decrease of the grooved width ratio. The maximum load capacity was found to occur at a groove angle of 30 degrees while bearing torque remains constant due to the variation of the groove angle. The cavitation region is significantly decreased with the inclusion of herringbone grooves. However, the region increases with the increase of the eccentricity, L/D, groove angle and the rotational speed and the decrease of the grooved width ratio.

Disambiguation of Korean Names in References

  • Kim, Sungwon
    • Journal of Information Science Theory and Practice
    • /
    • 제6권2호
    • /
    • pp.62-70
    • /
    • 2018
  • One of the characteristics of academic writing is the inclusion of citations and references. As the development of reference styles used for international scholarly communication has mostly been led by Western academic societies, the reference styles developed in Western nations do not reflect the characteristics of Korean names. As a result, it is hard to distinguish Korean authors through citations based on Western reference styles, which in turn decreases the retrieval efficiency of relevant authors and ultimately the efficiency of scholarly communication. This paper intends to analyze author name disambiguation of Korean authors indicated according to Western reference styles. It aims to suggest the necessity for enhancing name disambiguation of Korean authors and revision of reference styles. Its ultimate goal is to increase the efficiency of scholarly communication through the improvement of name disambiguation of Korean authors. For this purpose, this study collected and analyzed name data of Korean researchers and compared name disambiguation of authors by reference style. Based on research results, this study confirmed a necessity for revising reference styles to improve name disambiguation of authors and suggested a necessity for research into the improvement of plans for revision.

Integrated QR Payment System (QRIS): Cashless Payment Solution in Developing Country from Merchant Perspective

  • Nathan Eleazar Rafferty;Ahmad Nurul Fajar
    • Asia pacific journal of information systems
    • /
    • 제32권3호
    • /
    • pp.630-655
    • /
    • 2022
  • This paper examines the integrated QR code payment service (QRIS) adoption by retailers in Indonesia. Indonesia started its cashless journey in 2017 by using electric money in card form. As the country keeps developing, Indonesia has planned to integrate its payment towards a cross-border payment using QR codes by 2025 in the South East Asian region. Facing government vision, MSMEs that act as the significant economy wheel in Indonesia was required to be prepared to face the multi-cultural, multi-currency, and the new tech innovation for doing transactions. However, as a developing country, Indonesia faced significant problems with its infrastructure, which made it hard for merchants to access digital payment. As infrastructure was a common problem for developing countries, Indonesia also faced financial inclusion, lack of digital knowledge, a high amount of cash use, and socialization that made low digital payment penetration. Therefore, as there was a need to increase digital payment penetration for ASEAN integrated payment, this study found that merchant compatibility, facilitating conditions, trust, and relative advantages are drivers for MSMEs using this payment method. Further, this research provides propositions for banks, financial institutions, and governments to develop and evolve towards a cashless ecosystem, especially for a country lacking infrastructure.

근감소성 비만에 대하여 근육량을 보존할 수 있는 체중 감량 중재에 대한 고찰 (Review on Weight Loss Interventions that Can Prevent Muscle Mass Loss in Sarcopenic Obesity)

  • 박민정;임영우;김은주
    • 대한한의학회지
    • /
    • 제45권1호
    • /
    • pp.80-99
    • /
    • 2024
  • Objectives: The objective of this study was to review clinical studies conducted over the last ten years that investigated weight or fat loss interventions that can preserve muscle or fat-free mass in Sarcopenic obesity Methods: PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Research Information Sharing Service (RISS) and Korea Studies Information Service (KISS) were searched for Randomized clinical trials that had investigated all-type of interventions on the management of sarcopenic obesity from October 2013 to September 2023. Results: A total of 14 studies met all the inclusion criteria. Interventions that increase muscle mass while reducing body fat at the same time included resistance training (including using elastic bands) and whole-body electromyostimulation(WB-EMS) in exercise intervention and Hypocaloric high-protein diet in nutritional intervention, exercise and nutritional combined intervention, and combination intervention of electrical acupuncture and amino acid supplementation. Among them, the most positive method of changing the body composition in sarcopenic obesity was the electric acupuncture and amino acid supplements. Conclusion: Varying diagnostic criteria and management interventions for sarcopenic obesity in the included studies made it hard to maintain homogeneity across the studies. Well-defined criteria for diagnostic sarcopenic obesity should be considered. In addition, since all of the interventions examined did not show sufficient clinical effectiveness, follow-up studies are needed to confirm effective interventions for sarcopenic obesity patients in the future.

Incidentally Detected Adenocarcinoma Prostate in Transurethral Resection of Prostate Specimens: a Hospital Based Study from India

  • Varghese, Jophy;Kuruvilla, Priya Mariam;Mehta, Nisarg;Rathore, Ranjeet Singh;Babu, Manas;Bansal, Devesh;Pillai, Biju;Sam, Mohan P;Krishnamorthy, H
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권4호
    • /
    • pp.2255-2258
    • /
    • 2016
  • Background: Awareness about prostate cancer has increased in the community, and prostate cancer screening examinations, including prostate specific antigen (PSA) assays, are now widely available. Prior to the PSA era, up to 27% of prostate cancers were detected incidentally at the time of transurethral resection of prostate (TURP). After PSA testing became widely available, the incidence of incidentally detected carcinoma prostate in TURP specimens without prior diagnosis reduced to 5-13%. However, the incidence of incidentally detected carcinoma prostate has been reported to vary across the globe since various factors can influence the identification of this malignancy in TURP specimens. In this paper, we focus on rates of incidentally detected prostate cancer in TURP specimens in our hospital and correlate it with various parameters. Materials and Methods: This retrospective study of histopathological findings of biopsy specimens was conducted for patients undergoing TURP during a period of 5 years from April 2010. The inclusion criteria were patients diagnosed with benign prostatic hyperplasia (BPH) (digital rectal examination (DRE) not showing any abnormally hard areas and normal age adjusted PSA values). Patients with elevated PSA, abnormal DRE, documented urinary tract infection and proved adenocarcinoma prostate (CaP) were excluded from the study. The total weight of prostatectomy specimen, occurrence of carcinoma prostate in the chips, percentage of total tissue resected showing malignancy and Gleason's scores were recorded. Results: A total of 597 patients belonging to the inclusion criteria were studied. The incidence of occult CaP in the study group was 5.2 % (31/597). Out of these, 8 belonged to T1a and 23 belonged to T1b stages. The age group 70 - 79 years had the maximum incidence of occult CaP. It was observed that the clinical grading of prostate did not have a bearing on the incidence of occult CaP whereas the weight of resected specimen correlated with the incidence of CaP. The incidence of occult CaP was greater with low volume prostates (<20 g). (P=0.15). Conclusions: The rate of incidentally detected adenocarcinoma prostate in patients undergoing TURP for clinically diagnosed BPH was found to be only 5.2 % in our study which is low when compared with similar studies done elsewhere. The age of the patient and weight of the resected specimen correlated with incidence of occult prostate cancer. The clinical grading of prostate by DRE however, demonstrated no correlation.