• Title/Summary/Keyword: Multi-Level

Search Result 4,759, Processing Time 0.038 seconds

Is Colorectal Cancer A Western Disease? Role of Knowledge and Influence of Misconception on Colorectal Cancer Screening among Chinese and Korean Americans: A Mixed Methods Study

  • Lu, Xiaoxiao;Holt, Cheryl L;Chen, Julia C;Le, Daisy;Chen, Jingjing;Kim, Gil-yong;Li, Jun;Lee, Sunmin
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.11
    • /
    • pp.4885-4892
    • /
    • 2016
  • Background: Chinese and Korean Americans have lower colorectal cancer (CRC) screening rates than other racial/ ethnic groups, which may be explained by a low level of CRC knowledge and a high level of misconceptions. This study explores the role of knowledge in CRC screening among these groups. Methods: Chinese (N=59) and Korean (N=61) Americans older than 50 were recruited from the Washington D.C. Metropolitan area. They completed a detailed survey and participated in focus groups to discuss their knowledge on CRC and CRC screening. Seventeen physicians, community leaders, and patient navigators participated in key informant interviews. Using a mixed methods approach, data were analyzed quantitatively and qualitatively. Results: Participants lacked knowledge about CRC and CRC screening. More than half did not know that screening begins at age 50 and there are several types of tests available. More than 30% thought CRC screening was not necessary if there were no symptoms or there was nothing they could do to prevent CRC. Focus group findings suggested understanding about CRC was limited by an inadequate source of linguistically and culturally relevant health information. For example, many participants considered CRC a western condition mainly caused by unhealthy diet. This led to under-estimations about their susceptibility to CRC. Knowledge was positively associated with self-reported screening. Participants who had higher knowledge scores were more likely to report ever having had a colonoscopy and confidence in ability to have CRC screening. Conclusions: Mixed-methods analysis provides multi-faceted perspectives on CRC knowledge and its influence on screening. Study findings can help inform interventions to increase CRC screening among Chinese and Korean Americans.

Multiculturalism and Glocal Citizenship: In Reference to Japanese Concept of 'Multicultural Coexistence' (다문화사회와 지구.지방적 시민성: 일본의 다문화공생 개념과 관련하여)

  • Choi, Byung-Doo
    • Journal of the Korean association of regional geographers
    • /
    • v.17 no.2
    • /
    • pp.181-203
    • /
    • 2011
  • Transformation towards multicultural society requires discussion on new concepts of citizenship which would overcome some limits of national citizenship developed on the basis of the nation-state. Citizenship can be defined as a relationship between individuals and their community, and conceptualized in a relation with identity. Citizenship also includes its spatial elements such as site and movement, place and public/private space, boundary and territory, flow and network, level and scale, etc. and in particular implies a multi-scalability of local, national, and global level. A new discussion on citizenship has emerged in Japan in shift to multicultural society, especially focusing on activities of local governments and grassroots social movements to support and ensure welfare services to and human rights of foreign immigrants in local communities, hence develops a concept of local citizenship. This concept seems to be highly significant for both foreign immigrants and Japanese dwellers for multicultural coexistence, but raises serious problems of separating local citizenship from formal national citizenship and from universal global citizenship. In order to resolve these problems, a new multiscalar concept of glocal citizenship which links interrelationally local, national and global citizenship. The concept of glocal citizenship is suggested to lead academically a new version of cosmopolitanism which embraces the universal and the particular in a dialectic manner, and to give strategically an alternative to multicultural coexistence policy and discourse and local citizenship discussion in Japan.

  • PDF

The preliminary study for three-dimensional alveolar bone morphologic characteristics for alveolar bone restoration

  • Cho, Hyun-Jae;Jeon, Jae-Yun;Ahn, Sung-Jin;Lee, Sung-Won;Chung, Joo-Ryun;Park, Chang-Joo;Hwang, Kyung-Gyun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.41
    • /
    • pp.33.1-33.7
    • /
    • 2019
  • Background: The concept of the ideal morphology for the alveolar bone form is an important element to reconstruct or restore the in maximizing esthetic profile and functional alveolar bone restoration. The purpose of this preliminary study is to evaluate the normal alveolar bone structure to provide the standard reference and guide template for use in diagnosing for implant placement, determining the correct amount of bone augmentation in actual clinical practice and producing prostheses based on three-dimensional imaging assessment of alveolar bone. Methods: This study was included 11 men and 11 women (average age, 22.6 and 24.5 years, respectively) selected from among 127 patients. The horizontal widths of alveolar bone of maxilla and mandible were measured at the crestal, mid-root, and root apex level on MDCT (multi-detector computed tomography) images reconstructed by medical imaging software. In addition, tooth dimensions of the central incisors, canines, second premolars, and first molars of maxilla and mandible, including the horizontal width of the interdental alveolar bone crest, were also measured and statistically analyzed. Results: The horizontal alveolar bone width of the palatal side of maxilla showed a distinct increment from the alveolar bone crest to the apical region in both anterior and posterior areas. The average widths of the maxillary alveolar ridge were as follows: central incisor, 7.43 mm; canine, 8.91 mm; second premolar, 9.57 mm; and first molar, 12.38 mm. The average widths of the mandibular alveolar ridge were as follows: central incisor, 6.21 mm; canine, 8.55 mm; second premolar, 8.45 mm; and first molar, 10.02 mm. In the buccal side, the alveolar bone width was not increased from the crest to the apical region. The horizontal alveolar bone width of an apical and mandibular border region was thinner than at the mid-root level. Conclusions: The results of the preliminary study are useful as a clinical guideline when determining dental implant diameter and position. And also, these measurements can also be useful during the production of prefabricated membranes and customized alveolar bone scaffolds.

Long-term Changes of Fish Ecological Characteristics on the Gwanpyeong Stream Development and the Necropsy-based Health Assessments (관평천 개발에 따른 장기간 어류 생태적 특성 변화 및 해부학적 건강도 평가)

  • Oh, Ja Yun;Lee, Sang-Jae;An, Kwang-Guk
    • Korean Journal of Environment and Ecology
    • /
    • v.34 no.4
    • /
    • pp.282-293
    • /
    • 2020
  • This study investigated a long-term variation trend of water quality, fish compositions, and ecological health conditions in the Gwanpyeong stream located in the nearby Daejeon metropolitan city to understand the impact of urban development projects on the aquatic ecosystem. The sampling was made in four surveys (2009, 2010, 2016, 2019) before and after urbanization. The urban development was conducted in 2008, resulting in the stream's ecological disturbance, and the stream restoration was conducted in 2012. Thus, stream monitoring was conducted to analyze the ecological trends before and after the restoration. The multi-metric models for Fish Assessment Index(FAI) and necropsy-based Health Assessment Index(HAI) were applied in the fish community and organ-level, respectively, to assess the ecological health of the stream. Minimum turbidity and chlorophyll-a(Chl-a) occurred in the mid-stream(St. 2), and this was probably due to rapid current velocity in the riffle zone. We collected 18 fish species, and the dominant species was Zacco platypus (40.6%). In 2016 immediately after the stream restoration, the relative proportions of sensitive species and insectivore species were the highest along with highest values in the species diversity and species richness index, resulting in the best condition in the ecological health, based on FAI model values. However, the ecological health, based on the FAI, became worse in the latest survey conducted in 2019. The analysis of the HAI model based on the organ-level approach showed skin erosion in the fish of upper stream, kidney defects in downstream, and the liver and gill defects observed in all sites, indicating that the anatomical health was also affected.

Effect of Urbanization on Rainfall Events during the 2010 Summer Intensive Observation Period over Seoul Metropolitan Area (2010년 여름철 수도권 집중관측기간 강수 사례들에서 나타나는 도시화 효과)

  • Kim, Do-Woo;Kim, Yeon-Hee;Kim, Ki-Hoon;Shin, Seung-Sook;Kim, Dong-Kyun;Hwang, Yoon-Jeong;Park, Jong-Im;Choi, Da-Young;Lee, Yong-Hee
    • Journal of the Korean earth science society
    • /
    • v.33 no.3
    • /
    • pp.219-232
    • /
    • 2012
  • The intensive observation (ProbeX-2010) was performed to investigate an urban effect on summer rainfall over the Seoul metropolitan area from 13 August to 3 September 2010. Two kinds of urban effect were detected. First, weak rainfall (${\leq}1\;mm\;hr^{-1}$) was observed more frequently in the downwind area of Seoul than any other area of the country. The high frequency of weak rainfall in the downwind area was also confirmed from the recent five years of observational data (2006-2010). Because the high frequency was more apparent in mountainous regions during nighttime, the weak rainfall seems to be caused by a combined effect of urbanization and topography. Second, sporadically, a convective system was developed rapidly in the downwind area of Seoul, causing heavy rainfall (${\geq}10\;mm\;hr^{-1}$). It can be most clearly seen in series of radar images around 1300-1500 KST 27 August 2010. We investigated in detail the synoptic and local weather and upper air conditions. As a result, not only urban-induced high sensible heat but also conditionally unstable atmosphere (especially unstable in low level) and low level moisture were pointed out as important factors that contributed to urban-induced heavy rainfall.

The characteristics of nuclear powered submarine and the use of enriched uranium (원자력 추진 잠수함의 특성과 농축우라늄 사용)

  • Jang, Jun-Seop
    • Strategy21
    • /
    • s.41
    • /
    • pp.261-293
    • /
    • 2017
  • Nuclear power is a way of attaining an enormous amount of energy with relatively small amount of resources and after it has been introduced to the submarine since 1954, there are approximately 150 of nuclear powered submarine currently on a mission around the world. This is due to the maneuverability, mountability and covertness of nuclear submarines. However, there are other tasks, not only the high level of nuclear technology that are needed to be dealt with in order to construct nuclear powered submarine. The biggest task of all is to secure the enriched uranium. Accordingly, this research is about the way of enriching and securing the nuclear fuel that are used in the nuclear submarine with the characteristics, merits and demerits of the nuclear submarine. Due to the fact that the pressurized water reactor in South Korea is the reactor that was originally built for the development of nuclear powered submarine, many parts is designed to be suitable for the submarine propulsion. However, in order to apply this to submarine it is needed to consider additional requests such as the position of reactor, accident-coping system, radioactive covering, reactor output adjustment and ship's pitch and roll in order to apply this to submarine. Nuclear submarines have much higher speed based on the powerful propulsion in comparison with diesel-electric submarine and also have bigger loading area. Besides, there is no need to snorkel and they also have advantages in covertness with the multi-noise proof system. The nuclear technology in South Korea has seen the dramatic development since 1962 and in 1998 reached to the level that we have succeeded in the localization of nuclear plant and exported the world-class one-piece small-sized reactor (SMART) to UAE. To operate these reactors, we import the whole quantity of low-enriched uranium and having our own uranium enrich facility is not probable because of the budget and international regulations. With the ROK/US nuclear agreement revised on 2015 November, the enrichment of uranium that are available without special permission has changed up to 20%. According to the assumption that we use the 20% enrichment of Uranium on U.S. virginia class submarine, it is necessary to change the fuel after 11 years and it will cause additional cost of 1 billion dollars. But the replace period by the uranium's enrichment rate is not fixed so that it is possible to change according to the design of reactor. Therefore, I would like to make a suggestion on two types of design concepts of nuclear submarine that can be operated for 30 years without nuclear fuel change by using the 20% enriched uranium from ONNp.First of all, it is possible by increasing the size of reactor by 3 times and it results in the 1,000t increase of the weight. And secondly, it is by designing the one piece reactor to insert devices such as steam turbine, condenser into the inside of nuclear core like the Rubis class submarines of France.

Estimation of R-factor and Seismic Performance for RC IMRFs using N2 Method (N2 Method를 이용한 RC 중간모멘트 연성골조의 반응수정계수 및 내진성능 평가)

  • 윤정배;이철호;최정욱;송진규
    • Journal of the Earthquake Engineering Society of Korea
    • /
    • v.6 no.6
    • /
    • pp.33-39
    • /
    • 2002
  • Response Modification Factor(R-factor) approach is currently implemented to reflect inelastic ductile behavior of the structures and to reduce elastic spectral demands from earthquakes to the design level. However R factors were set empirically and simply based on the professional committee consensus on observed performance of building structures during past earthquakes. Consequently some major shortcomings linked to the current R factor approach have been pointed out. Using reinforced concrete intermediate moment-resisting frames(RC IMRFs), an analytical procedure is presented in this paper to establish R factor rationally. To this end, analytical R values were evaluated based on N2 Method and compared with the values recommended by IBC 2000. Overall, the analytical results correlated well with the code values. However the results also revealed that R factor might strongly depend on the system fundamental period. As evidenced by the interstory drift index(IDI) analysis results of this study, current R-factor based(or, Life Safety based) design tends to fail in fulfilling other implicit and hopeful performance objectives such as immediate Occupancy and Collapse Prevention. Performance based design(PBD) appears to be a promising approach to meet the multi level seismic performance objectives assigned to the building structures of nowadays.

Environmental Geochemistry of Radon at the Taejon City Area in Korea (대전시(大田市) 지역(地域) 라돈 환경(環境) 지화학(地化學) 연구(硏究))

  • Hong, Young-Kook
    • Economic and Environmental Geology
    • /
    • v.30 no.1
    • /
    • pp.51-60
    • /
    • 1997
  • The high radon (Rn222) potentials of soil, groundwater, hotspring and indoor environments in the Taejon city area were delineated by use of an EDA RDA-200 radon detector. The U and Th contents were also analysed using a Multi Channel Analyzer to illustrate the sources of the radon potentials. The average U concentrations in Taejon vary according to the type of granites such as $4.14{\pm}2.36ppm$ in schistose granite (SG), $3.13{\pm}1.70ppm$ in biotite granite (BG) and $3.01{\pm}1.95ppm$ in two mica granite (TG). The U contents in the granites are closely related with the amounts of uraniferous minerals. However, the U contents in the soil are found to be $5.05{\pm}4.75ppm$ in TG, $4.07{\pm}1.69ppm$ in BG and $3.87{\pm}1.91ppm$ in SG which are mainly explained by the different cation exchange capacities (CEC) of the soils from various granites. The levels of soil radon are $552{\pm}656pCi/l$ in SG, in which levels at two locations exceed the level of 1,350 pCi/l established as guideline for follow-up action by the U.S. Environmental Protection Agency (EPA), $443{\pm}284pCi/l$ in TG and $224{\pm}115pCi/l$ in the BG. The soil radon concentrations are found to be proportional to the U content and hardness of the soils. The groundwater radon concentrations in the domestic wells of - 30~-100 m depth show that $6,907{\pm}4,665pCi/l$ in TG, $5,503{\pm}6,551pCi/l$ in SG and $2,104{\pm}1,157pCi/l$ in BG which are positively related with U contents in soils. The radon levels of six groundwater wells in TG and two in SG are greater than guideline for drinking water level, 10,000 pCi/l by EPA (1986). Average radon contents of hotsprings and public bathes in the TG area are $7,071{\pm}1,942pCi/l$ and $1,638{\pm}709pCi/l$, respectively, which are below the EPA standard for remedial action value of the 10,000 pCi/l. The mean indoor radon concentrations of the TG and SG areas are $1.60{\pm}1.20pCi/l$ and $1.60{\pm}0.70pCi/l$, respectively. The elevated indoor radon levels of 5.6 pCi/l and 6.7 pCi/l are found to be particularly in TG area, which exceeds 4 pCi/i guideline, correlating positively with the U contents in the soil and radon concentration in the groundwater.

  • PDF

Analysis of the Climate inside Multi-span Plastic Greenhouses under Different Shade Strategies and Wind Regimes

  • He, Keshi;Chen, Dayue;Sun, Lijuan;Huang, Zhenyu;Liu, Zhenglu
    • Horticultural Science & Technology
    • /
    • v.32 no.4
    • /
    • pp.473-483
    • /
    • 2014
  • In this work, the effects of shade combination, shade height and wind regime on greenhouse climate were quantified. A two-dimensional (2-D) computational fluid dynamics (CFD) model was developed based on an 11-span plastic greenhouse in eastern China for wind almost normal to the greenhouse orientation. The model was first validated with air temperature profiles measured in a compartmentalized greenhouse cultivated with mature lettuce (Lactuca sativa L., 'Yang Shan'). Next, the model was employed to investigate the effect of shade combinations on greenhouse microclimate patterns. Simulations showed similar airflow patterns in the greenhouse under different shade combinations. The temperature pattern was a consequence of convection and radiation transfer and was not significantly influenced by shade combination. The use of shade screens reduced air velocity by $0.02-0.20m{\cdot}s^{-1}$, lowered air temperature by $0.2-0.8^{\circ}C$ and raised the humidity level by 0.9-2.0% in the greenhouse. Moreover, it improved the interior climate homogeneity. The assessment of shade performance revealed that the external shade had good cooling and homogeneity performance and thus can be recommended. Furthermore, the effects of external shade height and wind regime on greenhouse climate parameters showed that external shade screens are suitable for installation within 1 m above roof level. They also demonstrated that, under external shade conditions, greenhouse temperature was reduced relative to unshaded conditions by $1.3^{\circ}C$ under a wind speed of $0.5m{\cdot}s^{-1}$, whereas it was reduced by merely $0.5^{\circ}C$ under a wind speed of $2.0m{\cdot}s^{-1}$. Therefore, external shading is more useful during periods of low wind speed.

Monitoring of Pesticide Residues and Risk Assessment in Some Fruits on the Market in Incheon, Korea (인천지역 유통 과일 중 잔류농약 모니터링 및 위해성 평가)

  • Chung, Se Jin;Kim, Hye Young;Kim, Ji Hyeung;Yeom, Mi Suk;Cho, Joong Hee;Lee, Soo Yeon
    • Korean Journal of Environmental Agriculture
    • /
    • v.33 no.2
    • /
    • pp.111-120
    • /
    • 2014
  • BACKGROUND: This study was conducted to investigate the levels of pesticide residues in fruits and to assess their risk to human health. METHODS AND RESULTS: Monitoring of 215 samples of fruits collected from local markets in incheon during 2013 was performed. 259 pesticides were analyzed by multi-residue method and Quick, Easy, Cheap, Effective, Rugged, and safe/Mass/Mass(QuEChERS/MS/MS) method using Gas Chromatography-Electron Capture Detector/Nitrogen Phosphorus Detector(GC-ECD/NPD), GC-MS, LC(Liquid Chromatography-Mass/Mass(LC-MS/MS) and High Performance Liquid Chromatography-Photodiode Array/Fluorescence Detector(HPLC-PDA/FLD). In 56.3% of the samples detected pesticide residues and were not found to exceed Maximum Residue Limits(MRL). The highest detected samples were found in citrus fruits(83.9%). Among the detected compounds, carbendazim(13.1%), imazalil (11.7%), thiabendazole(10.7%) and fludioxonil(9.8%) were frequently found in fruits. A risk assessment of pesticide residues in fruits was performed by calculating Estimated Daily Intake(EDI) and Acceptable Daily Intake(ADI). Also, we were evaluated removal efficiency of pesticide residues by washing and peeling. The removal efficiency of pesticide residues in citrus and tropical fruits by peeling processes were 91.6%. After the washing process, the removal rates were 43.1%(Cherry, Grape, Blueberry). CONCLUSION: The level of pesticide residues in fruits was within the MRL. The range of %ADI values was from 0.00011 to 0.98795%. The process of washing or peeling reduces the level of pesticide residues. The results of this research concluded that the detected pesticides are not harmful to human being.