• Title/Summary/Keyword: Periodic Review

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Verruciform xanthoma in the hard palate: a case report and literature review

  • Garcia, Alexandre Simoes;Pagin, Otavio;da Silva Santos, Paulo Sergio;Oliveira, Denise Tostes
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.6
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    • pp.383-387
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    • 2016
  • Oral verruciform xanthoma (OVX) is an uncommon lesion that appears on the oral mucosa. The aim of this paper was to discuss the probable etiopathogenesis of OVX in the hard palate, reinforcing the importance of including this lesion in the differential diagnosis of verrucous lesions. A 43-year-old male smoker presented with a painless lesion with a verrucous surface and erythematous spots on the hard palate. Excisional biopsy revealed oral mucosa consisting of hyperkeratosis, acanthosis, and elongated rete pegs. Subjacent connective tissue showed numerous foam cells with clear cytoplasm and pyknotic nucleus, negative on periodic acid-Schiff staining. Immunohistochemical analysis revealed foam cells positive for anti-CD68 antibody, while anti-KI-67 antibody was restricted to the basal layer of the oral epithelium. A final diagnosis of OVX was established. The patient showed no signs of recurrence after seven months of follow-up. Physical trauma and smoking habits can be directly related to the etiology of verruciform xanthoma because the lesion is chronic and inflammatory with slow growth, and sites if high trauma are more often affected by such a lesion. The hard palate is the second most commonly affected site, and local trauma caused by smoking can be a cause of this type of lesion.

A Case Study of Balanced Scorecard(BSC) System Implementation in Public Procurement Service (조달청 BSC 시스템 구축사례)

  • Kim, Jae-Yeol
    • Information Systems Review
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    • v.9 no.1
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    • pp.259-282
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    • 2007
  • This paper provides a case for the comprehensive performance management system in Public Procurement Service. Public Procurement Service set up the BSC system at the beginning of 2006 by improving and complementing the earliest performance management system and made it possible to automatically connet the performance measurement and evaluation of the departmental and person by using CSF and KPI, which result from their mission and strategic assignments. Therefore, the public service of the adminstration is able to offer better customer service, as the private corporations do, apply the incentive and disincentive policies to the personnel and reward administration and contribute to changing the administration into an organization of competition and performance compensation. The application of the BSC system enables the strengthening of the individual evaluation system in the departmental, integration of various evaluations into one, and the establishment of a monitering system of achievement rate in the objective management in the periodic results. Such a case study of Public Procurement Service will determine the course of establishment of the BSC in other public institutions and suggest many successful methods and ideas for the performance management system.

Monogastric Animal Production Systems in Small Farms in Tropical Countries - Review -

  • Saadullah, M.;Saad, T.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.3
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    • pp.401-412
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    • 2000
  • Like other livestock, monogastric animals are essential components of the farming systems in the tropical countries. Pigs, chicken and ducks are by far the most important animals in the culture of the peoples of developing countries in the tropics. Traditionally these animals are raised in small farms and they are also the bulk producers of meat, eggs etc. in the tropics. In many countries the farmers of these small farms are unable to meet the requirement set by financial institution and other loan giving agencies for agricultural loan. Thus, the small farmers can get neither the opportunity to generate sufficient income to support the family nor to extend the livestock activities. The production systems are characterized by small number of animals with no or minimal inputs, low outputs and periodic destruction of animals by disease. Typically the litter size or flocks are small in number with each household containing 5-6 pigs and 7-10 poultry. Animals are owned by individual households and mostly maintained under a scavenging systems with little or no inputs for housing, feeding or health care. Because of the nature of this production system, productivity of these animals is rather low. The low level of inputs is due to a lack of capital and a low risk oriented outlook. The feed resource base for monogastric is scavenging and consists of household waste, roots and tuber, grain by-products and anything edible found in the immediate environment. Usually farmers select breeding gilts from their own female piglets or to a lesser extent, buy them from neighbors for natural mating. As regards poultry attempts have been made to increase egg and meat production by improving local poultry birds by upgrading and crossbreeding with exotic germ plasma in the tropics. Animal disease present a major constraint to animal production in the tropical region and the extent of the losses due to disease is very high.

A Review of the Possible Causes of Negative Source Impedance in Fluid Machines (유체기계에 있어서 부의 음원 임피던스의 원인에 관한 고찰)

  • ;Keith S. Peat
    • The Journal of the Acoustical Society of Korea
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    • v.20 no.3
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    • pp.76-82
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    • 2001
  • Most fluid machines can be considered as periodic noise sources when operated under constant conditions, which allows for a frequency domain representation of the source and the associated acoustic field In the duct. In such a representation, the source is characterized by frequency-dependent values of both strength and impedance. Although knowledge of these values can be gained by either experimentation or by modeling, one-port acoustic characteristics of an in-duct source with high flow velocity, high temperature, and high sound level can be measured only by the multiload method using an overdetermined set of open pipes with different lengths as applied loads. However, the problem is that negative source resistances have been often measured. This paper reviews the possible causes of the problem, with reference to experimental and theoretical results, in an attempt to clarify the issue. A new interpretation is given for the violation of basic assumptions and the defect in the algorithm of multiload method. The major cause and mechanism of the problem is due to the violation of time invariance assumption of the source and the load impedance can seriously affect the final measured result of source impedance.

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Frequency of Inappropriate Metformin Use in Patients with Diabetes Mellitus (당뇨병환자에게 부적절하게 사용된 Metformin의 처방빈도 분석)

  • Sin, Hye-Yeon;Jung, Ki-Hwa
    • YAKHAK HOEJI
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    • v.54 no.6
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    • pp.455-460
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    • 2010
  • We evaluated the inappropriateness of metformin use in patients with type 2 diabetes and chronic medical conditions to identify the frequency of the prescription metformin in violation of the food and drug administration (FDA) black box warning. We reviewed medical records of 307 outpatients who received metformin at endocrinology department in a hospital setting between January 1, 2005 and August 30, 2009. Of the 307 outpatients, 25 discontinued treatment of metformin due to elevated serum creatinine level (Scr${\geq}$1.5 mg/dl in male, Scr${\geq}$1.4 mg/dl in female), cancers, and/or liver disease. 5 were lost to follow-up. 89 (29.0%) of the patients had cardiovascular disease, 54.1% for hypertension, 9.8% for liver disease, and 60 (20.8%) for chronic kidney disease. 12 patients (3.9%) with chronic kidney disease and/or elevated serum creatinine level, and 1 patient (0.3%) with lactic acidosis were contraindicated to metformin use. Metformin should be avoided in 7 outpatients (2.3%) with active hepatitis and 1 patient (2.6%) with liver cirrhosis. Of the 307 outpatients, 13 (4.2%) patients who received metformin at the first visit and 16 (8.7%) patients who received metformin at the last visit violated to black box warning. 8 (2.6%) of the patients were in precautionary conditions to metformin use. Adjusted mean difference of serum creatinine was -0.16 mg/dl [95% CI: -0.22 to -0.11 (p<0.05)] and adjusted mean difference of alanine aminotransferase was 4.46 IU/l [95% CI: 2.47 to 6.44 (p<0.05)] between the first visit and the last visit. Critical number of elderly patients who are at the high risks of drug-disease and drug-laboratory interaction is exposed to the inappropriate metformin use in violation of black box warning. The periodic evaluation of metformin use and monitoring prescription through drug utility review (DUR) system is needed to improve patients' safety and to reduce adverse drug events.

Analysis of Empty Sella Secondary to the Brain Tumors

  • Kim, Ji-Hun;Ko, Jung-Ho;Kim, Hyun-Woo;Ha, Ho-Gyun;Jung, Chul-Ku
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.355-359
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    • 2009
  • Objective : The definition of empty sella syndrome is 'an anatomical entity in which the pituitary fossa is partially or completely filled with cerebrospinal fluid, while the pituitary gland is compressed against the posterior rim of the fossa'. Reports of this entities relating to the brain tumors not situated in the pituitary fossa, have rarely been reported. Methods : In order to analyze the incidence and relationship of empty sella in patients having brain tumors, the authors reviewed preoperative magnetic resonance imaging (MRI) of 72 patients with brain tumor regardless of pathology except the pituitary tumors. The patients were operated in single institute by one surgeon. There were 25 males and 47 females and mean patient age was 53 years old (range from 5 years to 84 years). Tumor volume was ranged from 2 cc to 238 cc. Results : The overall incidence of empty sella was positive in 57/72 cases (79.2%). Sorted by the pathology, empty sella was highest in meningioma (88.9%, p=0.042). The empty sella was correlated with patient's increasing age (p=0.003) and increasing tumor volume (p=0.016). Conclusion : Careful review of brain MRI with periodic follow up is necessary for the detection of secondary empty sella in patients with brain tumors. In patients with confirmed empty sella, follow up is mandatory for the management of hypopituitarism, cerebrospinal fluid (CSF) rhinorrhea, visual disturbance and increased intracranial pressure.

Numerical Modeling of Regenerative Rotary Heat Exchanger: A Review

  • Baruah, Netramoni;Prasanna, Kumar G.V.
    • Journal of Biosystems Engineering
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    • v.42 no.1
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    • pp.44-55
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    • 2017
  • Background: Heat recovery is one of the prominent ways to save a considerable amount of conventional fossil fuel and minimize its adverse effects on the environment. The rotary heat exchanger is one of the most effective and efficient devices for heat recovery or heat exchanging purposes. It is a regenerative type of heat exchanger, which has been studied and used for many heat recovery purposes. However, regenerative thermal wheels have been mostly used as heat recovery systems in buildings. For modeling a rotary regenerator, it is very important to numerically consider all the factors involved, such as effectiveness, rotational speed, geometrical size and shape, and pressure drop (${\Delta}p$). In recent times, several researchers have actively studied the rotary heat exchangers, both theoretically and experimentally. Reviews: In this paper different advances in the numerical modeling of regenerative rotary heat exchangers in relation to fluid flow and heat transfer have been discussed. Researchers have indicated that the effectiveness of the regenerative rotary heat exchanger depends on various factors including, among many others, rotational speed, rotational period and combustion power. It is reported that with the increase of periodic rotation the deviation of theoretical results from the experimental result increases. The available literature indicates that regenerative heat exchangers are having relatively more effectiveness (60-80%), compared to other heat exchangers. It is also observed that the finite difference method and finite volume methods are mostly used for discretizing the heat transfer governing equations, under some assumptions. Research also indicates that for the effectiveness calculation the ${\varepsilon}-NTU$ method is the most popular and convenient.

A Study on the Current Status of Baekje Parade Costume Shown in Festivals - Focusing on Hanseong Baekje Cultural Festival and Yeongam Wangin Cultural Festival - (축제에서 재현된 백제행렬복식의 현황연구 - 한성백제문화제와 영암왕인문화축제를 중심으로 -)

  • Ma, Yoo-Ree;Kim, Eun-Jung
    • Journal of the Korea Fashion and Costume Design Association
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    • v.17 no.2
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    • pp.27-43
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    • 2015
  • Festival costume shown in festival parades targeting historical events or figures helps to understand the theme of festival and grants visual effects and at the same time, is an important factor to identify then-cultural environment. Accordingly, this study aims to make a periodic review of traditional costumes used in parades for Hanseong Baekje Cultural Festival and Yeongam Wangin Cultural Festival which are both the festivals that backgrounded Baekje period, make a comparative analysis of the archetypes of reproduction costume vs Baekje costume, understand the problems of festival costume, and seek developmental directions. After making a comparative analysis of reproduction costume shown in festival parades, it was found that king costume, queen costume, governmental official costume, and humble class costume were all different from Baekje costume in terms of configuration, materials, color, shape, and creating method of costumes, and problems were drawn. When it comes to costume items, Pasul and Danryungpoh that didn't belong to Baekje period were worn. The problems in color research can be identified in governmental official costume. The problems in type of costume are shown in the length of po worn outside, margin of width, and degree of restoring accessories. Therefore, it seems to be necessary to convey and identify costume creating method by festival parade-related persons.

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Safety Review of Severe Accident Senario for Wet Spent Fuel Storage Facility (사용후핵연료 습식저장 시설의 중대사고 안전성 검토)

  • Shin, Tae-Myung
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.9 no.4
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    • pp.231-236
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    • 2011
  • When the Fukushima nuclear power plant accident occurred in March of 2011, a hydrogen explosion in the reactor building at the 4th unit of Fukushima plants led to a big surprise because the full core of the unit 4 reactor had been moved and stored underwater at the spent nuclear fuel storage pool for periodic maintenance. It was because the possible criticality in the fuel storage pool by coolant loss may yield more severe situation than the similar accident happened inside the reactor vessel. Fortunately, it was assured to be evitable to an anxious situation by a look of water filled in the storage pool later. In the paper, the safety state of the spent fuel storage pool and rack structures of the domestic nuclear plants would be roughly reviewed and compared with the Fukushima plant case by engineering viewpoint of potential severe accidents.

What Caused Acute Methanol Poisoning and What is the Countermeasure? (급성메탄올중독사고, 왜 발생했으며, 그 대책은 무엇인가?)

  • Park, Jungsun;Kim, Yangho;Kim, Soo Geun;Park, Jong-shik;Han, Boyoung;Chung, Eun Kyo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.26 no.4
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    • pp.389-395
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    • 2016
  • Objectives: Acute methanol poisonings known to be typical occupational diseases occurring in developing countries broke out in sub-contract manufacturers in the early 2016. The present paper attempted to identify underlying causes which hide under apparent findings, and suggest alternative policies to prevent recurrence of similar intoxication Methods: We evaluated occupational health and safety characteristics of workers in micro-enterprises similar to workplaces with methanol poisoning by in depth-interview of employers, workers, and labor inspectors, and literature review. Results: The common findings of workplaces with methanol poisoning were addressed; First, the victims were illegal agency workers. Second, the workplaces were sub-contract micro-manufacturers with less than 5 employees. Investigators found that local ventilations did not work, while most of workers did not wear any proper personal respiratory protective equipment in the workplace. In addition, periodic environmental monitoring and medical check-ups were not done. However, these apparent findings do not appear to be root causes of methanol poisoning. Our in depth-analysis clarified a root cause; micro-enterprises with less than 5 employees are exempted with essential regulations of OSH Act, and employers do not know about OSH Act. Conclusions: We suggest occupational health policies to prevent recurrence of similar intoxication; First, government should introduce programs so that all employers should know about employers' responsibilities in OSH Act from the start of business. Second, even manufacturers with less than 5 employees should not be exempted with essential regulations of OSH Act. Finally, employers should take responsibilities for health and safety of all the workers including agency workers working in workplaces.