• Title/Summary/Keyword: Recommended Treatment Order

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Investigation of Current Practice on Hot In Place Recycling (HIR) in USA: Literature Review (현장가열재생 아스팔트 포장의 현재 미국 내의 적용 현황 연구: 문헌조사)

  • Im, Jeong Hyuk;Cho, Seong-Hwan;Hwang, Sung-Do
    • International Journal of Highway Engineering
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    • v.16 no.2
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    • pp.73-89
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    • 2014
  • PURPOSES : The objective of this study is to investigate the current state of the practice, examining the steps in the process recommended by various agencies and the Asphalt Recycling and Reclaiming Association (ARRA)-namely mix design, structural design, structural capacity evaluation, and material characterization-in order to better understand the implications of hot in-place recycling (HIR). METHODS : In addition, the current practice of state departments of transportation (DOTs) is here reviewed with the purpose of learning from successful past experiences so as to forestall any difficulties that may emerge under similar circumstances. Also, HIR benefits, including reduced costs, improved construction processes, and environmental friendliness are presented, as well as advantages and disadvantages of HIR application. RESULTS : Most of the United States highway system is now deteriorating so that rehabilitation or reconstruction techniques are required for the most distressed roads, taking into account ways to increase the effectiveness of existing budgets. Several options are available in rehabilitating distressed roads, and the choice among these depends on many factors, including pavement distress condition, funding, and design life. Among these techniques, Hot In-Place Recycling (HIR) has emerged as a cost-effective treatment for deteriorated pavements, and has been proven an effective long-term strategy for pavement rehabilitation.

The importance of SPT(Supportive Periodontal Therapy) for prevention of peri-implant disease (임상가를 위한 특집 1 - Peri-implant disease를 방지하기 위한 Supportive Periodontal Therapy(SPT)의 중요성)

  • Park, Su Jung
    • The Journal of the Korean dental association
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    • v.51 no.12
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    • pp.630-636
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    • 2013
  • During the past decade, the use of osseointegrated implants as a foundation for prosthetic replacement of missing teeth has become highly predictable and successful. SPT(Supportive Periodontal Therapy) identified as regular visits to the therapist for periodontal control and maintenance in a well-organized scheme, the number of appointments per year following a pre-designed subject-tooth/implant-site risk assessment method. Peri-implant disease was a frequent finding in subjects having natural healthy dentition and in subjects without periodontitis. Supportive periodontal program were found to be strongly related to implant survival. This study demonstrates that regular maintenance reduces the risk for peri-implant inflammation significantly as compared with irregular maintenance. This underlines the value of the SPT in enhancing the long-term outcomes of implant therapy, particularly in subjects affected by periodontitis, in order to control reinfection and limit biological complications. It is highly recommended to maintain implant patients under a strict supportive periodontal treatment protocol that might contribute to implant survival, and regular maintenance reduces the risk for periimplant inflammation significantly as compared with irregular maintenance. Ideally, patients may be informed on the beneficial effect of a regular patient-related post-therapy care before implant insertion.

Assessment guideline for the safe use of metalworking fluids - Focused on water-soluble metalworking fluids (기계가공 공정에서 금속가공유 관리에 대한 평가지침 -수용성 금속가공유를 중심으로-)

  • Park, Dong-Uk
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.20 no.2
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    • pp.131-138
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    • 2010
  • This technical report was developed to suggest the guideline to assess the safe use and handling metalworking fluids (MWFs) in machining operation. The basis of this method developed in this study was based on self assessment procedure recommended by Organization Resources Counselors (ORC) of the United States (US). In addition, various MWF management elements obtained from the review on various articles, reports and author's experience regarding MWF were newly added to the evaluation guideline. A total of four areas were finally selected in order to control exposure to MWF used in machining operations. They are all related to the presence and efficiency of the control measures, exposure assessment, management on tank and sump, and safe treatment of chips and metal fines generated during machining operations. Each area is consisted of several related elements. Several evaluation areas and elements used in this study could be revised, replaced, added and deleted according to the process environment, evaluation objectives and evaluator's (manager) criteria etc. This evaluation guide manual could be used for safe management of MWF in metalworking operation. In addition, industrial hygienists can use this evaluation method for auditing and evaluating the management status on MWF.

Composition, Structure and Some Distribution Features of Fouling Community in the Water Intake Tunnel of Vladivostok Heat and Power Plant

  • Moshchenko Alexander V.;Zvyagintsev Alexander Yu.
    • Ocean and Polar Research
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    • v.26 no.4
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    • pp.619-633
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    • 2004
  • The composition, structure and some of the features of spatial distribution of fouling communities in the cooling system tunnels of Heat and Power Station Vladivostok City were determined. Three groups of animals, possessing features expressive of topological differentiation as well as categorical differences based on dominant and subdominant species, were clearly distinguished in the fouling community of the water intake tunnel. These are Jassa marmorata on the tunnel vault, Balanus rostratus on the walls, and Mytilus trossulus on the bottom. The group from the tunnel vault should be clearly related to 'physically controlled' communities, whereas the groups from the walls and bottom, being also physically controlled, show many of the features of 'biologically balanced' communities. Thermal treatment of tunnels, performed in summertime, is grossly inefficient, since mytilids continue to settle in September-November as well. In order to prevent intensive settlement of Mytilus trossulus larvae it is recommended that the water intake tunnels integral to the cooling system be placed deeper than 15m.

The Influences of Perceived Stresses on Suicidal Ideation in Older Adults (노인의 자살사고에 대한 스트레스의 영향정도)

  • Kim, Su-Hyun;Choi, Yeon-Hee
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.200-208
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    • 2008
  • Purpose: The purposes of the study were to understand the levels of older adults' perceived stresses in terms of family relationship, physical health, financial difficulty, death of family members, and household environment, and to identify the influences of the stresses on their suicidal ideation. Methods: The subjects were 302 older adults residing in Daegu, Korea. The data were collected by questionnaires between March and April 2007. Results: Older adults perceived the highest level of stress from the death of family members and had high levels of stresses from physical health, family relationships, financial difficulty, and household environment in order. The variables influencing suicidal ideation were stresses from family relationships, physical health, and financial difficulty. Conclusion: Based on the findings, it is recommended that nurses provide in-depth screening of suicide risk for older adults who visit general health care settings through the identification of the levels of stresses in terms of family relationships, physical health, and financial difficulty. It is further suggested to provide collaborative interventions between primary health care providers and psychiatric professionals for suicide prevention and treatment in older adults.

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Cost Effectiveness Depending on the Native Tree Treatment Methods (개발예정지 내 자생수목 처리방법에 따른 비용 연구)

  • Cho, Heung-Ryeol;Kim, Se-Bin;Oh, Dokyo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.12 no.6
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    • pp.51-62
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    • 2009
  • The purpose of this study is to analyze the profitability by selecting Pinus densiflora S. et Z. worthy of ornamental tree from among the cutting timber in the urban development project, and then presents the improvements. The study site is the whole area of Oedong-eup Gyeongju city Gyeongsangbuk-do and subject trees numbers are 2,180 trees. Analysis method is cost analysis because it is used generously pubic land development. In results, at first, in case of forest development currently cutting tree costs 7.3 million Won/ha. and no profit is occurred at all. Secondly, the forward direction order of tree treatments expenses are in sawdust production, selling lumber, selling ornamental tree, and selling ornamental tree, sawdust production, selling lumbered on the aspect of profits by the selling stumpage. Especially, selling trees as ornamental tree costs 127 million Won/ha. which shows the highest profits. Third, the management of ornamental tree pine tree after transplantation from development site costs 5 times less than purchasing the same quality trees. Hence, it is recommended to re-utilize the trees from the development sites to produce a high standard gardens and it also provides the basis for the low carbon green growth society.

Multidisciplinary team approach for the management of patients with locally advanced non-small cell lung cancer: searching the evidence to guide the decision

  • Oh, In-Jae;Ahn, Sung-Ja
    • Radiation Oncology Journal
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    • v.35 no.1
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    • pp.16-24
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    • 2017
  • Locally advanced non-small cell lung cancer (LA-NSCLC) is composed of heterogeneous subgroups that require a multidisciplinary team approach in order to ensure optimal therapy for each patient. Since 2010, the National Comprehensive Cancer Network has recommended chemoradiation therapy (CRT) for bulky mediastinal disease and surgical combination for those patients with single-station N2 involvement who respond to neoadjuvant therapy. According to lung cancer tumor boards, thoracic surgeons make a decision on the resectability of the tumor, if it is determined to be unresectable, concurrent CRT (CCRT) is considered the next choice. However, the survival benefit of CCRT over sequential CRT or radiotherapy alone carries the risk of additional toxicity. Considering severe adverse events that may lead to death, fit patients who are able to tolerate CCRT must be identified by multidisciplinary tumor board. Decelerated approaches, such as sequential CRT or high-dose radiation alone may be a valuable alternative for patients who are not eligible for CCRT. As a new treatment strategy, investigators are interested in the application of the innovative radiation techniques, trimodality therapy combining surgery after high-dose definitive CCRT, and the combination of radiation with targeted or immunotherapy agents. The updated results and on-going studies are thoroughly reviewed in this article.

Anxiety and fatigue related to dental practices of dental hygiene students (치위생과 학생들의 임상실습관련 불안과 피로 조사)

  • Lee, Hyang-Nim;Kim, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.2
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    • pp.131-137
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    • 2014
  • Objectives : The aim of the study is to investigate anxiety, fatigue and stress of dental hygiene students in clinical practice and to improve the psychological support program. Methods : A self-reported questionnaire was filled out by 428 dental hygiene students in 4 universities in Gwagju and Jeonnam. Data were analyzed for anxiety, stress and fatigue, general characteristics using SPSS 18.0 program for descriptive statistics, ANOVA, and correlation. Results : Saliva suction showed the most high score in treatment($mean{\pm}SD=2.92{\pm}1.13$) and was followed by children dental care($2.79{\pm}1.21$), preventive dental care($2.38{\pm}1.04$), maxillofacial radiology($2.35{\pm}1.15$). During the clinical practice, students felt uneasy when they stayed in relative home(p<0.05). Poor interpersonal relation(p<0.001), poor health condition(p<0.01), low satisfaction with major(p<0.01), the other cause of major choice(p<0.01) influenced on their stress. Satisfaction with major was closely related to clinical practice performance, anxiety, physical fatigue and mental fatigue. Conclusions : In order to reduce physical, mental, neuro sensory fatigue of students in clinical practice, it is recommended to reinforce the patient care etiquettes in curricula.

Effect of Different Cooking Methods on the Composition of Intramuscular Fatty Acids of Hyla Rabbit

  • Xue, Shan;Xiao, Xia;He, Zhifei;Li, Hongjun
    • Food Science of Animal Resources
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    • v.36 no.2
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    • pp.178-185
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    • 2016
  • The influence of three cooking methods (stewing, microwaving and Aluminium (Al) foil-baking) was evaluated on the content of intramuscular lipid and the composition of intramuscular fatty acids of Hyla rabbit. The percentage of intramuscular lipid in cooked-longissimus dorsi (LD) (dry weight %) were in the order mentioned below: microwaving > foil-baking > stewing. All treated samples showed decrease in the proportion of polyunsaturated fatty acids (PUFA) and monounsaturated fatty acids (MUFA), whilst increase in the proportion of saturated (SFA) and n-6/n-3 value during processing. All of the cooked samples had the n-6/n-3 ratio within the recommended range (5-10). By the analysis of partial least squares regression (PLSR), the microwaving treatment was better to keep the stability of unsaturated fatty acids (UFA), whilst the long-time Al foil-baking did the most serious damage to UFA, especially the PUFA. In addition, the heating method showed greater influence on the samples than the processing time. The shorter processing time was better to retain the intramuscular PUFA of Hyla rabbit, especially the LC-PUFAs (C20-22). Considering all the factors, microwaving showed the superiority in reserving the composition of intramuscular fatty acids of Hyla rabbit.

Round Robin Analyses on Stress Intensity Factors of Inner Surface Cracks in Welded Stainless Steel Pipes

  • Han, Chang-Gi;Chang, Yoon-Suk;Kim, Jong-Sung;Kim, Maan-Won
    • Nuclear Engineering and Technology
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    • v.48 no.6
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    • pp.1412-1422
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    • 2016
  • Austenitic stainless steels (ASSs) are widely used for nuclear pipes as they exhibit a good combination of mechanical properties and corrosion resistance. However, high tensile residual stresses may occur in ASS welds because postweld heat treatment is not generally conducted in order to avoid sensitization, which causes a stress corrosion crack. In this study, round robin analyses on stress intensity factors (SIFs) were carried out to examine the appropriateness of structural integrity assessment methods for ASS pipe welds with two types of circumferential cracks. Typical stress profiles were generated from finite element analyses by considering residual stresses and normal operating conditions. Then, SIFs of cracked ASS pipes were determined by analytical equations represented in fitness-for-service assessment codes as well as reference finite element analyses. The discrepancies of estimated SIFs among round robin participants were confirmed due to different assessment procedures and relevant considerations, as well as the mistakes of participants. The effects of uncertainty factors on SIFs were deducted from sensitivity analyses and, based on the similarity and conservatism compared with detailed finite element analysis results, the R6 code, taking into account the applied internal pressure and combination of stress components, was recommended as the optimum procedure for SIF estimation.