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The Analysis of the Physical Examination of Elementary & Secondary School Students -Centering on the Primary Health Assessment- (초(初)·중(中)·고등학생(高等學生)의 체질검사(體質檢査) 실태분석(實態分析) - 1차(次) 건강사정(健康査定)을 중심(中心)으로-)

  • Lee, Kang Soon;Chung, Yeon Kang;Park, Keoi Sug
    • Journal of the Korean Society of School Health
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    • v.7 no.1
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    • pp.9-28
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    • 1994
  • This study is to investigate the status and problems in the anual physical examination in elementary & secondary schools. The study helps the introduction of health assessment. Two hundreds and forty nurse teachers of elementary & seconcary school in Seoul received in-service traomong fpr 20 daus frp, September 7 to September 27, 1992. Questionnaires were given to the 240 teachers and the number of collected questionnaire is 112. The result of the questionnaire analysis is like the following. First, the answered teachers aged 35~39, 36.6%; experience 6~10 years 37.5%; the number of class 31~40, 28.6%. Among the answered of the school doctors is practicioners. The doctors major subjects are 26.8% of internal medicine and 35.7% of surgery. Second, in elementary & secondary school nurse teachers received in-service training for the primary health assessment. And then 37.5% of schools practiced the health assessment. The term of the health assessment is largely a-year-length, occurately its rate of schools have practiced the assessment reaches 81.0%. The number of health assessment are consist of eyes, nose, ear, throat, skin, spine, heart and other abnormal regions and diseases all over the body. And 83.3% of the rate of the health assessment includes all these contents. The period of the health assessment is 7 to 28 days. Third, the physical examination conducted by school doctors is 91.0%. The method is various; one is 56.6% of the students who checked first by he nurse teacher. The number of 15.1% of the schools is directly checked by the school doctor. The invited medical doctors are divided into two categories. The number of general physician is 61.9%. Contrary to that school doctors are 38.1%. The contents of the medical examination is all the items printed on the medical examination sheet. To follow the medical examination sheet the number of school is 59.6%. Eyes, throat, skin and heart etc. partly medical examination is 40.4%. The rate of schools that used only stethoscope, tongue pressor as the medical instruments reaches 53.4% and 87.1% of elementary & secondary school give the invited doctors the allowance a nurse teachers conference decided. The number of 8.9% schools pay the doctors independent allowance. The medical examomatopm allowance is 200 to 250 won per capita. The rate is 56.1%. Forth, after the medical examination 72.1% of school sends letter to the parents to notice the result of the examination. The number of response from parent is 12.5%. The observation record in secondary school is 70.6% for junior, and 80.0% for senior respectively, and 65.5% is for the elementary school children. To conclude the regular physical examination in elementary & secondary school is very important. Because the students are in the stage of rapid growth and development. Early finding of the students diseases can help to cure with ease. In the light of public health the management of health program in the elementary & secondary school is of consequence.

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Seismic safety assessment of eynel highway steel bridge using ambient vibration measurements

  • Altunisik, Ahmet Can;Bayraktar, Alemdar;Ozdemir, Hasan
    • Smart Structures and Systems
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    • v.10 no.2
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    • pp.131-154
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    • 2012
  • In this paper, it is aimed to determine the seismic behaviour of highway bridges by nondestructive testing using ambient vibration measurements. Eynel Highway Bridge which has arch type structural system with a total length of 216 m and located in the Ayvaclk county of Samsun, Turkey is selected as an application. The bridge connects the villages which are separated with Suat U$\breve{g}$urlu Dam Lake. A three dimensional finite element model is first established for a highway bridge using project drawings and an analytical modal analysis is then performed to generate natural frequencies and mode shapes in the three orthogonal directions. The ambient vibration measurements are carried out on the bridge deck under natural excitation such as traffic, human walking and wind loads using Operational Modal Analysis. Sensitive seismic accelerometers are used to collect signals obtained from the experimental tests. To obtain experimental dynamic characteristics, two output-only system identification techniques are employed namely, Enhanced Frequency Domain Decomposition technique in the frequency domain and Stochastic Subspace Identification technique in time domain. Analytical and experimental dynamic characteristic are compared with each other and finite element model of the bridge is updated by changing of boundary conditions to reduce the differences between the results. It is demonstrated that the ambient vibration measurements are enough to identify the most significant modes of highway bridges. After finite element model updating, maximum differences between the natural frequencies are reduced averagely from 23% to 3%. The updated finite element model reflects the dynamic characteristics of the bridge better, and it can be used to predict the dynamic response under complex external forces. It is also helpful for further damage identification and health condition monitoring. Analytical model of the bridge before and after model updating is analyzed using 1992 Erzincan earthquake record to determine the seismic behaviour. It can be seen from the analysis results that displacements increase by the height of bridge columns and along to middle point of the deck and main arches. Bending moments have an increasing trend along to first and last 50 m and have a decreasing trend long to the middle of the main arches.

Taxonomic studies of tribe Epilobieae Endl. (Onagraceae) in Korea based on morphology and seed microstructure (외부형태와 종자의 미세구조에 의한 한국산 바늘꽃족(바늘꽃과)의 분류학적 연구)

  • Lee, Sangryong;Heo, Kyeong-In;Lee, Sangtae;Yoo, Manhee;Kim, Yongseong;Lee, Joon Seon;Kim, Seung-Chul
    • Korean Journal of Plant Taxonomy
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    • v.43 no.3
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    • pp.208-222
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    • 2013
  • In this paper, we conducted the taxonomic study of the tribe Epilobieae Endl. and concluded that a total of nine taxa, including one Chamerion (Raf.) Raf. ex Holub and eight Epilobium L., exist in Korea. Although C. angustifolium subsp. angustifolium has been placed traditionally either in Epilobium or Chamaenerion, it can be clearly distinguished from the species of Epilobium by having alternate leaves, slightly zygomorphic flowers, non-clefted petals, and equal length of 8 stamens, supporting the recognition of genus Chamerion. All but one species of Epilobium, E. platystigmatosum, was investigated for the surface of seeds using scanning electron microscope (SEM). The seed sculpture of Korean Epilobium can be classified into three types, i.e., papillose, reticulate, and ridged. E. ciliatum subsp. ciliatum is the only species Epilobium, which has the ridged seed sculpture. E. amurense subsp. cephalostigma can be distinguished from conspecific E. amurense subsp. amurense based on leaf shape, trichome shape and distribution, size and habit. Both E. fastigiatoramosum and E. palustre have entire leaf margins, but they can be distinguished based on leaf shape, stigma, and seed sculpture; the former has elongated elliptic leaves, capitate stigma, ridged seed sculpture, whereas the latter one has elongated lanceolate leaves, club-shaped stigma, and reticulate seed sculpture. Finally, we report the first record of E. platystigmatosum in Korea, and further comparative study including conspecific populations from Japan and China can clarify the occurrence of this taxon in Korea.

Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury (심근효소 상승 유무에 따른 목맴 환자들의 임상적 특성)

  • Shin, Hyun Goo;Park, Jun Bum;Kim, Chang Sun;Oh, Jae Hoon;Cho, Young Suk;Park, Sae Hoon;Je, Sang Mo;Choi, Hyuk Joong;Kang, Bo Seung;Lim, Tae Ho;Kang, Hyung Goo
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.196-202
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    • 2012
  • Purpose: This study aimed to recognize the frequency of near-hanging patients with elevated Troponin-I (Tn-I), to obtain information necessary for treatment and prediction of prognosis by analyzing the clinical feature of near-hanging patients, and to evaluate the relevance of elevated Tn-I to abnormal result of other cardiac-related examinations. Methods: A retrospective review for the near-hanging patients, clinical record was conducted at two urban training hospitals between April, 2001 and December, 2011. We divided included patients into two groups, which one with elevated Tn-I level ($Tn-I{\geq}0.1ng/dL$) and one without it, and compared the differences in initial vital signs, cardiac enzyme tests, an electrocardiogram, echocardiography, chest X-ray, and the clinical outcomes. Results: A total of 39 patients were included, out of them, 14 patients showed rise in Tn-I level. The length of hospital stay and ICU hospitalization was more prolonged in the patient group with elevated Tn-I level than non-elevated group. As well as the incidence of endotracheal intubation and abnormal findings in echocardiography or chest X-ray was higher in the Tn-I elevated group, which is statistically significant. Conclusion: The rising of serum Tn-I level in near-hanging patients were not uncommonly observed. We believe that the cardiac-related test including Tn-I is necessary for near-hanging patients, and those who are shown abnormal result in cardiac-related test may need close observation and intensive care.

STRESS REDUCTION PROTOCOL FOR PROPER EXTRACTION OF ADVANCED INFECTED TEETH IN MEDICALLY COMPROMISED PATIENTS : REVIEW OF LITERATURE & REPORT OF CASES (전신질환자에서 과도한 감염치아 발치시 스트레스 감소법 : 문헌적 고찰 및 증례보고)

  • Yoo, Jae-Ha;Choi, Byung-Ho;Hong, Soon-Jae;Nam, Woong;Kim, Jong-Bae;Yoon, Jung-Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.1
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    • pp.85-92
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    • 2000
  • Common dental procedures(dental extraction & minor operation) are potentially stress-inducing in many patients, especially medically compromised patients. The body's response to dental stress involves the cardiovascular system(an increase in cardiovascular workload), the respiratory organ and the endocrine system(change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment : do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given Though the stress reduction protocol above was applied to the dental extraction in medically compromised patients with the advanced infected teeth, the final responsibility for the complications(syncope, bleeding & infection, etc.) in a patient rests with the dentist who ultimately treats him. For the prevention of postextraction complications & poor prognosis, the authors treated the advanced infected teeth with the pulp extirpation, opening drainage through the canal and complete occlusal reduction. The final extraction and wound closure were then done after $1{\sim}2$ weeks. The final prognosis was comfortable without common complications.

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Effects of Intraperitoneal Administration of Bupivacaine on Relief of Pain and Change of Behavior following Ovariohysterectomy in Cats (고양이에서 난소자궁적출술 후 복강 내 Bupivacaine 투여가 통증 감소와 행동 변화에 미치는 영향)

  • Uhm, Mi-Young;Kim, Young-Ki;Lee, Scott S.;Suh, Euy-Hoon;Chang, Hong-Hee;Lee, Hee-Chun;Lee, Hyo-Jong;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.205-211
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    • 2009
  • Perioperative pain relief is essential in veterinary practice. However, the cat is one of the most poorly understood species regarding pain control management. Ovariohysterectomy(OHE) produces considerable postoperative pain in cats. Practitioners are often reluctant to administer analgesics due to lack of familiarity with available drugs, concern about side effects, or frustration with the need for record keeping of controlled substances. The purpose of this study was to determine if intraperitoneal administration of bupivacaine can provide relief of pain following OHE in cats. Twelve healthy female cats were randomly divided into two groups. OHE was performed under general inhalation anesthesia. Just prior to complete closure of the linea alba, 6 cats in SAL group received 0.88 ml/kg 0.9% saline, 6 cats in BUP group received 4.4 mg/kg 0.75% bupivacaine diluted to an equivalent volume with saline in the intraperitoneal space. Cats were scored at 0, 1, 2, 4, 8, 12 and 24 hours post-extubation by one observer. Cats were evaluated using a visual analogue scale(VAS) and composite pain scale(CPS) that included physiologic variables. There were no significant differences in body weight, anesthesia time, surgery time, and incision length between the two groups. Cats in the BUP group had significantly(p<0.05) lower VAS-pain scores than cats in the SAL group at 4, 8, 12 hours after surgery. Cats in the BUP group had significantly lower CPS scores than cats in the SAL group at 8, 12 hours after surgery. No adverse side effects were observed. These results support that the intraperitoneal administration of bupivacaine following OHE can be used for the prevention of postoperative pain and pain-induced behavioral changes in cats.

New Security Approaches for SSL/TLS Attacks Resistance in Practice (SSL/TLS 공격에 대한 신규 대응 방안)

  • Phuc, Tran Song Dat;Lee, Changhoon
    • The Journal of Society for e-Business Studies
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    • v.22 no.2
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    • pp.169-185
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    • 2017
  • Juliano Rizzo and Thai Duong, the authors of the BEAST attack [11, 12] on SSL, have proposed a new attack named CRIME [13] which is Compression Ratio Info-leak Made Easy. The CRIME exploits how data compression and encryption interact to discover secret information about the underlying encrypted data. Repeating this method allows an attacker to eventually decrypt the data and recover HTTP session cookies. This security weakness targets in SPDY and SSL/TLS compression. The attack becomes effective because the attacker is enable to choose different input data and observe the length of the encrypted data that comes out. Since Transport Layer Security (TLS) ensures integrity of data transmitted between two parties (server and client) and provides strong authentication for both parties, in the last few years, it has a wide range of attacks on SSL/TLS which have exploited various features in the TLS mechanism. In this paper, we will discuss about the CRIME and other versions of SSL/TLS attacks along with countermeasures, implementations. We also present direction for SSL/TLS attacks resistance in practice.

A Study on the Quantitative Risk Assessment of Bridge Construction Projects (교량 공사 프로젝트의 정량적 리스크 평가에 관한 연구)

  • Ahn, Sung-Jin
    • Journal of the Korea Institute of Building Construction
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    • v.20 no.1
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    • pp.83-91
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    • 2020
  • The recent bridge construction projects is demanded more sophisticated risk management measures and loss forecasts to brace for risk losses from an increase in the trend of bridge construction. This study aims to analyze the risk factors that caused the loss of material in actual bridge construction and to develop a quantified predictive loss model, based on the past record of insurance payment by major domestic insurance companies for bridge construction projects. For the development of quantitative bridge construction loss model, the dependent variable was selected as the loss ratio, i.e., the ratio of insurance payout divided by the total project cost, while the independent variable adopted 1) Technical factors: superstructure type, foundation type, construction method, and bridge length 2) Natural hazards: typhoon and flood 3) Project information: construction period and total project cost. Among the selected independent variables, superstructure type, construction method, and project period were shown to affect the ratio of bridge construction losses. The results of this study can provide government agencies, bridge construction design and construction and insurance companies with the quantitative damage prediction and risk assessment services, using risk indicators and loss prediction functions derived from the findings of this study and can be used as a guideline for future basic bridge risk assessment development research.

Hydrological homogeneous region delineation for bivariate frequency analysis of extreme rainfalls in Korea (다변량 L-moment를 이용한 이변량 강우빈도해석에서 수문학적 동질지역 선정)

  • Shin, Ju-Young;Jeong, Changsam;Joo, Kyungwon;Heo, Jun-Haeng
    • Journal of Korea Water Resources Association
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    • v.51 no.1
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    • pp.49-60
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    • 2018
  • The multivariate regional frequency analysis has many advantages such as an adaption of regional parameters and consideration of a correlated structure of the data. The multivariate regional frequency analysis can provide the broader and more detailed information for the hydrological variables. The multivariate regional frequency analysis has not been attempted to model hydrological variables in South Korea yet. Therefore, it is required to investigate the applicability of the multivariate regional frequency analysis in the modeling of the hydrological variables. The current study investigated the applicability of the homogeneous region delineation and their characteristics in bivariate regional frequency analysis of annual maximum rainfall depth-duration data. The K-medoid method was employed as a clustering method. The discordancy and heterogeneous measures were used to assess the appropriateness of the delineation results. According to the results of the clustering analysis, the employed stations could be grouped into five regions. All stations at three of the five regions led to acceptable values of discordancy measures than the threshold. The stations where have short record length led to the large discordancy measures. All grouped regions were identified as a homogeneous region based on heterogeneous measure estimates. It was observed that there are strong cross-correlations among the stations in the same region.

Infestation of the Abalone, Haliotis Discus Hannai, by the Polydora under Intensive Culture Conditions in Korea (우리나라 전복 양식장의 패각 천공성 다모류 감염현황)

  • Won, Kyoung-Mi;Kim, Byeng-Hak;Jin, Young-Guk;Park, Young-Jin;Son, Maeng-Hyun;Cho, Mi-Young;Park, Myoung-Ae;Park, Min-Woo
    • Journal of fish pathology
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    • v.26 no.3
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    • pp.139-148
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    • 2013
  • The genus Polydora(Polychaeta, Spionidae) includes many species well known for their activity as borers. They often become harmful invaders by reducing the growth rate and meat yield of, or inducing the mortality of commercially important mollusck, abalone, Haiotis discus hannai. In 2012, the frequency of the Polydora was observed with 5~99% in live abalone and 5.3~70.3% in dead abalone shells of abalone sea-caged aquaculture system, Korea. There are many nacreous blister in the ventral margin and inner of the infestated abalone by abalone in response to the Polydora. A worm bored two holes in the shell and come in and out for ingestion the organic matters. They are more than 40 mm in length and had outstanding palps with black bars, disc form pygidium and 4 eyespots. This is the first record for the statue of Polydora infestation of sea-caged cultured abalone, Haliotis discus hannai in Korea.