• Title/Summary/Keyword: Risk control

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Current Research Trends on Prevalence, Correlates with Cognitive Function, and Intervention on Sarcopenia in Community-dwelling Older Adults: Systematic Review (지역사회 거주 노인의 근감소증 유병률, 인지기능과의 관계 및 중재연구 동향: 체계적 문헌고찰)

  • Ahn, Soojung;Chu, Sang Hui;Jung, Hyejeong
    • 한국노년학
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    • v.36 no.3
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    • pp.727-749
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    • 2016
  • This systematic review was performed to investigate relationship between sarcopenia and cognitive function among community-dwelling older adults. Studies which reported prevalence rates of sarcopenia in community-dwelling older adults, relationships between sarcopenia and cognitive dysfunction, or effective interventions in alleviated symptoms of sarcopenia were selected. Of 43 studies reviewed, prevalence rate of sarcopenia ranged from 2.5-42.4% in 25 studies, and 4 studies revealed a significantly positive correlation between sarcopenia and cognitive dysfunction. Among 12 randomized-control trials (RCTs), exercise intervention was used in 2 studies; nutrition intervention in 6; and 4 studies included both the exercise and nutrition interventions. All interventional studies reported positive effects on muscle mass, muscle strength, or physical function. However, only 6 studies met the high quality criteria of Risk of Bias, and there was no study which evaluated cognitive function as an outcome measure. Therefore, this study draws attention to the lack of high-quality RCTs and exclusion of cognitive function as an outcome measure in the research of sarcopenia. A comprehensive and sustained system including standardized sarcopenia screening, assessments of cognitive functioning, and evidence-based intervention programs is needed in order to prevent and manage sarcopenia amongst older adults in the community.

DENTAL MANAGEMENT OF A PATIENT WITH MUSCULAR DYSTROPHY UNDER GENERAL ANESTHESIA: CASE REPORT (근이영양증(muscular dystrophy) 환자의 전신마취 하 치과치료 : 증례보고)

  • Chae, Jong Kyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.50-54
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    • 2019
  • Muscular dystrophy (MD) is a heterogeneous group of inherited neuromuscular disorders, characterized by progressive muscle weakness. Severity of the disease ranges from mild to severe, and the disease is mostly caused by mutations in a number of genes. These genetic mutations cause lack of proteins which are essential for muscle cell stability. Muscle fibers are gradually replaced by fat and fibrous tissue. The muscles of the head and neck are affected in several types of MD that manifest as altered craniofacial morphology and dental malocclusion. A 3-year-10-month old, 15.0 kg boy with MD presented to Seoul National University Dental Hospital, Seoul, South Korea because of extensive carious teeth. A number of dental caries in primary dentition were identified during clinical oral examination. Due to dental anxiety and underlying systemic disease, general anesthesia was considered. General anesthesia was induced and maintained with intravenous anesthetics, propofol and remifentanil. Caries treatments - resin restoration, pulpectomy, zirconia crown restoration, stainless steel crown restoration - were performed. Under general anesthesia, successful dental procedure was done. Total intravenous anesthesia (TIVA) was performed instead of inhalation anesthesia in order to avoid risk of complications such as malignant hyperthermia and life-threatening rhabdomyolysis. With decreasing muscle function, plaque control becomes more difficult and leads to gingivitis. Especially, the open-mouth posture worsens gingivitis and can leads to malocclusions and problems in swallowing. Regular and periodic dental care is essential for maintaining oral health for patients with MD.

Prospects of future extreme precipitation in South-North Korea shared river basin according to RCP climate change scenarios (RCP 기후변화 시나리오를 활용한 남북공유하천유역 미래 극한강수량 변화 전망)

  • Yeom, Woongsun;Park, Dong-Hyeok;Kown, Minsung;Ahn, Jaehyun
    • Journal of Korea Water Resources Association
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    • v.52 no.9
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    • pp.647-655
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    • 2019
  • Although problems such as river management and flood control have occurred continuously in the Imjin and Bukhan river basin, which are shared by South and North Korea, efforts to manage the basin have not been carried out consistently due to limited cooperation. As the magnitude and frequency of hydrologic phenomena are changing due to global climate change, it is necessary to prepare countermeasures for the rainfall variation in the shared river basin area. Therefore, this study was aimed to project future changes in extreme precipitation in South-North Korea shared river basin by applying 13 Global Climate Models (GCM). Results showed that the probability rainfall compared to the reference period (1981-2005) of the shared river basin increased in the future periods of 2011-2040, 2041-2070 and 2071-2100 under the Representative Concentration Pathways (RCP)4.5 and RCP8.5 scenarios. In addition, the rainfall frequency over the 20-year return period was increased in all periods except for the future periods of 2041-2070 and 2071-2100 under the RCP4.5 scenario. The extreme precipitation in the shared river basin has increased both in magnitude and frequency, and it is expected that the region will have a significant impact from climate change.

Influence of various serum supplement on in vitro culture for goat embryos (다양한 혈청 물질의 첨가가 염소 수정란의 체외배양에 미치는 영향)

  • Kim, Kwan-Woo;Jeon, Dayeon;Lee, Jinwook;Lee, Sung-Soo;Kim, Seungchang;Kim, Chan-Lan;Lee, Sang-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.510-516
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    • 2019
  • This study examined the effects of fetal bovine serum (FBS), goat blood serum (gBS), and poly-vinyl alcohol (PVA) on the in vitro development and embryo quality of goats for an improvement of embryo production. For the experiment, an in vitro fertilized embryo culture medium was supplemented with 10% FBS, 10% gBS, and 10% PVA to determine their effects on the embryo development efficiency and blastocyst quality. The results showed that the non-serum supplementation group showed significantly lower cleavage rate and blastocyst formation. On the other hand, the gBS and PVA supplementation groups showed a significant increase in the cleavage rate and better blastocyst formation than the control and FBS supplementation group. Furthermore, a TUNEL assay performed to confirm the blastocyst quality showed the same pattern as the embryo development experiment. These results showed that the supplemented gBS or PVA was more efficient in enhancing the in vitro development efficiency of goats than the supplementation of FBS or non-serum. On the other hand, considering the risk of an unidentified factor in gBS, PVA appears to be safer and more efficient in the in vitro development of goat embryos.

Development of T2DM Prediction Model Using RNN (RNN을 이용한 제2형 당뇨병 예측모델 개발)

  • Jang, Jin-Su;Lee, Min-Jun;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.249-255
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    • 2019
  • Type 2 diabetes mellitus(T2DM) is included in metabolic disorders characterized by hyperglycemia, which causes many complications, and requires long-term treatment resulting in massive medical expenses each year. There have been many studies to solve this problem, but the existing studies have not been accurate by learning and predicting the data at specific time point. Thus, this study proposed a model using RNN to increase the accuracy of prediction of T2DM. This work propose a T2DM prediction model based on Korean Genome and Epidemiology study(Ansan, Anseong Korea). We trained all of the data over time to create prediction model of diabetes. To verify the results of the prediction model, we compared the accuracy with the existing machine learning methods, LR, k-NN, and SVM. Proposed prediction model accuracy was 0.92 and the AUC was 0.92, which were higher than the other. Therefore predicting the onset of T2DM by using the proposed diabetes prediction model in this study, it could lead to healthier lifestyle and hyperglycemic control resulting in lower risk of diabetes by alerted diabetes occurrence.

A Study on Contribution to Reducing Chemical Accidents of Reporting for Awarding a Contract of Hazardous Chemicals (유해화학물질 도급신고 제도가 화학사고 감소에 미치는 영향 연구)

  • Kim, Sungbum;Kwak, Daehoon;Jeong, Seongkyeong;Kim, Heetae;Mun, Dahui;Oh, Jun
    • Journal of the Society of Disaster Information
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    • v.15 no.3
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    • pp.409-417
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    • 2019
  • Purpose: Since the implementation of the Chemical Substance Management Act, data on the number of occurrences by annual chemical accident in Korea and the contractor's contract data received from the competent authority were used. After the implementation of the contract reporting system, the contribution to the reduction of chemical accidents is summarized by statistical data. The characteristics of each region, month, type and those of similar industries and human life were compared and analyzed. Method: 4 years of chemical accident statistics from 2015 to 2018 and since 2003, we have used data from the Chemical Safety Clearing-House (CSC), which provides safety information on cases of chemical accidents. Results and Conclusion: The risk of accidents increases as a number of unskilled workers are put into the workplace during the period when the hazardous chemical handling process is temporarily suspended. Through the reporting for awarding a contract, the operators are strengthening the safety management of chemical accidents by educating unskilled workers and wearing personal protective equipment.

Improvement on the System of Information to the Public for Chemical Accident Emergency Response (화학사고 응급정보에 대한 주민제공 체계 개선 방안)

  • Park, Hyesong;Song, Chi-sun;Shin, Chang-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.571-579
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    • 2019
  • To minimize the damage from chemical accidents, a risk management plan (RMP) has been implemented since 2015. According to this regulation, operators who handle more than the designated quantity of the accident preparedness chemicals should provide emergency response information to the public within the affected areas of accidents. The information, including chemicals, affected areas and evacuation instructions should be provided to the public in advance so that they can evacuate immediately in the event of a chemical accident. Currently, the information notification can be provided in various methods by being registered in the notification system, sent with written documents or delivered directly to the public. To examine the status of the operation method, this study analyzed similar cases overseas, investigated the degree of awareness of providing information through the number of the annual visitor of the Information Provision System, and obtained survey results from some residents. This current operation method are problems because the public, who do not have sufficient information about chemicals, do not understand the emergency information properly or it is difficult to recognize where the residents should find this information because of the convenient operation based on the information provider. In this study, measures were proposed to minimize the damage by making it easier for the public to understand the emergency information and the information communicated appropriately in advance by dividing them into an information providing method and post management.

Analysis and cause of defects in reinforced cement concrete lining on NATM tunnel based on the Precise Inspection for Safety and Diagnosis - Part I (정밀안전진단 결과를 활용한 NATM (철근)의 라이닝 결함 종류별 발생원인 및 분석 - Part I)

  • Choo, Jinho;Lee, Inmo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.21 no.1
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    • pp.1-29
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    • 2019
  • Related to the previous paper on the typical crack pattern of tunnel lining with NATM, the characteristic defects in reinforced cement concrete lining of NATM tunnel have analyzed with the precise inspection with safety and diagnosis (PISD) by KISTEC. Depending on the reinforcing materials, steel rebar, steel fiber, and glass fiber have been implemented to reinforcing lining in various NATM tunnel constructions. Reinforcing lining with rebar are prevailed on NATM tunnel to countermeasure the weak geological circumstances, to pursuit the economical tunnel sections, and to resist the risk of tunnel deterioration. By the special act on the safety control of public facilities, the reinforced NATM tunnels for more than 1 km length are scrutinized closely to characterize defects; crack, reinforcement exposure, and lack of lining. Crack resistance by reinforcing is shown in comparison with the normalized crack to the length of tunnel. Typical exposed reinforcements in lining have exemplified with various sections. The lack of lining due to the mal-construction, spalling, fire, earthquake and leaching has been analyzed. The cause and mechanism with the field inspections and other studies has also been verified. Detailed cases are selected by the above concerns as well as the basic information from FMS (Facilities Management System). Likewise the previous paper, this study provides specialized defects in reinforced lining of NATM and it can be widely used in spreading the essential technics and reporting skills. Furthermore, it would be advised and amended for the detail guideline of Safety Diagnosis and PISD (tunnel).

Patrol Monitoring Plan for Transmission Towers with a Commercial Drone and its Field Tests (상용화 드론을 이용한 송전선로 점검방안 및 현장시험)

  • Kim, Seok-Tae;Park, Joon-Young;Lee, Jae-Kyung;Ham, Ji-Wan;Choi, Min-Hee
    • KEPCO Journal on Electric Power and Energy
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    • v.4 no.2
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    • pp.115-123
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    • 2018
  • Various types of robots running on power transmission lines have been developed for the purpose of line patrol monitoring. They usually have complex mechanism to run and avoid obstacles on the power line, but nevertheless did not show satisfactory performance for going over the obstacles. Moreover, they were so heavy that they could not be easily installed on the lines. To compensate these problems, flying robots have been developed and recently, multi-copter drones with flight stability have been used in the electric power industry. The drones could be remotely controlled by human operators to monitor power distribution lines. In the case of transmission line patrol, however, transmission towers are huge and their spans are very long, and thus, it is very difficult for the pilot to control the patrol drones with the naked eye from a long distance away. This means that the risk of a drone crash onto electric power facilities always resides. In addition, there exists another danger of electromagnetic interference with the drones on autopilot waypoint tracking under ultra-high voltage environments. This paper presents a patrol monitoring plan of autopilot drones for power transmission lines and its field tests. First, the magnetic field effect on an autopilot patrol drone is investigated. Then, how to build the flight path to avoid the magnetic interference is proposed and our autopilot drone system is introduced. Finally, the effectiveness of the proposed patrol plan is confirmed through its field test results in the 154 kV, 345 kV and 765 kV transmission lines in Chungcheongnam-do.

Case Study of Online Education Using Virtual Training Content (가상훈련 콘텐츠를 사용한 온라인 교육의 사례 연구)

  • Huh, Jun-young;Roh, Hyelan
    • Journal of Practical Engineering Education
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    • v.11 no.1
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    • pp.1-8
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    • 2019
  • Virtual Training is an educational exercise in which the environment or the situation is virtually implemented for specific training and proceed like a real situation. In recent years, the virtual reality technology has developed rapidly, and the demand for experiencing situation that are not directly experienced in the real world is increasing more and more in virtual reality. Particularly, there is an increasing demand of contents for hands-on training and virtual training for equipment training that replaces high-risk and high-cost industry training. The virtual training contents have been developed and utilized for the purpose of technical training. However, it is known that virtual training is more effective when it is used as a supplementary training material or combined with e-learning contents rather than replacing one training course with virtual training contents because purpose and effect are different from general technical training course. In this study, we explored the development method for effective utilization of electrohydraulic servo control process, which is the virtual reality contents developed in 2017 in combination with e-learning contents. In addition, in order to establish a teaching and learning strategy, we actually develop and operate a case studies using virtual training contents. Surveys and case studies are conducted to investigate the effects of teaching and learning strategies applied in the classroom on students and their educational usefulness.