• 제목/요약/키워드: accessibility control

검색결과 230건 처리시간 0.022초

A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

  • Seth, Tulika;Kotwal, Atul;Thakur, Rakesh Kumar;Ganguly, K.K.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2781-2789
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    • 2012
  • Assessment of perceptions of the community, the determinants and development of their behavior regarding common malignancies, helps in establishing evidence-based activities for prevention and early diagnosis of cancer. However information on this important aspect is lacking in our country. Qualitative methods were here used to obtain information through in depth interviews and Focus Group Discussions (FGDs) with all categories of identified stakeholders. Most were unaware of the activities of the cancer control program. Even the providers were not fully conversant. All respondents mentioned lack of diagnostic and treatment facilities in government, primary and secondary level facilities. Perceptions of different categories of stakeholders regarding why many community members did not attend screening camps and other services reflect the determinants of community behavior, acting independently as well as in combination. The cancer control program was thought to be restricted only to some private facilities and overcrowded government tertiary care facilities where the visits were time consuming. Almost all the facilities were considered curative oriented. Issues of supervision, monitoring and feedback were inadequately addressed by providers who were inadequately trained in many program activities. The program lacked effective planning, coordination and appropriate implementation at the grass roots level in Delhi. Social mobilization was grossly inadequate, as most of the community members were unaware of the existence of the program. Misconceptions about the risk factors, signs and symptoms, diagnosis, and treatment were common amongst community members as well as many of the providers. Thus the national cancer control program in our country needs further community participation and social mobilization. Accessibility, availability, acceptability and affordability of various preventive, curative and rehabilitative activities, as well as intersectoral coordination, training, supervision and monitoring of program activities, all need to be addressed to ensure the success of this important public health program.

암 환자의 치료에 대한 요구도와 관련된 요인분석 (Analysis of the Factors Related to the Needs of Patients with Cancer)

  • 이정아;이선희;박종혁;박재현;김성경;서주현
    • Journal of Preventive Medicine and Public Health
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    • 제43권3호
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    • pp.222-234
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    • 2010
  • Objectives: Limited research has investigated the specific needs of patients with cancer. This study was performed to explore patients needs and the related factors. Methods: The data were collected by 1 National Cancer Center and 9 regional cancer centers in Korea. An interview survey was performed with using a structured questionnaire for the subjects(2661 patients who gave written informed consent to particiate) survey 4 months after diagnosis and review of medical records. Data were analyzed using t-test, ANOVA and multiple regression analysis. Results: When comparing the relating factors related with patient needs to the sociodemographic characteristics, the female group showed a higher level of recognition for physical symptoms, social support needs. The younger group showed a significantly higher level of recognition for health care staff, psychological problems, information and education, social support, hospital services needs. In addition, the higher educated group showed a higher level of recognition for health care staff, physical symptoms, social support needs. The higher income and office workers group showed a higher level of recognition for hospital services needs. When comparing the relating factors related with patient needs to the cancer, the breast cancer group showed a higher level of recognition for all needs excluding physical symptoms, accessibility and financial support needs. The combined radiotherapy with surgery and chemotherapy group showed a higher level of recognition for psychological problems, information and education, social support needs. Conclusions: This study showed that needs on patient with cancer was significantly influenced by female, higher educagion, lower income, having religion, office worker, liver cancer, breast cancer, colon cancer, chemotherapy, and combined therapy.

쑥좌훈이 월경불편감, 월경통강도, Prostaglandin F2$\alpha$에 미치는 효과 (Effects of Artemisia A. Smoke(Ssukjahun) on Menstrual Distress, Dysmenorrhea, and Prostaglandin F2$\alpha$)

  • 이광옥;김수;장순복;유지수
    • 여성건강간호학회지
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    • 제15권2호
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    • pp.150-159
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    • 2009
  • Purpose: The purpose of this study was to identify effects of Artemisia A. Smoke(Ssukjahun) on primary dysmenorrhea, Method: This study was a pretestposttest design with a nonequivalent control group. Data were collected from May 1, 2007 to May 27, 2008. A total of 40 women with dysmenorrhea participated in the study. Among them, 20 women were assigned to an experimental group and the other 20 to a control group. Artemisia A. Smoke(Ssukjahun) was provided daily for 4 days, starting 7 days prior to next expected menses in the experimental group. The instruments used in this study included MDQ (Moos' Menstrual Distress Questionnaire) by Kim (1995), Visual Analogue Scale by Keele (1948), and PG F2$\alpha$ by urine. Result: The results of this study are as follows; The experimental group was lower than the control group in the degree of menstrual distress (t=5.25, p=0.000), intensity of dysmenorrhea (t=7.71,p=0.000), and prostaglandin F2$\alpha$ levels (t=4.56, p=0.000). Conclusion: Artemisia A. Smoke (Ssukjahun) was proved as an effective nursing intervention to reduce dysmenorrhea in young women. Its convenience and accessibility may make it a useful intervention in nursing practice and education.

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원격 훈련용 발전 시뮬레이터 개발 (Development of Web-based Power Plant Simulator System)

  • 변승현;강해수;우주희;이지훈;김덕호
    • KEPCO Journal on Electric Power and Energy
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    • 제7권2호
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    • pp.277-283
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    • 2021
  • Power plant simulators have been used for operator training, control verification and engineering verification. In general, simulators can be used in the place where they are installed by only single user group at a time. Considering high cost of simulator development, a lot of available scenarios, the diversity of user level and accessibility based on users' work location, development of simulator system that can be used by multiple user groups regardless of location is required in order to enhance utilization of simulators. In this paper, the simulator system that can be used by multiple user group simultaneously without location limitation is proposed. The simulator system is composed of simulator servers, database servers, HMI servers, a web server, web clients. Simulator server consists of control model, process model that are developed for Circulating Fluidized Bed power plant located overseas. A web server manages user accounts, operation procedures, multiple server access between web client group and simulator server group. In other words, a web server makes a user group select a simulator server at a time. The developed simulator system is integrated after implementing process model, control model, HMI, and web server. Web client systems are installed on local site where power plant is located, while simulator servers, HMI servers, database servers, and a web server are located in KEPCO RI. The developed simulator system is verified by steady-state test, malfunction test and so on via remote access.

국가암검진사업에서 디지털 유방촬영술의 현황과 과제 (Digital Mammography as a Screening Tool in Korea)

  • 송수연;홍세리;전재관
    • 대한영상의학회지
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    • 제82권1호
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    • pp.2-11
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    • 2021
  • 국가암검진사업에서 매년 400만 명 이상의 여성이 유방촬영술을 이용한 유방암 검진을 받고 있다. 2000년 디지털 유방촬영술의 도입 이후, 선행 연구들에 의하면 디지털 유방촬영술은 치밀유방을 가진 여성에서 제한적으로 기존의 필름 방식 또는 computed radiography (이하 CR)보다 높은 진단 정확도를 보고하였다. 최근 국가암검진사업에서 수행된 자료를 분석한 결과에 따르면 디지털 유방촬영술의 진단 정확도가 필름 또는 CR 방식에 비해서 치밀유방을 가진 여성뿐만 아니라 모든 연령대의 여성에서 검진 횟수와 상관없이 보다 정확하였다. 우리나라는 OECD 국가 중에서도 높은 유방촬영기기 보급률에도 불구하고 현재 디지털 유방촬영기기의 보급은 전체 유방촬영기기 중, 35% 정도 수준으로 더디기만 하다. 디지털 유방촬영기기로의 신속한 전환을 위하여 수가제도의 개선, 유방 영상 판독 교육 지원 등 관련 법과 제도의 정비가 필요할 것이다. 아울러 국가암검진사업에서 보다 많은 여성이 디지털 유방촬영기기를 이용한 유방암 검진을 받을 수 있도록 장비 보급의 지역 간 격차 해소를 위해 노력해야 할 것이다.

동적 프레디킷 : 허포크라테스 XML 데이타베이스를 위한 효율적인 액세스 통제 방법 (Dynamic Predicate: An Efficient Access Control Mechanism for Hippocratic XML Databases)

  • 이재길;한욱신;황규영
    • 한국정보과학회논문지:데이타베이스
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    • 제32권5호
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    • pp.473-486
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    • 2005
  • 최근에 Agrawal 등이 제안한 히포크라테스 데이타베이스는 관계형 데이타베이스에 프라이버시 보호 기능을 추가한 데이타베이스 모델이다. 본 논문의 저자들은 히포크라테스 데이타베이스 모델을 XML 데이타베이스에 적용할 수 있도록 확장한 히포크라테스 XML 데이타베이스 모델[4]을 제안하였다. 본 논문에서는 동적 프레디킷(dynamic predicate)이라는 새로운 개념을 제안하고, 히포크라테스 XML 데이타베이스 모델에서의 액세스 통제에 이 개념을 적용한다. 동적 프레디킷은 권한에 의해 액세스가 허용되는지를 결정하는데 적용될 수 있는 질의 처리 도중에 동적으로 생성되는 조건을 나타낸다. 동적 프레디킷은 권한 검사를 질의 계획에 효과적으로 통합하여 액세스가 허용되지 않은 엘리먼트들이 질의 처리 과정에서 일찍 제외될 수 있게 해준다. 합성 데이타와 실제 데이타를 사용하여 기존의 액세스 통제 방법과 질의 처리 시간을 비교하는 다양한 실험을 수행한 결과, 본 논문에서 제안한 액세스 통제 방법은 하향식 액세스 통제 방법에 비하여 최대 219배, 상향식 액세스 통제 방법에 비하여 최대 499배 성능을 향상시킴을 보였다. 본 논문의 주요 공헌은 히포크라테스 XML 데이타베이스 모델 상에서 동적 프레디킷을 사용하여 액세스 통제 방법을 질의 계획에 효과적으로 통합할 수 있도록 한 것이다.

조망점 선정을 통한 대상지의 경관가치 평가 및 개선방안 (Landscape Assessment and Improvement of the View Area by Selecting the Landscape Control Point)

  • 김진효;이현택;나정화;조현주;사공정희
    • 한국조경학회지
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    • 제40권5호
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    • pp.19-32
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    • 2012
  • 본 연구의 목적은 대규모 주택단지 개발지로 계획되어 있는 대구광역시 북구 연경동 및 동구 지묘동 일원을 대상지로 선정하여 조망점 선정을 통해 조망대상 및 대상장을 정량적으로 평가해 보고, 이를 토대로 시뮬레이션을 실시하여 계획적 차원에서 개선방안을 제시해 보는데 가장 큰 의의를 두었다. 연구결과를 요약하면 다음과 같다. 우선 조망대상 선정을 위한 문헌분석 결과, 도출된 조망대상은 총 24개로 나타났으며, 최종적으로 도출된 주요 조망대상은 4가지로 나타났다. 다음으로 도출된 조망점 선정기준은 총 15개로 나타났으며, 이들은 다시 공통적인 특성에 따라 조망성, 접근성, 공공성으로 재분류하였다. 예비조망점은 공공성 및 접근성을 평가하여 선정하였으며, 평가 결과, 총 42곳의 예비조망점이 선정되었다. 최종조망점은 선정된 예비조망점을 대상으로 조망성을 평가하여 선정하였으며, 평가 결과 29개의 최종조망점이 선정되었다. 마지막으로 문헌분석 결과, 도출된 평가지표는 총 26개로 나타났다. 조망점별 가치평가 결과, 29곳의 대상장 중 I등급은 2곳, II등급은 3곳, 가장 낮은 V등급에 해당하는 대상장은 3곳으로 나타났다. 다음으로 개선방안을 위한 문제점 분석 결과, 개발계획도면을 고려하지 않은 대상장-1의 경우, 토지모자이크의 다양성 등 4가지 개선지표가 선정되었다. 또한 개발계획도면을 고려한 대상장-2의 경우, 배후 산림으로의 조망이 잘 이루어지며, 시각회랑의 확보가 가능한 건축물 배치 형태는 직각배치, 층수는 약 10층인 것으로 나타났다.

보건소 방문 제2형 당뇨병환자의 식행동 영향 요인 분석 (Analysis of Dietary Behavior of Type 2 Diabetic Patients Visiting Public Health Center)

  • 이혜진;윤진숙
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.223-232
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    • 2005
  • The purpose of this study was to investigate the dietary behavior of people with type 2 diabetes mellitus and to improve their quality of life through medical nutrition therapy. The subjects were 38 persons with type 2 diabetes mellitus visiting a public health center to participate in a dietary education program from Jun, 2003 to Nov. 2003 in Daegu, Korea. The interviews were tape-recorded and analyzed attitude, knowledge, and awareness of patients by focus group interview. Most of the patients were mainly dependent on drug therapy and had little experience of diet education. Barriers to dietary practice adherences were limitations in food selection, lack of will and feel of burden. Barriers to follow guidelines were lack of self-control, confliction with food habits of their family, accessibility, economical problems, fear for the change after dietary practice, food difficulties in meal distribution and difficulties for eating out. After 4 weeks of intensive nutrition education, fasting blood sugar levels were decreased and postprandial and waist circumference were significantly decreased in all patients and 26.9% of patients were under decreased oral hypoglycemic agent dosage due to improved blood sugar level. dietary knowledge of subjects were greatly improved in such items as dietary intake, saturated fat, HbA1C, ideal body weight, and waist circumference.

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Organosolv 전처리를 통한 리기다소나무의 바이오에탄올 생산 적용성 평가 (Evaluation of Pitch Pine for Bioethanol Production by Organosolv Pretreatment)

  • 유원재;김용식;강규영
    • 펄프종이기술
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    • 제47권4호
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    • pp.21-29
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    • 2015
  • In this study, the feasibility of utilizing wood chips from pitch pine (Pinus rigida) was evaluated for bioethanol production by an organosolv pretreatment and enzymatic saccharification. When wood chips from pitch wood were pretreated with 75% (v/v) ethanol and 1.7% sulfuric acid as a catalyst at H-factor 2000, average pulp yield was 43.3%, which pretreated wood fibers showed higher glucan (55.8%) and lower lignin (12.2%) contents than untreated control (43.9% glucan and 27.8% lignin). After enzymatic saccharification, the organosolv pulps with 56.2% delignification rate reached above 97% conversion rate of cellulose to glucose. These results indicated that increasing the delignification rate causes micro pores on the surface of organosolv pulps resulting in improved the accessibility of enzyme onto the substrate. Moreover, it was in agreement with the SEM examination of wood fibers.

노약자용 휠체어 리프트 유압시스템 설계 (Design of Hydraulic Power Lifter for the Elder and the Handicapped)

  • 이수철;임구
    • 한국산업정보학회논문지
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    • 제7권3호
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    • pp.68-73
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    • 2002
  • 본 연구는 대중교통 수단인 버스를 이용하는 교통약자인 휠체어 장애인의 접근을 돕는 휠체어리프트 개발을 위하여 안전을 고려한 유압시스템과 제어장치를 제작하기 위한 설계기술에 대하여 논하고자 한다. 현대는 고령화시대에 진입하면서 노약자와 장애인의 이동권과 접근권이 문제로 대두되고 있다. 본 연구에서는 기존 전동휠체어장애인과 보호자를 버스에 탑승 할 수 있는 접근성을 향상하는데 중요한 역할을 하는 리프트를 제작하는 과정에서 발생되는 안정성과 편리성을 중심으로 리프트를 선계 제작하고자 한다. 이 선계기술은 노약자 및 장애인의 이동권과 접근권을 향상시킬 수 있는 전동휠체어리프트의 대량생산체제를 확보하기 위한 중요한 기초자료가 됨으로써 제품의 안전도와 정밀도 품질보증 확보에 큰 기여를 하게 된다.

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