Cho, Yong Jun;Kim, Young Ock;Song, Joon Ho;Hwang, Jang Hoi;Kim, Sung Min;Ahn, Myung Soo;Oh, Sae Moon;Ahn, Moo Eob
Journal of Korean Neurosurgical Society
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v.29
no.5
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pp.668-674
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2000
Objective : The classic and accepted surgical method of compound comminuted depressed skull fractures (FCCD) involves total resection of all the contaminated bone and fragments at the fracture site. A second operation for cranioplasty is then performed at a later date. However, we have believed that primary repair of these bony defects can be achieved by the replacement of bone fragments at the time of the initial debridement, and this can be accomplished without danger to patient. The authors retrospectively reviewed the surgical results to assess the advantages and disadvantages, and also propose the selection criteria of replacement of fractured bone fragments as a primary procedure in FCCD. Materials and Methods : The authors analyzed the data extracted from medical records, and radiological findings in 22 of 71 patients with FCCD, who underwent immediate replacement of fractured bone fragments between April 1993 and October 1998. The mean follow-up period was 13.7 months. The selection criteria for the operation included the patients with mild to moderate severity, regardless of the degree of contamination or dural violation, which presented in hospital within 24 hours of injury. Results : The ages of the patients varied from 4 to 63 years, and there were 20 males and 2 females. Seventeen of 22 patients were fully conscious on admission and the others also had relatively good Glasgow coma scales. Sixteen fractures were located in the frontal area, 9 with involvement of the frontal sinuses, and 6 in the parietal and temporoparietal areas. Of the 22 patients, 8(36.3%) had dural lacerations with 3 of these requiring patching with pericranium, and 12(54.5%) had intracranial hematoma requiring wide craniotomy. The degree of wound contamination was also variable. Fifteen patients had relatively clean wounds, while seven(31.8%) had seriously contaminated wounds with soil, sand, hair, and wood. Only one patient(4.5%) developed infection, and the bone fragments were removed. All wounds healed primarily without pulsatile defect, the skull has remained solid, and no complications have occurred, except the infected case. Conclusion : It is proposed that bone fragments removal for FCCD, regardless of the degree of contamination or dural violation, is not necessary and that primary bone fragments replacement avoids a second operation for cranioplasty.
Proceedings of the Korean Institute of Navigation and Port Research Conference
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2021.11a
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pp.78-80
/
2021
This study is based on Degree of Recognition and AHP surveys for experts, this study investigates changes in the demand of seafarers in response to changes in the shipping industry environment in which Maritime Autonomous Surface Ships(MASS) emerge according to the application of the fourth industrial revolution technology to ships, and it looks into changes in seafarers' skills. It also analyzes and proposes a plan for cultivating seafarers accordingly. As a result of Degree of Recognition and AHP analysis, it is analyzed that a new training system is required because the current training and education system may cover the job competencies of emergency response, caution and danger navigation, general sailing, cargo handling, seaworthiness maintenance, emergency response, and ship maintenance and management, but jobs such as remote control, monitoring diagnosis, device management capability, and big data analysis require competency for unmanned and shore based control.By evaluating the importance of change factors in the duties of seafarers in Maritime Autonomous Surface Ships, this study provides information on seafarers educational institutions response strategies for nurturing seafarers and prioritization of resource allocation, etc. The importance of factors was compared and evaluated to suggest changes in the duties of seafarers and methods of nurturing seafarers according to the introduction of Maritime Autonomous Surface Ships.It is expected that this study is meaningful as it systematically derived the duties and competency factors of seafarers of Maritime Autonomous Surface Ships from a practical point of view and analyzed the perception level of each relevant expert to diagnose expert-level responses to the introduction of Maritime Autonomous Surface Ships.
Korea has accomplished the afforestation of its forest land in the early 1980's. To meet the increasing demand for forest products and forest recreation, a development of scientific forest management system is needed as a whole. For this purpose the development of efficient forestfire management system is essential. In this context, the purpose of this study is to develop a theoretical foundation of forestfire danger rating system. In this study, it is hypothesized that the degree of forestfire risk is affected by Weather Factor and Man-Caused Risk Factor. (1) To accommodate the Weather Factor, a statistical model was estimated in which weather variables such as humidity, temperature, precipitation, wind velocity, duration of sunshine were included as independent variables and the probability of forestfire occurrence as dependent variable. (2) To account man-caused risk, historical data of forestfire occurrence was investigated. The contribution of man's activities make to risk was evaluated from three inputs. The first, potential risk class is a semipermanent number which ranks the man-caused fire potential of the individual protection unit relative to that of the other protection units. The second, the risk sources ratio, is that portion of the potential man-caused fire problem which can be charged to a specific cause. The third, daily activity level is that the fire control officer's estimate of how active each of these sources is, For each risk sources, evaluate its daily activity level ; the resulting number is the partial risk factor. Sum up the partial risk factors, one for each source, to get the unnormalized Man-Caused Risk. To make up the Man-Caused Risk, the partial risk factor and the unit's potential risk class were considered together. (3) At last, Fire occurrence index was formed fire danger rating estimation by the Weather Factors and the Man-Caused Risk Index were integrated to form the final Fire Occurrence Index.
Golinko, Vasyl;Cheberyachko, Serhiy;Deryugin, Oleg;Tretyak, Olena;Dusmatova, Olga
Safety and Health at Work
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v.11
no.4
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pp.543-549
/
2020
Background: The working conditions of bus drivers are difficult; they lead to occupational diseases and require careful study, particularly in Ukraine. The objective of the article is the description of occupational health risks of passenger bus drivers that lead to deteriorating health. Methods: The risk assessment was performed using a modified Risk Score method, which allowed determining the generalized level of danger to the driver's health. The hygienic hazards level was assessed as based on Stevenson's law, which was generalized later. Results: Based on the modification of the Risk Score method, it was possible to depart from expert assessments method of the risk level and calculate the general indicator based on the degree of dependence of the impact on the human body on its intensity, proposed by V. Minko. This allows objective determining of the impact of hygiene hazards on the health of the driver and to predict the occurrence of occupational diseases associated with the cardiovascular system, musculoskeletal system, and partial or complete disability due to the accumulation of emotional fatigue. The hazard assessment was carried out for three brands of passenger buses common in Ukraine, in which the driver is exposed to the dangers of fever, vibration, noise, harmful impurities in the bus cabin, and emotional load. Conclusion: The health of drivers in the cabins of passenger buses is most affected by hygiene hazards: fever, vibration, and emotional stress. The generalized level of risk is calculated by the modified method of Risk Score is 0.83; -0.99, -0.92 respectively.
Journal of the Korean Society of Marine Environment & Safety
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v.6
no.2
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pp.1-15
/
2000
In world trade, the vessel traffic in major routes has been congested due to the rapid increase of cargoes and shipping tonnages. The patterns of vessel traffic have also been complicated and diversified. Therefore it was necessary that the Vessel Traffic Service(VTS) should be established in order to enhance the safety of navigation, to prevent the loss of life and damage to the environment. The first advanced radar surveillance system(LevelIII-VTS) was introduced in Pohang, Korea in 1993 and in 13 other ports later. While the hardware of Korea VTS is equal to that of an advanced country, the software, specially the operation manual, the recruitment and education of VTS operator, and the VTS service area is behind that of Russia, USA, Germany, Hong Kong, Singapore and others. After researching and investigating. the VTS equipment and service area of many countries, and analyzing the IMO regulations relevant to VTS and the traffic pattern and accident of Pohang port, the most efficient VTS service area should be established in Pohang. According to the analysis of the preceding studies and research on VTS, the worldwide VTS areas are recognized under the following conditions: First, the service area should be extended over at least radar coverage taking into account of traffic flow, traffic density, the degree of danger to navigation and harbour condition in order to provide all possible services. Second, the established service area should be subdivided and systematized to render reliable VTS services, such as the allocation of VHF frequency and reporting procedure in each area. In conclusion, the VTS service area of Pohang must be established and operated over 10 miles from shore(radar site) covering the radar coverage, so as to include the area of traffic congestion and high density traffic flow.
Marine casualities in the high sea are mainly classified into the breakage of hull and capsize , of which the latter occurs frequently to a small craft and container vessels by extreme rolling. The aim of this study is to develop shiphandling techniques for the prevention of ship's large rolling by way of evaluating dangerous degree of rolling in heavy weather. In this study, rolling motion is analized by using statistical method as follow : (1) 8 sample ships is presented for calculation. (2) Analized sea state are Beaufort scale 7 and 10 (wind velocity 30kts and 50kts respectively) and significant wave height is put as 5.2m and 11.2m. (3) The formula recommended by International Towing Tank Conference (ITTC) is used to calculated the wave spectrum. The results of this study are as follow : The results of this study are as follow : (1) Most of the vessels with beam of 20 meters or less was found to be capized in the waves abeam under the sea condition of Bearfort scale7(30kts). (2) For the vessels range 20m to 30m was found safe under the sea conditions of Bearfort scale 7(30kts) and imminent danger under the sea condition of Beaufort scale 11(50kts). (3) It is proved that any vessel could be capsized by heavy rolling regardless of vessel's size whenever the motion is synchronized with waves abeam. This study concludes that the navigator, especially at night , must anticipate the exact wave direction, referring to the wether report and coastaline, not to lay the vessel in the serial wave abeam.
This study was carried out to investigate the relative influence of food intake and menopause on the body composition and bone quality index of women in Wonju who were voluntary participants in a community nutrition program. The status of food intake was examined using a semi-quantitative food frequency questionnaire. A bioelectrical impedance analysis tool (Inbody 2.0) and SONOST 2000 were used for estimating body composition including criteria such as TWB (Total body water), SLM (Soft lean mass), LBM (Lean body mass), PBF (% body fat) and WHR (Waist hip ratio), and BQI (Bone quality index). 82% of the subjects were over the age of 40. The percentage of overweight subjects was 64.3% overall, and higher in the advanced age group while underweight was prevalent in younger subjects. Although only 8.6% of the total subjects skipped breakfast, this habit was more prevalent in subjects in their twenties and the underweight group. Variables, such as age, menstruation status, and breakfast eating habits were significant factors considered in relation to food intake from 7 food groups. Generally, older aged women ate more vegetables while the younger group consumed more simple sugars and lipids. The subjects who were underweight or skipped breakfast tended to drink higher amounts of soft drinks. With increasing age, BMI, PBF and WHR increased also, and TWB, SLM, LBM, and BQI decreased. According to correlation analysis, WHR has a positive correlation with PBF. BQI correlated with SLM and LBM positively, and with PBF and WHR negatively. Over 93.3% of the subjects over the age of 30 were assessed as having abdominal obesity. It was revealed that body composition was affected not only by age, obesity degree and menstruation status but by various food intake habits. Body composition including WHR and BQI had put many of the subjects' health in danger of metabolic disorders. Therefore, it is important to emphasize keeping in place some helpful habits such as eating regularly, having a proper diet which includes many vegetables, and continued milk intake even after menopause to insure women's good health.
Ansari, Walid El;Labeeb, Shokria;Kotb, Safaa;Yousafzai, Mohammad T.;El-Houfey, Amira;Stock, Christiane
Asian Pacific Journal of Cancer Prevention
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v.13
no.6
/
pp.2547-2556
/
2012
Objectives: Smoking among university students represents a formidable and global public health challenge. We assessed the associations between socio-demographic, health and wellbeing variables as independent variables, with daily smoking, attempts to quit smoking, and agreement with smoking ban as dependent variables. Methods: A sample of 3258 undergraduate students from eleven faculties at Assiut University, Assiut, Egypt, completed a general health questionnaire. Results: Overall daily or occasional smoking in last three months prior to the survey was about 9% (8% occasional and 1% daily smokers), and smoking was generally more prevalent among males (male=17%, female=0.6%, P < 0.001). After adjustment for confounders, not having normal BMI and having a mother who completed at least bachelor's degree education was positively associated with daily smoking, and conversely, no history of illicit drug use was a protective factor. About 76% of smokers had attempted to quit smoking within the last 12 months prior to the survey. Although a large proportion of students agreed/strongly agreed with the banning of smoking at university altogether (87%), such agreement was less likely among smokers. Conclusion: There is need for implementation of non-smoking policies on university premises, as well as regular up-to-date information on, and the periodic/yearly monitoring of tobacco use by university students employing standardised data collection instruments and reference periods. In addition, it would be valuable to develop campus-based educational/ awareness campaigns designed to counteract tobacco advertisement directed towards young people in Middle East countries. Otherwise, the danger could be that the current relatively low smoking prevalence among university students may escalate in the future.
The purpose of this study was to provide basic informations for educating juveniles on desirable body image recognition by examining their body image recognition and comparing and finding problems according to gender and body mass index (BMI) in middle school students. The average age of the subjects was 15, their average height was 162.5 cm, their average weight was 53.5 kg, and their average BMI was $20.1\;kg/m^2$. Male students wanted to gain weight and female students wanted to lose weight. As for body shape, female students thought that they were fat more often than male students. Also the more overweight the students were, the higher their concerns and experiences toward weight control. Among weight control methods, exercise scored highest in all BMI groups. Over 80% of the respondents answered that their weight control effort were not systematic such as via professional counseling. As for the frequency of eating breakfast and dinner in female students, the more a student was overweight, the lower their frequency of eating breakfast and dinner. Many respondents answered that a typical meal time was '10~20 minutes'. The average eating habit score for all subjects was 38.0. The eating habit scores of male students were significantly higher than those of female students, and there were no significant differences among BMI groups. Eating habit score of 'I have more than two meals with rice everyday' in female overweight group was significantly higher than those of other two groups. These results indicate that the female students' degree of preference for a slim body shape were higher than those of male students. In addition, weight control by students is not systematic through professional counseling; instead they attempt to control their weight by themselves such as a meal skip, which lead to potential danger that they may lose weight carelessly. Therefore, correct body image recognition is greatly needed, and families and schools should make ceaseless efforts to help students properly control their weight and have correct eating attitudes.
Proceedings of the Korean Institute of Navigation and Port Research Conference
/
2016.05a
/
pp.103-105
/
2016
Shin(2015) etc. published use of smart phones on the effect the use of smart phones released in the ship duty performed by survey of using smart phones Status and Usage in previous studies, soon as the survey provided this environment(36% on sailing) where you can use your smart phone from the ship, at the risk of officers using survey questionnaires were analyzed smart phones that use about twice the risk than before. In this study, maritime those who have experienced a period of sailors aboard a diagnostic test subjects Ship Handling Simulation analysis evaluation item of Maritime Traffic Admit, Proximity evaluation of a ship evaluation, by measuring the degree of danger that the subjective evaluation and control of the ship evaluation to evaluate the risk on navigation safety. Also indicated the risk of a smart phone quantitatively by measuring the time that the awareness of dangerous situation depending on using smart phone or not.
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