• Title/Summary/Keyword: life history approach

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Clinical Features and Diagnosis of Hirschsprung's Disease (Hirschsprung's Disease의 임상 양상 및 진단)

  • Park, Woo-Hyun
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.48-53
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    • 2002
  • Diagnosing Hirschprungs disease (HD) is a clinical challenge to pediatric surgeons. The cardinal symptoms are failure of passage of meconium within first 24 hours of life, abdominal distension, and vomiting. The severity of these symptoms and the degree of consitpation vary considerably between patients. HD is suspected on the basis of history and clinical findings and the diagnosis is established by radiological examination, anorectal manometry, and histochemical analysis of biopsy specimens. In this review, the advantages and pitfalls of each diagnostic modality are discussed. And a diagnostic approach utilizing these diagnostic modalities in children with suspicious HD is presented.

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The management of patient attempting suicide in the emergency room (응급실에서 자살 시도자의 치료)

  • Roh, Hyeonjeong;Kang, Youngjoon
    • Journal of Medicine and Life Science
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    • v.16 no.3
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    • pp.60-63
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    • 2019
  • The rate of suicide is the 5th leading cause of death in Korea. Moreover, suicide is the 1st cause of death in from 2nd to 4th decade. In order to treat suicide attempters who have visited the emergency room and to prevent retries, it is necessary to understand the nature of the suicide and to take the right approach. Suicide is more than doubled in women, and retry rates are high among patients with a history of suicide. Suicidal means are throat, fall, gas poisoning, poisoning and drowning. All suicide attempters should suspect and treat cervical spine injury and airway management, and rapid hyperbaric oxygen therapy is recommended for carbon monoxide addicts. Interviewing a suicide attempter requires a sympathetic attitude and examines the underlying depression or adaptation disorders. Interdisciplinary care with mental health departments is necessary, and interventions in emergency roombased suicide attempt management work can be helpful to connect with the community.

Reliability of articulated tower joint against random base shear

  • Islam, Nazrul;Ahmad, Suhail
    • Structural Engineering and Mechanics
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    • v.27 no.1
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    • pp.33-48
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    • 2007
  • An Articulated tower is one of the compliant offshore structures connected to the sea-bed through a universal joint which is the most vulnerable location of the tower that sustains the randomly fluctuating shear stresses. The time history response of the bottom hinge shear is obtained and presented in the spectral form. The fatigue and fracture reliability assessment of the tower joint against randomly varying shear stresses have been carried out. Non-linear limit state functions are derived in terms of important random variables using S-N curve and fracture mechanics approaches. Advanced First Order Reliability Method is used for reliability assessment. Sensitivity analysis shows the influence of various variables on the hinge safety. Fatigue life estimation has been made using probabilistic approach.

Clinical Preventive Dental and Dental Hygiene Practice by Caries Management by Risk Assessment (CAMBRA) (Caries Management by Risk Assessment (CAMBRA) 모형에 따른 임상 예방치과 및 치위생 진료)

  • Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.545-557
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    • 2012
  • Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

The Self-Sufficiency Experience of Korean-American Single Mothers with the History of Domestic Violence in Poverty (미국 한인 가정폭력피해 한부모 빈곤여성들의 자활 경험)

  • Chong, Hyesuk
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.245-269
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    • 2013
  • Self-sufficiency has been recognized as one of the most important welfare goals for women in the domestic violence field since the welfare reform in the U.S. A qualitative research design was conducted to explore the self-sufficiency experience of Korean-American single mothers with the history of domestic violence in poverty. The meaning of 'self-sufficiency' to participants is that a continuing task or process in life to move toward being independent mentally as well as economically. Their challenges toward self-sufficiency include the period of restoration of their potentials for self-sufficiency destroyed by domestic violence victimization and divorce, and the period of developing their sustainability for self-sufficiency. Their needs for 'help and support similar to care from the woman's parents' home', 'welfare service of select and concentration', 'mature dependency and self-sufficiency', and 'self-sufficiency from survival to dream come true' to cope with the challenges formentioned are reported. Concrete strategies for the development of self-sufficiency polices and services sensitive to immigrant single mothers with the history of domestic violence are suggested.

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A Study on the Korean Vernacular Script Medical Classic Danbang-Biyo-Gyeongheom-Shinpyeon Written during the Period of the Japanese Occupation (일제강점기 언해한의서 『단방비요경험신편』 연구)

  • Ku, Hyun-Hee
    • The Journal of Korean Medical History
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    • v.29 no.1
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    • pp.89-101
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    • 2016
  • Hae-Yong Shin was a renowned merchant during the transitional period from Korean Imperialism to Japanese Occupation, and devoted his life during the period of Japanese Occupation as a proponent of patriotic enlightenment movement and translator. He also authored many medical and scientific works; in particular, he integrated the modern Western medicine into the Korean herbal medicine in his writings. His early works include New Edition of Natural History (1907), Physiology published in six series in the YaRoe, a magazine for the patriotic enlightenment movement, and the New Edition of Zoology (1908). These writings are assumed to have deepened Shin's knowledge of and insights into human and animal physiologies and anatomies. In the Danbang-Biyo-Gyeongheom-Shinpyeon (1913), he sought to incorporate the aspects of the Western medicine while mainly adopting the approach of the Korean herbal medicine. While keeping the contents and formations of Donguibogam, he recorded many empirical prescriptions and deleted theories incomprehensible for the general population, shamanic prescriptions, and poisonous and deadly ingredients. Its most salient features are the use of the Korean vernacular script for explications and simple ingredients for prescriptions. As medicinal materials, he presented commonly found low-cost native ingredients easily obtainable and affordable for. In the disciplines of childbirth, childbearing, and first aid, he adopted Western medical treatments. Danbangshinpyeon is particularly significant in that it contributed to public health by spreading practical basic medical knowledge in the vernacular script easily applicable at home in difficult situations for obtaining medical services under the Japanese colonial rule.

Overview of Vietnamese traditional medicine

  • Trinh Hien Trung
    • Bulletin of Food Technology
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    • v.18 no.3
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    • pp.91-97
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    • 2005
  • Nowaday, in Vietnam there are two types of medical services which have coexisted. These are Western medicine or Tay Y and Eastern medicine or Dong Y (this is also known as Oriental medicine). Dong Y is includes Chinese traditional medicine (TCM) or Thuoc Bac and Vietnamese traditional medicine (TVM) or Thuoc nam. In its’ history, Vietnam was dominated by feudal China in more than 1000 years, so that Vietnamese people was impacted much by Chinese thought, culture and medicine of course. Traditional Chinese and Traditional Vietnamese Medicine differ in practice, though they share the same theoretical foundation. Their relationship can be observed by the influence of TCM theories on the TVM which are Yin and Yang, Five Elements. In practice, TCM practitioners usually spend more time giving their patients a sort of theoretical explanation of what's going on, whereas TVM practitioners would use a more practical approach and concentrate less on theory. TVM was popular in common life of working people, generally using ingredients readily available nearby and involving a minimum of processing. Most knowledge was passed unselfconsciously from one generation to the next. It can be said that Vietnamese people are based on theories of TCM and available tropical plant sand animals native to Vietnam to built and develop TVM with it’s own character. The following are some plants are using in normal life of Vietnamese people as food or drink with well-being effect(1,2).

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A Study on approach for composition of suburban Eco-village (도시 근교형 에코빌리지 조성 방향에 관한 연구)

  • Choi, Woo-Ram
    • Journal of the Korean Institute of Rural Architecture
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    • v.14 no.2
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    • pp.35-42
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    • 2012
  • This research intends to find the concept of eco-village in suburban area which various people can experience. For this, we established general ideas through theoretical reflections, and found an objective of suburban eco-village through functional practices. According to the research, a composition of eco-village to reduce the environmental load consists of three major functions. First, by forming traditional meanings of eco-village community, it creates eco-friendly life through energy saving and resource recycling. Second, it functions as relieving the stress of the urbanites and healing their mind and body in the nature of formed eco-village community. Finally, the implementation of eco-village is an idea of group of people who tends to live with nature. Thus, by recovering the nature and by preserving the nature with eco-friendly concept, it will be developed by a place where people can experience the importance of nature. However, these three functions should reflect regional characteristics sufficiently, and through saving and utilizing the history, culture and ecological resources of the regions, it gives positive support to local natives' sustainable life. Consequently, it will show the right direction of development of suburban eco-village through each case analysis of these three functions.

Evaluation of Probabilistic Fracture Mechanics for Reactor Pressure Vessel under SBLOCA (소규모 냉각재 상실사고하의 원자로 압력용기에 대한 확률론적 파괴역학 평가)

  • Kim, Jong Wook;Lee, Gyu Mahn;Kim, Tae Wan
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.4 no.2
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    • pp.13-19
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    • 2008
  • In order to predict a remaining life of a plant, it is necessary to select the components that are critical to the plant life. The remaining life of those components shall be evaluated by considering the aging effect of materials used as well as numerous factors. However, when evaluating reliability of nuclear structural components, some problems are quite formidable because of lack of information such as operating history, material property change and uncertainty in damage models. Accordingly, if structural integrity and safety are evaluated by the deterministic fracture mechanics approach, it is expected that the results obtained are too conservative to perform a rational evaluation of plant life. The probabilistic fracture mechanics approaches are regarded as appropriate methods to rationally evaluate the plant life since they can consider various uncertainties such as sizes and shapes of cracks and degradation of material strength due to the aging effects. The objective of this study is to evaluate the structural integrity for a reactor pressure vessel under the small break loss of coolant accident by applying the deterministic and probabilistic fracture mechanics. The deterministic fracture mechanics analysis was performed using the three dimensional finite element model. The probabilistic integrity analysis was based on the Monte Carlo simulation. The selected random variables are the neutron fluence on the vessel inside surface, the content of copper, nickel, and phosphorus in the reactor pressure vessel material, and initial RTNDT.

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A Study on the Environmental Instruction focused on ethical inquiry in elementary school (윤리적 탐구 중심의 초등 도덕과 환경수업)

  • Song, Youngmin
    • The Journal of Korean Philosophical History
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    • no.28
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    • pp.87-116
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    • 2010
  • In elementary, environmental education have been doing in various subjects. The features of environmental instruction would be reflected on contents of environmental education and characteristics of each subjects. These contents of environmental education might be contained normative contents, and it is moral subject that treats these normative contents systematically. Then environmental instruction of moral subject in elemental school should be approach and inquire teaching contents related to environment education. In elementary school curriculum of moral subject, teaching contents related to environment are 'preciousness of life' and 'right views of Nature and protection of the environment'. By these contents, moral instruction can approach to life of animal and plants centered on the reason to take them preciously and relation between nature and humans centered on the moral consideration. It is a difference that approaches to the environmental education not by factual understanding but by normative understanding in moral instruction. It must be focused on ethical inquiry for normative approach and reserving identity of moral subject. Necessary conditions for ethical inquiry to the environmental instruction are moral status of things besides humans. For the ethical inquiry to the moral status of nature environments, teachers could be set the logic of instruction based on the developments of environmental ethics. Formal cohesiveness of environmental instruction could be developed in sequence of ethical inquiry on moral status to the life of animal, life of plants, and whole system of nature. For this, teacher could reflect on their instruction focused on some explanations. That is, it is explanation to the animal life based on the individual-extended human oriented ethics for human, plants life based on the individual-non human oriented ethics, whole natural system based on the holistic-non human oriented ethics. When teachers reflect these explanation, they can compose their instruction as 'finding something in common with humans and animals', 'reflection on the attitude to the commons', 'thinking about reasons on the different attitudes to the commons', 'the things that disappear as plants die', 'thinking on values about non organism'. These plan of instruction could be critically reconstruct by other teachers. But environmental consciousness by ethical inquiry should be hold on instruction to the environment reflected on identity of moral subject.