• Title/Summary/Keyword: risk efficient

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A Review for the Factors Affecting the Effects of Health Promotion Programs (건강증진 프로그램 효과에 영향을 미치는 프로그램 관련 요소 분석 - 문헌고찰을 중심으로 -)

  • 장원기;정경래;김철웅
    • Health Policy and Management
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    • v.12 no.1
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    • pp.102-124
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    • 2002
  • To find out more efficient ways of implementing health promotion programs and to determine the factors affecting the results of various interventions, we reviewed 73 articles un the effectiveness of health promotion programs. These include the papers on the smoking, alcohol, drug abuse, nutrition(obesity) and stress management etc. Specific interventions evaluated in this review are education based on the lecture or video shows, health-related event activities, modifications of policy or the environment, health risk appraisal etc. By using KIHASA Line of Korea Institute of Health and Social Affairs, National Congress Library Database MEDLINE, we identified 201 articles published from 1980 to Jun. 1979 and finally selected 73 papers which contain the implementation process, and result of each program. The factors used in the analysis of the programs are (1) characteristics of participants (2) interventions evaluated (3) research design (4) length of programs and evacuation point (7) outcome indices (6) effect of program evaluated by each author. The study results did not prove positive effect of education based on lectures or video shows etc. Rather, it was suggested that lecture-based education has negative effect on the result. Event activity such as contest or health festivals has positive effect, and policy change or environmental change is closely related to the event activity. Also, the result shows that the overall effect of programs fur the students is less than that of the programs for the others. The programs conducted over, 1-year are mere likely to have positive outcomes than shorter ones. And, the outcomes of the programs with controlled research design such as experimental or quasi-experimental study tend to be evaluated inferiorly to those with non-experimental design.

Oral Hygiene Care for Elderly in Care Facility (노인요양시설에서의 구강위생관리)

  • Ko, Sok-Min;Lim, Soon-Ryun
    • The Journal of the Korean dental association
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    • v.53 no.10
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    • pp.678-687
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    • 2015
  • In order to prevent aspiration pneumonia, oral hygiene care is important; thus proper tips for oral hygiene care should be distributed among hospitals and care facilities for elderly. Malpractice of oral hygiene itself may cause aspiration pneumonia. For efficient and effective oral hygiene care, engagement of professionals such as dentists or dental hygienists is essential. At the point where necessity of systemized dental $professionals^{\circ}{\phi}$ involvement at care facilities for elderly is being emerged, it is important to determine less risky approaches for oral health care tailored to elderly. Among many approaches, oral health care practice without usage of water is considered safe, reducing risk of possibility of aspiration. Since this practice is quite easy to implement, many dental professionals may utilize it when practiced at care facilities for elderly.

Strengthening Families: The Re-structuring of Family Services in Hong Kong

  • Leung, Joe C.B.
    • 한국사회복지학회:학술대회논문집
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    • 2002.10a
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    • pp.3-19
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    • 2002
  • The problems and needs of families in Hong Kong are becoming more complex. Traditional family structures and functions are rapidly eroding. Moreover, family problems are further exacerbated by a growing number of socio-economic issues including rising divorce rates and extra-marital affairs. continuous family reunion migration from Mainland China, emotional and financial cost of caring for the older people and the changing economy which has pushed more families into hardship. In effect, more and more families are becoming vulnerable to risk. Traditional family services in Hong Kong are varied in mode, operation and provision, often overlapping in service boundaries with other family-oriented programs. In many instances, family service centers are stretched far beyond their capacity. As a consequence, they become too reactive, remedial and casework dominated. The University of Hong Kong Consultant Team recommended that family service programs have to protect vulnerable families and strengthen family capacities to promote maximum independence. The direction of family services is summarized as: strengthening families; child-centered, family-focused and community-based. New integrative family service centers aim at attaining the principles of promoting accessibility to users with minimum physical, psychological and administrative barriers; early identification of needs and intervention before the further deterioration of problems; integration of services cutting across program boundaries, and partnership between service providers to achieve efficient and effective use of scarce resources. Under the new model, multi-skilled teams can respond more proactively to a wide range of social needs, rather than addressing needs in isolation. To demonstrate the effectiveness of the new model, the consultant team has been commissioned by the government to evaluate the performance of these two-year pilot projects. More importantly, a coherent and family-friendly social policy should be formulated to strengthen family capacity against family-related problems.

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Microvascular Anastomosis Using 'Continuous Suture with Interrupted Knot' Technique (연속 봉합 단속 결찰법을 이용한 미세 혈관 문합법)

  • Choi, Moon-Su;Park, Sang-Hoon
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.22-27
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    • 1999
  • While the conventional end-to-end anastomotic technique is accepted as 'the golden standard' for microvascular anastomosis, it is time-consuming and tedious. In an effort to offer faster and safer ways of performing microvascular anastomoses, numerous anastomotic techniques have been proposed, but further refinements in microvascular techniques are still necessary. A 'continuous suture with interrupted knot' technique was devised for faster and safer anastomosis. It has been successfully used in microanastomoses of both artery and vein for free tissue transfer. It is a combination of the interrupted suturing technique and the continuous suturing technique. First, a continuous suture is made with the size of loop decreasing in order, and then the sutures are tied individually from the first loop to the last one as in the conventional interrupted suturing technique. It was applied clinically to fourteen patients over the past ten months and found to be a highly efficient technique that satisfied our needs. This 'continuous suture with interrupted knot' technique has several advantages over other techniques : The operative time is reduced comparing conventional interrupted suture technique. By delaying the tie and with the vessel walls kept separated, the risk of through-stitch can be reduced. Tying all the sutures at one time not only speed up the procedures, but also reduced the surgeon's fatigue. In addition, it has no problem of anastomotic stenosis which is a disadvantage of continuous suture technique. This technique proved to be faster and safer, and has patency equal to that of the conventional end-to-end anastomosis. It is of great help to the surgeon in reducing operative time, especially in clinical situations when many anastomoses are required, or lengthy grafting procedures are undertaken.

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Study on school health promotion service and program for smoking cessation and acohol-reducing (금연 및 절주를 위한 학교 공급자원 및 프로그램)

  • Chang, Hye-Jung;Shim, Jae-Sun
    • Journal of the Korean Society of School Health
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    • v.16 no.2
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    • pp.57-69
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    • 2003
  • This study investigates the school resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. The health of students is very important because of students' long life-span remained and their impacts on the community. A three-stage survey model was established. Three stages include a current status of school health resources and programs, an attitude to get rid of health risks at school, and a behavioral intention to provide health promotion programs in the near future. Three hundred and thirty-six schools filled up and returned the questionnaire by mail. The results showed that the facility and personnel for health management are equipped sufficiently in general, except in rural area located, small sized, or middle schools. But provided programs are not good enough in both quantity and quality. Frequently, schools provide the programs such as advertisement, mass education by internal lecturers, and individual. counselling. The programs of special lectures, group activities or rather active use of suppresants are provided rarely, because of the lack of special knowledge or financial supports at school. However, behavioral intention to provide such programs was high. Therefore, the role of health department at school should be fortified. The health teachers need to be trained as a consultant, and the education materials need to be provided to them The school also need to be supported with external experts for special lectures or group activities. In conclusion, schools need to pay more attention to the health risk of students and develop the effective and efficient school health programs for students' health.

Research on Augmented Reality Services in Bridge for Navigational Safety (안전항해를 위한 선교용 증강현실 서비스에 관한 연구)

  • Oh, Jaeyong;Park, Sekil;Kim, Sun-Young;Kwon, Ohseok
    • Journal of Navigation and Port Research
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    • v.37 no.3
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    • pp.245-250
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    • 2013
  • As maritime traffic increases and ships get bigger and faster, the risk of maritime accident increases. According to the recent reports on maritime accidents, more than 80% of the maritime accidents occur due to navigational mistakes and/or human errors. Even though many kinds of navigation systems based on new technology have been developed to reduce maritime accidents, we need to research the method for expressing and providing information. The efficient navigation system should be able to display information simply and intuitively to make decision quickly and accurately. In this paper, we proposed augmented reality based navigation system which can be utilized in bridge of the ships and described the services for navigational safety.

Analysis of Groundwater Pollution Potential and Development of Graphic User Interface using DRASTIC System (DRASTIC을 이용한 지하수 오염 가능성 분석 및 그래픽 사용자 인터페이스 개발연구)

  • 민경덕;이영훈;이사로;김윤종;한정상
    • Journal of the Korean Society of Groundwater Environment
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    • v.3 no.2
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    • pp.101-109
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    • 1996
  • DRASTIC system was used in this study that was developed by U.S. EPA and is widely used for evaluating relative groundwater pollution potential by using hydrogeological factors. The DRASTIC system can be used for selection of well sites, selection of waste disposal sites and basic data of landuse for groundwater protection, and monitoring purpose and efficient allocation of resource for remediation. This study analyzed regional groundwater pollution potential around Chungju Lake using the DRASTIC system. Hydrogeological factors used in this study are depth to water, net recharge, aquifer media, soil media, slope and hydraulic conductivity. For accurate analysis, lineament density that is extracted from image processing of satellite image is overlaid to the DRASTIC system. Results of this study are mapped so groundwater pollution potential and risk degrees can be understood easily and quickly. A graphic user interface is developed to process the data conveniently.

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Study on the Design of Operation Scenario for Replacement of a Railway Signaling System (철도신호시스템 교체에 따른 운행 시나리오 도출에 관한 연구)

  • Jeong, Rag-Gyo;Kim, Baek-Hyun;Kang, Seok-Won;Kho, Young-Hwan
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.63 no.8
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    • pp.1064-1069
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    • 2014
  • The railway signalling system plays an essential role in the headway and routing control for a safe and efficient train operation. The reliable and safe operation of the system is very important because the failure of the railway signalling system can lead to the collision, derailment, or unexpected stop of a train. So far, the conventional wayside signal mode (ATS: Automatic Train Stop) has been generally used as the railway signalling system. However, this system is highly linked to a risk of major accidents resulted from human mistakes such as missing a signal or careless control of train speed. Accordingly, the onboard signal mode (ATC: Automatic Train Control) as an alternative of ATS has been recently introduced and applied to transmit effectively the information on speed control of a train by using computers and communication equipment. In the process of replacing the obsolete signal system, it is necessary to switch over the system while providing passengers with normal services. Therefore, the integration of a railway signaling system compatible for both ATS and ATC and its interface is discussed in this study. In particular, the implementation scenario required for operation planning of the integrated system was designed, and the results as well as effects of its applicability test were also presented.

Analysis of the Wireless Communication Environment in the Narrowed Residential Space for the Fire fighting Operation (소방작전을 위한 협소거주 공간의 무선 통신 환경 분석)

  • Park, Hyun-Ju;Hong, Sang-Beom;Choi, Hyuk-Jo
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.10 no.3
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    • pp.242-248
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    • 2017
  • Recently, Population has been concentrated in cities due to rapid economic growth. As a result, urban buildings are becoming more dense, high-rise, and diversified. The shape of these urban buildings increases the risk of fire, accidents and crime. The narrow living space has the characteristic of the unchanged floor. In case of a fire, the living space of the narrow residence is large in the damage because the smoke diffusion rate is fast. The radio wave transmittance and transmission distance of wireless communication used in fire fighting operations vary depending on the type of building materials and buildings. Therefore, this paper analyzes the building materials and structural characteristics of the narrow residential space for efficient fire fighting operations. We have developed a communication environment solution for a narrow residential space for the optimal fire fighting operation through the measurement of the radio wave transmittance and the transmission distance of the wireless communication.

The effect of composite-elastomer isolation system on the seismic response of liquid-storage tanks: Part I

  • Shahrjerdi, A.;Bayat, M.
    • Earthquakes and Structures
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    • v.15 no.5
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    • pp.513-528
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    • 2018
  • A typical viable technique to decrease the seismic response of liquid storage tanks is to isolate them at the base. Base-isolation systems are an efficient and feasible solution to reduce the vulnerability of structures in high seismic risk zones. Nevertheless, when liquid storage tanks are under long-period shaking, the base-isolation systems could have different impacts. These kinds of earthquakes can damage the tanks readily. Hence, the seismic behaviour and vibration of cylindrical liquid storage tanks, subjected to earthquakes, is of paramount importance, and it is investigated in this paper. The Finite Element Method is used to evaluate seismic response in addition to the reduction of excessive liquid sloshing in the tank when subjected to the long-period ground motion. The non-linear stress-strain behaviour pertaining to polymers and rubbers is implemented while non-linear contact elements are employed to describe the 3-D surface-to-surface contact. Therefore, Nonlinear Procedures are used to investigate the fluid-structure interactions (FSI) between liquid and the tank wall while there is incompressible liquid. Part I, examines the effect of the flexibility of the isolation system and the tank aspect ratio (height to radius) on the tank wall radial displacements of the tank wall and the liquid sloshing heights. Maximum stress and base shear force for various aspect ratios and different base-isolators, which are subjected to three seismic conditions, will be discussed in Part II. It is shown that the composite-base isolator is much more effective than other isolators due to its high flexibility and strength combined. Moreover, the base isolators may decrease the maximum level pertaining to radial displacement.