• 제목/요약/키워드: routine problem

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Predictors of Cancer Awareness among Older Adult Individuals in Jordan

  • Ahmad, Muayyad M.;Al-Gamal, Ekhlas
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10927-10932
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    • 2015
  • Background: Older age is associated with an increase in the incidence of cancer cases. Diagnosis and treatment of cancer in older adults can be stressful because of health decline related to age, comorbidities and inadequate treatment for pain and other symptoms of the disease. This survey is one of the unique studies in Jordan and in the Arab world that aimed at exploring the predictors of older adult individuals awareness towards cancer. Materials and Methods: A stratified random sampling technique was followed to reach a representative sample of 753 participants. The questionnaire of the study consisted of parts regarding demographic variables, awareness about screening tests, and signs and symptoms of cancer. In addition, specific questions related to factors linked to cancer were included. Cross-sectional design was adopted with face-to-face interviews at the interviewees' households. Results: The mean age of the participants was about 63 years; around 44% of them are above the age of 65 years. 'Being convinced that having no health problem makes the individual feel safe and not at risk of getting cancer' was the major reason for not doing a routine health check-up. Conclusions: The low levels of awareness about cancer, as well as the low use of the screening methods were crucial outcomes of this study. Thus, raising the awareness among health care providers and policy makers in the country about older adults' perception of cancer is a high priority.

산전 Lamaze 교육의 효과에 관한 연구 -영아모의 태도와 모아 상호작용에 미치는 효과- (A study on the Effects of the Lamaze Prophylaxis)

  • 한경자;박영숙
    • 대한간호학회지
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    • 제15권2호
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    • pp.16-24
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    • 1985
  • This study considered the problem of whether the method of Lamaze education changes maternal attitudes toward childrearing, material-infant interaction and is feasible for Korean culture in nineteen mother. infant dyads. Among those mothers, nine were assigned experimental group who received Lamaze education at the period of 7th and 8th month of gestation, and ten were assigned control group who received obstetric routine care. Maternal attitudes were assessed with selected items from Cohler's Maternal Atttiude Scale. Maternal Play Interaction Scale was used during play session to evaluate maternal sensitivity, infant response and mother-infant dyadic synchrony. There were no significant differences not only between the two groups, but also between the period of pre-lamaze education and post-delivery on the Cohler's maternal attitude scale. Experimental mothers and babies scored significantly higher on maternal sensitivity and infant response. But no differences in mother-infant, dyadic synchrony were found. This findings mean that the effect of the lamaza education on the maternal attitudinal change related to be needed the change of cognitive structure is delayed while the effect of that on the maternal infant behavioral response showed immediatly. Modification of Lamaze method is necessary for practical use in our sociocultural system.

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시간 제약 분석이 가능한 객체 지향 실시간 시스템 모델링 (Object-oriented real-time system modeling considering predicatable timing constraints)

  • 김영란;권영희;홍성백;박용문;구연설
    • 한국통신학회논문지
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    • 제21권8호
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    • pp.1937-1947
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    • 1996
  • 객체 지향 개발 방법을 이용하여 실시간 시스템을 개발할 경우에는 반드시 시간제약 문제를 고려해야 한다. 본 논문에서는 사건의 발생에 따른 시스템의 상태 변이를 상태도로 나타내는 동적 모델에 대한 실시간 규격화로서, OMT와 SDL을 이용한 객체 지향 실시간 시스템 모델링 방법을 제안하였다. 현재 가장 널리 활용되고 있는 OMT방법론의 분석과정에서 생성되는 동적 모델에 실시간 시스템의 시간제약을 반영함으로써 예상시간 도표를 작성하였고, 실시간 예측이 가능하도록 순차 수행, 반복 수행, 병렬 수행에 대한 최대 및 최소 실시간 예측 공식을 제시하였다. 또한, 제안된 방법론을 이용하여 ATM 시스템의 최대 수행 시간을 예측해 보았고 객체 상호 작용 그래프와 SDL의 구문적 표현을 이용하여 ATM 시스템의 사용자 인터페이스에 대한 기능 명세서를 기술하였다.

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The Design of Sliding Mode Controller with Perturbation Estimator Using Observer-Based Fuzzy Adaptive Network

  • Park, Min-Kyu;Lee, Min-Cheol;Go, Seok-Jo
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.506-506
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    • 2000
  • To improve control performance of a non-linear system, many other researches have used the sliding mode control algorithm. The sliding mode controller is known to be robust against nonlinear and unmodeled dynamic terms. However. this algorithm raises the inherent chattering caused by excessive switching inputs around the sliding surface. Therefore, in order to solve the chattering problem and improve control performance, this study has developed the sliding mode controller with a perturbation estimator using the observer-based fuzzy adaptive network generates the control input for compensating unmodeled dynamics terms and disturbance. And, the weighting parameters of the fuzzy adaptive network are updated on-line by adaptive law in order to force the estimation errors to converge to zero. Therefore, the combination of sliding mode control and fuzzy adaptive network gives rise to the robust and intelligent routine. For evaluating control performance of the proposed approach. tracking control simulation is carried out for the hydraulic motion simulator which is a 6-degree of freedom parallel manipulator.

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복부접근법을 이용한 Morgagni Hernia의 교정 - 1예 보고 - (Repair of Morgagni Hernia through the Abdominal Approach - A case report -)

  • 황정주;김도형;이양덕;김길동
    • Journal of Chest Surgery
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    • 제40권10호
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    • pp.722-725
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    • 2007
  • Morgagni 탈장은 선천성 탈장의 약 3%를 차지하며 주로 증상이 없이 우연히 성인기에 발견된다. 단순 흉부촬영으로 쉽게 진단될 수 있으나 탈장이 없는 경우는 흉부 전산화 단층 촬영 등으로 진단된다. 장관의 감돈 위험이 있으므로 발견되면 수술적 치료가 바람직하다. 흉강이나 복강으로 접근이 가능하나 본 저자들은 복강경을 이용하여 교정이 가능하였기에 보고하는 바이다.

Free vibration analysis of non-prismatic beams under variable axial forces

  • Saffari, H.;Mohammadnejad, M.;Bagheripour, M.H.
    • Structural Engineering and Mechanics
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    • 제43권5호
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    • pp.561-582
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    • 2012
  • Despite popularity of FEM in analysis of static and dynamic structural problems and the routine applicability of FE softwares, analytical methods based on simple mathematical relations is still largely sought by many researchers and practicing engineers around the world. Development of such analytical methods for analysis of free vibration of non-prismatic beams is also of primary concern. In this paper a new and simple method is proposed for determination of vibration frequencies of non-prismatic beams under variable axial forces. The governing differential equation is first obtained and, according to a harmonic vibration, is converted into a single variable equation in terms of location. Through repetitive integrations, integral equation for the weak form of governing equation is derived. The integration constants are determined using the boundary conditions applied to the problem. The mode shape functions are approximated by a power series. Substitution of the power series into the integral equation transforms it into a system of linear algebraic equations. Natural frequencies are determined using a non-trivial solution for system of equations. Presented method is formulated for beams having various end conditions and is extended for determination of the buckling load of non-prismatic beams. The efficiency and convergence rate of the current approach are investigated through comparison of the numerical results obtained to those obtained using available finite element software.

Niching 유전 알고리즘을 이용한 전기자동차용 유도전동기의 최적 설계 (An Induction Motor Optimal Design for Electric Vehicle Using Niching Genetic Algorithm)

  • 이철균;조동혁;정현교
    • 한국자기학회지
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    • 제8권3호
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    • pp.169-177
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    • 1998
  • 실세계의 문제인 전기자동차용 유도전동기의 효율 최대 설계 문제의 경우 실질적으로 효율의 크기가 거의 같은 여러개의 설계점이 존재한다. 그러나, 이러한 설계점들이 역률, 온도상승 등과 같은 다른 특성비 재료비, 제작의 용이성 등의 제작적인 면에서는 차이가 날수 잇다. 그러므로, 최적화 루틴은 설계자에게 여러 개의 최적해 후보들을 제시하고 설계자는 그 중에서 전동기의 기타 특성과 설계자의 직과등을 사용하여 최적점을 선정하는 것이 선정하는 것이 바람직하다. 본 논문에서 이러한 최적화 문제에 적용하기 위하여 새로운 Niching 유전 알고리즘과 최적해 후보들 중에서 최적점을 선정하기 위한 평가합수 기법을 제시한다.

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구강암의 임상적 진단 (Clinical Diagnosis of Oral Cancer)

  • 최성원
    • 대한치과의사협회지
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    • 제49권3호
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    • pp.136-145
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    • 2011
  • Oral cavity cancer accounts for approximately 3-4% of all malignancies and is a significant worldwide health problem. The Korea Central Cancer Registry estimates that there will be approximately 1500 new cases of oral cancer in Korea. Oral cancer occurs most commonly in middle-aged and elderly individuals. The majority of oral malignancies occur as squamous cell carcinomas and despite remarkable advances in treatment modalities, the 5-year survival rate has not significantly improved over the past several decades, hovering at about 50% to 60%. The unfavorable 5-year survival rate may be attributable to several factors. First, oral cancer is often diagnosed at a late stage, with late stage 5-year survival rates as low as 22%. Additionally, the development of secondary primary tumors in patients with early stage disease has a major impact on survival. The early detection of oral cancer and premalignant lesions offers the promise to cure chance of oral cancer. The major diagnostics moddalities for oral cancer include oral cavity examination, supravital staining, oral cytology, and optical detection systems. But the clinical finding of oral mucosa is the most important key to confirm the oral cancer until now. The traditional clinical examination of oral cavity can be performed quickly, is without additional diagnostic expense to patients, and may be performed by health care professionals. Therefore, clinicians must be well-acquainted with clinical characteristics of oral cancer and practice routine screening for oral cancer in dental clinic to decrease the morbidity and mortality of disease.

패키지 반도체소자의 ESD 손상에 대한 실험적 연구 (Experimental Investigation of the Electrostatic Discharge(ESD) Damage in Packaged Semiconductor Devices)

  • 김상렬;김두현;강동규
    • 한국안전학회지
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    • 제17권4호
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    • pp.94-100
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    • 2002
  • As the use of automatic handling equipment for sensitive semiconductor devices is rapidly increased, manufacturers of electronic components and equipments need to be more alert to the problem of electrostatic discharges(ESD). In order to analyze damage characteristics of semiconductor device damaged by ESD, this study adopts a new charged-device model(CDM), field-induced charged model(FCDM) simulator that is suitable for rapid, routine testing of semiconductor devices and provides a fast and inexpensive test that faithfully represents ESD hazards in plants. High voltage applied to the device under test is raised by the field of non-contacting electrodes in the FCDM simulator, which avoids premature device stressing and permits a faster test cycle. Discharge current and time are measured and calculated. The characteristics of electrostatic attenuation of domestic semiconductor devices are investigated to evaluate the ESD phenomena in the semiconductors. Also, the field charging mechanism, the device thresholds and failure modes are investigated and analyzed. The damaged devices obtained in the simulator are analyzed and evaluated by SEM. The results obtained in this paper can be used to prevent semiconductor devices form ESD hazards and be a foundation of research area and industry relevant to ESD phenomena.

선천성 거대결장 환아에서 Gastrografin을 이용한 바륨-매복의 치험 1례 (A Case of Dissolution of Barium-impaction by Gastrografin)

  • 왕서재;김형석;이기형;이정화;손창성;독고영창;홍윤식
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제2권2호
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    • pp.256-261
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    • 1999
  • 저자들은 선천성거대결장 환아에서 인공항문복원술을 위해 시행한 바륨관장의 부작용으로 발생된 1개월간의 바륨매복을 gastrografin관장으로 성공적으로 제거하였기에 이에 관한 문헌고찰과 더불어 보고하는 바이다.

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