• Title/Summary/Keyword: school safety

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Optimal Duration of Dual Antiplatelet Therapy after Stent-Assisted Coil Embolization of Unruptured Intracranial Aneurysms : A Prospective Randomized Multicenter Trial

  • Ban, Seung Pil;Kwon, O-Ki;Kim, Young Deok;Kim, Bum-Tae;Oh, Jae Sang;Kim, Kang Min;Kim, Chang Hyeun;Kim, Chang-Hyun;Choi, Jai Ho;Kim, Young Woo;Lim, Yong Cheol;Byoun, Hyoung Soo;Park, Sukh Que;Chung, Joonho;Park, Keun Young;Park, Jung Cheol;Kwon, Hyon-Jo;Korean NeuroEndovascular Society,
    • Journal of Korean Neurosurgical Society
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    • v.65 no.6
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    • pp.765-771
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    • 2022
  • Objective : Stent-assisted coil embolization (SAC) has been increasingly used to treat various types of intracranial aneurysms. Delayed thromboembolic complications are major concerns regarding this procedure, so dual antiplatelet therapy with aspirin and clopidogrel is needed. However, clinicians vary the duration of dual antiplatelet therapy after SAC, and no randomized study has been performed. This study aims to compare the safety and efficacy of long-term (12 months) dual antiplatelet therapy and short-term dual antiplatelet therapy (6 months) after SAC for patients with unruptured intracranial aneurysms (UIAs). Methods : This is a prospective, randomized and multicenter trial to investigate the optimal duration of dual antiplatelet therapy after SAC in patients with UIAs. Subjects will receive dual antiplatelet therapy for 6 months (short-term group) or 12 months (long-term group) after SAC. The primary endpoint is the assessment of thromboembolic complications between 1 and 18 months after SAC. We will enroll 528 subjects (264 subjects in each group) and perform 1 : 1 randomization. This study will involve 14 top-performing, high-volume Korean institutions specializing in coil embolization. Results : The trial will begin enrollment in 2022, and clinical data will be available after enrollment and follow-up. Conclusion : This article describes that the aim of this prospective randomized multicenter trial is to compare the effect of short-term (6 months) and long-term (12 months) dual antiplatelet therapy on UIAs in patients undergoing SAC, and to find the optimal duration.

The Sexual Health for the Elderly in the Characteristics and Factors: Based on the WHO Sexual Health (WHO 성 건강에 근거한 노인 성 건강 특성과 영향요인)

  • Ryu, JiHye;Kang, ChangHyun
    • 한국노년학
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    • v.41 no.1
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    • pp.69-83
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    • 2021
  • The purpose of this study is to identify the characteristics and factors of each area by considering the gender health of the elderly as the integration of mental, physical, emotional, and social gender health based on the WHO gender health. The sexual health of the elderly is significantly different by gender, academic background, and region, and there is a clear difference in mental, physical, emotional sexual health and social sexual health. The mental, physical and emotional sexual health of the elderly in urban areas, those with high education and male is high, but the elderly in the rural areas, those with low education, and female are high in social sexual health. The factors affecting sexual health are as follows. Mental sexual health was positively influenced by satisfaction of sexual life and sexual knowledge. Physical sexual health was positively influenced by life and spouse satisfaction, and emotional sexual health was positively influenced by sexual relationship, spouse satisfaction, sexual life satisfaction and sexual knowledge. Social sexual health has a negative (-) effect on spouse satisfaction and sexual relationships. Integrated sexual health in old age can affect subjective health and quality of life, leading to successful aging. Sexual health education is needed to form a safe and healthy sexual life and interpersonal relationship. The 'sex' that appears as a cumulative trajectory of life should be accompanied by the accurate sexual health awareness and sex education that encompasses all generations. Therefore, in the composition of sex health education program, it is necessary to reflect the components that can enhance the sensitivity of adulthood to strengthen understanding and communication of spouse.

The Meaning and Tasks of Guidelines for Utilization of Healthcare Data (보건의료 데이터 활용 가이드라인의 의미와 과제)

  • Shin, Tae-Seop
    • The Korean Society of Law and Medicine
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    • v.22 no.3
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    • pp.31-55
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    • 2021
  • The Personal Information Protection Act, one of the revised 3 Data Laws, established a special cases concerning pseudonymous data. As a result, a personal information controller may process pseudonymized information without the consent of data subjects for statistical purposes, scientific research purposes, and archiving purposes in the public interest, etc. In addition, as a follow-up to the revised Personal Information Protection Act, a 'Guidelines for Utilization of Healthcare Data' was prepared, which deals with the pseudonymization in the medical sector. The guidelines are meaningful in that they provide practical criteria for accomplices by defining specific interpretations and examples that take into account the characteristics of healthcare data. However, the guidelines need to clarify the purpose of using pseudonymous data and strengthen the fairness of the composition of the data deliberation committee. The guidelines also require establishing a healthcare data compensation framework and strengthening the protection of rights for vulnerable subjects. In addition, the guidelines need to be adjusted for inconsistency with the Bioethics and Safety Act and the Medical Service Act. It is expected that this study will contribute to the creation of a safe environment for the utilization of healthcare data as well as the improvement of related laws and systems.

Time Reduction Effect Analysis of SMART Frame for Long Span and Heavy Loaded Logistics Buildings (SMART 프레임의 공기단축 효과 분석 - 대형 물류창고 사례 -)

  • Kim, Doyeong;Ji, Woomin;Lim, Jeeyoung
    • Journal of the Korea Institute of Building Construction
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    • v.22 no.5
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    • pp.519-530
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    • 2022
  • As online commerce increases, the construction of large logistics buildings worldwide is exploding. Most of these buildings have the characteristics of long span and heavy loaded and use precast concrete components, a pin joint structure, for rapid construction. However, due to construction safety and structural stability requirements, the pin joint structure has many limitations in terms of the erection of the PC member, which increases the time and cost. A structural frame connected with steel joints between precast concrete components, called a SMART frame, has been developed, which addresses these constraints and risks. However, the effect of the appllication of a SMART frame on the time aspect has not been analysed. The study is a time reduction effect analysis of a SMART frame for long span and heavy loaded logistics buildings. For this study, the authors select a case site erected using existing PC components, and compare the time reduction with the SMART frame erection simulations. Through this analysis, it was found that a time reduciton about 4 months, approximately 48% of the conventional PC installation period could be achieved. If the SMART frame is applied when carrying out future large-scale logistics building projects, it can be expected to have the effect of significantly shortening the construction period compared to the conventional method.

The Effects of Emotion and EEG of People with Mental Illness by Vocational Rehabilitation Program Based on Horticultural Therapy (원예치료 기반 직업재활 프로그램이 정신장애인의 정서 및 뇌파에 미치는 영향)

  • Seol, Ga Ae;Yun, Suk Young;Choi, Byung Jin;Jang, Hyun Hee
    • Journal of the Korean Society of Floral Art and Design
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    • no.43
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    • pp.57-79
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    • 2020
  • The purpose of this study was to investigate the effects of emotion and EEG of people with mental illness by vocational rehabilitation program based on horticultural therapy. The subjects of the study were three people with mental illness who were training in a vocational rehabilitation team at a health center located in G city, Gyeongsangbuk-do. The result of this study, positive affect increased and negative affect decreased. The result of EEG inspection was increased 17.27% on pre test to 21.39% on post test for Theta wave and 39.66% on pre test to 49.02% on post test for Alpha wave in case of subject A. Also Beta wave was decreased 27.53% on pre test to 17.54% on post test. Subject B increased Alpha wave 29.70% on pre to 31.82% on post. Subject C increased Alpha wave 26.30% on pre to 49.42% on post. Beta wave decreased 29.85% on pre to 16.13% on post. Theta wave, when creatively idea or thought occurs, alpha wave when safety and focusing was increased and beta wave when stress, tension and anxiety was decreased. As a result of profits analysis, subject A spent cost a total of 101,700 won for material and achieve profits of 203,400 won by setting a sales price. Therefore, gain the 101,700 won of net revenue. Subject B spent cost a total of 81,000 won for material and achieve profits of 162,000 won by setting a sales price. Therefore, gain the 81,000 won of net revenue. Subject C spent cost a total of 56,200 won for material and achieve profits of 112,400 won by setting a sales price. Therefore, gain the 56,200 won of net revenue.

Proposal of a New Type of 4-Lane Soundproof Tunnel Girder and Structural Performance Evaluation (4차선급 신형식 방음터널 거더 제안 및 구조적 성능평가)

  • Goh, Won-Hui;Kim, Min-Jae;Ma, Chuan;Kang, Duck-Man;Zi, Goang-Suep
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.25 no.5
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    • pp.24-31
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    • 2021
  • The soundproof tunnels have been generally designed with H-beam girders, and the high weight of H-beam may cause the excessive design of the substructure. To solve this problem, this paper proposes a new soundproof tunnel girder design composed of pipes and discontinuous plates. First, the structural behavior of the straight girder according to the design parameters was examined through finite element analysis. The arrangement and shape of the plates were determined as the design parameter, to obtain the optimal design of girder. After then, the structural behavior and buckling stability of the arched girder were subsequently evaluated. As a result of the parameter analysis, it was confirmed that the axial force acting on the girder increased and the moment decreased as the ratio of unsupported sections decreased or the number of supporting plates increased. The stress concentration on the pipe member was relieved by increasing the long axis length of the elliptical plate. Arched girder analysis showed that the structural efficiency increase as the long axis of elliptical plate increase. As a result of the buckling evaluation, the buckling threshold load of the three connected girders was about 3.7 times higher than the design load. Consequently, it was confirmed that the proposed soundproof tunnel structure design satisfies both light weight and structural safety.

Christian Education and the Post Coronavirus Era (포스트 코로나 시대의 기독교교육의 방향)

  • Yu, Jae Deog
    • Journal of Christian Education in Korea
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    • v.68
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    • pp.11-40
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    • 2021
  • The coronavirus pandemic has brought about significant negative changes in our society to the point where it has to be divided into 'Before Corona'(BC) and 'After Corona'(AC). Typical examples include economic difficulties and medical inequality of some social excluded groups as well as individuals who die alone because they are alienated from social networks, and hate and violent discrimination against Asian immigrants, which are rapidly increasing in Western countries in these days. In addition, the pandemic is at a global level, ranging from the vaccine gap between the first and third worlds, triggered by competition for securing vaccines between countries that put their own interests first, the income gap due to changes in the economic environment and financial market, and the bankruptcy of individuals and corporations. In 'all'(pan) and 'people'(demos) became a limit situation that could not be avoided. There is also the opinion that the world could witness the worst catastrophe if the pandemic spreads to poor countries at risk of increasing violence, poverty and famine. The purpose of this paper is to examine the changes in society caused by the Coronavirus pandemic and to suggest the direction of Christian education accordingly. To this end, this paper analyzes the medical, economic, and psychological crises that society faces in the post-corona era. Next, we look at the changes in Christian theology, mission, and worship, which are strongly required for fundamental changes in the context of the pandemic. Based on the above discussion, we propose a new direction for Christian education necessary in the post-corona era.

Discussion of Alternatives for Inter-Korean Mobile Communication Cooperation in the era of 5G Technology (5G시대, 남북한 이동통신 협력 대안 논의)

  • Lee, Jeong-Jin
    • Informatization Policy
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    • v.29 no.1
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    • pp.84-102
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    • 2022
  • Changes have been taking place in North Korea, which has been pushing for selective informatization with a priority on a system safety. North Korea has been developing its own mobile communication industry over the past decade by expanding base stations, producing smartphones on its own, and developing applications useful in real life. Recently, the introduction of 5G technology has been elevated to the status of a national agenda to be fostered as a key industry for national economic development. The time has arrived when the needs of North Korea, which has to advance technology, are aligned with the capabilities of South Korean mobile communication companies, which are seeking to new markets to overcome stagnant growth. The purpose of this paper is to illustrate a cooperative scenario for mobile communications companies between the two Koreas in the early stages of the 4th Industrial Revolution and its core technology 5G, while also making a timely proposal to position North Korea in the GVC. Mobile communications is a large-scale industry that can create synergies from inter-Korean economic cooperation by facilitating exchanges and cooperation between the two Koreas, inducing numerous derivative industries and driving job creation. Joint mobile communications activities with North Korea would be an effective cooperative aspect that can contribute to the economic prosperity of the entire Korean Peninsula.

Hot Corrosion and Thermally Grown Oxide Formation on the Coating of Used IN738LC Gas Turbine Blade (사용된 IN738LC 가스 터빈 블레이드 코팅층의 고온 부식 및 Thermally Grown Oxide 형성 거동)

  • Choe, Byung Hak;Han, Sung Hee;Kim, Dae Hyun;Ahn, Jong Kee;Lee, Jae Hyun;Choi, Kwang Su
    • Korean Journal of Materials Research
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    • v.32 no.4
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    • pp.200-209
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    • 2022
  • In this study, defects generated in the YSZ coating layer of the IN738LC turbine blade are investigated using an optical microscope and SEM/EDS. The blade YSZ coating layer is composed of a Y-Zr component top coat layer and a Co component bond coat layer. A large amount of Cr/Ni component that diffused from the base is also measured in the bond coat. The blade hot corrosion is concentrated on the surface of the concave part, accompanied by separation of the coating layer due to the concentration of combustion gas collisions here. In the top coating layer of the blade, cracks occur in the vertical and horizontal directions, along with pits in the top coating layer. Combustion gas components such as Na and S are contained inside the pits and cracks, so it is considered that the pits/cracks are caused by the corrosion of the combustion gases. Also, a thermally grown oxide (TGO) layer of several ㎛ thick composed of Al oxide is observed between the top coat and the bond coat, and a similar inner TGO with a thickness of several ㎛ is also observed between the bond coat and the matrix. A PFZ (precipitate free zone) deficient in γ' (Ni3Al) forms as a band around the TGO, in which the Al component is integrated. Although TGO can resist high temperature corrosion of the top coat, it should also be considered that if its shape is irregular and contains pore defects, it may degrade the blade high temperature creep properties. Compositional and microstructural analysis results for high-temperature corrosion and TGO defects in the blade coating layer used at high temperatures are expected to be applied to sound YSZ coating and blade design technology.

A Clinical Research of Acne Skin through Natural Cosmetics with Distilled Bamboo Vinegar Contents for Skin Health Care (스킨헬스케어를 위한 증류 죽초액 함유 천연화장품의 여드름 피부 임상 적용 연구)

  • Park, Ga-Hui;Park, Jeong-Yeon
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.589-597
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    • 2020
  • The purpose of this study was to verify the acne care improvement effects of natural cosmetics with distilled bamboo vinegar contents and develop the materials for acne cosmetics. For the research subjects, 20 teenage boys and girls were selected and based on random number table, 10 subjects were assigned in the control group that used natural cosmetics (foam cleanser, toner, facial pack) and 10 subjects were assigned in the experimental group that used natural cosmetics with distilled bamboo vinegar contents (foam cleanser, toner, facial pack). The natural cosmetics was used for 12 weeks, and Mark-·Vu facial analysis system was used to measure the sebum, pore size, and redness before using the natural cosmetics, 6 weeks after using the natural cosmetics, and 12 weeks after using the natural cosmetics. For the collected data, SPSS v. 21.0 statistics package program was used for the analysis, and the results are as follows. First, it is a safe natural cosmetics based on the results of the patch test to confirm the skin safety of the natural cosmetics. Second, homogeneity was secured based on the results of the test of homogeneity for the sebum, pore size, and redness of the control group and experimental group. Third, in the verification of acne skin improvement effects of natural cosmetics with distilled bamboo vinegar content, the experimental group had higher reduction rate of changes in the sebum, pore size, and redness on the forehead and right cheek compared to the control group. Therefore, it was identified that the natural cosmetics with distilled bamboo liquid content is safe for the skin and effective for reducing the sebum, pore size, and redness for acne skin. For this reason, it is anticipated for distilled bamboo vinegar to be used in the cosmetics industry.