• 제목/요약/키워드: self-discharge

검색결과 341건 처리시간 0.029초

HPV, Cervical Cancer and Pap Test Related Knowledge Among a Sample of Female Dental Students in India

  • Doshi, Dolar;Reddy, B Srikanth;Karunakar, P;Deshpande, Kopparesh
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5415-5420
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    • 2015
  • Background: The present study was designed to ascertain knowledge about HPV, cervical cancer (CC) and the Pap test among female dental students of Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India. Materials and Methods: A self-administered questionnaire covering demographic details, knowledge relating to human papilloma virus (HPV) (8 items), cervical cancer (4 items) and the Pap smear (6 items) was employed. Responses were coded as "True, False and Don't Know". Mean and standard deviation (SD) for correct answers and levels of knowledge were determined. Results: Based on the year of study, significant differences in knowledge of HPV werenoted for questions on symptoms (p=0.01); transmission from asymptomatic partners (p=0.002); treatment with antibiotics (p=0.002); start of sexual activity (p=0.004); and recommended age for HPV vaccination (p=0.01). For knowledge regarding CC, significance was observed for the age group being affected (p=0.008) and symptoms of the disease in early stages (p=0.001). Indications for Pap smear tests like symptoms' of vaginal discharge (p=0.002), marital status (p=0.01) and women with children (p=0.02) had significant difference based on the year of study. Based on religion, transmission of HPV via pregnancy, HPV related diseases except CC and preventive measures except condom use and oral contraceptives showed significant differences. However, significant variation with religion was observed only for two preventive measures of CC (Pap test; p=0.004) and HPV vaccination (p=0.003). Likewise, only the frequency of Pap test showed a significant difference for religion (p=0.001). Conclusions: This study emphasizes the lack of awareness with regard to HPV, CC and screening with pap smear even among health professionals. Hence, regular health campaigns are essential to reduce the disease burden.

Early versus Delayed Surgery for Spinal Epidural Abscess : Clinical Outcome and Health-Related Quality of Life

  • Behmanesh, Bedjan;Gessler, Florian;Quick-Weller, Johanna;Dubinski, Daniel;Konczalla, Juergen;Seifert, Volker;Setzer, Matthias;Weise, Lutz
    • Journal of Korean Neurosurgical Society
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    • 제63권6호
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    • pp.757-766
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    • 2020
  • Objective : Spinal epidural abscess (SEA) is a severe and life-threatening disease. Although commonly performed, the effect of timing in surgical treatment on patient outcome is still unclear. With this study, we aim to provide evidence for early surgical treatment in patients with SEA. Methods : Patients treated for SEA in the authors' department between 2007 and 2016 were included for analysis and retrospectively analyzed for basic clinical parameters and outcome. Pre- and postoperative neurological status were assessed using the American Spinal Injury Association Impairment Scale (AIS). The self-reported quality of life (QOL) based on the Short-Form Health Survey 36 (SF-36) was assessed prospectively. Surgery was defined as "early", when performed within 12 hours after admission and "late" when performed thereafter. Conservative therapy was preferred and recommend in patients without neurological deficits and in patients denying surgical intervention. Results : One hundred and twenty-three patients were included in this study. Forty-nine patients (39.8%) underwent early, 47 patients (38.2%) delayed surgery and 27 (21.9%) conservative therapy. No significant differences were observed regarding mean age, sex, diabetes, prior history of spinal infection, and bony destruction. Patients undergoing early surgery revealed a significant better clinical outcome before discharge than patients undergoing late surgery (p=0.001) and conservative therapy. QOL based on SF-36 were significantly better in the early surgery cohort in two of four physical items (physical functioning and bodily pain) and in one of four psychological items (role limitation) after a mean follow-up period of 58 months. Readmission to the hospital and failure of conservative therapy were observed more often in patients undergoing conservative therapy. Conclusion : Our data on both clinical outcome and QOL provide evidence for early surgery within 12 hours after admission in patients with SEA.

병원행정부서인력의 업무수행수준분석 (Performance of Administrative Personnel in Hospitals)

  • 김진순;손태용
    • 보건행정학회지
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    • 제8권2호
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    • pp.58-75
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    • 1998
  • The hospital is characterized by it's remarkable labor industry and human resources input by unit. Recently, the administrative personnel are recognized as important staff to provide a hospital guidance to consumer and also easiness for consumer's visit to hospital. The objectives of this study is to find the performance of the administrative personnel in hospitals. The unit of analysis is the hospitals and data was collected form 144 staffs in 5 hospitals. Self administered questionnaire was given to analyze the general characteristics of staft such as age, sex, education, experience, and performance level in terms of frequency, ability, necessity of tasks. The major findings are as follows: 1. The 5 major tasks such as general affairs, insurance related affairs, hospital statistics, admission/discharge, and analysis of treatment cost were analyzed. Performance level of these tasks were not showed consistent level. It means that the same task was showed both high level performance and low level one. 2. The higher rates of performance level, ability and necessity were found, below 29 years of age, junior college graduates and university hospital than that of general one. 3. Factors mostly affected to performances were found as characteristics of hospital, age and education. 4. Concerning the various manpower management, On the job training, incentive mechanism and colose relationship among units were somewhat lack. In conclusion, most responded administrative personnel have performed actively in dealing with their tasks. however, the performance level and ability of the same task were showed differently, it means that such routine works were not standardized. Therefore, standardization and specification of tasks should be developed to strength the performance. Finally, this study is the first attempt to find out the performance of the administrative staffs and the study results imply that further study could be neeed to promote the performance of administrative personnel efficiently and effectively.

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항암화학요법 종료 시기 암환자의 요구 (Cancer Patients' Needs When Chemotherapy Ends)

  • 한경자;이은옥;김매자;박영숙;하양숙;송미순;정재원;박성희;김보열
    • 종양간호연구
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    • 제5권2호
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    • pp.107-115
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    • 2005
  • Purpose: The present study was designed to identify cancer patients' needs when chemotherapy ends. Method: In-depth interview with focus questions was applied for the study. The participants were recruited from the patients receiving cancer chemotherapy in a university hospital. They were seven cancer patients with stomach cancer and two with liver cancer at the ending period of their chemotherapy protocol. Participants were interviewed on discharge date of last treatment and when they returned for the first outpatient follow-up. The focus question was 'what are your needs at this point?' The interviews were audio-taped and transcribed before analysis. The data were analyzed for common categories, special analytic categories, and conceptual categories. Results: Thirty two common categories, ten special analytic categories, and six conceptual categories were identified as patient's needs. The six conceptual categories were comfort needs, social needs, information needs, humanism needs, environmental needs, and self-efficacy needs. Conclusion: There were characteristic specific patients' needs when chemotherapy ends. There are needs to develop and to apply nursing intervention for cancer patients.

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집중치료 후 증후군 경험에 관한 질적 통합 연구 (Post-Intensive Care Syndrome Experience among Critical Care Survivors: A Meta-synthesis of Qualitative Research)

  • 강지연;정연진;윤선영;이민주;백민정;신소영;홍희진;김수경;조영신
    • 중환자간호학회지
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    • 제10권1호
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    • pp.13-30
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    • 2017
  • Purpose: The purpose of this study was to integrate the results of qualitative studies to understand critical care survivors' experience of the post-intensive care syndrome (PICS). Methods: This was a meta-synthesis of primary studies that used qualitative methods. We reviewed 26 qualitative studies on PICS selected from 8 international and Korean databases and from a manual search. Thomas and Harden's 3 stages (free coding, development of descriptive themes, generation of analytical themes) for thematic synthesis were utilized to analyze the collected qualitative data. Results: Four descriptive themes emerged from the thematic synthesis: weak physical conditions, psycho-emotional changes, the painful-memory of intensive care units, and social vulnerability. The analytical theme for the current study was "unfamiliarity with the vulnerable self." Critical care survivors had to confront entirely different "selves" after discharge from intensive care units. They had become physically weak, psychologically unstable, and the critical memories continued to create distress. These changes increased their social vulnerability by making them dependent on others, causing family conflicts, and changing interpersonal relationships. Conclusions: Finding from this qualitative synthesis and other related literature highlight the severity of PICS and the importance of rehabilitative intervention for critical care survivors.

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도로터널용 전기집진시스템 개발 (Development of Road Tunnel Ventilation System with Electrostatic Precipitator)

  • 김종률;원종웅
    • 대한설비공학회:학술대회논문집
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    • 대한설비공학회 2008년도 동계학술발표대회 논문집
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    • pp.80-83
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    • 2008
  • As SOC (Social Overhead Capital) has been expanded, the highway road construction has been accelerated and city road system has been more complicated. So, long road tunnels have been increased and traffic flow rate also has been raised. Accordingly, the exhausting gas of vehicle cars seriously deteriorates the tunnel inside air quality and driving view. In order to improve tunnel inside air quality, we may need to introduce a compulsory ventilation system as well as natural ventilation mechanism. The natural ventilation mechanism is enough for short tunnels, meanwhile longer tunnels require a specific compulsory ventilation facility. Many foreign countries already have been devoting on development of effective tunnel ventilation system and especially, some European nations and Japan have already applied their developed tunnel ventilation system for longer road tunnels. More recently, as the quality of life improved, our concerns about safety of driving and better driving environment have been increased. In order to obtain clearer and longer driving view, we are more interested in EP tunnel ventilation system in order to remove floating contaminants and automobile exhaust gas. Evan though it's been a long time since many European countries and Japan applied more economical and environment-friendly tunnel ventilation system with their self-developed Electrostatic Precipitator, we are still dependant on imported system from foreign nations. Therefore, we need to develop our unique technical know-how for optimum design tools through validity investigation and continuous possibility examination, eventually in order to localize the tunnel ventilation system technology. In this project, we will manufacture test-run products to examine the performance of system in order to develop main parts of tunnel ventilation system such as electrostatic precipitator, high voltage power generator, water treatment system, etc.

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Ultrasonically Assisted Grinding for Mirror Surface Finishing of Dies with Electroplated Diamond Tools

  • Isobe, Hiromi;Hara, Keisuke;Kyusojin, Akira;Okada, Manabu;Yoshihara, Hideo
    • International Journal of Precision Engineering and Manufacturing
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    • 제8권2호
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    • pp.38-43
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    • 2007
  • This paper describes ultrasonically assisted grinding used to obtain a glossy surface quickly and precisely. High-quality surfaces are required for plastic injection molding dies used in the production of plastic parts such as dials for cellular phones. Traditionally, in order to finish the dies, manual polishing by a skilled worker has been required after the machining processes, such as electro discharge machining (EDM), which leaves an affected layer, and milling, which leaves tooling marks. However, manual polishing causes detrimental geometrical deviations of the die and consumes several days to finish a die surface. Therefore, a machining process for finishing dies without manual polishing to improve the surface roughness and form accuracy would be extremely valuable. In this study, a 3D positioning machine equipped with an ultrasonic spindle was used to conduct grinding experiments. An electroplated diamond tool was used for these experiments. Generally, diamond tools cannot grind steel because of excessive wear as a result of carbon atoms diffusing into bulk steel and chips. However, ultrasonically assisted grinding can achieve a fine surface (roughness Rz of $0.4{\mu}m$) on die steel without severe tool wear. The final aim of this study is to realize mirror surface grinding for injection molding dies without manual polishing. To do this, it is necessary to fabricate an electroplated diamond tool with high form accuracy and low run-out. This paper describes a tool-making method for high precision grinding and the grinding performance of a self-electroplated tool. The ground surface textures, tool performance and tool life were investigated A ground surface roughness Rz of 0.14 um was achieved Our results show that the spindle speed, feed rate and cross feed affected the surface texture. One tool could finish $5000mm^2$ of die steel surface without any deterioration of the ground surface roughness.

배출봉을 이용한 정밀여과용 관형 모듈의 투과특성 (Permeation Characteristics of the Microfiltration Tubular Module using the Discharged Rod)

  • 정건용;최정규
    • 멤브레인
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    • 제19권4호
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    • pp.285-290
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    • 2009
  • 공칭 세공크기 $0.1\;{\mu}m$이고 내경이 5 mm인 정밀여과용 관형 분리막 내에 자체 설계한 배출봉을 삽입하여 막오염 감소효과에 따른 투과유속을 측정하였다. 원료용액으로는 에멀젼 상태의 dioctyl tinoxide (DOTO) 입자를 사용하였으며 0.5 wt%까지 농도를 변화시키면서 1.6 bar 이내에서 운전하였다. 배출봉의 효과는 매 실험마다 배출봉을 삽입한 경우와 사용하지 않은 경우의 투과유속을 비교하여 평가하였다. 배출봉을 사용할 경우 운전압력 1.6 bar에서 최대 20%의 투과유속이 향상되었다. 또한 DOTO 농도가 증가함에 따라서 배출봉에 의한 투과유속 향상효과는 크게 나타났으며 0.5 wt% 농도에서 43%까지 투과유속이 향상되었다.

Dead ended 모드에서 수소 재순환이 고분자전해질연료전지의 성능에 미치는 영향 (Effect of Hydrogen Recirculation on the Performance of Polymer Electrolyte Membrane Fuel Cell with Dead Ended Mode)

  • 김준섭;김준범
    • Korean Chemical Engineering Research
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    • 제57권4호
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    • pp.531-538
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    • 2019
  • 고분자전해질 연료전지(PEMFC)의 성능이 개선됨에 따라 생성물인 물과 열의 발생이 증가하고 이를 처리하기 위한 관리기법이 중요해지고 있다. 본 연구에서는 물 관리 기법으로 수소 재순환을 적용하였고, 수소 재순환 유량(flow rate)과 퍼지 간격(purge interval) 및 지속 시간(duration)이 연료전지의 성능에 미치는 영향에 대한 실험을 수행하였다. Purge 조건의 영향을 해석하기 위하여 수소극의 압력, 연료의 습도, 운전 간의 연료 이용 효율과 물 배출 양을 측정하였다. 수소 재순환 유량이 증가할수록 수소극 출구의 압력 저하로 인하여 스택 성능이 낮아졌다. Purge 조건에 따라서 물을 효과적으로 배출하지 못해 순간적인 전압 강하가 발생하거나 혹은 잦은 purge로 인해 수소극의 습도를 유지하지 못하여 성능이 점차적으로 감소하는 것을 확인하였다. Purge 조건 실험을 통하여 수소극의 습도를 유지하고 응축된 물을 충분히 배출할 수 있는 purge interval과 duration을 선정하였고, 이를 통하여 스택의 성능과 연료 이용 효율을 향상시킬 수 있었다.

리튬이온 배터리 수명추정을 위한 용량예측 머신러닝 모델의 성능 비교 (Comparison of the Machine Learning Models Predicting Lithium-ion Battery Capacity for Remaining Useful Life Estimation)

  • 유상우;신용범;신동일
    • 한국가스학회지
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    • 제24권6호
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    • pp.91-97
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    • 2020
  • 리튬이온 배터리(LIB)는 다른 배터리에 비해 수명이 길고, 에너지 밀도가 높으며, 자체 방전율이 낮아, 에너지 저장장치(ESS)로 선호되고 있다. 하지만, 2017~2019년 기간 동안 국내에서만도 28건의 화재사고가 발생하였으며, LIB의 운영 중 안전성 및 신뢰성을 보장하기 위해 LIB의 정확한 용량추정은 필수요소이다. 본 연구에서는 LIB의 충방전 cycle에 따른 용량변화를 예측하는 기계학습 기반 모델의 설계에 있어 중요한 요소인 최적 머신러닝 모델의 선정을 위해, Decision Tree, 앙상블학습법, Support Vector Regression, Gaussian Process Regression (GPR) 각각을 이용한 예측모델을 구현하고 성능비교를 실시하였다. 학습을 위해 NASA에서 제공하는 시험데이터를 사용하였으며, GPR이 가장 좋은 예측성능을 보였다. 이를 바탕으로 추가 시험데이터 학습을 통해 개선된 LIB 용량예측과 잔여 수명추정 모델을 개발하여, 운영 중 이상 감지 및 모니터링 성능을 높여, 보다 안전하고 안정된 ESS 운용에 활용하고자 한다.