• 제목/요약/키워드: urgent data

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Quality of Life and Psychological Well-Being of Colorectal Cancer Survivors in Jordan

  • Abu-Helalah, Munir Ahmad;Alshraideh, Hussam Ahmad;Al-Hanaqta, Motasem Mohammad;Arqoub, Kamal Hasan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권18호
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    • pp.7653-7664
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    • 2014
  • Background: Colorectal ranked first among cancers reported in males and ranked second amongst females in Jordan, accounting for 12.7% and 10.5% of cancers in males and females, respectively. Colorectal cancer patients can suffer several consequences after treatment that include pain and fatigue, constipation, stoma complications, sexual problems, appearance and body-image concerns as well as psychological dysfunction. There is no published quantitative data on the health-related quality of life and psychological wellbeing of Jordanian colorectal cancer survivors. Method: This project was a cross-sectional study of colorectal cancer survivors diagnosed in 2009 and 2010. Assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the colorectal cancer specific module (EORTC QLQ-CR 29) and the Hospital Anxiety and Depression Scale (HADS). Data on potential predictors of scores were also collected. Results: A total of 241 subjects completed the study with mean age of $56.7{\pm}13.6$. Males represented 52.3% of study participants. A majority of participants reported good to high overall health; the mean Global health score was $79.74{\pm}23.31$ with only 6.64% of study participants scoring less than 33.3%. The striking result in this study was that none of the study participants participated in a psychosocial support group; only 4 of them (1.7%) were even offered such support. The mean scores for HADS, depression score, and anxiety score were $8.25{\pm}9$, $4.35{\pm}4.9$ and $3.9{\pm}4.6$, respectively. However, 77.1% of study participants were within the normal category for the depression score and 81.7% were within this category for anxiety score; 5.4% of participants had severe anxiety and 5.4% of them had severe depression. Discussion: Patients with colorectal cancer in Jordan have a good quality of life and psychological wellbeing scores when compared with patients from western countries. None of the colorectal cancer patients managed at the Ministry of Health received any formal counselling, or participated in psychological or social support programmes. This highlights the urgent need for a psychosocial support programme, psychological screening and consultations for patients diagnosed with colorectal cancer at the Ministry of Health Hospitals.

노인들의 의치 장착 기간과 의치 사후 관리에 영향을 주는 요인 - 경북 농촌지역을 중심으로 - (Factors Affecting Period of weared and Post Management of Denture of the Elderly (Rural areas in Gyoungbook Province))

  • 한석윤;배봉진;이화식
    • 대한치과기공학회지
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    • 제34권4호
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    • pp.433-445
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    • 2012
  • Purpose: In order to validate empirically the theoretical model of this study subjects, who were limited in Andong gun, Youngyang gun, Uiseong gun, Bonghwa gun, Chilgok gun, Cheongsong gun according to residence-specified distribution and over aged 65, were focused to the elderly in rural areas with geographical characteristics where they have difficulties in accessibility of dental facilities and dental care. Methods: The collected data were analyzed by the SPSS 19.0 program. First, the frequency analysis was performed for each independent variable and the dependent variable. Second, reliability analysis and correlation analysis were conducted for daily living skills and Biomedical Vigilance. Third, multivariate analysis was performed in terms of and the post-administration management. Fourth, multiple regression analysis was performed to identify the factors affecting the post-management of dentures and the period of using dentures. Results: By results of the multiple regression analysis, the elder the subjects are(${\beta}$ = 0.03), the lower their income activities are(${\beta}$ = -0.18), the smaller their monthly allowances are(${\beta}$ = -0.16), the worse their daily activity skills are(${\beta}$ = -0.12), the more they were mounted their dentures by an unlicensed contractor(${\beta}$ = 0.07), and the more they cost to their dentures(${\beta}$ = 0.14), the longer the period of use dentures are. And the beneficiaries of Basic Livelihood Security(${\beta}$ = -0.14) who got free denture business are shorten the period of using dentures. According to multiple regression analysis for post management of dentures, the independent variables like the health education(${\beta}$ = 0.24), smoking(${\beta}$ = -0.18), periodic oral examination(${\beta}$ = 0.13), dentures mounted by an unlicensed contractor(${\beta}$ = -0.13) are shown statistically significant results. In that study subjects are taking part in health education and non-smokers, they are likely to have more chances to post management for their dentures like periodic oral examination. However the subjects who were weared their denture by an unlicensed contractor get less chance to post management for their dentures. Conclusion: As the elderly who want to wear denture are increasing due to the denture insurance for the elderly, the need for oral health education for the elderly is an urgent request, especially continuos education for the way of use their dentures and follow-up management for the elderly who were already mounted their dentures. And also, the need for more systematic researches is requested for securing objective data.

지능형 지속 위협에 대한 차세대 융합 보안 프레임워크 (Next Generation Convergence Security Framework for Advanced Persistent Threat)

  • 이문구;배춘석
    • 전자공학회논문지
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    • 제50권9호
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    • pp.92-99
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    • 2013
  • 최근 사이버 공격은 명확한 목적과 특정화된 대상에 대해 지능적이고 지속적이며 복잡한 공격 특성을 가짐으로써 사전에 인지하거나 사고 발생 시 대응하기에 상당히 어려워지고 있다. 또한 피해규모도 상당히 크기 때문에 이에 대한 대응체계가 국가적인 측면에서 시급한 상황이다. 기존의 데이터센터 및 전산실의 통합보안체계는 이러한 최근의 사이버 공격에 대응하기에는 시대에 뒤떨어진 면이 많다고 판단된다. 그러므로 본 연구에서는 지능형지속위협(APT)기반의 공격에 대비해 보다 고도화된 차세대 융합형 보안 프레임워크를 제안한다. 제안한 차세대 융합형 보안 프레임워크는 영역별 보안계층, 영역별 연계계층, 행위가시화 계층, 행위통제계층, 융합대응계층의 5단계 계층적 구성으로 APT 공격에 대한 선제적 대응이 가능하도록 설계하였다. 영역별 보안계층은 관리적, 물리적, 기술적 보안영역별로 보안 지침과 방향을 제시한다. 영역별 연계계층은 보안 도메인간의 상태정보가 일관성을 갖도록 한다. 지능화된 공격 행위의 가시화 계층은 데이터 취합, 비교, 판단, 통보의 수명주기로 구성된다. 행위 통제계층에서는 가시화된 행위를 통제하는 계층이다. 마지막으로 융합대응계층은 APT공격 전과 후의 대응체계를 제안하였다. 제안하는 차세대 융합 보안 프레임워크의 도입은 지속적이고 지능적인 보안위협에 대해 보다 향상된 보안관리를 수행하게 될 것이다.

Quality of Life and Psychological Well-Being of Breast Cancer Survivors in Jordan

  • Abu-Helalah, Munir;Al-Hanaqta, Motasem;Alshraideh, Hussam;Abdulbaqi, Nada;Hijazeen, Jameel
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5927-5936
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    • 2014
  • Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

Avoidance of Internal Resonances in Hemispherical Resonator Assemblies from Fused Quartz Connected by Indium Solder

  • 세르게이 사라플로프;이희남;박상진
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2013년도 춘계학술대회 논문집
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    • pp.835-841
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    • 2013
  • Modern solid-state gyroscopes (HRG) with hemispherical resonators from high-purity quartz glass and special surface superfinishing and ultrathin gold coating become the best instruments for precise-grade inertial reference units (IRU) targeting long-term space missions. Designing of these sensors could be a notable contribution into development of Korea as a space nation. In participial, 40mm diameter thin-shell resonator from high-purity fused quartz, fabricated as a single-piece with its supporting stem has been designed, machined, etched, tuned, tested, and delivered by STM Co. (ATS of Ukraine) several years ago; an extremely-high Q-factor (upto 10~20 millions) has been shown. Understanding of the best way how to match such a unique sensor with inner glass assembly of the gyro means how to use the high potential in a maximal extent; and this has become the urgent task. Inner quartz glass assembly has a very thin indium (In) layer soldered the resonator and its silica base (case), but effects of internal resonances between operational modal pair of the shell-cup and its side (parasitic) modes can notable degrade the potential of the sensor as a whole, instead of so low level of resonator's intrinsic losses. Unfortunately, there are special combinations of dimensions of the parts (so-called, "resonant sizes"), when intensive losses of energy occurs. The authors proposed to use the length of stem's fixture as an additional design parameter to avoid such cases. So-called, a cyclic scheme of finite element method (FEM) and ANSYS software were employed to estimate different combinations of gyro assembly parameters. This variant has no mismatches of numerical origin due to FEM's discrete mesh. The optimum length and dangerous "resonant lengths" have been found. The special attention has been paid to analyses of 3D effects in a cup-stem transient zone, including determination of a difference between the positions of geometrical Pole of the resonant hemisphere and of its "dynamical Pole", i.e., its real zone of oscillation node. Boundary effects between the shell (cup) and 3D short "beams" (inner and outer stems) have been ranged. The results of the numerical experiments have been compared with the classic model of a quasi-hemispherical shell band with inextensional midsurface, and the solution using Rayleigh's functions of the $1^{st}$ and $2^{nd}$ kinds. To guarantee the truth of the recommended sizes to a designer of the real device, the analytical and FEM results have been compared with experimental data for a party of real resonators. The consistency of the results obtained by different means has been shown with errors less than 5%. The results notably differ from the data published earlier by different researchers.

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대학생의 노인부양과 Care의 사회화에 대한 인식 (University Students' Recognition of Family Support and Care's Socialization in the Elderly)

  • 정혜선;이종렬;박천만
    • 보건행정학회지
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    • 제21권1호
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    • pp.93-114
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    • 2011
  • This study was conducted to identify college students' supportive attitude toward the elderly and their awareness of the socialization of care for the elderly, since they will have the responsibility for and the support of the aged society in the near future. This study was also conducted to analyze the factors which affect the socialization of elderly care, and to contribute to building a care system which promotes ahealthy and happy lifestyle for the elderly. After conducting a survey of 1,100 students from13 universities around the entire country, I have analyzed 1,089 data forms, and omitted 11 data entries which had errors or were not answered. 1. Those surveyed are 1,089 students from 13 universities around the entire country. Regional distributions are as follows : 263 students from 4 universities in Daegu and Kyongsangbuk Do(24.2%), 291 students from 3 universities in Busan and Kyongsangnam Do(26.7%), 272 students from 2 universities in Jeolla Do(25.0%), 263 students from 4 universities in Seoul and Gyeonggi Do. Males are 51.7% and females are 48.3% of these students. 2. Instrumental supportive sense level is high in men and emotional supportive sense level is higher in women. Also emotional supportive sense is higher in groups of those having more family members and coming from agricultural regions. 3. The sense of living with aged parents is higher in those living with grandparents than those living separate. The sense of living with sons and daughters after aging is stronger in the students from the Science and Engineering Departments than in the Social and Human Sciences Departments; also higher for men than women. 4. Recognition of elderly care socialization is higher in those from Social and Human Sciences Departments than from Science and Engineering Departments; higher in the case of upper classmenand aged groups, groups having fewer family members than more family members, and in the case of living separated from grandparents. 5. The factors affecting the sense of living with grandparents were family cohesion and instrumental supportive sense. The factors affecting the sense of elderly care socialization were family cohesion, instrumental supportive sense, and emotional supportive sense. From the results it is concluded that to insure a healthy and happy lifestyle for aged people, elderly care socialization offered by society and the country must provide desirable, appropriate care services based on the centralized support system of the family. In order to do this, we propose that elderly care needs inter-family and inter-generational fusion programs to improve family cohesion and care recognition. Also, elderly care is in urgent need to build a strong Family and Health Welfare System for care socialization.

무인항공기(UAV)의 공간정보 통합운영을 위한 국내적용 방안 (A Study on Application of the UAV in Korea for Integrated Operation with Spatial Information)

  • 윤부열;이재원
    • 대한공간정보학회지
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    • 제22권2호
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    • pp.3-9
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    • 2014
  • 현재 무인항공기(UAV)는 유인 항공기가 수행하기 어려운 장시간 정찰, 위험지역의 자원탐지, 재난 재해, 방송 통신, 신속한 변화탐지 및 공간정보 구축 등이 가능해짐에 따라 과거 단순한 군작전용에서 벗어나지 못했던 국제적 인식이 변화되고 그 수요가 군수용 및 민간용에서 모두 증가되고 있다. 뿐만 아니라 최근 우리나라에서도 공간정보 분야에서 활용도가 다양해지고 그 활동영역도 넓어지는 시점에서 기존의 항공사진측량을 보완하는 목적으로 유인항공기와 무인항공기의 통합적인 역할을 조심스럽게 거론되고 있다. 특히 재난 재해, 소규모 지역의 공간정보 자료취득 등의 신속한 공간정보의 자료구축으로 빠른 의사결정이 필요한 분야에 적용이 절실한 상황이다. 하지만 무인항공기에 대한 기술적 안정성과 공간정보 관련 기술적, 법 제도적 규정이 검토되지 않고 항공사진측량과 통합운영 되지 못하고 있어 무인항공기의 한계성이 절실히 나타나고 있다. 따라서 본 연구에서는 기존항공사진측량의 단점을 보완하는 목적으로 무인항공기를 이용한 공간정보 자료구축에 통합 운영을 위하여 무인항공기를 이용한 공간정보자료구축에 대한 기술적, 법 제도적 규정 및 동향을 분석하여 통합운영에 대한 가능성을 제시하고자 한다.

내장산 국립공원 자연관찰로의 자기안내식 해설판 디자인 속성에 대한 중요도-성취도 분석 (Importance-Performance Analysis on Design Attributes of Self-Guided Interpretive Signs in the Nature Trail of Naejangsan National Park)

  • 김상오
    • 한국환경생태학회지
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    • 제20권2호
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    • pp.159-169
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    • 2006
  • 해설판은 자기안내식 해설에서 흔히 이용되는 정보전달 매체로서 해설효과의 극대화를 위해서는 해설판과 이를 이용하는 탐방객에 대한 이해가 필요하다. 본 연구는 중요도-성취도 분석(Importance-Performance Analysis: IPA)을 이용하여 탐방객의 인구사회학적 특성과 방문행태에 따른 자기안내식 해설판의 주요 디자인 속성에 대한 현 관리상태의 평가를 통하여 보다 효과적인 해설판 관리를 위한 기초자료를 얻기 위해 시행되었다. 자료수집은 2003년 8-9월중 내장산 국립공원 내 자연관찰로 탐방객을 대상으로 한 설문조사를 통하여 이루어 졌으며, 총 276명의 응답이 본 연구의 분석에 이용되었다. 선정된 30개 속성에 대한 IPA 결과, 여성(23.3%)이 남성(13.3%)보다, 저연령층(43.3%)이 고연령층(0.0%)보다, 고학력 그룹(36.7%)이 저학력 그룹(0.0%)보다, 중그룹(33.3%)이 대그룹(10.0%)이나 소그룹(16.7%)보다, 아동동반 그룹(66.7%)이 아동부동반 그룹(20.0%)보다 더 많은 해설판 디자인 속성에 대하여 높은 중요도와 낮은 성취도를 보여 높은 '우선시정 필요(Concentrate Here: CH)' 항목율을 나타내는 것으로 조사되었다. 특히 아동동반 그룹은 가장 높은 '우선시정 필요(CH)' 항목율을 나타냈다. 본 연구의 결과는 다양한 탐방객을 고려한 해설판 다자인의 필요성을 시사하고 있다. 또한, 표준화된 해설판 디자인 항목의 개발을 통해서 자연관찰로의 해설판에 대한 IPA 및 여타 평가수행의 신뢰성과 효율성을 기대할수 있을 것이다.

온도 차이에 따른 수영훈련이 결핵균 감염정도에 미치는 영향 (Effects of Swim Training on Tuberculosis infection in the Mouse Model at Different Temperature)

  • 곽이섭
    • 생명과학회지
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    • 제15권4호
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    • pp.652-656
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    • 2005
  • 본 연구를 통하여 규칙적인 수영 트레이닝이 체중의 감소를 일으켰으며(온수 및 냉수), 특히 냉수 훈련이 큰 감소를 나타내었다. 온수 훈련군에서는 $INF-\gamma$의 감소를 유발하여 림프구의 증식을 Th0에서 Th2 쪽으로 유도한다는 사실을 알 수 있었으며, 이로 인해 결핵균을 감염시켰을 경우 오히려 폐와 비장에서 결핵균의 수가 현저히 증가하는 사실을 알 수 있어, 수영 훈련군에게서의 결핵균 감염 시 대조군에 비해 균수가 현저히 증가함을 알 수 있었다. 하지만 냉수 훈련군에서는 통제군에 비해 $INF-\gamma$의 현저한 증가를 보여, 결핵균 감염 시 폐에서 결핵균 수가 감소함을 확인 할 수 있었다.

The Research about Role Area of RT in Digital Environment - Centers on PACS Workplace -

  • Jung, Young-Tae;Park, Bum-Jin;Son, Gi-Gyeong;Jung, Jae-Ho;Kang, Hee-Doo
    • 대한디지털의료영상학회논문지
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    • 제13권1호
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    • pp.13-20
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    • 2011
  • Now a days in our society, occupation boundaries have become blurred, and come into the limelight in the prior occupation or miss about new workplace. Medical area is no exception also, So we face urgent problem about protecting and spreading RT work-sphere simultaneously. This research allow to identify on RT role area of digital environment that is obscure profession-realm specially, and open up a new field hereafter. We examined present RT role area of digital environment in the more than thirty medical facility(general or university hospital) through questionnaire/visit survey from PACS administrator. Survey sentence comprises total 29 sentence over all main quadrisection-(eX. hospital formation & treatment state and PACS team composition & organization and PACS team workplace and PACS team daily workload), We performed comparative analysis in general contents perspectively. further more, divided main 5 section based on upper analysis and then manufactured output in consideration of each medical facility's operation state. There are comparative problem of hospital policy, So we maintained information security of each facility exhaustively. First, we separated a survey output into main 5 section as follows-(eX. PACS server & maintenance manage, Client/interlock manage, PACS data conversion, 3D reconstruction, PACS data im/export)-that received by 35 medical facility. And then manufactured output with comparative analysis about RT role area each section, general IT managing team about medical environment was out of existence that fill up with RT manpower in the surveyed medical facility consequently. What is worse, hospitals that entirely fill up with another worker were 3 place amazingly. Our specific statistic results show, the respondents was 63% that agree with reorganization of formation base on independence team, and supplement of the personnel average -continuous with upper agreement simply-was about 2.64. Further more, if reorganization break out with only RT manpower, quota TO will increase by geometric progression. Protecting and spreading role workplace is much accounted of the our inevitable project surely and more than 95% PACS administrator's have confidence in this proposition unconditionally. Henceforth, look forward to meeting the RT vision of many-sided multiplayer, based on acquire a specialized IT knowledge actively and open up a new work-field with frontier spirit.

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