• Title/Summary/Keyword: Assessment guideline

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Study of Mechanical Characteristics of Electric Cupping Apparatus in Korea for Suggestion of its Assessment Guideline (국내 평가 가이드 라인 제시를 위한 전동식 부항기의 특성 조사에 관한 연구)

  • Yi, Seung-Ho;Kim, Eun-Jung;Shin, Kyung-Hoon;Nam, Dong-Woo;Kang, Jung-Won;Lee, Seung-Deok;Lee, Hye-Jung;Lee, Jae-Dong;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.27 no.1
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    • pp.1-10
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    • 2010
  • Objectives : The mechanical properties of Korean electric cupping systems are studied via experimental measurements. The study aimed at establishing the fundamentals of industrialization and systemization of oriental medicine device industry, as well as improving the quality of life for many Koreans. Methods : We reviewed the studies on traditional cupping as well as modern one to fine necessary factors for electric cupping systems. To characterize the mechanical properties of Korean electric cupping systems, we measured the pressure characteristics of commercially available electric cupping system by using an automatic pressure acquisition system and a standard cup. The pumping capability was checked at 40 seconds, and the stability of the suction cup was checked at 600 seconds. We also acquired the noise level of each system in clinical setting. To check the portability of each system, we also measured its physical dimensions. We scrutinized system manuals provided by the system manufacturers. Results : It took less than 5 second to reach the pressure if the connection between the air hose and the vacuum valve of the cupping system was secure. Pressure diminished to no more than 10% for 600s for all systems. Noise levels were 55~70 dB. Increase in pressure was too fast to control for a designated vacuum level except for one product. Conclusions : The Pumping ability of the systems is impressive and reliable. Pressure retention ability of each cup is quite reliable and reproducible. Therefore, their mechanical performances were worthy of recommendation. Some of them had noise level higher than 60 dB and they were bothersome. It was also suggested that the control for low to middle pressure needed to be accomplished by the cupping system.

Development of Guidelines for Setting Up Sensory Integration Rooms in Korea Using the Delphi Method (국내 감각통합치료실 구성을 위한 가이드라인 개발: 델파이 연구)

  • Lee, Chan-Hwa;Hwang, Sun-Mi;Park, Seo-Yul;Chae, Song-Eun;Kim, Jung-Ran
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.2
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    • pp.1-14
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    • 2020
  • Objective : This study presents guidelines for setting up a sensory integration room by applying the Delphi method. Methods : The Delphi method was applied in a survey of 22 expert panels asked to review sensory integration therapy from May to June 2020 to collect expert opinions. The survey was conducted in two rounds. The first round involved the collection of opinions based on prior research that used a total of 40 assessment tools, 23 closed questions about treatment tools, and 10 questions about the physical environment. Based on the results of the first round, the second was conducted using a process of item deletion and modification. Results : A total of 59 items were selected in the first round of the survey. In the second the contents of these 59 items were analyzed: each item scored .42 or higher, so no items were deleted. The stability of the survey was also calculated and found to be less than 0.5, so no further testing was required. The average content feasibility ratio of the final Delphi survey was .92, stability .15, convergence .36, and consensus .80, showing high agreement. Conclusion : This study is expected to help institutions and clinical therapists who want to create a sensory integration therapy room in their facilities by examining the physical environment, treatment tools, and evaluation tools used in sensory integration therapy rooms and understanding the views on such environments obtained from the clinical site to sensory integration therapists.

Assessment of Future Flood According to Climate Change, Rainfall Distribution and CN (기후변화와 강우분포 및 CN에 따른 미래 홍수량 평가)

  • Kwak, Jihye;Kim, Jihye;Jun, Sang Min;Hwang, Soonho;Lee, Sunghack;Lee, Jae Nam;Kang, Moon Seong
    • Journal of The Korean Society of Agricultural Engineers
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    • v.62 no.6
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    • pp.85-95
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    • 2020
  • According to the standard guidelines of design flood (MLTM, 2012; MOE, 2019), the design flood is calculated based on past precipitation. However, due to climate change, the frequency of extreme rainfall events is increasing. Therefore, it is necessary to analyze future floods' volume by using climate change scenarios. Meanwhile, the standard guideline was revised by MOE (Ministry of Environment) recently. MOE proposed modified Huff distribution and new CN (Curve Number) value of forest and paddy. The objective of this study was to analyze the change of flood volume by applying the modified Huff and newly proposed CN to the probabilistic precipitation based on SSP and RCP scenarios. The probabilistic rainfall under climate change was calculated through RCP 4.5/8.5 scenarios and SSP 245/585 scenarios. HEC-HMS (Hydrologic Engineering Center - Hydrologic Modeling System) was simulated for evaluating the flood volume. When RCP 4.5/8.5 scenario was changed to SSP 245/585 scenario, the average flood volume increased by 627 ㎥/s (15%) and 523 ㎥/s (13%), respectively. By the modified Huff distribution, the flood volume increased by 139 ㎥/s (3.76%) on a 200-yr frequency and 171 ㎥/s (4.05%) on a 500-yr frequency. The newly proposed CN made the future flood value increase by 9.5 ㎥/s (0.30%) on a 200-yr frequency and 8.5 ㎥/s (0.25%) on a 500-yr frequency. The selection of climate change scenario was the biggest factor that made the flood volume to transform. Also, the impact of change in Huff was larger than that of CN about 13-16 times.

Evaluation of Effective Dose and Exposure Levels of Radon in Office and Plant Buildings (일부 제조업 사업장의 사무 및 공장동에서의 라돈농도 수준 및 유효선량 평가)

  • Chung, Eun Kyo;Kim, Ki Woong
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.1
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    • pp.38-45
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    • 2017
  • Objectives: Radon may be second only to smoking as a cause of lung cancer. Radon is a colorless, tasteless radioactive gas that is formed via the radioactive decay of radium. Therefore, radon levels can build up based on the amount of radium contained in construction materials such as phospho-gypsum board or when ventilation rates are low. This study provides our findings from evaluation of radon gas at facilities and offices in an industrial complex. Methods: We evaluated the office rooms and processes of 12 manufacturing factories from May 14, 2014 to September 23, 2014. Short-term data were measured by using real-time monitoring detectors(Model 1030, Sun Nuclear Co., USA) indoors in the office buildings. The radon measurements were recorded at 30-minute intervals over approximately 48 hours. The limit of detection of this instrument is $3.7Bq/m^3$. Also, long-term data were measured by using ${\alpha}-track$ radon detectors(${\alpha}-track$, Rn-tech Co., Korea) in the office and factory buildings. Our detectors were exposed for over 90 days, resulting in a minimum detectable concentration of $7.4Bq/m^3$. Detectors were placed 150-220 cm above the floor. Results: Radon concentrations averaged $20.6{\pm}17.0Bq/m^3$($3.7-115.8Bq/m^3$) in the overall area. The monthly mean concentration of radon by building materials were in the order of gypsum>concrete>cement. Radon concentrations were measured using ${\alpha}-track$ in parallel with direct-reading radon detectors and the two metric methods for radon monitoring were compared. A t-test for the two sampling methods showed that there is no difference between the average radon concentrations(p<0.05). Most of the office buildings did not have central air-conditioning, but several rooms had window- or ceiling-mounted units. Employees could also open windows. The first, second and third floors were used mainly for office work. Conclusions: Radon levels measured during this assessment in the office rooms of buildings and processes in factories were well below the ICRP reference level of $1,000Bq/m^3$ for workplaces and also below the lower USEPA residential guideline of $148Bq/m^3$. The range of indoor annual effective dose due to radon exposure for workers working in the office and factory buildings was 0.01 to 1.45 mSv/yr. Construction materials such as phospho-gypsum board, concrete and cement were the main emission sources for workers' exposure.

Factors Related to Substantial Pain in Terminally Ill Cancer Patients

  • Suh, Sang-Yeon;Song, Kyung-Po;Choi, Sung-Eun;Ahn, Hong-Yup;Choi, Youn-Seon;Shim, Jae-Yong
    • Journal of Hospice and Palliative Care
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    • v.14 no.4
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    • pp.197-203
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    • 2011
  • Purpose: Pain is the most common and influential symptom in cancer patients. Few studies concerning pain intensity in the terminally ill cancer patients have been done. This study aimed to identify factors related with more than moderate pain. Methods: This study used secondary data of 162 terminal cancer inpatients at the palliative ward of six training hospitals in Korea. Physician-assessed pain assessment was by 10 point numeric rating scale. Substantial pain was defined more than moderate intensity by the Korean National Guideline for cancer pain. The Korean version of the MD Anderson Symptom Inventory was self-administered to assess symptoms. Survival prediction was estimated by the attending physicians at the time of admission. Results: Less than six weeks of predicted survival and more than numeric rating of six for worst drowsiness in the previous 24 h were significantly related to substantial pain (P=0.012 and P=0.046, respectively). The dose of opioid analgesics was positively related to substantial pain (P=0.004). Conclusion: Factors positively related to substantial pain were less than six weeks of predicted survival and considerable drowsiness. Careful monitoring and active preparation for pain are required in terminal cancer patients having those factors.

Distribution and Pollution Status of Organic Matter and Heavy Metals in Surface Sediment Around Goseong Bay, a Shellfish Farming Area, Korea (패류양식해역인 고성만 주변 표층 퇴적물의 유기물과 중금속 분포 및 오염현황)

  • Lee, Garam;Hwang, Dong-Woon;Hwang, Hyunjin;Park, Jung-Hyun;Kim, Hyung-Chul;Kwon, Jung-No
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.6
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    • pp.699-709
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    • 2017
  • We measured the grain size, total organic carbon (TOC), total nitrogen (TN), and heavy metals (As, Cd, Cr, Cu, Fe, Hg, Mn, Pb, and Zn) in order to understand the spatial distribution and pollution level of organic matter and metals in surface sediment around Goseong Bay, a shellfish farming area, Korea. The surface sediments were composed of finer sediments such as mud and clay. The concentration of TOC, TN, and heavy metals were much higher in the innermost bay than in the mouth and outside of bay. The spatial distribution of organic matter and heavy metals and C/N ratio (5-10) in sediment showed that the organic matter and heavy metals in sediment of the study region were significantly influenced by oceanic origin organic matter and anthropogenic sources, respectively. Based on the results of four assessment techniques (sediment quality guideline, geoaccumulation index, pollution load index, ecological risk index), the sediments around the Goseong Bay were a little polluted for heavy metals and the high metal concentrations in the northern region of bay could adverse impact on benthic organisms in sediment. Thus, the systematic management plan for the improvement of water and sediment environment and the concentrated monitoring of pollutants for sustainable aquaculture and seafood safety around Goseong Bay are necessary in the future.

Assessment of Greenhouse gases Emission of Agronomic Sector between 1996 and 2006 IPCC Guidelines (1996년과 2006년 IPCC 가이드라인별 경종부문 온실가스 배출량 평가)

  • Jeong, Hyun-Cheol;Kim, Gun-Yeob;Lee, Deog-Bae;Shim, Kyo-Moon;Kang, Kee-Kyung
    • Korean Journal of Soil Science and Fertilizer
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    • v.44 no.6
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    • pp.1214-1219
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    • 2011
  • This study was conducted to compare of greenhouse gas emissions between 1996 and 2006 IPCC (Intergovernmental Panel on Climate Change) guidelines change. Greenhouse gas emissions were calculated separately by rice cultivation, agricultural soils and field burning of agricultural residues from 2000 to 2008 according to 1996 and 2006 IPCC guidelines. To calculate greenhouse gas emissions, emission factor and activity data were used IPCC default value and the food, agricultural, forestry and fisheries statistical yearbook of MIFAFF (Ministry for Food, Agriculture, Forestry, and Fisheries). The greenhouse emissions by 1996 IPCC guidelines were highest in rice cultivation as 4,008 $CO_2$-eq Gg of 2000 and 3,558 $CO_2$-eq Gg of 2008. The emissions by N-fixing crops, crop residues returned soils and field burning did not much affect the total emissions. $CO_2$ emissions by urea and lime were calculated by adding in 2006 IPCC guidelines and its emissions were 157 and 82 $CO_2$-eq Gg in 2008 respectively. The emissions by N-fixing crops, crop residues returned to soils and field burning, in common with 1996 IPCC guidelines, did not have a significant impact on total emissions. The total emissions in agronomic sector was decreased continuously from 2000 to 2008 and annual emissions by 2006 IPCC guidelines were approximately 26-29% less than the 1996 IPCC guidelines.

Psychosomatic Integrative Care for Psychosocial Distress of Patients With Breast Cancer (유방암 환자의 정신사회적 디스트레스에 대한 정신신체의학적 통합치료)

  • Yang, Chan-Mo;Jang, Seung-Ho;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.77-85
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    • 2021
  • Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

Arsenic species in husked and polished rice grains grown at the non-contaminated paddy soils in Korea (국내 비오염 논토양에서 재배한 현미와 백미 중 비소화학종 함량)

  • Kim, Da-Young;Kim, Ji-Young;Kim, Kye-Hoon;Kim, Kwon-Rae;Kim, Hyuck-Soo;Kim, Jeong-Gyu;Kim, Won-Il
    • Journal of Applied Biological Chemistry
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    • v.61 no.4
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    • pp.391-395
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    • 2018
  • There is an increasing concern over arsenic (As) contamination of paddy soil and rice with regard to food safety. This study was conducted to investigate total and inorganic As concentration in one hundred husked and polished rice samples collected at the non-contaminated paddy soil in Korea. Arsenic species in rice samples were extracted using 1% nitric acid ($HNO_3$) with a microwave oven and were measured using high performance liquid chromatography coupled with inductively coupled plasma-mass spectrometry. Mean concentrations of total As in husked rice and polished rice were 0.18 and $0.11mg\;kg^{-1}$, respectively. Also, average inorganic As concentrations in husked rice and polished rice were 0.11 and $0.07mg\;kg^{-1}$, respectively. These levels are lower than the standard guideline value 0.35 and $0.2mg\;kg^{-1}$ for inorganic As in husked and polished rice recommended by Codex Committee on Contaminants in Foods and Ministry of Food and Drug Safety, respectively. The mean of the inorganic As ratio for the total amount of As was 0.65 and 0.67 for husked rice and polished rice, respectively, and the range was from 0.08 to 1.0. For health risk assessment, the average value of cancer risk probability was $9.24{\times}10^{-5}$ and ranged from $2.30{\times}10^{-5}$ to $1.90{\times}10^{-5}$. Therefore, human exposure to As through dietary intake of surveyed rice samples might considered to be a low health risk.

A Study on Simulation Based Fault Injection Test Scenario and Safety Measure Time of Autonomous Vehicle Using STPA (STPA를 활용한 자율주행자동차의 시뮬레이션 기반 오류 주입 시나리오 및 안전조치 시간 연구)

  • Ahn, Dae-ryong;Shin, Seong-geun;Baek, Yun-soek;Lee, Hyuck-kee;Park, Ki-hong;Choi, In-seong
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.18 no.2
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    • pp.129-143
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    • 2019
  • As the importance of autonomous vehicle safety is emphasized, the application of ISO-26262, a development verification guideline for improving safety and reliability, and the safety verification of autonomous vehicles are becoming increasingly important, in particular, SAE standard level 3 or higher level autonomous vehicles detect and decision the surrounding environment instead of the human driver. Therefore, if there is and failure or malfunction in the autonomous driving function, safety may be seriously affected. So autonomous vehicles, it is essential to apply and verity the safety concept against failure and malfunctions. In this study, we study the fault injection scenarios for safety evaluation and verification of autonomous vehicles using ISO-26262 part3 process and STPA were studied and safety measures for safety concept design were studied through simulation bases fault injection test.