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Utilization and Attitude toward the East-West Collaborative Medical Practices among Healthcare Consumers (일반 주민의 한.양방협진이용 경험과 태도)

  • Jeong, Ihn-Sook;Kim, Yun-Jin;Lee, Won-Chul
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.2
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    • pp.43-56
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    • 2010
  • Objectives : This study aimed to investigate the attitude of healthcare consumers toward the East-West Collaborative Medical Practices(hereafter EWCMP). Method : The participants were 245 healthcare consumers who visited outpatient clinic of an university hospital, and attended at an emergency rescue educational program held by an emergency medical center, Busan. Data were collected by interviewing or self-reporting with questionnaires and analyzed with descriptive statistics and $X^2$ test with SPSS win 14.0. Results : 53.1 percent of 245 participants has heard, 13.9 percent has ever used, and 82.4 percent wanted to use EWCMP in the future. For participants who has used EWCMP, the decision to use it was made by themselves(58.8%), 26.5% of them was satisfied with EWCMP, and 79.4% showed the intention to introduce EWCMP to others. The use of EWCMP was significantly different by gender($X^2$=4.702, p=0.030) and having job or not($X^2$=14.305, p<0.001). Preferred type of EWCMP was to use both medical and Korean medical treatment at the same time(42.4%). Musculoskeletal disease(51.0%) and circulatory disease(51.0%) were expected to be the most effective when the EWCMP applied to them. Utilization of EWCMP was expected to be effective in disease treatment(88.2%), diagnosis(83.3%), and prevention(75.1%), and to increase medical cost(66.1%). Intention to use of EWCMP was not significantly different by demographic characteristics. Conclusion : Considering low proportion of utilization of and positive attitude toward the EWCMP among general populations, it is needed to introduce or advertise EWCMP to them.

Review on Bioelectrical Impedance Analysis in Traditional East Asian Medicine (생체 전기 임피던스 분석의 한의학적 적용을 위한 연구동향)

  • Bae, Jang Han;Kim, Young Min;Kim, Keun Ho;Kim, Jaeuk
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.6
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    • pp.717-729
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    • 2013
  • Bioelectrical Impedance Analysis (BIA) is a non-invasive and low-cost technique that estimates body composition based on the distribution of water and electrolytes in the body by analyzing body's electrical responses to source voltages. In this work, we carried out a systematic literature review on BIA researches in traditional East Asian medicine (TEAM). For comparison, firstly we introduced the concept and principle of BIA, and offered a general overview of research trends in western medical perspectives. We searched through the databases of Oriental Medicine Advanced Searching Integrated System and DataBase Periodical Information Academic for the articles published between 1994 and 2013, with keywords such as 'BIA', 'bioelectrical impedance' and 'impedance'. Among the rough-searched 274 articles, we finally selected 21 articles appropriate to the intended research field. The selected articles were categorized into diagnosis in Sasang medicine, impedance analysis in meridian system, and change of body composition after taking herbal medicine. We found that most of BIA researches in TEAM were preliminary and remained in the peripheral levels which is far behind the western medical research activities. Therefore, more efforts are needed to study BIA in association with major subjects such as pattern identification or physiological/pathological phenomena. In addition, methodological breakthrough of BIA is possible by applying the diagnostic concepts of the TEAM in relation to the balance of Qi and Blood.

Barriers to Low Vision Services and Challenges Faced by The Providers in Pakistan

  • Javed, Momina;Afghani, Tayyab;Zafar, Kunza
    • Journal of Korean Clinical Health Science
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    • v.3 no.3
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    • pp.399-408
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    • 2015
  • Objective. There were two objectives of the study, first was to identify the barriers as perceived by the patients and providers to access the low vision services and second was to identify the challenges faced by the main providers. Study design. Structured questionnaire based interviews of patients and providers Methodology. To find out the barriers to access of low vision services, the interviews based on structured questionnaire were conducted for two patient groups. The first group consisted of 97 visually impaired individuals attending the department of low vision services at Al-Shifa Trust Eye Hospital Rawalpindi while the second group included 56 visually impaired individuals attending the four rehabilitation centers/schools for the blind in Rawalpindi/Islamabad. To identify the barriers as perceived by the main providers of low vision services and challenges faced by them the interviews based on structured questionnaire were conducted for 19 low vision service providers. Results. From patients point of view, major barrier to low vision services identified was inability to visit hospital /rehabilitation center alone - 29.8% in hospital group and 33.9% in rehabilitation centers group, while the lack of social support, lack of family support, cost of travelling, long distance, afford ability, hesitation in using devices and lack of satisfaction were other important barriers identified. From providers' point of view, major barrier to uptake of services was the need for repeated follow-ups. Optometrists were the main provider of low vision services contributing to 47.4% of the providers. The major challenge faced by the providers was motivation of patients to use low vision devices. Conclusion. The major barrier to low vision services according to the patients is inability to visit the hospital alone, while according to providers, it is the need for repeated follow up which proves major barrier towards uptake of services. The motivation is the major challenge faced by providers, majority of which are optometrists.

Study on Diet-related Quality of Life in Online Self-help Diabetes Mellitus Patients Who Practice Dietary Regimen (식사요법을 실천중인 당뇨병 자조모임 환자의 식사관련 삶의 질에 관한 연구)

  • Lee, Han-Sul;Joo, Jin-Hee;Choue, Ryo-Won
    • Korean Journal of Community Nutrition
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    • v.16 no.1
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    • pp.136-144
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    • 2011
  • Assessment of quality of life (QOL) is a new method to investigate the effectiveness of dietary regimen. Particularly, diet-related QOL is the most appropriate method to estimate social and psychological problems originated from dietary regimen practice. The purpose of this study was to evaluate the diet-related QOL and the correlation between diet-related QOL and health-related QOL, and dietary regimen practice in online diabetes self-help patients who practice the dietary regimen. Sixty one subjects who intended to practice dietary regimen were recruited from online diabetes self-help community, and instructed to fill-up the self report questionnaires. Contents of questionnaire were comprised of general characteristics, clinical characteristics, dietary compliance, and dietary regimen practice. As a result, the mean score of the 'Dietary impact' among the diet-related QOL sub-scales was the lowest suggesting most of the subjects suffer from burden of dietary regimen practice. The "Dietary impact" was correlated with "Taste", "Convenience" and "Cost" (p < 0.05). "Self-care" and "Satisfaction" were positively associated with well-controlled blood glucose and dietary regimen compliance, but negatively associated with "Dietary impact". Diet-related QOL was significantly correlated with the Health-related QOL, particularly the mental and social component (p < 0.05). Diet-related QOL was negatively associated with BMI, and self monitoring blood glucose was negatively correlated with "Self-care" (p < 0.05). In conclusion, Diet-related QOL might be appropriate to evaluate the effects of dietary regimen or nutrition education. The need for dietary education of cognitive-behavioral strategies and problem-solving ability is required.

A Self-Powered RFID Sensor Tag for Long-Term Temperature Monitoring in Substation

  • Chen, Zhongbin;Deng, Fangming;He, Yigang;Liang, Zhen;Fu, Zhihui;Zhang, Chaolong
    • Journal of Electrical Engineering and Technology
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    • v.13 no.1
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    • pp.501-512
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    • 2018
  • Radio frequency identification (RFID) sensor tag provides several advantages including battery-less operation and low cost, which are suitable for long-term monitoring. This paper presents a self-powered RFID temperature sensor tag for online temperature monitoring in substation. The proposed sensor tag is used to measure and process the temperature of high voltage equipments in substation, and then wireless deliver the data. The proposed temperature sensor employs a novel phased-locked loop (PLL)-based architecture and can convert the temperature sensor in frequency domain without a reference clock, which can significantly improve the temperature accuracy. A two-stage rectifier adopts a series of auxiliary floating rectifier to boost its gate voltage for higher power conversion efficiency. The sensor tag chip was fabricated in TSMC $0.18{\mu}m$ 1P6M CMOS process. The measurement results show that the proposed temperature sensor tag achieve a resolution of $0.15^{\circ}C$/LSB and a temperature error of $-0.6/0.7^{\circ}C$ within the range from $-30^{\circ}C$ to $70^{\circ}C$. The proposed sensor tag achieves maximum communication distance of 11.8 m.

Chemical composition of copra, palm kernel, and cashew co-products from South-East Asia and almond hulls from Australia

  • Natalia S. Fanelli;Leidy J. Torres-Mendoza;Jerubella J. Abelilla;Hans H. Stein
    • Animal Bioscience
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    • v.36 no.5
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    • pp.768-775
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    • 2023
  • Objective: Oilseeds and nut co-products can be used as alternative feed ingredients in animal diets because they may have a lower cost than traditional ingredients. A study was, therefore, conducted to determine the chemical composition of copra, palm kernel, and nut co-products from South-East Asia or Australia. The hypothesis that country of production influences nutritional composition was tested. Methods: Oilseed meals included 2 copra expellers, 3 copra meals, and 12 palm kernel expellers. One source of almond hulls and cashew nut meal were also used. Samples were obtained from suppliers located in South-East Asia or Australia. All samples were analyzed for dry matter, gross energy, nitrogen, amino acids (AA), acid-hydrolyzed ether extract (AEE), ash, minerals, insoluble dietary fiber, and soluble dietary fiber. Copra and nut co-products were also analyzed for total starch and sugars. Results: Copra expellers had greater (p<0.05) concentrations of dry matter and AEE compared with copra meal. However, copra meal had greater (p<0.05) concentrations of total dietary fiber (soluble and insoluble) and copper than copra expellers. Palm kernel expellers from Indonesia had greater (p<0.05) concentration of histidine and tyrosine compared with palm kernel expellers from Vietnam. Almond hulls was high in dietary fiber, but also contained free glucose and fructose, whereas cashew nut meal was high in AEE, but low in all free sugars. Conclusion: Copra expellers have greater concentration of AEE, but less concentration of total dietary fiber when compared with copra meal, and except for a few AA, no differences in nutrient composition of palm kernel expellers produced in Indonesia or Vietnam were detected. According to the chemical composition of nut co-products, cashew nut meal may be more suitable for non-ruminant diets than almond hulls.

Competency Level Evaluation for Construction Management in Southeast Asian Countries

  • Kwon, Nahyun;Park, Moonseo;Lee, Hyun-Soo;Son, Bo-Sik;Kim, Junyoung;Kwon, Byung-Gi
    • International conference on construction engineering and project management
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    • 2017.10a
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    • pp.146-152
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    • 2017
  • Recently, countries in the South-east Asia are making efforts to enhance the construction industry system and introduce the construction management system. However, it is challenging to apply construction management in site due to lack of technology and professionals for CM. This can result in frequent safety accidents, cost overrun, schedule delay, etc. Therefore, it is necessary to carry out a clear evaluation of the overall situation regarding the level of technology and required competency. The objective of this research is to investigate on which management skills and items for CM are required to improve the construction management skills in South-east Asian construction industry. As a result of the questionnaire, most of the officials selected that the design phase and the construction phase are important works, and the engineers evaluated activities during the bidding phase, the design phase and the construction phase as important works for construction management. However, in most of the results, it was observed that the current competency of Vietnam construction is insufficient compared to the evaluated importance of the skills. This can be explained by the fact that they are not capable of managing construction projects effectively as compared to the importance. The results can help to realize the inadequate aspects of local construction industry, which will be the basis of improvements. Also, it is expected to be supportive to improve construction management in the countries and also provide indicators related to work stage or technology that should be acknowledged when establishing the advancing strategy for Southeast Asian countries in the future.

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Evaluation and Comparison of Meteorological Drought Index using Multi-satellite Based Precipitation Products in East Asia (다중 위성영상 기반 강우자료를 활용한 동아시아 지역의 기상학적 가뭄지수 비교 분석)

  • Mun, Young-Sik;Nam, Won-Ho;Kim, Taegon;Hong, Eun-Mi;Sur, Chanyang
    • Journal of The Korean Society of Agricultural Engineers
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    • v.62 no.1
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    • pp.83-93
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    • 2020
  • East Asia, which includes China, Japan, Korea, and Mongolia, is highly impacted by hydroclimate extremes such drought, flood, and typhoon recent year. In 2017, more than 18.5 million hectares of crops have been damaged in China, and Korea has suffered economic losses as a result of severe drought. Satellite-derived rainfall products are becoming more accurate as space and time resolution become increasingly higher, and provide an alternative means of estimating ground-based rainfall. In this study, we verified the availability of rainfall products by comparing widely used satellite images such as Climate Hazards Groups InfraRed Precipitation with Station (CHIRPS), Global Precipitation Climatology Centre (GPCC), and Precipitation Estimation From Remotely Sensed Information Using Artificial Neural Networks-Climate Data Record (PERSIANN-CDR) with ground stations in East Asia. Also, the satellite-based rainfall products were used to calculate the Standardized Precipitation Index (SPI). The temporal resolution is based on monthly images and compared with the past 30 years data from 1989 to 2018. The comparison between rainfall data based on each satellite image products and the data from weather station-based weather data was shown by the coefficient of determination and showed more than 0.9. Each satellite-based rainfall data was used for each grid and applied to East Asia and South Korea. As a result of SPI analysis, the RMSE values of CHIRPS were 0.57, 0.53 and 0.47, and the MAE values of 0.46, 0.43 and 0.37 were better than other satellite products. This satellite-derived rainfall estimates offers important advantages in terms of spatial coverage, timeliness and cost efficiency compared to analysis for drought assessment with ground stations.

A Study on the boiler efficiency with selecting the uppermost burners in the 870MW opposite wall fired boiler (870MW 대향류 보일러에서 최상부층 버너 선택운전에 따른 보일러 효율변화 고찰)

  • Woo, Gwang-Yoon;Kim, Soo-Seok;Park, In-Chan;Ham, Young-Jun;Lee, Eung-Yoon
    • Plant Journal
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    • v.13 no.2
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    • pp.46-51
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    • 2017
  • In this study, the boiler efficiency and the change of boiler combustion state with the burner operation of the uppermost layer of 870MW opposite fired coal boiler were measured. Test results showed that the boiler efficiency was high in the order of the uppermost layer simultaneous operation of the front and rear burners, the front burner, and the rear burner operation. When the front and rear burners were operated simultaneously, the heat absorption rate of water walls in the boiler furnace was uniform at four side, and the temperature deviation of the left and right steam on the convection front surface decreased. As the heat absorption rate of the boiler improved, the loss of boiler exhaust gas decreased and the coal supply amount decreased by 8 tons/hour compared to the operation of the rear burner. This will contribute not only to the reduction of fuel cost but also to the reduction of greenhouse gas emissions.

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Role of Korean Society of Pediatric Infectious Disease during the Middle East Respiratory Syndrome (MERS) Outbreak in Korea, 2015 (2015년 우리나라에서 발생한 중동호흡기증후군과 대한소아감염학회의 역할)

  • Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.136-142
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    • 2015
  • The Korean Society of Pediatric Infectious Diseases (KSPID) has participated in the task force team consisting of government authorities as well as civil medical experts and facilities to block the spread of Middle East Respiratory Syndrome in 2015. KSPID posted the "Middle East Respiratory Syndrome (MERS) Pop-up" in the homepage of The Korean Pediatric Society and The Korean Society of Pediatric Infectious Diseases. KSPID also released the "Guidelines for testing for MERS in children and adolescents" and the "Instructions for the Operation of National Safe Hospital" for children and adolescents in a timely manner. Such actions were aimed to prevent unnecessary anxieties, studies and isolation of pediatric patients with respiratory symptoms and signs caused by other common microbial etiologies as being suspected for MERS patients. This strategy relieved the doctors and parents from unnecessary fear and prevented the loss of unnecessary health care costs, and has proven to be a well-judged guideline and management protocol as evaluated after the final end of MERS outbreak. KSPID and its members should support the presence of pediatric infectious disease (PID) specialists in every medium size hospitals in Korea by developing the need for consultation fees for PID consultation in the hospital based practice and promoting the potential for cost savings related to prevention of health care associated infections and optimal prescription of antimicrobial agents. KSPID and its members need to approach and develop a communication plan to political decision makers to demonstrate and convince them of the importance of a PID specialist service.