• Clinical Endoscopy
• /
• 제56권3호
• /
• pp.263-267
• /
• 2023

Climate change is a global emergency. Consequently, current global targets to combat the climate crisis include reaching net-zero carbon emissions by 2050 and keeping global temperature increases below 1.5 ℃. In 2014, the healthcare carbon footprint was 5.5% of the total national footprint. Gastrointestinal endoscopy (GIE) has a large carbon footprint compared to other procedures performed in healthcare facilities. GIE was identified as the third largest generator of medical waste in healthcare facilities for the following reasons: (1) GIE is associated with high case volumes, (2) GIE patients and relatives travel frequently, (3) GIE involves the use of many nonrenewable wastes, (4) single-use devices are used during GIE, and (5) GIE is frequently reprocessed. Immediate actions to reduce the environmental impact of GIE include: (1) adhering to guidelines, (2) implementing audit strategies to determine the appropriateness of GIE, (3) avoiding unnecessary procedures, (4) using medication rationally, (4) digitalization, (5) telemedicine, (6) critical pathways, (7) outpatient procedures, (8) adequate waste management, and (9) minimizing single-use devices. In addition, sustainable infrastructure for endoscopy units, using renewable energy, and 3R (reduce, reuse, and recycle) programs are necessary to reduce the impact of GIE on the climate crisis. Consequently, healthcare providers need to work together to achieve a more sustainable future. Therefore, strategies must be implemented to achieve net-zero carbon emissions in the healthcare field, especially from GIE, by 2050.

• 사회복지연구
• /
• 제41권1호
• /
• pp.65-84
• /
• 2010

불평등 지수의 분해란 사회 전체의 불평등을, 이에 영향을 미치는 개별원천들로 분해하여, 그 원인을 밝히고자 하는 것이다. 기존에는 개별요인들이 전체 불평등에서 정량적으로 차지하는 절대적 기여도에만 관심을 가져왔다. 그러나 불평등 완화를 위한 정책을 효과적으로 수행하기 위해서는, 개별원천들이 가지고 있는 한계적인 불평등 효과를 아는 것이 더 중요할 것으로 생각된다. 본 연구에서는 이를 위하여 대표적인 불평등 지수라 할 수 있는 지니계수를 소득원천별 혹은 사회복지 프로그램별로 분해하고, 각각의 Gini Income Elasticity(GIE)를 계산하였다. 분석결과에 따르면, '상용근로자 소득'과 '고용주 및 자영자 소득'의 GIE가 각각 1.205와 1.867로, 이들의 증가는 사회 전체의 불평등을 악화시킬 수 있는 소득원천들로 분류되었다. 이러한 GIE를 이용한 분석방법은 소득원천 혹은 사회복지 프로그램들의 불평등 효과를 분석하는데 있어서 하나의 유용한 방법의 될 수 있을 것이다.

• 한국정밀공학회지
• /
• 제5권3호
• /
• pp.20-30
• /
• 1988

Using the design parameters of multi-joint manipulator, worspace of the manipulator were evaluated analytically, and the relation between such design parameters and nonlinearity of the manipulator were presented dynamically. The ratio of the volumes of a manipulator's workspace to the cube of its total link length presents a kinematic performance index [NVI] for the manipullator. It is possible to geometrically represent the manipulator dynamics with the generalized inertia ellipsoid (GIE). The relation between the GIE configuration and the characteristics of manipulator dynamics was analysed in terms of inertia and nonlinear forces (Coliolis and centrifugal forces). The nonlinearity caused by the change of the GIE configuration were affected by the difference between the major and minor axes length of the GIE. The results of this investigationare applied to the optimal design of the manipulator.

• 호남수학학술지
• /
• 제15권1호
• /
• pp.11-16
• /
• 1993

• 대한자원환경지질학회:학술대회논문집
• /
• 대한자원환경지질학회 2005년도 춘계 학술발표회 논문집
• /
• pp.34-34
• /
• 2005

• 한국원자력학회:학술대회논문집
• /
• 한국원자력학회 2005년도 춘계학술발표회
• /
• pp.773-774
• /
• 2005

• 콘크리트학회지
• /
• 제20권6호
• /
• pp.70-74
• /
• 2008

• 한국영양학회:학술대회논문집
• /
• 한국영양학회 1995년도 춘계심포지움 및 학술발표논문 초록
• /
• pp.21-21
• /
• 1995

Absorption of fat-soluble vi tamin, retinol occurs mainly in the proximal part of small intestine. But its intestinal transport mechanism isn't yet clear. The aim of the present study was to investigate on the mechanism of absorption of retinol by determining a concentration-dependent kinetic of retinol absorption in rats. The study was carried out by applying in vivo technique in which vitamin solution was infused to intestinal lumen and at the same time thoracic duct and choledochus duct were canulated to collect samples. The investigations showed that retinol is absorbed in the small intestine by a saturable, carrier-mediated transport system, i.e. wi thout signi ficant differences between the proximal and distal halves of the small intestine. The transport of retinol taken up by the enterocytes occured via different mechanisms: while the main vitamin A transport via the thoracic duct was saturated by limiting transport factors such as retinol-CRBP-II-complex formation and retinol esterification with increasing substrate concentrations, the transport of retinol metabolite product via the portal vein was proportional to the substrate concentration.ration.

• 정보과학회지
• /
• 제28권9호
• /
• pp.28-39
• /
• 2010

• 대한수학회지
• /
• 제29권2호
• /
• pp.251-260
• /
• 1992