• 제목/요약/키워드: Life Support

검색결과 4,742건 처리시간 0.039초

HOW TO DEFINE CLEAN VEHICLES\ulcorner ENVIRONMENTAL IMPACT RATING OF VEHICLES

  • Mierlo, J.-Van;Vereecken, L.;Maggetto, G.;Favrel, V.;Meyer, S.;Hecq, W.
    • International Journal of Automotive Technology
    • /
    • 제4권2호
    • /
    • pp.77-86
    • /
    • 2003
  • How to compare the environmental damage caused by vehicles with different foe]s and drive trains\ulcorner This paper describes a methodology to assess the environmental impact of vehicles, using different approaches, and evaluating their benefits and limitations. Rating systems are analysed as tools to compare the environmental impact of vehicles, allowing decision makers to dedicate their financial and non-financial policies and support measures in function of the ecological damage. The paper is based on the "Clean Vehicles" research project, commissioned by the Brussels Capital Region via the BIM-IBGE (Brussels Institute for the Conservation of the Environment) (Van Mierlo et at., 2001). The VriJe Universiteit Brussel (ETEC) and the universite Libre do Bruxelles (CEESE) have jointly carried out the workprogramme. The most important results of this project are illustrated in this paper. First an overview of environmental, economical and technical characteristics of the different alternative fuels and drive trains is given. Afterward the basic principles to identify the environmental impact of cars are described. An outline of the considered emissions and their environmental impact leads to the definition of the calculation method, named Ecoscore. A rather simple and pragmatic approach would be stating that all alternative fuelled vehicles (LPG, CNG, EV, HEV, etc.) can be considered as ′clean′. Another basic approach is considering as ′clean′ all vehicles satisfying a stringent omission regulation like EURO IV or EEV. Such approaches however don′t tell anything about the real environmental damage of the vehicles. In the paper we describe "how should the environmental impact of vehicles be defined\ulcorner", including parameters affecting the emissions of vehicles and their influence on human beings and on the environment and "how could it be defined \ulcorner", taking into account the availability of accurate and reliable data. We take into account different damages (acid rain, photochemical air pollution, global warming. noise, etc.) and their impacts on several receptors like human beings (e.g., cancer, respiratory diseases, etc), ecosystems, or buildings. The presented methodology is based on a kind of Life Cycle Assessment (LCA) in which the contribution of all emissions to a certain damage are considered (e.g. using Exposure-Response damage function). The emissions will include oil extraction, transportation refinery, electricity production, distribution, (Well-to-Wheel approach), as well as the emission due to the production, use and dismantling of the vehicle (Cradle-to-Grave approach). The different damages will be normalized to be able to make a comparison. Hence a reference value (determined by the reference vehicle chosen) will be defined as a target value (the normalized value will thus measure a kind of Distance to Target). The contribution of the different normalized damages to a single value "Ecoscore" will be based on a panel weighting method. Some examples of the calculation of the Ecoscore for different alternative fuels and drive trains will be calculated as an illustration of the methodology.

섬유근통 증후군 환자에서 Somatomedin C (Insulin-Like Growth Factor 1)의 농도와 임상증상과의 관계 (A Controlled Study on Serum Insulin-Like Growth Factor 1 (Somatomedin C) Levels in Fibromyalgia)

  • 유병훈;강정권;오완수;연준흠;김정원;홍기혁;송찬우
    • The Korean Journal of Pain
    • /
    • 제12권1호
    • /
    • pp.27-35
    • /
    • 1999
  • Background: Fibromyalgia is a common syndrome of musculoskeletal pain and fatigue. Lacking distinctive histological or laboratory abnormality in diagnosis, it has often been considered a form of "psychogenic rheumatism". Fibromyalgia causes much distress to the affected patients and often frustrates physicians, who are unable to start rational therapy on any logical disease pathology. Methods: Growth hormone is essential for muscular homeostasis. In the present study, the notion that the stage-4 sleep anomaly typically seen in the fibromyalgia syndrome may disrupt growth hormone secretion was tested. Because growth hormone has a very short half-life, serum levels of somatomedin C were measured; somatomedin C is the major mediator of growth hormone's anabolic actions and is a prerequisite for normal muscle homeostasis. Serum levels of somatomedin C using acid-extraction procedure and two-site immunoradiome-tric assay (IRMA) and number of tender points were measured in 27 female patients with fibromyalgia from 40 to 60 years old and 27 healthy controls. Results: There were no differences in the concentration of somatomedin C between fibromyalgia patients and controls ($mean{\pm}SD$: $178.3{\pm}75.5$ ng/ml versus $166.3{\pm}76.6$ ng/ml; p=0.55). And there were no correlations between number of tender point and serum somatomedin C level by linear regression analysis. Conclusions: These findings did not support that there is a distinctive disruption of the growth hormone-somatomedin C neuroendocrine axis in a fibromyalgia syndrome. But we can not discard the hypothesis that disturbed sleep predispose to muscle pain.

  • PDF

우리나라 노인의 신체기능 요인과 차별경험의 관련성 연구: 노인실태조사(2014, 2017) 자료 분석 (Relationship between Physical Function Factors and Discrimination Experiences of the Elderly in Korea: The 2014 and 2017 National Survey on Living Conditions and Welfare Needs of Korean Older Persons)

  • 이규희;용왕식;유창훈;이용재;정우진
    • 보건행정학회지
    • /
    • 제29권4호
    • /
    • pp.454-468
    • /
    • 2019
  • Background: Supporting the elderly population is presented as a social issue, and it affects age discrimination, which forms a negative perception and avoids the elderly. Since age discrimination lowers the quality of life of the elderly and hinders social unity, it may be important to research related factors. This study examined the physical function as a factor that influences discrimination experiences and aimed to identify the relationship between physical function factors and discrimination experiences. Methods: In this study, we analyzed 20,225 elderly from the 2014 and 2017 survey of living conditions and welfare needs of Korean older persons, conducted nationwide among older than 65 years. Physical function factors are activities of daily living, instrumental activities of daily living, sight discomfort, hearing discomfort, chewing discomfort, and leg strength as factors of interest. We performed multivariable logistic regression that reflected survey characteristics, adjusting for socio-demographic factors, health related factors, and social-support factors. Results: The number of elderly who faced discrimination experiences was 1,175 (5.8%). The results showed that the odds ratio of facing a discrimination experience in the dependent group was significantly higher compared to the independent group when being transferring out of the room (4.05; 95% confidence interval [CI], 1.50-10.88) and difficulty in hearing (1.25; 95% CI, 1.05-1.49). Even with respect to chewing ability, which was significant in models 1 and 2, they face more discrimination experiences (1.30; 95% CI, 1.11-1.53). Conclusion: These research results indicate that an important strategy for preventing age discrimination is to understand the physical function conditions of the elderly and promote the physical functions of the elderly related to transferring, hearing, and chewing; it is necessary to develop a practical intervention plan that considers these aspects.

인지면담을 이용한 한국형 사전의료의향서 모델 개발 (Development of a Korean Version of an Advance Directive Model via Cognitive Interview)

  • 김신미;홍영선;홍선우;김진실;김기숙
    • Journal of Hospice and Palliative Care
    • /
    • 제16권1호
    • /
    • pp.20-32
    • /
    • 2013
  • 목적: 본 연구의 목적은 사전의료의향서 사용 집단을 대상으로 초안에서 도출된 한국형 사전의료의향서 콘텐츠의 구성 요소를 바탕으로 실제 사용자 집단에서 인지적, 심리적 및 사회적으로 수용 가능한 문장과 문항으로 구성된 문서를 구축하여 한국형 사전의료의향서 모델을 제시하는 것이다. 방법: 실제 사용자인 일반 성인의 보건의료정보 문해력과 정서적 수용성 및 작성 과정을 고려하여 초안을 작성하였으며 초안을 바탕으로 인지면담(Cognitive Interviewing) 방법을 통한 문항 개발 과정을 수행하였다. 대상자는 9명의 65세 이상 노인을 포함한 16명의 인지면담에 장애가 없는 성인이었다. 결과: 총 2회기에 걸친 인지면담 결과를 분석한 후 최종적으로 3개 속성(가치관, 의료지시[9문항] 대리인 지정)을 중심으로 총 430개 단어로 구성되는 모델을 확정 제안하였다. 결론: 본 연구에서는 한국형 사전의료의향서 문서를 효과적으로 향상시킬 수 있는 방법으로 인지면담을 사용하였으며 그 가능성을 검증하였다. 한국형 사전의료의향서 최종 모델을 위해서는 대규모 양적 연구를 통해 가용성을 검증하며, 신뢰도와 타당도를 확보하여 모델을 확정하는 과정이 포함된 추후연구가 필요할 것이다.

임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도: Q방법론 적용 (Subjective Attitudes towards Terminal Patients of Nursing Students with Clinical Practice Experience: Application of Q Methodology)

  • 이은주;황경혜;조옥희
    • Journal of Hospice and Palliative Care
    • /
    • 제22권4호
    • /
    • pp.156-165
    • /
    • 2019
  • 목적: 본 연구는 임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도 유형을 확인하고, 유형별 특성을 분석하기 위해 Q 방법론을 적용한 조사연구이다. 방법: 75개의 Q 모집단 중 최종 34개의 Q표본을 선정하고 임상실습을 경험한 간호대학생 43명의 P표본을 대상으로 9점 척도의 Q-분류를 하도록 하였다. 수집된 자료는 PC QUANAL Program으로 주요인분석을 하였다. 결과: 임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도는 모두 3개 유형으로 나타났으며, 이들의 전체변량은 49.96%였다. 제1유형인 '생명의료 희망형'은 말기환자가 자신의 상태를 정확히 알고 생명을 연장하기를 원한다고 생각하였다. 제2유형인 '서비스 제공 요구형'은 말기환자가 미리 죽음을 준비할 수 있도록 다학제적인 간호와 이에 대한 제도가 마련되어야 한다고 생각하였다. 제3유형인 '죽음 수용 인식형'은 호스피스 병동에 입원하여 품위 있게 죽기를 원한다고 생각하였다. 결론: 본 연구를 통해 임상실습을 경험한 간호대학생의 말기환자에 대한 다양한 주관적 태도를 파악했으며, 이를 토대로 유형별 맞춤형 교육 프로그램이 개발된다면 말기환자에 대한 교육이 체계적으로 이루어질 것이다.

객체지향 분석 단계에서의 클래스 복잡도 측정 (Measurement of Classes Complexity in the Object-Oriented Analysis Phase)

  • 김유경;박재년
    • 한국정보과학회논문지:소프트웨어및응용
    • /
    • 제28권10호
    • /
    • pp.720-731
    • /
    • 2001
  • 구조적 개발 방법론에 적용하도록 만들어진 복잡도 척도들을 클래스의 상속성, 다형성, 메시지 전달 그리고 캡슐화와 같은 객체지향의 개념에 직접적으로 적용할 수 없다. 또한 기존의 객체지향 소프트웨어에 대한 척도의 연구는 프로그램의 복잡도나, 설계 단계의 척도가 대부분이었다. 실제로 분석단계 클래스의 복잡도를 낮춤으로서 시스템의 개발 노력이나 비용 및 유지보수 단계에서의 노력이 크게 줄어들게 되므로, 분석 클래스에 대한 복잡도를 측량하기 위한 척도가 필요하다. 본 논문에서는 객체지향 개발방법론인 RUP(Rational Unified Process)의 분석 단계에서 추출되는 분석 클래스에 대해서 복잡도를 측정할 수 있는 새로운 척도를 제안한다. 협력 복잡도CC(Collaboration Complexity)는 가능한 협력의 최대 수로서 클래스가 잠재적으로 얼마나 복잡할 수 있는지를 측정하기 위한 척도이며, 각 협력자들의 인터페이스를 이해하는 것과 관련된 총체적 어려움을 측정하는 인터페이스 복잡도 IC(Interface Complexity)를 정의하였다. 제안된 척도는 Weyuker의 9가지 공리적 성질에 대하여 이론적인 검증을 하였으며, 텍스트 마이닝 기법을 사용하여 사용자의 질문에 자동으로 응답하는 시스템의 분석 클래스에 대하여 제안된 척도를 적용하여 복잡도를 측정하였다. 제안된 CC와 IC의 값과 Chidamber와 Kemerer가 제안된 CBO와 WMC의 값을 비교해 본 결과, 제안된 복잡도 척도의 계산결과 값이 큰 클래스의 경우에는 설계 이후 단계에서도 역시 복잡도가 커지게 되는 것을 알 수 있었다. 이로써 소프트웨어개발 주기의 초기에 클래스에 대한 복잡도를 평가해 보고, 나머지 단계에 필요한 시간과 노력을 예측함으로써 보다 비용-효과적인 객체지향 소프트웨어를 개발할 수 있는 가능성이 높아질 것으로 기대된다.

  • PDF

일본 출신 결혼이주여성이 인지하는 자녀에 대한 민족사회화 수행 : 만 7-18세 자녀를 중심으로 (Perceived Enactment of Ethnic Socialization by Japanese Marriage Migrant Mothers of 7- to 18-Year-Old Children)

  • 윤수현
    • 가정과삶의질연구
    • /
    • 제33권3호
    • /
    • pp.15-29
    • /
    • 2015
  • The purpose of this study was to explore ethnic socialization enacted by Japanese marriage migrant women currently raising 7- to 18-year-old children in Korea. To accomplish this goal, we examined the following research questions: (1) What is the level of ethnic socialization enacted by Japanese marriage migrant mothers? (2) Does the level of ethnic socialization vary by demographic and ethnocultural factors? (3) To what extent do demographic and ethnocultural factors influence the enactment of ethnic socialization by Japanese marriage migrant mothers? The sample consisted of 243 Japanese marriage migrant women currently raising 7- to 18-year-old children in Korea. For data analysis, T-test, correlation, ANOVA, and hierarchical regression analyses were used. Also, we performed separate analyses for two subtypes of ethnic socialization in particular, namely cultural socialization and preparation for bias. Ethnocultural factors examined in this study were the level of discrimination experience, Japanese ethnic identity, and husbands' ethnic orientation in childrearing. The main results of this study were as follows. First, results showed that Japanese marriage migrant women enacted moderate levels of cultural socialization and preparation for bias. Second, Japanese marriage migrant women's cultural socialization and preparation for bias were both positively related to the levels of women's discrimination experience and Japanese ethnic identity. Also, the younger the age of the firstborn child, the more preparation for bias these women performed. In addition, women whose Korean husbands wanted to raise their children more biculturally performed more cultural socialization compared to those with Korean husbands who wanted to raise their children as Korean. Third, hierarchical regression analyses revealed that women's discrimination experience and ethnic identity positively predicted both types of ethnic socialization. Also, Korean husband's bicultural orientation towards childrearing predicted a higher level of cultural socialization by Japanese marriage migrant women. Results of this study provide basic information about ethnic socialization among multicultural families in Korea, which can be useful for promoting positive self-identity among multicultural children. Furthermore, the results suggest that husbands' support and cooperation in ethnic socialization can be crucial for marriage migrant women to socialize their children utilizing their cultural and experiential resources.

재한(在韓) 조선족(朝鮮族) 이주 노동자를 위한 주거 계획 - 한국과 중국에 거주하는 조선족의 주거 및 주생활에 대한 고찰 - (Housing Plans of ChoSun-Tribe Immigrant Workers in Korea - An Analysis of Housing and Domestic Living of ChoSun-Tribe in Korea and China -)

  • 이영심;최정신
    • 대한가정학회지
    • /
    • 제45권9호
    • /
    • pp.15-26
    • /
    • 2007
  • Immigrant workers in Korea who have a multi-cultural background are increasing a need is arising to support them with housing that considers their housing culture. The purpose of this study is to gather information to formulate a plan of ChoSun-Tribe Immigrant Workers in Korea. For this purpose, we investigated to the usage of domestic space and the seating style of ChoSun-Tribe members in China and Korea. Ethnographic research with a questionnaire was used to analyze 16 households in China and 17 in Korea. The study results were as follows. 1. Most of the ChoSun-Tribe members in China and Korea thought that the kitchen had to be separated from other areas and also they wanted to have a large kitchen in which they can work comfortably. 2. ChoSun-Tribe members in China used a bathroom as a laundry normally while and ChoSun-Tribe members in China and Korea didn't think that a bathtub was indispensable in the bathroom. 3. The most uncomfortable feature for ChoSun-Tribe members in Korea was having to use a toilet outside so a toilet should be considered inside of the house. 4. ChoSun-Tribe members in China and Korea were accustomed to sitting on the floor for their living usually and ChoSun-Tribe members in China used the living room as a multi-purpose room for the family. 5. A modified Ondol system using water pipes under the floor was gaining popularity in China and was the most desirable heating system for ChoSun-Tribe members in China and Korea also. 6. ChoSun-Tribe members in China and Korea all took off their shoes inside of the house for hygienic reasons so the space for taking on-off shoes was indispensable. 7. Housing for ChoSun-Tribe immigrant workers in Korea needs to be planned with a good environment lots of sunshine and better ventilation.

주거시설에 대한 CPTED 평가인증 기준 개선방안 연구 (Improvement of the Checklist for Residential Housing's Crime Prevention Accreditation Assessment)

  • 박현호;김강일;조준택
    • 시큐리티연구
    • /
    • 제55호
    • /
    • pp.117-141
    • /
    • 2018
  • 경찰청이 발간하는 범죄통계에 따르면 주거시설은 노상에 이어 범죄발생이 두 번째로 많은 장소이다. 또한 1인 가구 증가 등 사회적, 환경적 취약점으로 인해 생활의 기본요소이면서 동시에 안전함과 편안함이 핵심이어야 할 주거공간이 침입절도 등 범죄에 빈번하게 노출되고 위협에 시달리고 있다. 그리하여 본 연구에서는 주거시설 중 상대적으로 취약한 원룸, 다세대, 연립, 도시형생활주택에 대하여 환경설계를 통한 범죄예방(CPTED) 관점에서 안전을 평가하고 인증하는데 적합한 요소 및 항목을 추출하여 인증평가 지표와 점검항목을 도출하였다. 도출된 평가지표와 점검항목을 기반으로 서울 서초구, 경기 용인시, 충남 아산시에 소재한 원룸, 다세대, 연립, 도시형생활주택을 대상으로 현장조사를 실시하고 조사결과를 반영한 체크리스트 최종안을 도출하였다. 체크리스트 최종안에 포함된 평가분야는 총 7개 분야 43개 항목이며, 다양한 가점항목을 추가하여 관리자가 취한 특별한 안전조치에 대하여 점수를 획득할 수 있도록 설정하였다. 개발된 체크리스트는 다양한 규모와 유형의 주거시설을 평가할 때 시설별 특성을 고려하여 적절하게 변형하여 활용될 수 있다. 인증평가의 기본원칙과 관련하여, 범죄예방을 위해 중요한 항목들의 배점은 높게 부여하였고, 정성평가를 통해 차등 배점을 부여하는 방식을 선택하였다. 본 연구에서 개발한 체크리스트는 범죄예방전담경찰관(CPO)들이 관할지역 내 주거시설을 평가하고 범죄안전 수준이 높은 우수시설을 인증하는데 활용되고 있다.

초등학교 영양교사의 영양교육 실시를 위한 교육자, 학습자 및 그 부모 대상 요구도 조사 (A Survey on the Needs of Educators, Learners and Parents for Implementing Nutrition Education by Nutrition Teachers in Elementary Schools)

  • 신은경;신경희;김현희;박유화;배인숙;이연경
    • 대한영양사협회학술지
    • /
    • 제12권1호
    • /
    • pp.89-101
    • /
    • 2006
  • The purpose of this study was to investigate the needs of educators, learners and parents in elementary schools for implementing a systematic nutrition education program by nutrition teachers to begin in 2006. The subjects were 833 dietitians, 808 principals, 3,141 teachers, 7,577 students and 6,003 parents in elementary schools. A fairly large proportion of the principals (98.4%), teachers (95.5%), parents (96.6%) and students (62.8%) responded that nutrition education is urgently needed. Every dietitian, principal and teacher has recognized that for the enforcement of a nutrition program in the future, the placement of one nutrition teacher in every school is needed without a moment's delay. Many subjects responded that elementary low grades are the most proper time for nutrition education for students and it is also needed to extend this not only to students, but also parents and teachers who have a direct influence on them. In the education hour, they responded that it is proper one hour a month for teachers and one hour a week for students. Fifty-six percent of dietitians, 58.3% of principals and 67.0% of teachers responded that the best educational way to heighten the effect of nutrition education was education through discretional activities. It was found that 46.4% of students have wanted nutrition education to be enforced during special activities. Education through their school homepage or in-school broadcasting system, while it has been most utilized, was low in a degree of preference with 10.9%. In regards to a nutrition program, principals and parents have attached much importance to the dining etiquette, dietary attitudes, and relations of foodstuffs with health, while dietitians and teachers have made much of a balanced eating habit, and the relations of dietary life with health. Finally, for a nutrition program to be enforced towards a direction that the educators and students want, it is judged that first of all the role of nutrition teachers is the most important, furthermore the support of manpower and the budget should be made.

  • PDF