• 제목/요약/키워드: Majority Problem

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기도유지기 마스크 환기마취를 이용한 비관혈적 비골골절 정복술 (Closed Reduction of Nasal Bone Fracture Under the Mask Ventilation Anesthesia Using Oral Airway)

  • 박병찬;남현재;이준호;김용하;허민정;서일숙
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.77-80
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    • 2008
  • Purpose: The majority of nasal fractures have been treated by closed reduction. And they were manipulated under local anesthesia or general anesthesia. Under the local anesthesia, patients can feel the pain and fear, so general anesthesia through the endotracheal intubation became popularized recently to treat the nasal fracture. But it has still the drawbacks of postanesthetic complication. Therefore, under the mask ventilation anesthesia using oral airway, we tried to manipulate the nasal fracture. Methods: From July 2007 to November 2007, we worked with fifty patients that were manipulated the nasal fracture. Fifty patients were divided into two groups, general anesthesia with the endotracheal intubation group(n=25) and the mask ventilation using oral airway group(n=25). We checked up the anesthesia time, postanesthetic complication, postoperative aesthetic & functional problem of nose in two groups. Results: In total operation time and sore throat frequency among the postoperative anesthetic complications, there was statistically significant difference between the mask ventilation group and the endotracheal intubation group(p<0.05). But there was no difference statistically in nausea frequency(p>0.05). And no patients complained of postoperative nasal complication such as septal deviation, septal perforation, nasal obstruction and hump nose in two groups. Conclusion: Through the mask ventilation using oral airway, we could reach satisfactory results in the anesthetic time and postanesthetic complication.

Kirschner wire를 사용한 과두하 골절의 구강내 접근법 (INTRAORAL OPEN REDUCTION OF MANDIBULAR SUBCONDYLAR FRACTURES USING KIRSCHNER WIRE)

  • 김성일;김승룡;백진아;고승오;신효근
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권3호
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    • pp.270-276
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    • 2001
  • The treatment of mandibular subcondylar fractures is a matter of controversy. The majority of mandibular subcondylar fracture are treated by closed reduction, but the displaced or dislocated mandibular subcondylar fractures may be treated by open reduction. The characteristics of open reduction are the anatomical reduction, the functional restoration, the rapid function, the maintenance of vertical ramus dimension, the better appearance and the less resultant TMJ problem etc. When an open reduction is considered, the wire, miniplate, lag screw and Kirschner wire are available with internal fixation. Of these, Kirschner wire is a simple method relatively and correct positioning of the wire achieves rigid fixation. But many open reduction methods for mandibular subcondylar fractures require extraoral approach. The extraoral approach has some problems, the facial scar and the risk of facial nerve injury. On the other hand, the intraoral approach eliminates the potency of the facial scar and the facial nerve injury, but is difficult to access the operation site. Since the intraoral approach was first described by Silverman (1925), the intraoral approach to the mandibular condyle has been developed with modifications. The purpose of this article is to describe the intraoral technique with the Kirschner wire on mandibular subcondylar fractures. Conclusion : The intraoral reduction with Kirschner wire on mandubular subcondylar fractures avoids the facial scar and facial nerve injury and is simple method to the extraoral approach. And it has minimal morbidity and better esthetics.

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특수의복에 관한 실태조사 연구 -한국과 미국의 교과과정과 연구경향분석을 중심으로- (Comparative Analysis of Curriculum and Research Trends Related to Clothing for Persons with Special Needs between Korea and America)

  • 김찬주
    • 대한가정학회지
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    • 제27권3호
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    • pp.13-28
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    • 1989
  • With the purpose of identifying clothing for persons with special needs one of new directions in Clothing and Textiles, this pater comparatively analyzed current curriculum and research trends related to this field between Korea and America. Questionaire was distributed to 25 Korean colleges with Clothing and Textiles department and 4 American colleges known for special clothing study. Questions regarded the name of course, level (grade), number of credit houre, prerequisits and supporting courses, subjects of lecture and projects, way of managing lecture and projects, evaluation system, other special characteristics. Resources for analyzing research trends are Thesis and Dissertations in Clothing and Textiles, Research Journal of Clothing & Textiles/Home Economics Association, College Professors' research reports collection, of both Korea and America. Years of publications are 1972∼1986 (America), 1978∼1988 (Korea). Findings are as follows; 1. Clothing for special needs can be classified into various groups; Clothing for physically handicapped, mentally retarded, elderly, unusual-sized, pregnant/nursing mothers, institutionalized, protective clothing, uniform/career apparel. 2. Management of coursework related to special clothing has several common characteristics specially in America; Building-up coursework, problem-solving orientation, cooperative team-preject, interdisciplinary approach, client-versus-designer preference, community involvement. In Korea, a few school only has special clothing coursework and its scope of study was very limited. 3. Majority of research reports done with the subjects of special clothing had made for physically handicapped people and the elderly. Protective clothing and uniform have recently been paid much interests. 4. Researchers had mainly concerned on Design and Construction Aspects and nextly on social-psychological aspects. However, in America, selection and care aspects and marketing aspects of special clothing have been very procuctive issues recently. 5. Study on clothing for special needs has several opportunities to be stressed and improvements to be strengthened. Opportunities included active participation to the welfare of community society, strong publicity of accurate professional image, share with business and industry, interdisciplinary approach and new job market. Improvements were discussed in terms of strengthening supporting courses/prerequistes, intensifying interdisciplinary cooperation, provoking strong community involvement and securing financial support and research funds.

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Spatio-temporal estimation of air quality parameters using linear genetic programming

  • Tikhe, Shruti S.;Khare, K.C.;Londhe, S.N.
    • Advances in environmental research
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    • 제6권2호
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    • pp.83-94
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    • 2017
  • Air quality planning and management requires accurate and consistent records of the air quality parameters. Limited number of monitoring stations and inconsistent measurements of the air quality parameters is a very serious problem in many parts of India. It becomes difficult for the authorities to plan proactive measures with such a limited data. Estimation models can be developed using soft computing techniques considering the physics behind pollution dispersion as they can work very well with limited data. They are more realistic and can present the complete picture about the air quality. In the present case study spatio-temporal models using Linear Genetic Programming (LGP) have been developed for estimation of air quality parameters. The air quality data from four monitoring stations of an Indian city has been used and LGP models have been developed to estimate pollutant concentration of the fifth station. Three types of models are developed. In the first type, models are developed considering only the pollutant concentrations at the neighboring stations without considering the effect of distance between the stations as well the significance of the prevailing wind direction. Second type of models are distance based models based on the hypothesis that there will be atmospheric interactions between the two stations under consideration and the effect increases with decrease in the distance between the two. In third type the effect of the prevailing wind direction is also considered in choosing the input stations in wind and distance based models. Models are evaluated using Band Error and it was observed that majority of the errors are in +/-1 band.

한국 성인의 보완대체요법 이용에 관한 조사 (A Study on the Use of Complementary and Alternative Therapies in Korean Adults)

  • 이금재;김옥현;천우정;노명희;강문정;고성희;이경숙;이고운
    • 성인간호학회지
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    • 제19권1호
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    • pp.144-154
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    • 2007
  • Purpose: This descriptive study was conducted to identify the use of complementary and alternative therapies, and the perception and attitudes toward CAT in Korean adults. Methods: The 1,010 study subjects were recruited from ten regions in South Korea. Data were collected from July to September, 2004. Results: The 43.2% of the sample(n=436) had an experience of using CAT. The subjects using CAT was more likely to have high score in the CAT perception compared to the subjects with no experience of CAT(p=.001). The primary source of information about CAT was mass media(59.7%). The 52.4% of the sample answered that CAT was supplementary and the 27.7% answered CAT was applicable to chronic pain or musculoskeletal disorders. Subjects(34.8%) pointed out that the greatest problem was no scientific informant in the use of CAT. The primary reason of using CAT was to maintain their health or to prevent disease(44.0%), and the 59.0% of the subjects responded that CAT was effective. Majority of subjects were satisfied with CAT(63.3%) and experienced no side effects of CAT(90.6%). Conclusion: This study suggests that professional counseling and education for CAT is needed for Korean public as well as the research approach to test the effects of CAT.

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Breast Cancer Knowledge, Perception and Breast Self-Examination Practices among Yemeni Women: an Application of the Health Belief Model

  • Al-Sakkaf, Khaled Abdulla;Basaleem, Huda Omer
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1463-1467
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    • 2016
  • Background: The incidence of breast cancer is rapidly increasing in Yemen with recent indications of constituting one-third of female cancers. The main problem in Yemen remains very late presentation of breast cancer, most of which should have been easily recognisable. Since stage of disease at diagnosis is the most important prognostic variable, early diagnosis is an important option to be considered for control of breast cancer in low resourced settings like Yemen. In the present study, we aimed at describing breast cancer knowledge, perceptions and breast self-examination (BSE) practices among a sample of Yemeni women. Materials and Methods: This cross-sectional study covered 400 women attending four reproductive health centres in Aden, Yemen through face-to-face interview using a structured questionnaire during April - July 2014. We collected data on sociodemographic characteristics, knowledge about breast cancer, and screening practices as well as respondents' perceptions based on the five sub scales of the Health Belief Model (HBM): perceived susceptibility; perceived severity; perceived barriers; perceived benefits; and self-efficacy. The response format was a five-point Likert scale. Statistical Package for Social Sciences (SPSS 20) was used for statistical analysis. Statistical significance was set at p<0.05. Logistic regression analysis was conducted with BSE as a dependent variable. Results: The mean age of women was 26.5 (S.D=5.6) years. The majority (89.0%) had never ever performed any screening. Two-thirds of respondents had poor knowledge. Perceived BSE benefits and self-efficacy and lower BSE barriers perception were significant independent predictors of BSE practice. Conclusions: Poor knowledge and inadequate BSE practices are prevailing in Yemen. The need for implementing culturally sensitive targeted education measures is mandatory in the effort to improve early detection and reduce the burden of breast cancer.

Treatment Outcome with Brachytherapy for Recurrent Nasopharyngeal Carcinoma

  • Cheah, Soon Keat;Lau, Fen Nee;Yusof, Mastura Md;Phua, Vincent Chee Ee
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6513-6518
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    • 2013
  • Background: To evaluate the treatment outcome and major late complications of all patients with recurrent nasopharyngeal carcinoma (NPC) treated with intracavitary brachytherapy (ICBT) in Hospital Kuala Lumpur. Materials and Methods: This retrospective study was conducted at the Department of Radiotherapy and Oncology, Hospital Kuala Lumpur, Malaysia. All patients with histologically confirmed recurrent NPC in the absence of distant metastasis treated in the period 1997-2010 were included in this study. These patients were treated with ICBT alone or in combination with external beam radiotherapy (EBRT). Treatment outcomes measured were local recurrence free survival (LRFS), disease free survival (DFS) and overall survival (OS). Results: Thirty three patients were eligible for this study. The median age at recurrence was 56 years with a median time to initial local recurrence of 27 months. Majority of patients were staged as rT1-2 (94%) or rN0 (82%). The proportion of patients categorised as stage III-IV at first local recurrence was only 9%. Twenty one patients received a combination of ICBT and external beam radiotherapy while 12 patients were treated with ICBT alone. Median interval of recurrence post re-irradiation was 32 months (range: 4-110 months). The median LRFS, DFS and OS were 30 months, 29 months and 36 months respectively. The 5 year LRFS, DFS and OS were 44.7%, 38.8% and 28.1% respectively. The N stage at recurrence was found to be a significant prognostic factor for LRFS and DFS after multivariate analysis. Major late complications occurred in 34.9% of our patients. Conclusions: Our study shows ICBT was associated with a reasonable long term outcome in salvaging recurrent NPC although major complications remained a significant problem. The N stage at recurrence was a significant prognostic factor for both LRFS and DFS.

한려해상국립공원 이용객 행태조사 (Surveying Visitors′ Behavior in Hallyo-Haesang National Park)

  • 김용근;유기준
    • 한국환경생태학회지
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    • 제12권4호
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    • pp.389-397
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    • 1999
  • 본 연구는 한려해상국립공원의 이용객 행태를 분석하기 위해 수행되었다. 이를 위해 자체 개발한 설문지를 이용한 설문조사를 1998년 8월 21일부터 8월 23일까지 실시하였다. 설문조사에는 한려해상국립공원의 거제, 통영, 남해, 오동도 지구를 방문한 303명의 이용객이 참여하였다. 응답자의 남녀비율, 교육 및 소득수준, 연령별분포 등 사회경제적 특성은 타 국립공원에서 실시된 이용객 조사결과와 유사한 경향을 보였다. 이용객에 의한 공원 내에서의 쓰레기 불법투기는 이용자들의 습관적 행위에 기인한다는 인식이 높았으며, 현재 시행중인 Clean-up-Time운동에 대한 이용객의 인식은 낮은 것으로 나타났다. 한려해상국립공원에서 이용객들의 휴양경험에 영향을 미치는 영향인자들로서 생태계 보전상태, 자연경관의 질, 쓰레기 문제, 안전성, 공원관리자의 친절이 제시되었으며, 이들 인자들에 대한 이용자 만족도는 응답자들의 기대수준에 못 미치는 것으로 나타났다. 그러나 이용객들은 전반적인 휴양경험에 대해 비교적 만족하는 수준으로 나타났다.

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UNCERTAINTY AND SENSITIVITY ANALYSIS OF TMI-2 ACCIDENT SCENARIO USING SIMULATION BASED TECHNIQUES

  • Rao, R. Srinivasa;Kumar, Abhay;Gupta, S.K.;Lele, H.G.
    • Nuclear Engineering and Technology
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    • 제44권7호
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    • pp.807-816
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    • 2012
  • The Three Mile Island Unit 2 (TMI-2) accident has been studied extensively, as part of both post-accident technical assessment and follow-up computer code calculations. The models used in computer codes for severe accidents have improved significantly over the years due to better understanding. It was decided to reanalyze the severe accident scenario using current state of the art codes and methodologies. This reanalysis was adopted as a part of the joint standard problem exercise for the Atomic Energy Regulatory Board (AERB) - United States Regulatory Commission (USNRC) bilateral safety meet. The accident scenario was divided into four phases for analysis viz., Phase 1 covers from the accident initiation to the shutdown of the last Reactor Coolant Pumps (RCPs) (0 to 100 min), Phase 2 covers initial fuel heat up and core degradation (100 to 174 min), Phase 3 is the period of recovery of the core water level by operating the reactor coolant pump, and the core reheat that followed (174 to 200 min) and Phase 4 covers refilling of the core by high pressure injection (200 to 300 min). The base case analysis was carried out for all four phases. The majority of the predicted parameters are in good agreement with the observed data. However, some parameters have significant deviations compared to the observed data. These discrepancies have arisen from uncertainties in boundary conditions, such as makeup flow, flow during the RCP 2B transient (Phase 3), models used in the code, the adopted nodalisation schemes, etc. In view of this, uncertainty and sensitivity analyses are carried out using simulation based techniques. The paper deals with uncertainty and sensitivity analyses carried out for the first three phases of the accident scenario.

외식사회적 기업형 카페에 대한 소비자의 이용실태 및 대중화 발전방안 (The Consumer's Current Use and Popularization Development Plan for Foodservice Social Enterprise Type Cafe)

  • 안혜영;김수민;황혜선;홍완수
    • 한국식품조리과학회지
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    • 제32권1호
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    • pp.65-75
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    • 2016
  • The purpose of this study was to investigate the consumer's current use and recognition for foodservice social enterprises type cafe. During the research, problems regarding the developmental directions of foodservice social enterprises type cafe. A one-to-one survey method was used for data collection, and 301questionnaires among the 309 distributed questionnaires to consumers were analyzed (97.4% response rate). The main results of the study were as follows : with reference to the awareness of the foodservice social enterprise type cafe, a majority of respondents (81.1%) replied that they had knowledge related to the business of social enterprise. Furthermore, regarding how customers came to know about the foodservice social enterprise type cafe results showed that 28.2% of respondents knew about the cafe by acquaintances such as friend, co-worker, family, 23.2% by mass media, and 27.2% by others. Data concerning a companion when visiting the cafe, revealed that more than half of the respondents (80.0%) had visited with friend and co-worker. On problems with using the cafe, approximately 46.2% of the respondents replied that there was lack of public relation and 28.9% replied that it was an uncommon store. Since the findings suggested that the major problem is a lack of promotion, foodservice social enterprises type cafe should prepare organized brochures and guide system to attract customers with various purposes and values. Finally, the promotion for foodservice social enterprise type cafe requires a guidance map.