Yamasaki, Takahisa;Hemond, Colin;Eisa, Mohamed;Ganocy, Stephen;Fass, Ronnie
Journal of Neurogastroenterology and Motility
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v.24
no.4
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pp.559-569
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2018
Background/Aims Gastroesophageal reflux disease (GERD) is a common disease globally with increasing prevalence and consequently greater burden on the Healthcare system. Traditionally, GERD has been considered a disease of middle-aged and older people. Since risk factors for GERD affect a growing number of the adult population, concerns have been raised that increasingly younger people may develop GERD. We aim to determine if the proportion of younger patients has increased among the GERD population. Methods The incidence of GERD as well as several variables were evaluated during an 11-year period. Explorys was used to evaluate datasets at a "Universal" and Healthcare system in northern Ohio to determine if trends at a local level reflected those at a universal level. GERD patients were classified into 7 age groups (15-19, 20-29, 30-39, 40-49, 50-59, 60-69, and ${\geq}70$ years). Results The proportion of patients with GERD increased in all age groups, except for those who were ${\geq}70$ years in the universal dataset (P < 0.001) and those who were ${\geq}60$ years in the Healthcare system (P < 0.001). The greatest rise was seen in 30-39 years in both datasets (P < 0.001). Similarly, the proportion of GERD patients who were using proton pump inhibitors increased in all age groups except for those who were ${\geq}70$ years in both datasets (P < 0.001), with the greatest increase being the group 30-39 years (P < 0.001). Conclusion Over the last decade, there has been a significant increase in the proportion of younger patients with GERD, especially those within the age range of 30-39 years.
The Urban Areas Working Group within the EMRAS-2 ($\underline{E}$nvironmental $\underline{M}$odelling for $\underline{RA}$diation $\underline{S}$afety, Phase 2), which has been supported by the IAEA (International Atomic Energy Agency), has designed some types of accidental scenarios to test and improve the capabilities of models used for evaluation of radioactive contamination in urban areas. For the comparison of the results predicted from the different models, the absorbed doses in air were analyzed as a function of time following the accident with consideration of countermeasures to be taken. Two kinds of considerations were performed to find the dependency of the predicted results. One is the 'accidental season', i.e. summer and winter, in which an event of radioactive contamination takes place in a specified urban area. Likewise, the 'rainfall intensity' on the day of an event was also considered with the option of 1) no rain, 2) light rain, and 3) heavy rain. The results predicted using a domestic model of METRO-K have been submitted to the Urban Areas Working Group for the intercomparison with those of other models. In this study, as a part of these results using METRO-K, the countermeasures effectiveness in terms of dose reduction was analyzed and presented for the ground floor of a 24-story business building in a specified urban area. As a result, it was found that the countermeasures effectiveness is distinctly dependent on the rainfall intensity on the day of an event, and season when an event takes place. It is related to the different deposition amount of the radionuclides to the surfaces and different behavior on the surfaces following a deposition, and different effectiveness from countermeasures. In conclusion, a selection of appropriate countermeasures with consideration of various environmental conditions may be important to minimize and optimize the socio-economic costs as well as radiation-induced health detriments.
Modern businesses are adopting new technologies to serve their markets better as well as to improve efficiency and productivity. The advertising industry has continuously experienced disruptions from the traditional channels (radio, television and print media) to new complex ones including internet, social media and mobile-based advertising. This case study focuses on proposing intelligent advertising business model in Seoul's metro network. Seoul has one of the world's busiest metro network and transports a huge number of travelers on a daily basis. The high number of travelers coupled with a well-planned metro network creates a platform where marketers can initiate engagement and interact with both customers and potential customers. In the current advertising model, advertising is on illuminated and framed posters in the stations and in-car, non-illuminated posters, and digital screens that show scheduled arrivals and departures of metros. Some stations have digital screens that show adverts but they do not have location capability. Most of the current advertising media have one key limitation: space. For posters whether illuminated or not, one space can host only one advert at a time. Empirical literatures show that there is room for improving this advertising model and eliminate the space limitation by replacing the poster adverts with digital advertising platform. This new model will not only be digital, but will also provide intelligent advertising platform that is driven by data. The digital platform will incorporate location sensing, e-commerce, and mobile platform to create new value to all stakeholders. Travel cards used in the metro will be registered and the card scanners will have a capability to capture traveler's data when travelers tap their cards. This data once analyzed will make it possible to identify different customer groups. Advertisers and marketers will then be able to target specific customer groups, customize adverts based on the targeted consumer group, and offer a wide variety of advertising formats. Format includes video, cinemagraphs, moving pictures, and animation. Different advert formats create different emotions in the customer's mind and the goal should be to use format or combination of formats that arouse the expected emotion and lead to an engagement. Combination of different formats will be more effective and this can only work in a digital platform. Adverts will be location based, ensuring that adverts will show more frequently when the metro is near the premises of an advertiser. The advertising platform will automatically detect the next station and screens inside the metro will prioritize adverts in the station where the metro will be stopping. In the mobile platform, customers who opt to receive notifications will receive them when they approach the business premises of advertiser. The mobile platform will have indoor navigation for the underground shopping malls that will allow customers to search for facilities within the mall, products they may want to buy as well as deals going on in the underground mall. To create an end-to-end solution, the mobile solution will have a capability to allow customers purchase products through their phones, get coupons for deals, and review products and shops where they have bought a product. The indoor navigation will host intelligent mobile-based advertisement and a recommendation system. The indoor navigation will have adverts such that when a customer is searching for information, the recommendation system shows adverts that are near the place traveler is searching or in the direction that the traveler is moving. These adverts will be linked to the e-commerce platform such that if a customer clicks on an advert, it leads them to the product description page. The whole system will have multi-language as well as text-to-speech capability such that both locals and tourists have no language barrier. The implications of implementing this model are varied including support for small and medium businesses operating in the underground malls, improved customer experience, new job opportunities, additional revenue to business model operator, and flexibility in advertising. The new value created will benefit all the stakeholders.
The purpose of this study was to figure out the housing moving plan of urban establising families. For this purpose 274 establising families in Seoul and metro-politan area were interviewed through the standardized questionnares. Finally 264 questionnares were analyzed. The major findings were as follows; 1. The time of housing move is generally planned in 3 years from now. 2. The 78 percent of establing families planned collective housing as next housing. This tendency was higher in older group, in more income group, in higher education group, in collective housing group, in larger housing group. 4. The mean size of planned housing is about 26 pyoung. This tendency was also higher in older group, in larger housing group.
In this study, a numerical model of a shield tunnel with an assembled segmental lining was built. The seismic response of the segmental lining of the section of the shield tunnel in Line 1 of the Chengdu Metro is analyzed as it passes through the interface of sand-cobble and mudstone layers. To do so, the node-stress seismic-motion input method was used to input the seismic motion measured during the 2008 Wenchuan earthquake, and the joint openings and dislocations associated with the earthquake action were obtained. With reference to the Ethylene-Propylene-Diene Monomer (EPDM) sealing gaskets used in the shield tunnels in the Chengdu Metro, numerical simulation was applied to analyze the contact pressure along the seepage paths and the waterproof property under different joint openings and dislocations. A laboratory test on the elastic sealing gasket was also conducted to study its waterproof property. The test results accord well with the numerical results and the occurrence of water seepage in the section of the shield tunnel in Line 1 of the Chengdu Metro during the 2008 Wenchuan earthquake was verified. These research results demonstrate the deformation of segmental joint under earthquake, also demonstrate the relationship between segmental joint deformation and waterproof property.
Journal of the Institute of Electronics Engineers of Korea TC
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v.43
no.1
s.343
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pp.111-120
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2006
In this paper, a node architecture of WDM metro network for connecting broadband access networks to converge wire/wireless networks. In consideration of the proposed node architecture and network requirements we proposed and evaluated medium access control protocols. We review WDM related technologies of sub-carrier multiplexing and optical components in order to resolve the bottleneck between optical backbone networks md access networks, and a access node architecture sharing common wavelength is introduced. Source-stripping (SS) MAC protocol Is evaluated under the proposed functional node architecture. DS+IS (Destination-Stripping and Source-Stripping) and DS+IS (Destination-Stripping and Intermediate-Stripping) MAC protocols are described to increase the slot-reuse factor which is low on SS MAC protocol. The key function of new MAC protocols regards the optical switch module of proposed node architecture and helps intermediate or source access nodes for dropping slots to destinations of different wavelength group. Thus, slot-reuse factor increases as the MAC protocols reduce the unnecessary ring-rotation of transferred slots. We use a numerical analysis to expect bandwidth efficiency and maximum throughput by slot-reuse factor Throughput network simulation, the verification of throughput, queuing delay, and transmission fairness are compared among MAC protocols.
The purpose of this study was to classify male consumer groups according to the fashion lifestyle, to examine characteristics, needs and wants of each group, and to find out differences of cosmetics purchasing behavior among each group segment. After surveying 19-50 year old males by making a visit to college, company and home, 584 samples were analyzed by using SPSS(7.0) package program. Factor analysis, cluster analysis, ANOVA, crosstabs and $X^2-test$ were used to analyse collected data. The results of this study were as follows; 1. Twenty-two questionnaires using AIO fashion lifestyle variables produced seven factors; oriented fashion, flaunting brand preference, active preference, information intention, strong personality, reasonable economy and others directivity. Three groups based on oriented seven factors: personality, fashion and economy. 2. The Personality group had strong personal characters in their fashion. Men in this group prefer casual style and were represented by singles and professionals in their 30's. The fashion group pursued fashion trends, formal wears, and high-priced fashions. They were represented by singles with high-income managerial positions in their 19-29 age group. The economy group represented the largest sample in this study(54.5%). Men in this group tended to purchase fashion goods during of good fabrics at discount stores. This group represented married man with average incomes in their 40's. 3. Each of these three groups showed significant differences in cosmetics purchasing behavior. The personality group mainly purchased cosmetics on-line market because of price. The Internet tended to be their primary source of informations. They spent under 10,000won and pursued a simple and clear image. The fashion group purchased cosmetics at department stores to benefit from the knowledge of sales personal and their source of informations in the mass media. They spent over 70,000won monthly and pursued also a simple and clear image. The economy group purchased cosmetics at discount stores because of their wide assortment of products. They spent under 30,000won monthly and pursued a simple and clear image. Each of these groups currently consume different products and have a different concept of future cosmetic products.
Purpose: This research was conducted to compare sex-related knowledge and attitude of 6th-grade elementary school students who participated in the field based learning and those with cooperative learning methods. Methods: The data were collected from June to July in 2009. The subjects of the study were recruited from the classes of the 6th grade conveniently assigned from the D elementary school located in Daejeon metro city. Total of 60 students were assigned either to the field based learning group, and the other 60 students to the cooperative learning group. The field based learning group received sex education at the Daejean Youth Sexuality Culture Center for 3 hours. And the cooperative learning group received sex education by cooperative learning method at the classroom for 40 minutes per session, once a week, for 3 weeks. The sex-related knowledge and attitude scales developed by Lee (2004) were used. The data were analyzed by $x^2$-test, Fisher's exact test, and t-test using the SPSS/WIN V. 12.0 program. Results: The results were as follows. 1. Sex-related knowledge was not significantly different between the cooperative learning and the field based learning group. 2. Sex-related attitude was not significantly different between the cooperative learning and the field based learning group. Conclusion: In this study, sex-related knowledge and sex-related attitude of the cooperative learning group and the field based learning group were different from the lecture method groups in the earlier study. It is worthy of notice that the cooperative learning group and the field based learning group took relatively less time to improve their knowlede and attitude than the earlier lecture based group did.
The purpose of this study is to reduce the number of employees hired by Seoul Metropolitan Subway Corporation(SMSC) as a way of responding to deteriorating financial deficit problem. For the reduction, the personnel structure of Seoul Metro Rapid Transit Subway(SMRTS) newly founded in 1995 is benchmarked. Several assumptions are set for seeking the persuasive alternative; 1) no compulsory reduction of existing personnel, 2) raising the salary of SMSC to the same level of SMRTS for compensating intensified work burden, 3) hiring new employees to the amount of one-third of the reduced workforce for minimizing the problems associated with the reduction. The study suggests that the personnel reduction in relevant parts be planned in the following ways; 1) passenger transport part: from daily 3 shifts of 4 group to 2 shifts of 3 group, 2) fleet inspection, civil d: electric engineering, railtrack maintenance, signal parts: from 12 day-off to 10day-off, 3) architecture, AFC parts: from 2 shifts of 3 group to daily work, 4) fleet maintenance, architecture parts: expanding out-sourcing & automation, and 5) headquarter part: 10% reduction of the total of office workers. The study finds, by implementing the plan, that 1,270 employee can be reduced, and that aggregate 106.8 billion won will be saved for the next 10 years.
Metro networks use the existing circuit-switching technology like SONET/SDH. Such circuit-switching based networks are inefficient in tarrying Internet traffic with bursty nature. Therefore, metro networks can become a bottleneck In order to resolve this problem, the IEEE 802.17 working group has proposed the RPR (Resilient Packet Ring) technology. In addition to this, the RPR fairness mechanism has been defined to provide fairness among the stations in the RPR network. However, the current RPR fairness mechanism has the problem of inefficient use of the available bandwidth after when the congestion at a node is resolved. In this paper, we propose an improved bandwidth allocation mechanism in which, after the congestion resolution at a node, the node estimates the number of nodes transmitting data and measures the remaining bandwidth and fairly allocates the available bandwidth to active nodes. To show the performance of our proposed mechanism, we have performed simulation and showed that the proposed mechanism offers higher bandwidth utilization.
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