Myocardial perfusion imaging has been increasingly used to provide prognostic data and guidance on the choice of appropriate management of patients with known or suspected coronary artery disease. The electrocardiogram gated myocardial SPECT program is corning into wide use with an advent of $^{99m}Tc-labeled$ tracers and an improvement of SPECT machines. The gated technique permits measurement of important cardiac prognostic indicators without any further discomforts or radiation burden in patients underwent standard myocardial perfusion SPECT. In addition, gated study significantly improves diagnostic yield by reducing the number of borderline interpretations and could find myocardial stunning and viable myocardium. Gated single photon emission computed tomography (SPECT) imaging allows the automated calculation of end-diastolic volume, end-systolic volume, ejection fraction, myocardial mass and the assessment of regional wall motion and thickening, and it have dramatically improved assessment of coronary artery disease in routine nuclear practice. This allows the simultaneous assessment of both perfusion and function within the same acquisition, and serves as a cost-effective technique for providing more diagnostic data with fewer diagnostic tests. Because the diagnostic and prognostic power derived from knowledge of left ventricular function can be added to that provided by assessing myocardial perfusion, gated SPECT imaging has rapidly gained widespread acceptance and is now used on a routine clinical basis in a growing number of laboratories, including South Korea. The gated SPECT technique for measurement of left ventricular parameters has been validated against a variety of well established techniques. In this work, overview of gated myocardial perfusion SPECT focus on functional parameters is presented.
Our society is showing rapid growth throughout the industry, but it is in the era of nuclear family and aging. Due to the elderly, the demand for social welfare services such as medical treatment services tends to increase sharply. However, duties of senior citizens and social workers engaged in related medical care facilities are not clearly identified, and job stress has occurred and the degree of job satisfaction is extremely low. Therefore, in this paper, in relation to the social worker's duties of elderly nursing home care facilities, in practicing welfare services, knowledge base that was convergence with duties so that you can focus on service according to better environment and standardized procedures To provide a management system. Through the proposed system, social workers are expected to be able to improve work satisfaction by quickly grasping operations and escaping from job stress through their own development and information sharing.
In this paper, a historical review of the developments in the safety of LWR power plants is presented. The paper reviews the developments prior to the TMI-2 accident, i.e. the concept of the defense in depth, the design basis, the large LOCA technical controversies and the LWR safety research programs. The TMI-2 accident, which became a turning point in the history of the development of nuclear power is described briefly. The Chernobyl accident, which terrified the world and almost completely curtailed the development of nuclear power is also described briefly. The great international effort of research in the LWR design-base and severe accidents, which was, respectively, conducted prior to and following the TMI-2 and Chernobyl accidents is described next. We conclude that with the knowledge gained and the improvements in plant organisation/management and in the training of the staff at the presently-installed nuclear power stations, the LWR plants have achieved very high standards of safety and performance. The Generation 3+LWR power plants, next to be installed, may claim to have reached the goal of assuring the safety of the public to a very large extent. This review is based on the historical developments in LWR safety that occurred primarily in USA, however, they are valid for the rest of the Western World. This review can not do justice to the many fine contributions that have been made over the last fifty years to the cause of LWR safety. We apologize if we have not mentioned them. We also apologize for not providing references to many of the fine investigations, which have contributed towards LWR safety earning the conclusions that we describe just above.
A number of piping components in the secondary system of nuclear power plants (NPPs) are exposed to aging mechanisms, such as flow-accelerated corrosion (FAC), cavitation, flashing, solid particle erosion, and liquid droplet impingement erosion. Those mechanisms may lead to thinning, leaking, or rupture of the components. Due to the pipe ruptures caused by wall thinning in Surry unit 2 in the USA in 1986 and Mihama unit 3 in Japan in 1994, pipe wall thinning management has emerged as one of the most important issues in the nuclear industry. To manage pipe wall thinning, a foreign program has been utilized for NPPs in Korea since 1996. As our experience and knowledge of pipe wall thinning management have accumulated, our program needs to reflect our experience, requests from users, and the result of recent experiments using Flow Accelerated Corrosion Testing System (FACTS). FACTS is the empirical experimental facility developed by Korea Atomic Energy Research Institute (KAERI) for tests. Accordingly, KEPCO-E&C developed a 3D-based pipe wall thinning management program called ToSPACE in 2016. This paper describes a comparison between the FAC analysis results using ToSPACE and the experimental results using FACTS to verify their applicability to pipe wall thinning management in NPPs.
This study is performed to examine the meal management attitudes of housewives who had elementary schoolchildren in the remote rural areas(RA: n = 318, $37.2{\pm}0.3$ years of age) in comparison to those in their vicinity urban area(UA: n = 349, $36.9{\pm}0.2$ years of age) in the Chungnam province in Korea. The subjects were asked to fill out the questionnaire on their attitudes of meal management for their families. The results obtained in this study were as followings: (1) Most husbands of the subjects had a farming job in the RA while they had salaried workers in the UA(p<0.001). Education levels of both subjects and their husbands were lower in the RA than in the UA. Nuclear families were dominated by both groups, however single parent-family and step parent-family were more prevalent in the RA than in the UA. (2) in terms of ways of getting foods such as grains, meats, eggs, vegetables and fruits, the RA housewives relied more often on self-production than did the UA housewives(p<0.001). (3) The frequency of purchasing unprocessed foods was lower in the RA than in the UA(p<0.001). The RA housewives purchased the convenient foods such as instant noodles(p<0.05), ready to eatsoups(p<0.001), retort pouch foods(p<0.05) and instant teas(p<0.05) more frequently than did the UA housewives, while tuna, canned in oil(p<0.01), milk and their products(p<0.001), soybean products(p<0.001) and snacks(p<0.01) were purchased less often by the RA housewives. (4) Family members except housewives engaged more often in meal preparation in the RA than did those in the UA(p<0.001), which was more strongly observed for dinner. The time spent in preparing the dinner was shorter in the RA than in the UA(p<0.001). (5) The degrees of endeavor to provide the subjects' offspring with balanced meal(p<0.001) and nutrition education(p<0.01) were lower in the RA than in the UA. The RA housewives had more difficulty for performing meal management because of 'over work-related fatigue', 'insufficient money to purchase foods' and 'far distance from grocery' than the UA housewives(p<0.001). The RA housewives had lower score on nutritional knowledge(p<0.001) and wanted more strongly nutritional knowledge to improve the quality of family's meal than did the UA housewives(p<0.01). Therefore, the RA housewives had various problems regarding meal management such as 'over work related to fatigue', 'food-purchasing inconvenience', 'low economic status of family' and 'lack of nutritional knowledge'. As a consequence the RA housewives relied on cheap convenient foods more often in order to prepare the meal easily than did the UA housewives. These findings emphasize the need in the RA for nutrition education for housewives and a range of nutrition policies that focus upon the social and economic determinants of food choice within families to improve the nutritional status of the RA residents.
In terms of an accident management, the cases causing severe core damage need to be analyzed and arranged systematically for an easy access to the results since the Three Mile Island (TMI) accident. The objectives of this paper are to explain how to identify the plant response and cope with its vulnerabilities using the probabilistic safety assessment (PSA) quantified results and severe accident database SARDB(Severe Accident Risk Data Bank) based on sequences analysis results. Although PSA has been performed for the Korean Standard Power Plants (KSNPs), and that it considered the necessary sequences for an assessment of the containment integrity. The developed Database (DB) system includes a graphical display for a plant and equipment status, previous research results by a knowledge-based technique, and the expected plant behaviour. The plant model used in this paper is oriented to the cases of loss of coolant accident (LOCA) is be used as a training simulator for a severe accident management.
Purpose: The aim of study was to identify ranges of Korean nurses' competency in disaster nursing. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from four databases: RISS, ScienceON, EBSCO Discovery Service, and CINAHL. In this review, key words were 'disaster', 'nurs*', 'competenc*', 'ability' and 'preparedness'. Inclusion and exclusion criteria were identified as strategies to use in this review. The inclusion criteria for this review focused on the following: Korean nurse, articles related to disaster nursing competency, peer-review articles published in the full text in Korean and English. Review articles were excluded. Results: Nineteen studies were eligible for result extraction. A total of 10 categories of disaster nursing competency were identified: Knowledge of disaster nursing, crisis management, disaster preparation, information collection and sharing, nursing record and document management, communication, disaster plan, nursing activities in disaster response, infection management, and chemical, biological, radiation, nuclear, and explosive management. Conclusion: It is necessary to distinguish between Korean nurses' common disaster nursing competency, professional disaster nursing competency, and disaster nursing competency required in nursing practice. Therefore, future research will be needed to explore and describe disaster nursing competency.
Objective: The aim of this study sets factors from previous research known to impact transfer effects as the independent variables, and examines their relationship with the dependent variables, near transfer effects and far transfer effects. Background: Transfer of Training refers to the application of what learners acquire knowledge and skills in training programs to their job. The ultimate goal of training is to apply what employees learn in training sessions to their workplace. In this sense, transfer of training has been a vital concern for training effectiveness. For training to be effective, trainees(learners) should be able to use what they learn in training program back on the job. Method: For this research purpose, this study conducted a survey on 170 nuclear operators in nuclear education and training center. Of these, survey result from the 167 recruits were sampled. Theoretical model of this study is based on Holton & Baldwin's(2003) distance model of transfer effects. This study sets transfer effects(near transfer, far transfer) as the main dependent variables. Meanwhile, the independent variables are trainee characteristics, training characteristics, organizational transfer climate. Each independent variable has subordinate variables. Subordinate variables of trainee characteristics are self-efficacy, motivation to learn, motivation to transfer and ability to transfer. Subordinate variables of training characteristics are training contents, ability of trainers, training design, training climate. The last Subordinate variables of organizational transfer climate are support of supervisors, support of peer, support of organization. Conclusion: As a analysis result, trainee characteristics appeared to be in effect only significant influence near far transfer of training, the effect of the far transfer of training, there is no significant. In addition, the training characteristics appeared to be having a significant influence on near and far transfer effects. Organizational transfer climate appeared to be having a significant influence on near and far transfer effects. Finally, near transfer effect appeared to be having a significant influence on far transfer effects. Application: Results of this analysis in the study to training organization and training characteristics of the transition environment effects on nuclear power institutions and operators training organization having a significant impact that says. The transfer of knowledge and technology, as well as that can be applied to a new situation in terms of education and training are important characteristics.
The purpose of this study is to offer data base for establishment of dental training x-ray generator based safety usage through surveying real radiation safety management state of radiation worker's in plan of operations that have dental training x-ray generators and use it. For it, comprehensive references were surveyed referring reports of current state of regulation technique development and domestic radiation safety evaluation and nuclear related legislation regarding radiation safety management of dental training x-ray generators. On the basis of it, questionnaires were filled in about respondent's general characteristic radiation safety manager's status current state of radiation safety management and the level of knowledge & consciousness. For the study, the survey was conducted to 224 people of radiation safety managers and university graduates training assistants and full-time professors who can treat dental training x-ray generators in education center. through this survey 95 questionnaires were used as analysis materials except the insufficient and omitted responses. As a method of analysis, the frequency and percentage were figured out with the general characteristics and safety manager's status. Chi-square test for frequency and correlation per question analysis and Pearson correlation analysis for crosslevel correlation were done with current state of radiation safety management and knowledge & consciousness level. As a result, running dental training x-ray generators was dealt with by 20's to 40's who have high education level over post undergraduate degree and major in dental hygienic. In addition, female have higher consciousness level for radiation safety management than male. It shows significal linear relation statistically(${\chi}^2$ >5, 0.1${\chi}^2$ >5, 0.3${\chi}^2$ >5, 0.3
Several recent advances in our knowledge of thyroid physiology have broad application to the diagnosis and management of thyroid disorders. For in the thyroid, more than other endocrine organs, pathophysiology can be translated directly into the diagnosis and management of thyroid disease. Graves' disease is a syndrome including goiter with hyperthyroidism, exophthalmos and dermopathy. The pathogenesis of Graves' disease is not yet clearly identified, but various autoantibodies to the thyroid gland and immunopathologic studies indicate that autoimmune processes are involved in the pathogenesis of the disease. The diagnosis and management of Graves' disease are largely dependent on radionuclide techniques as radioimmunoassay, radioactive iodine therapy and so on. Several laboratory tests are also developed to determine the remission of this disase including TRH stimulation test, $T_3$ suppression test and detection of thyroid stimulating immunoglobulins. Autoimmune thyroiditis is almost certainly a primary immunologic disease and the incidence tends to increase recently, mainly due to the application of biopsy technique in thyroid diseases. Thyroid nodules have been a great challenge to physicians because of the possibility of malignancy. But recently, cytologic examination of thyroid aspirate provides a very simple and also reliable diagnostic method in patients with thyroid nodules. In 163 patients with thyroid nodules, only 19.3% was revealed to be malignant. Therefore cytologic examination of thyroid aspirate and thyroid biopsy should be included in the diagnosis of nodular patients prior to surgical intervention. In this paper, a comprehensive review is presented on the pathogenesis, clinical features, laboratory findings and therapeutic modalities of various thyroid diseases on the basis of over 80 researches performed during the past 20 years at radioisotope clinic, Seoul National University Hospital.
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