Background: Laryngeal malignancy is a common malignancy of the head and neck region. Affected patients usually present with features that are characteristic of certain subsites. The larynx is oncologically divided into three: supraglottis, glottis and subglottis. Studies from Western countries have shown that the glottis is the commonest subsite to harbour laryngeal malignancy. However, the supraglottis has been reported to be the commonest subsite in developing countries, including examples in the Indian subcontinent. To our knowledge, no study has been carried out in western Nepal about the epidemiology of laryngeal cancer to date. The purpose of this study was to analyse the epidemiology of laryngeal cancer in relation to its risk factors, age distribution,and preferred subsites and to see if there is any recent change in the subsite wise distribution of laryngeal malignancy in western Nepal. Materials and Methods: Patients of all ages and both sexes with suspected laryngeal malignancy were enrolled in the initial study. Detailed history taking and clinical examination was performed to find out the involved subsite in relation to the clinical features. Direct laryngoscopy was performed to further confirm the subsite and to take biopsy from the growth under general anesthesia. After confirmation of malignancy from the biopsy report, patients were finally included in the study. Data were analysed and observations were made to find out the distribution of laryngeal malignancy in different subsites. Results: The supraglottic larynx was the commonest subsite to harbor laryngeal malignancy. Smoking and alcohol were found to be the common risk factors. The mean age of the patients was in their sixties. Conclusions: Laryngeal malignancy is common in elderly individuals. Supraglottic laryngeal malignancy is the commonest laryngeal malignancy in people who smoke and drink alcohol in Nepal. Avoidance of alcohol use and smoking will be a milestone to reduce the incidence of laryngeal cancers and associated mortality.
Crib wall is one of the segmental grid retaining walls using headers and stretchers to establish the framework of the wall. In this method, grids formed by the intersection of headers and stretchers are generally filled with the gravel to maintain the weight of the wall. Therefore, the construction can be carried out with higher speed and much economically when compared with the concrete retaining wall. Furthermore, it has high drain capacity, and environmentally friendly aspects also have been pointed out because the possibility of the planting at the front of the wall. However, in the crib wall method, the relative movement between the individual headers and stretchers was generally recognized, and stress redistribution in the gravel filling was also observed when subjected to the external loading and self-weight of filling. Therefore, it has been thought that the distribution of the earth pressure in the crib wall system differ from that of the concrete retaining wall. In this study, the surcharge tests using the scaled model crib wall was carried out to observe the distribution of the earth pressure in the segmental grid retaining wall. The earth pressure was measured in the six specified height of wall, and the distribution of the pressure was analyzed. Furthermore, the earth pressure by computation or by the test using the concrete retaining wall was also considered to make comparison.
Journal of The Korea Institute of Healthcare Architecture
/
v.11
no.3
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pp.19-30
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2005
As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
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v.10
no.6
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pp.253-260
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2015
In this study, using the FDS as the fire simulation and evacuation simulations of the Pathfinder, set the main control room of the building to the fire point fire safety assessment studies were carried out. At first the quantitative result such as distribution of visibility as time passing, distribution of temperature, distribution of CO density produced results using fire-simulation and evacuation-simulation was carried out based on the result that produced the final safety evaluation result as being calculated of evacuation time. As the risk increased with the distribution of visibility at the result of fire-simulation, evacuation-simulation was carried out using the result. Finally the result was made 127.9 sec that everyone could evacuate. The numerical results are analyzed in case of the places in the building required safe egress time for safety a as the analysis to be no more than available safe egress time was analyzed to be secured. The results of this safety evaluation represent that more smooth evacuation safety performance can be secured by linking the event of fire firefighting equipment as a result of simulating the worst conditions.
Purpose: The current study aims and reviews the current state of research in green awareness' distribution structure using the ecological theory of Ted Hughes who was regarded as one of the best English poets of the 20 century. Ted poetry has innovated ecological distribution. It has inspired so many young people to have a positive energy impact on the environment. Research design, data and methodology: Action research design is an approach used extensively in qualitative content analysis. This design starts by adopting an exploratory claim that develops the research objectives, hence instigating the action process, which involves several strategies. This type of design involves a cyclic process of stance then action. Results: According to the investigation, there are nine solutions that can deal with the green distribution based on previous literature review, applying an ecological approach of Ted Hughes to green awareness distribution. The solutions figured out that Ted's novels had an innovative impact on the environment as it is clear that information is given to society. Conclusions: It is observed that having a highly professional environment is good enough for a structure to go green. But, on the other hand, polluting our environment can endanger species by causing health diseases and environmental problems.
Purpose: This article explores the experiences of Research Universities (RU) on distribution-support technologies in commercialisation with a specific focus in the Malaysian context. Research design, data and methodology: A qualitative research was carried out, in which six RU were interviewed. A structured interview was conducted. To analyse and interpret the data was using an approach adopted in qualitative thematic strategy. The findings were transcribed using Atlas.ti software to analyse related themes through a thematic analysis approach to link theories. Results: The findings provide useful insights into the significant roles of distribution-support technologies on the commercialisation strategy and impacts on the ecosystem of innovation and commercialisation in providing the importance of Distribution-support Technologies to strengthen the role of university-industry-community relation to drive the economy towards a high-income nation. Conclusions: This study will contribute theory through commercialisation literature by adding new knowledge concerning the link between universities and distribution-support technologies in commercialisation. Therefore, the practical contributions are significant for universities; industries; research institutes; government and societies to develop and plan strategically for effective, strategic and sustainable distribution-support technologies in innovation and commercialisation ecosystem.
This paper analyzes the impact of Plug-in Electric vehicles(PEVs) on power demand and voltage change when PEVs are connected to the domestic distribution system. Specifically, it assesses PEVs charging load by charging method in accordance with PEVs penetration scenarios, its percentage of total load, and voltage range under load conditions. Concretely, we develop EMTDC modelling to perform a voltage distribution analysis when the PEVs charging system by their charging scenario was connected to the distribution system under the load condition. Furthermore we present evaluation algorithm to determine whether it is possible to adjust it such that it is in the allowed range by applying ULTC when the voltage change rate by PEVs charging scenario exceed its allowed range. Also, detailed analysis of the impact of PEVs on power distribution system was carried out by calculating existing electric power load and additional PEVs charge load by each scenario on new-town in Korea to estimate total load increases, and also by interpreting the subsequent voltage range for system circuits and demonstrating conditions for countermeasures. It was concluded that total loads including PEVs charging load on new-town distribution system in Korea by PEVs penetration scenario increase significantly, and the voltage range when considering ULTC, is allowable in terms of voltage tolerance range up to a PEVs penetration of 20% by scenario. Finally, we propose the charging capacity of PEVs that can delay the reinforcement of power distribution system while satisfying the permitted voltage change rate conditions when PEVs charging load is connected to the power distribution system by their charging penetration scenario.
The distance distribution in our planetary system has been a controversial matter. Two kinds of important issues on Titius-Bode's relation have been discussed up to now: one is if there is a simple mathematical relation between distances of natural bodies orbiting a central body, and the other is if there is any physical basis for such a relation. We have examined, by applying it to exo-planetary systems, whether Titius-Bode's relation is exclusively applicable to our solar system. We study, with the $X^2$ test, the distribution of period ratios of two planets in multiple planet systems by comparing it with that derived from not only Titius-Bode's relation but also other forms of it. The $X^2$ value between the distribution of the orbital period derived from Titius-Bode's relation and that observed in our Solar system is 12.28 (dof=18) with high probability, i.e., 83.3 %. The value of $X^2$ and probability resulted from Titius-Bode's relation and observed exo-planetary systems are 21.38 (dof=26) and 72.2 %, respectively. Modified forms we adopted seem also to agree with the planetary system as favorably as Titius-Bode's relation does. As a result, one cannot rule out the possibility that the distribution of the ratio of orbiting periods in multiple planet systems is consistent with that derived from Titius-Bode's relation. Having speculated Titius-Bode's relation could be valid in exo-planetary systems, we tentatively conclude it is unlikely that Titius-Bode's relation explains the distance distribution in our planetary system due to chance. Finally, we point out implications of our finding.
This research was undertaken to find out how effectively ERP has been employed by the enterprises through comparing and analyzing the management performance of each enterprise after introducing ERP to Retail and Distribution Industry using DEA technique. According to the research results, efficiency evaluation for each site was calculated through input and output factors to find out comparative ERP system usage efficiency of 10 Retail and Distribution Industry Companies in terms of such factors as employee, quick assets, inventories, sales revenue, operating income. This paper confirms that the companies having launched management innovation by aggressively adopting ERP saw their management efficiency improving consistently, and in the distribution industry, it took at least 3 years before the effect of ERP introduction on enhancing management efficiency became visible. Furthermore, this paper also reveals that, unlike the manufacturing industry which was the subject of the previous study, efficiency was not necessarily proportional to the size of company in the service industry including distribution and export which was the subject of this paper.
Purpose: This study examines the effect of distribution knowledge sharing on innovation ability using work ethic as a variable that strengthens this effect. Research design, data and methodology: This research was conducted on 283 auditors who work at the Small Public Accounting Firm (SPAF) in Indonesia. The research method used is a verification method with a quantitative approach. The sampling technique used is a non-probability sampling technique with a purposive sampling type. Furthermore, the data analysis technique used is PLS-SEM. Results: The results of the tests that have been carried out show that distribution knowledge sharing has a significant effect on the auditor's innovation ability. Other test results show that work ethic has a significant effect on innovation ability and work ethic strengthens the effect of distribution knowledge sharing on auditors' innovation ability. Conclusions: Auditors in Indonesia have implemented distribution knowledge sharing activities optimally followed by a maximum work ethic to encourage high innovation abilities that will be able to create new methods and ideas that can be useful for clients. This research is expected to provide distribution knowledge to auditors to be able to improve their abilities, especially in the field of auditing to increase their competence as auditors.
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