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전신질환자 구강외과 소수술시의 주의사항 -골다공증약 복용환자 수술 포함- (Guidelines for Dental clinicians in case of medically compromised Patients: Case reports of medically compromised patients taking oral Bisphosphonate)

  • 김선종;김명래
    • 대한치과의사협회지
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    • 제48권7호
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    • pp.538-546
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    • 2010
  • Dental surgical procedures are potentially stress-inducing to not only patients but clinicians especially in case of medically compromised patients. The body response to dental stress involves the cardiovascular, respiratory and the endocrine system. To minimize the stress to the medically compromised patients, the stress reduction protocols should be established. The protocols include (1) Recognize the patient's degree of medical risk (2) Medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Intra-venous sedation during surgical procedures (6) Adequate pain control during therapy (7) Short length of appointment time (8) Contact the patients on the same day. Two cases of Bisphosphonate-related osteonecrosis of the jaws were analyzed. There were 2 women, and the mean age was 70 years (range, 64~74 years). both are medically compromised, with steroids. Both patients were taking an oral bisphosphonate for several years. BRONJ is defined as an area of exposed bone of more than 8 weeks - duration in a patient taking a bisphosphonate for bone disease. Bisphosphonates have been widely prescribed over the last decade for a range of bone diseases, mainly intravenously for bone cancers and orally for osteoporosis. Although it is still controversial as to precisely how the bisphosphonates work, generally it is accepted that they prevent osteoclast action, with consequent cessation of osteoblast activity, so that the bone turnover is markedly reduced or ceased. The aim of this study is to informed the clinicians how to prepare and recognize in case of the BRONJ with medically compromised patients.

NIOSH의 건강유해도 평가 프로그램 (The Health Hazard Evaluation Program by NIOSH)

  • 정지연
    • 한국산업보건학회지
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    • 제10권1호
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    • pp.147-159
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    • 2000
  • The NIOSH health hazard evaluation program (HHE program) was created in response to the mandate to determine the toxic effect and potential health hazard of workplace exposure, which is found in Occupational Safety and Health Act of 1970 and the Federal Mine Safety and Health Act of 1977, A primary benefit of HHE program is its ability to provide current health hazard data to employers and employees, which assists them in identifying solutions to occupational health and safety problems in their workplaces, The HHE program also stimulates research in the development and review of sampling methods and diagnostic tests and may prompt additional exposure assesment efforts and toxicological and epidemiological studies. HHE projects also provide human exposure-toxicity data that are used to asses the validity of existing occupational health standards and to support criteria for new standards of recommendation, The HHE request is classified into four categories: 1) category 1: As a administratively invalid, 2) category 2: These are valid requests for which a site visit is not essential to an appropriate response, 3) Category 3 : These are valid requests for which a site visit is necessary for an adequate evaluation, 4) These are valid request which present a complex problem or an opportunity for research, To carry out HHE program one or methods of investigation might be used: 1) direct observation and evaluation of production processes and employee work practices 2) employees exposure level and air contamination level 3) medical test or physical examinations of employees 4) private, confidential interviews with employees 5) review of employer's record of injuries and illness, employee exposure data, medical tests and job histories. After investigation and analysing the data, NIOSH issues a final report, giving finding and recommendation.

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Operation load estimation of chain-like structures using fiber optic strain sensors

  • Derkevorkian, Armen;Pena, Francisco;Masri, Sami F.;Richards, W. Lance
    • Smart Structures and Systems
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    • 제20권3호
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    • pp.385-396
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    • 2017
  • The recent advancements in sensing technologies allow us to record measurements from target structures at multiple locations and with relatively high spatial resolution. Such measurements can be used to develop data-driven methodologies for condition assessment, control, and health monitoring of target structures. One of the state-of-the-art technologies, Fiber Optic Strain Sensors (FOSS), is developed at NASA Armstrong Flight Research Center, and is based on Fiber Bragg Grating (FBG) sensors. These strain sensors are accurate, lightweight, and can provide almost continuous strain-field measurements along the length of the fiber. The strain measurements can then be used for real-time shape-sensing and operational load-estimation of complex structural systems. While several works have demonstrated the successful implementation of FOSS on large-scale real-life aerospace structures (i.e., airplane wings), there is paucity of studies in the literature that have investigated the potential of extending the application of FOSS into civil structures (e.g., tall buildings, bridges, etc.). This work assesses the feasibility of using FOSS to predict operational loads (e.g., wind loads) on chain-like structures. A thorough investigation is performed using analytical, computational, and experimental models of a 4-story steel building test specimen, developed at the University of Southern California. This study provides guidelines on the implementation of the FOSS technology on building-like structures, addresses the associated technical challenges, and suggests potential modifications to a load-estimation algorithm, to achieve a robust methodology for predicting operational loads using strain-field measurements.

한국과 뉴질랜드 어선 해기사 면허제도 비교 분석 (Comparison and analysis of Marine Officer License System for Fishing Vessels between Republic of Korea and New Zealand)

  • 류경진;김욱성;이유원;박태건;김성기;김석재;강일권;김형석
    • 수산해양교육연구
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    • 제27권5호
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    • pp.1265-1272
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    • 2015
  • This study aims at comparison and analyzing of marine officer license system for fishing vessels between South Korea and New Zealand. It is urgently required to establish Republic of Korea-New Zealand mutual certification system for marine officers who are on board ships within applicable area given that New Zealand will force foreign fishing vessels within New Zealand area to reflag from 2016 in accordance with the amendment of Fisheries Act. Secondly, to compare and analyze systems between two countries will contribute to the preparatory work related to ratification STCW-F convention as New Zealand already have completed law amendment to adapt the convention. Maritime law of New Zealand, Seafarers Act and Ship Personnel Act of Republic of Korea were compared and analyzed as references. The result showed that an improvement to corresponding level to the international convention and development of safety training by vessel type, and job descriptions according to the license class are needed to Republic of Korea system. Furthermore, it is suggested to prepare specialized training for deckhands as required in STCW-F convention and standard fishing vessel officer training record for designated institute of education. Therefore institutional complementarity and framework is required as it is expected that the nations of fishing in piscary demand to reflag Korean deep-sea fishing vessels or to ratify the STCW-F convention.

국내.외 지속가능경영보고서의 산업안전보건 분야의 GRI guideline을 이용한 평가 및 산업안전보건법을 이용한 지표 개발에 관한 연구 (A Study on the Indicator Development using Industrial Safety Sanitation Field GRI Guideline and Industrial Safety Sanitation Act from Domestic and Overseas Sustainable Management Reports)

  • 조기홍;임화영;최순영
    • 대한안전경영과학회지
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    • 제11권4호
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    • pp.1-6
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    • 2009
  • This study was evaluated the indicators of GRI guideline LA6-LA9 for industrial safety sanitation field on 22 domestic sustainable management reports and 46 overseas reports published by companies in 2007 and 2008, was developed new indicators with emphasis on industrial safety sanitation act, and was assessed whether they are released. As a result, LA6(Percent of total workforce represented in formal joint management-work health and safety committees that help monitor and advise on occupational health and safety programs) was evaluated highest in release ratio on whether to release the reports by each indicator of industrial safety sanitation field using domestic sustainable management report GRI guideline, and in the case of overseas companies, it was evaluated that there is no companies that release all from LA6 through LA9 among GRI guideline, but it was grasped that the ratio of partial release is high. As for the release of indicators was developed with the use of industrial safety sanitation act of 22 domestic companies, the release of indicator No. 1(report and industrial disaster record) and 10(health diagnosis) of industrial safety sanitation act was high. This study is meaningful in that it analyzed the industrial safety sanitation field of sustainable management report(CSR) that has not been attempted so far with the use of new indicators developed with emphasis on GRI guideline and industrial safety sanitation act.

당뇨병 환자의 치료지시 이행군과 비이행군의 혈당과 만성 합병증 발생비교 (A Study on the Glucose Level Control and Chronic Complication Rate in Diabetic Compliance Groups with Health Care Regimen)

  • 송민선;유양숙;김희승
    • 한국보건간호학회지
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    • 제15권2호
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    • pp.334-341
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    • 2001
  • The purpose of this study is to examine to control of glucose level and the occurrence of chronic complications of diabetes by compliance groups with health care regimen The subjects were consisted of 300 out patients with type 2 diabetes mellitus from beginning of March through the end of April in 2001, who visited at the endocrinology department at Kangnam St. Mary's Hospital of Catholic University in Seoul. The patient's compliance level with health care regimen was assessed at questionnaire. However, the blood glucose level and the occurrence of chronic complications of diabetes were assessed at medical record review. The data were analyzed by SAS program for chi square test and t-test. The results were as follows. 1. Significant differences were found among the factors such as duration of diabetes, the number of participation of diabetes educational program, job, smoking, self monitoring of blood glucose and the methods of diabetes therapy between high and low compliance groups. High compliance group patients had a diabetes longer than low compliance group patients. High compliance group patients more frequently attended the educational program and checked themselves monitoring blood glucose than low compliance group patients. Also, they did not work recently, smoked less and got more insulin injection therapy compared to low compliance group patients. 2. No significant differences were found among the result of fasting blood glucose. 2-hour postprandial blood glucose, and $HbA_{l}c}$ between high and low compliance groups. 3. The occurrence rate of macrovascular complications of chronic complications of diabetes were lower, however, the occurrence rate of microvascular complications were higher in high compliance group than in low compliance group with health care regimen.

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조선전기 대규표의 구조에 대한 연구 (THE STUDY ON THE STRUCTURE OF DAEGYUPYO IN THE EARLY JOSEON DYNASTY)

  • 민병희;이기원;김상혁;안영숙;이용삼
    • 천문학논총
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    • 제27권2호
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    • pp.29-37
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    • 2012
  • In this paper, we study the structure of the Daegyupyo (大圭表, Large Gnomon) of the early Joseon dynasty. A Gyupyo (圭表, Gnomon that is Guibiao as pronounced in Chinese) is composed of a Pyo (表, Biao as pronounced in Chinese) making a shadow and a Gyu (圭, Gui as pronounced in Chinese) measuring its length. It is known that the Daegyupyo with the 40-feet height was constructed between the sixteenth to seventeenth year of the King Sejong reign (1444 - 1445) on the basis of the record of Yuanshi (元史, the History of the Yuan Dynasty). By analyzing historical documents such as Joseonwangjosillok (朝鮮王朝實錄, the Annals of the Joseon Dynasty), Yuanshi, and Jegaryeoksangjip (諸家曆象集, a work written by Sunji Lee), we found a possibility that the Ji (池, a pond) on the Gyu was located in the north side of the Pyo. This structure is different from that in previous studies, but is in a good agreement with that of the 40-feet Guibiao remaining in Dengfeng (登封) of China. Regarding to the Hoengyang (橫梁, cross-bar), we suggest that it was set up by double 5-feet supporting arms apart from the north tip of the Pyo in the radial direction. The 3:4:5 ratio in a rectangular triangle was used to place the Heongyang on the top of the Pyo at a distance of 4-feet (3-feet) in the vertical (horizontal) direction. We also discuss the structural problem when the Hoengyang is positioned apart from the top of the Pyo by supporting arms. In conclusion, we think that this study should be useful in restoring the Daegyupyo of the Joseon dynasty.

패션과 예술의 간계에 대한 이론적 고찰 -화가와 패션, 패션디자이너와 예술의 관계를 중심으로- (Theoretical Inquiry into the Relationship between Fashion and Art -Focusing on the Relationship between the Artist and Fashion, and between the Fashion Designer and Art-)

  • 신주영
    • 복식
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    • 제58권8호
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    • pp.1-12
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    • 2008
  • This study begins by establishing the theory that paintings serve as a visual documentation of a particular era and record the ideal fashions and customs about dress behavior through the costumes represented in them and examines the close relationship between fashion and art, focusing on the influence of art on fashion, as well as that of fashion on art, for both painters and fashion designers. To attain the goal of the study, the selected objects of study are written references and dresses represented in paintings produced in the 19th century. Painters who were the subject of documentation created or popularized new fashion styles before the concept of 'fashion designer' was introduced in history. In order to capture and represent the ideal beauty of certain period, painters understood the important role of fashion. Their work not only included the designing of costumes or accessories for the sitters, but also the spreading of new fashion styles by showing the sitters wearing them. Study of the mutual relationship between fashion and art grew more vigorous among many intellectuals in a variety of fields beginning in the 19th century. The standing of fashion was elevated and the concept of the 'fashion designer' was introduced and the interest in the themes of a specific style or the background of a trend increased during this time period. Many contemporary fashion designers created dresses inspired by the costumes represented in paintings. The result of this study which focuses on the relationships between fashion, artist, fashion designer and art is that connection between fashion and art is closely and firmly formed. For several hundred years, painters were the creators as well as promulgators of fashion and fashion designers, from the 19th century until today, have obtained their creative inspiration from art.

MultiHammer: A Virtual Auction System based on Information Agents

  • Yamada, Ryota;Hattori, Hiromitsy;Ito, Takayuki;Ozono, Tadachika;Chintani, Toramastsu
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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    • pp.73-77
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    • 2001
  • In this paper, we propose a virtual action system based on information agents, We call the system the MultiHammer, MultiHammer can be used for studying and analyzing online actions. MuiltiHammer provides functions of implement-ing a meta online action site and an experiment environ-ment. We have been using MultiHammer as an experiment as an experiment environment for BiddinBot. BiddingBot aims at assisting users to bid simultaneously in multiple online auctions. In order to bid simultaneously in multiple online auctions. In order to analyze the behavior of BiddngBot, we need to pur-chase a lot of items. It is hard for us to prepare a lot of fund to show usability and advantage of BiddingBot. MultiHam-mer enables us to effectively analyze the behavior of BiddingBot. MultiHammer consists of three types of agents for information collecting data storing and auctioning. Agents for information wrappers. To make agent work as wrarp-pers, we heed to realize software modules for each online action site. Implementing these modules reguires a lot of time and patience. To address this problem, we designed a support mechanism for developing the modules. Agents for data storing record the data gathered by agents for informa-tion collecting. Agents for auctioning provide online services using data recorded by agents for data storing. By recording the activities in auction sites. MultiHammer can recreate any situation and trace auction for experimentation, Users can participate in virtual using the same information in real online auctions. Users also participate in real auc-tions via wrapper agents for information collecting

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XML기반의 EDI 문서교환을 위한 미들웨어 설계 및 구현 (Design and Implementation of Middleware supporting translation of EDI using XML)

  • 최광미;박수영;정채영
    • 정보처리학회논문지B
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    • 제9B권6호
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    • pp.845-852
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    • 2002
  • EDI를 이용한 전자문서 처리는 별도의 전용 소프트웨어와 부가가치망을 이용해 문서를 교환하게 되는데, 전용 소프트웨어의 사용은 새로운 문서에 대한 변경이 필요하며, 부가가치망의 사용은 문서교환과 유지보수에 많은 비용이 소요된다. 이러한 문제점 때문에 VAN 기반의 기존 EDI가 웹기반의 EDI로 옮겨지고 있다. 본 논문에서는 JDBC 브리지를 이용하여 두개의 관계형 데이터베이스에 존재하는 EDI 메시지를 XML로 변환하는 기법을 제안한다. 변환된 XML 파일을 사용하여 스키마를 그대고 복구하는 동시에 정의된 테이블에 원래 레코드를 그대로 삽입하는 방범을 제시하였다. 이는 동일한 데이터베이스 관리시스템을 사용해야 한다는 전제조건을 필요로 했던 기존방식을 탈피했으며, 전자문서 교환시 환경에 따라 정상적으로 동작하지 않았던 경우의 문제점을 극복했다.