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A Study on Urinary Incontinence of Elderly Women in a Community (노인여성의 요실금 실태)

  • Park, Ok-Hee;Kwon, In-Soo;Kang, Young-Sil
    • Women's Health Nursing
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    • v.7 no.4
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    • pp.536-546
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    • 2001
  • The purposes of this descriptive study were to identify the prevalence rate of urinary incontinence(UI) and the differences in frequency of incontinent and normal women by general characteristics, obstetrical history, and the conditional events for urinary incontinence of the elderly women in a community. By the results of this study, it is intended to provide nursing practice guidelines for incontinent women. The research design of this study was a preliminary descriptive study. The 173 subjects were 55 years old and over, and resided in a small city area. Data were collected from June 20 to July 20, 2001, by an interview or a self-report with questionaire. The questionaire was composed of items of general characteristics, obstetrical characteristics, and conditions of UI by the modified Henderickon's Stress Incontinence Scale(1981). The results were summariezed as follows: 1. The UI prevalence rate of the sample was 64.2%. Of the incontinent women, 31.5% had experienced UI for a period of three to five years, and 84.7% had never treated or managed their UI. Frequency of UI was once or twice times per month(46.8%). 2. The total mean of UI on the scale in the incontinent women was 25.50 of 85, ranging from 18 to 41. 3. The most frequent condition of UI was coughing, followed by laughing, sneezing, heavy exercise, and preparation of urination in descending order. 4. There were significant differences in age, education, social activity, and urinary difficulty between the incontinent women and the normal women. 5. There were significant differences in frequency of spontaneous abortion, age of menopause between the incontinent women and the normal women. 6. There were no significant differences in number of delivery, frequency of artificial abortion, age of the last delivery, and postal health management between the incontinent women and the normal women. In conclusion, the incidence of UI in this study was high, but there were no effective treatments or management. It is suggested to provide the adult women with knowledge about UI, and to educate preventive behavior and control skill of urinary incontinence. Also episodes of urinary incontinence were high in the situation of sudden increase of abdominal pressure. This data can be used for the prevention strategy of urinary incontinence, In future research it is recommended to identify comprehensive factors related to urinary incontinence including psychosocial factors, and effective strategies of urinary incontinence.

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Surveillance Evaluation of the National Cancer Registry in Sabah, Malaysia

  • Jeffree, Saffree Mohammad;Mihat, Omar;Lukman, Khamisah Awang;Ibrahim, Mohd Yusof;Kamaludin, Fadzilah;Hassan, Mohd Rohaizat;Kaur, Nirmal;Myint, Than
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3123-3129
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    • 2016
  • Background: Cancer is the fourth leading cause of death in Sabah Malaysia with a reported age-standardized incidence rate was 104.9 per 100,000 in 2007. The incidence rate depends on non-mandatory notification in the registry. Under-reporting will provide the false picture of cancer control program effectiveness. The present study was to evaluate the performance of the cancer registry system in terms of representativeness, data quality, simplicity, acceptability and timeliness and provision of recommendations for improvement. Materials and Methods: The evaluation was conducted among key informants in the National Cancer Registry (NCR) and reporting facilities from Feb-May 2012 and was based on US CDC guidelines. Representativeness was assessed by matching cancer case in the Health Information System (HIS) and state pathology records with those in NCR. Data quality was measured through case finding and re-abstracting of medical records by independent auditors. The re-abstracting portion comprised 15 data items. Self-administered questionnaires were used to assess simplicity and acceptability. Timeliness was measured from date of diagnosis to date of notification received and data dissemination. Results: Of 4613 cancer cases reported in HIS, 83.3% were matched with cancer registry. In the state pathology centre, 99.8% was notified to registry. Duplication of notification was 3%. Data completeness calculated for 104 samples was 63.4%. Registrars perceived simplicity in coding diagnosis as moderate. Notification process was moderately acceptable. Median duration of interval 1 was 5.7 months. Conclusions: The performances of registry's attributes are fairly positive in terms of simplicity, case reporting sensitivity, and predictive value positive. It is moderately acceptable, data completeness and inflexible. The usefulness of registry is the area of concern to achieve registry objectives. Timeliness of reporting is within international standard, whereas timeliness to data dissemination was longer up to 4 years. Integration between existing HIS and national registration department will improve data quality.

Robust Design Method for Complex Stochastic Inventory Model

  • Hwang, In-Keuk;Park, Dong-Jin
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1999.04a
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    • pp.426-426
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    • 1999
  • ;There are many sources of uncertainty in a typical production and inventory system. There is uncertainty as to how many items customers will demand during the next day, week, month, or year. There is uncertainty about delivery times of the product. Uncertainty exacts a toll from management in a variety of ways. A spurt in a demand or a delay in production may lead to stockouts, with the potential for lost revenue and customer dissatisfaction. Firms typically hold inventory to provide protection against uncertainty. A cushion of inventory on hand allows management to face unexpected demands or delays in delivery with a reduced chance of incurring a stockout. The proposed strategies are used for the design of a probabilistic inventory system. In the traditional approach to the design of an inventory system, the goal is to find the best setting of various inventory control policy parameters such as the re-order level, review period, order quantity, etc. which would minimize the total inventory cost. The goals of the analysis need to be defined, so that robustness becomes an important design criterion. Moreover, one has to conceptualize and identify appropriate noise variables. There are two main goals for the inventory policy design. One is to minimize the average inventory cost and the stockouts. The other is to the variability for the average inventory cost and the stockouts The total average inventory cost is the sum of three components: the ordering cost, the holding cost, and the shortage costs. The shortage costs include the cost of the lost sales, cost of loss of goodwill, cost of customer dissatisfaction, etc. The noise factors for this design problem are identified to be: the mean demand rate and the mean lead time. Both the demand and the lead time are assumed to be normal random variables. Thus robustness for this inventory system is interpreted as insensitivity of the average inventory cost and the stockout to uncontrollable fluctuations in the mean demand rate and mean lead time. To make this inventory system for robustness, the concept of utility theory will be used. Utility theory is an analytical method for making a decision concerning an action to take, given a set of multiple criteria upon which the decision is to be based. Utility theory is appropriate for design having different scale such as demand rate and lead time since utility theory represents different scale across decision making attributes with zero to one ranks, higher preference modeled with a higher rank. Using utility theory, three design strategies, such as distance strategy, response strategy, and priority-based strategy. for the robust inventory system will be developed.loped.

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The Effects of Gobonyangjeonbang Administration on Antioxidative of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) induced Rats. (고본양정방 투여가 TCDD 유도 랫드의 항산화 변화에 미치는 영향)

  • Yang, Dong Hyun;OH, Ji Hye;Park, Un kyu;Cho, Chung Sik;Hwang, Seock Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.231-239
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    • 2020
  • The purpose of this study was to evaluate the effects of gobonyangjeonbang (GYB) on the endocrine function and the antioxidant efficacy of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)-induced oxidative stress in rats. In 2017, to evaluate the efficacy of GYB on oxidative stress, 35 male SD rats were divided into five groups and tested. The normal control group was administered saline as a vehicle, while the TCDD-alone group was administered TCDD (2 ㎍/kg per week) intraperitoneally and with physiological saline, and the test group was administered GYB orally by dividing it into three concentrations (75, 150, and 300 mg/kg) for six weeks. Bodyweight decreased significantly after six weeks of TCDD exposure, when compared to rats in the NC group (p<0.001). However, weight loss from TCDD was significantly protected by administration of GYB at 300 mg/kg (p<0.01). The rat liver induced by TCDD showed cytoplasmic vacuole degeneration, and the hepatic sinusoid and weight increased. As a result of measuring MDA and SOD, both items tended to decrease under TCDD administration. On the other hand, there was no change due to GYB administration, and significance was observed in the GYB 300 mg/kg group compared to the NC group in the SOD result (p<0.05). These findings demonstrated that GYB may have a protective effect against TCDD-induced liver toxicity in rats.

Improvement of Construction Quality Management through Analyzing Construction Work's Quality Inspection Results (건설공사 품질관리 적정성 확인 점검 결과를 통한 건설 품질관리 개선방안)

  • Jung, Sangki;Park, Jungeun;Cha, Yongwoon;Han, Sangwon;Hyun, Changtaek
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.1
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    • pp.110-118
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    • 2016
  • Construction projects are getting more complex and larger-sized with a high economic growth rate and development of new construction technologies. In addition, interests and demands on standards of construction quality are further increasing. This trend requires more systematic and a higher level of construction quality management. While the government has strengthened the regulations for quality assurance, many quality problems have repeatedly occurred mainly due to lack of recognition for quality management and quality control systems. To address this issue, this paper aims to suggest quality management improvement scheme through analyzing 3,443 nonconforming items identified during inspection of 393 construction sites from March 2012 to October 2014. The quality management improvement scheme suggested in this research is expected to prevent quality problems and defects and thus improve construction performances.

THE EFFECT OF SEVERAL ROOT-END FILLING MATERIALS ON MG63 OSTEOBLAST-LIKE CELLS (수종의 치근단역충전 재료가 MG63 osteoblast-like cells에 미치는 영향)

  • Lee, Jeong-Ho;Shon, Won-Jun;Lee, Woo-Cheol;Baek, Seung-Ho
    • Restorative Dentistry and Endodontics
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    • v.35 no.3
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    • pp.222-228
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    • 2010
  • The purpose of this study was to compare mineral trioxide aggregate (MTA; Dentsply, Tulsa Dental, Tulsa, OK, USA), which is widely used as root-end filling material, with DiaRoot BioAggregate (DB; Innovative BioCaramix Inc, Vancouver, BC, Canada), newly developed product, by using MG63 osteoblast-like cells. MTA, DB, and Intermediate Restorative Material (IRM; Dentsply Caulk, Milford, DE, USA) were used for root-end filling material while tissue culture plastic was used for control group. Each material was mixed and, the mixtures were left to set for 24 hours. MG63 cells were seeded to each group and then they were cultured for attachment for 4 hours. Following the attachment of cells to the root-end filling material, early cellular response was observed. After another 12 hours'culture, the level of attachment between cells and material was observed and in order to identify the effect of each material to bone formation, transforming growth factor beta1 ($TGF{\beta}1$) and osteocalin (OC) were estimated by using enzyme-linked immunosorbent assay (ELISA), and the amount of alkaline phosphatase (ALP) was also measured. The data were analyzed using one-way ANOVA. As a result, only at OC and the number of cells which were attached to materials, there was no statistical difference between MTA and DB. At other items, there was statistically significant difference in all groups. Although DB has not shown exactly the same cellular response like that of MTA, the number of attached cells shows that biocompatibility of the material and OC indicates bone formation rate. Therefore, if DB is used for root end filling material, it is expected to lead to similar results to MTA.

Boosting up the Mount Latency of NAND Flash File System using Byte-addressable NVRAM (바이트 접근성을 가지는 비휘발성 메모리 소자를 이용한 낸드 플래시 파일 시스템의 부팅시간 개선 기법)

  • Jeon, Byeong-Gil;Kim, Eun-Ki;Shin, Hyung-Jong;Han, Seok-Hee;Won, Yoo-Jip
    • Journal of KIISE:Computing Practices and Letters
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    • v.14 no.3
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    • pp.256-260
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    • 2008
  • This paper describes an improvement of mount-time delay in NAND Flash file systems. To improve file system mount performance, this work configures a hierarchical storage system with byte-addressable NVRAM and NAND Flash memory, and let the meta data of a file system allocated in the NVRAM. Since the meta data are stored in NVRAM supporting data integrity some of the items, which are stored in Spare area and Object Header area of NAND Flash memory to control meta data of NAND Flash file system, could be eliminated. And also, this work eliminates the scanning operation of the Object Header area of previous work FRASH1.0. The scanning operation is definitely required to find out the empty Object Header address for storing the Object Header data and provokes a certain amount of performance loss in file generation and deletion. In this work, an implemented file system, so-called FRASH1.5, is demonstrated, featuring new data structures and new algorithms. The mount time of FRASH1.5 becomes twice as fast as that of the FRASH1.0. The performance in file generation gets improved by about $3{\sim}8%$. In particular, for most large-size files, the FRASH1.5 has 8 times faster mount time than YAFFS, without any performance loss as seen in the file generation.

Process Improvement of Land System Engine for Visualization and Increasing Identification of Engine Oil Leakage (엔진오일 누유 가시화 및 식별력 증대를 위한 기동화력장비 엔진 공정개선)

  • Seo, Suk Ho;Kim, Ji Hoon;Oh, Dae San
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.321-327
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    • 2020
  • Engine oil leaks comprise the largest percentage of the major quality problems that have occurred during the engine production process for military land system equipment over the last two years. To minimize this, it is essential to understand the root cause of the engine oil leakage and perceive the more common leakage area, as well as reduce the quality costs of pre-identification for leaks in the engine assembly process and single items. Therefore, in this study, the mass production quality of engines installed and operated in power equipment was improved by visualizing the engine oil leakage injected with the fluorescent dye and increasing the identification of the engine oil leak phenomenon. For this reason, the possibility of substituting the engine oil was considered and the engine oil was injected with the fluorescent dye. The maintenance was improved by reforming the engine oil injection process and leakage inspection process. Finally, these results suggest that the quality costs between mass production processes can be minimized by ensuring the reliability of military engines by reducing the user's complaints and improving the quality control capabilities of engine manufacturers.

Eating habits, physical activity, nutrition knowledge, and self-efficacy by obesity status in upper-grade elementary school students

  • Ha, Seong Ah;Lee, Seo Yeon;Kim, Kyung A;Seo, Jung Sook;Sohn, Cheong Min;Park, Hae Ryun;Kim, Kyung Won
    • Nutrition Research and Practice
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    • v.10 no.6
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    • pp.597-605
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    • 2016
  • BACKGROUND/OBJECTIVES: Childhood obesity has increased in recent decades in Korea. This study was designed to examine differences in the eating habits, physical activity (PA), nutrition knowledge, and self-efficacy of children by obesity status. SUBJECTS/METHODS: Subjects were 5th-grade children from 70 elementary schools in 17 cities nationwide. Two-stage stratified cluster sampling was employed. Survey questionnaire included items related to general characteristics, eating habits, PA, nutrition knowledge and self-efficacy. Excluding incomplete responses, 3,531 data were analyzed using SPSS. Subjects were categorized into overweight obesity (OW) and normal weight (NW) groups based on body mass index percentiles for age by sex. RESULTS: A total of 21.5% of subjects was overweight or obese. There were significant differences in gender, perceived stress, perception of body shape, body satisfaction, and interest in weight control between the OW and NW groups (P < 0.001). With respect to eating habits, the OW group ate breakfast (P < 0.05) and snacks (P < 0.01) less frequently, ate bigger meals (P < 0.001), and demonstrated less desirable behaviors during meals (P < 0.05 in boys) compared to the NW group. The OW group participated in less PA than the NW group, especially boys. OW boys spent less time walking during weekdays (P < 0.05) or the weekend (P < 0.001), spent more time being sedentary during weekdays or the weekend (P < 0.001), and exercised a fewer number of days (P < 0.01). For girls, the OW group spent more time being sedentary during the weekend (P < 0.01) and exercised a fewer number of days by walking or bicycle riding (P < 0.05) than the NW group. Nutrition knowledge was not significantly different between the OW and NW groups. Self-efficacy (P < 0.01 in boys), especially PA self-efficacy (P < 0.01), was significantly lower in the OW than NW group. CONCLUSIONS: This study revealed differences in eating habits, PA, and self-efficacy between OW and NW children. Obesity management programs for children need to focus on increasing self-efficacy, modifying eating habits, and increasing PA.

Analysis of Pollutants Discharge due to the Change of Impervious Land in Urban Area Using Watershed Model (유역모형을 이용한 도시지역의 불투수면 변화에 따른 오염물질 유출 해석)

  • Gong, Seok Ho;Kim, Tae Geun
    • Journal of Environmental Impact Assessment
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    • v.27 no.1
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    • pp.73-82
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    • 2018
  • The purpose of this study is the evaluation of the impact of increase in impervious areas due to urbanization on the pollutant discharge using the HSPF model at Musim watershed. Model calibration and validation were performed based on the observed data 2015 and 2014, all simulation items have been successfully simulated such as flow, BOD, and TP. The land cover map used in the model reflected on the land use status of the Musim watershed in 2015 and the application of the development areas and locations. As a result of simulation, during rainfall daily pollutant load with the increased impervious land increased more than that before the development. However, the pollutant load decreased during the non-rainfall time. Annual pollutant load in rainfall time was significantly higher than that in non-rainfall time, BOD and TP increased. The simulation of non-point source pollutant load was applied under two assumptions, such as the increased area of impervious land and the non-change number of point source load before and after development. As the result of a simulation, the non-point source pollutant load after development was bigger than those before development. It was necessary to take measures to control non-point source pollution at the consideration status of development.