• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5869-5873
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• 2015

Background: Breast and cervical cancers are among the most frequent and most fatal cancers in women. Life span of patients may be increased and quality of life improved through early diagnosis and treatment. This investigation was performed in order to determine knowledge and practices of female health personnel working at a university hospital regarding breast and cervical cancers. Materials and Methods: This descriptive investigation was performed in Erciyes University Hospitals in 2014. A total of 524 female health personnel were included in the study. Data were collected through a questionnaire of 36 questions prepared by the researchers. The Chi square test and logistic regression were used for statistical analyses. Results: The mean age of the study group was $32.8{\pm}6.9$ years, 18.3% being doctors and 81.7% nurses. Of the study group, 60.5% stated that they performed self breast-examination, 4.4% underwent HPV testing, 26.3% thought about taking an HPV test, 34.7% of those who are 40 years and over had mammography regularly and 19.5% of those who were married had a Pap smear conducted regularly. Most important causes of not performing the methods for early diagnosis of breast and cervical cancers are "forget and neglect". Conclusions: It was concluded that female doctors and nurses do not pay sufficient attention to screening programs for breast and cervical cancers. The importance of early diagnosis and treatment should be emphasized during the undergraduate education and in-service training programs. Health condition of personnel and their utilization of preventive health care should be followed by occupational physicians.

• Journal of Preventive Medicine and Public Health
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• 제55권4호
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• pp.379-388
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• 2022

Objectives: Throughout history, societies have been impacted by inequality. Many studies have been conducted on the topic more broadly, but only a few have investigated inequalities in out-of-pocket health payments (OHP). This study measures OHP inequality trends among the Iranian households. Methods: This study used data from the Iranian Statistics Center on Iranian household income and expenditures. The analysis included a total of 995 300 households during the 36 years from 1984 to 2019. The Gini coefficient, Atkinson index, and Theil index were calculated for Iranian OHP. Results: Average Iranian household OHP increased from 33 US dollar (USD) in 1984 to 47 USD in 2019. During this 36-year span, the average±standard deviation Gini coefficient for OHP was 0.73±0.04, and the Atkinson and Theil indexes were 0.68±0.05 and 1.14±0.29, respectively. The Gini coefficients for the subcategories of OHP of outpatient diagnostic services, medical assistant accessories, hospital inpatient services, and addiction cessation were 0.70, 0.61, 0.84, and 0.64, respectively. Conclusions: In this study, we scrutinized trends of inequality in the OHP of Iranian households. Inequality in OHP decreased slightly over the past four decades. An analysis of trends among different subgroups revealed that affluent households, such as households with insurance coverage and households in higher income deciles, experienced higher inequality. Therefore, lower inequality in health care expenditures may be related to restricted access to health care services in Iran.

• 예술인문사회 융합 멀티미디어 논문지
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• 제8권7호
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• pp.475-484
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• 2018

전기철도차량의 추진제어장치는 자동차의 엔진에 해당되는 핵심 주요부품이며 이를 제어하는 장치는 GDU(Gate Drive Unit)라는 장치를 이용한다. 또한, 추진제어장치의 고장 빈도를 파악해보면 GDU에 대한 부적합 비율이 가장 높았다. GDU는 외국산 도입으로 인하여 핵심기술의 접근이 불가하였고, 제작사의 GDU 단종으로 전반적인 유지보수 활동에 전반적인 문제점이 있었다. GDU는 최장 23년부터 최근 14년의 장기간 사용으로 수명이 도래하였다. 본 연구는 이러한 문제점을 해결하고자 호환이 가능한 GDU의 확보와 고장을 분석하여 적정수명을 파악하기 위한 것으로, 기존의 상태검사 위주의 유지보수 방법 개선을 위해 설계를 변경하여 추진제어장치의 GDU를 커패시터 교환 형으로 개발하였다. 전체수명에 비해 비교적 수명이 짧은 구성부품의 유지보수는 필수이며, 대부분의 건설초기의 최초 외산도입 부품은 기술종속 및 장기운영의 결과로 관련 부품의 단종이 발생하면 고장발생 시 수급불가 등으로 기본적인 교환에 대한 유지보수에 문제점이 발생되고 있으나, 25년 이상으로 전체수명이 긴 철도차량의 특성상 앞으로도 상당기간 운영이 필요하여 개조 혹은 대체품 개발로 부품확보 및 일정수준의 품질을 유지할 필요가 강조되며, 이에 대한 연구는 보다 구체적이고 실증적으로 이루어져야 한다. 커패시터 교환 형 GDU는 커패시터 모듈의 분리를 통해 정전용량을 쉽게 측정하여 수명을 판단하고, 단품 시험과 커패시터의 수명을 측정하여 정확한 예방유지보수를 할 수 있어서 운행 중 열차의 부적합을 미리 예방할 수 있으며, 24개월 이상의 영업 운전을 통하여 한건의 부적합 없이 영업운행에 성공하여 기존품의 대체 가능여부를 검증하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9731-9737
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• 2014

Large scale secular registry or surveillance systems have been accumulating vast data that allow mathematical modeling of cancer incidence and mortality rates. Most contemporary models in this regard use time series and APC (age-period-cohort) methods and focus primarily on predicting or analyzing cancer epidemiology with little attention being paid to implications for designing cancer registry, surveillance or evaluation initiatives. This research models age-specific cancer incidence rates using logistic growth equations and explores their performance under different scenarios of data completeness in the hope of deriving clues for reshaping relevant data collection. The study used China Cancer Registry Report 2012 as the data source. It employed 3-parameter logistic growth equations and modeled the age-specific incidence rates of all and the top 10 cancers presented in the registry report. The study performed 3 types of modeling, namely full age-span by fitting, multiple 5-year-segment fitting and single-segment fitting. Measurement of model performance adopted adjusted goodness of fit that combines sum of squred residuals and relative errors. Both model simulation and performance evalation utilized self-developed algorithms programed using C# languade and MS Visual Studio 2008. For models built upon full age-span data, predicted age-specific cancer incidence rates fitted very well with observed values for most (except cervical and breast) cancers with estimated goodness of fit (Rs) being over 0.96. When a given cancer is concerned, the R valuae of the logistic growth model derived using observed data from urban residents was greater than or at least equal to that of the same model built on data from rural people. For models based on multiple-5-year-segment data, the Rs remained fairly high (over 0.89) until 3-fourths of the data segments were excluded. For models using a fixed length single-segment of observed data, the older the age covered by the corresponding data segment, the higher the resulting Rs. Logistic growth models describe age-specific incidence rates perfectly for most cancers and may be used to inform data collection for purposes of monitoring and analyzing cancer epidemic. Helped by appropriate logistic growth equations, the work vomume of contemporary data collection, e.g., cancer registry and surveilance systems, may be reduced substantially.

• Structural Monitoring and Maintenance
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• 제3권1호
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• pp.1-32
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• 2016

This paper describes the backgrounds, motivations and recent history of structural health monitoring (SHM) developments to various types of engineering structures. Extensive applications of SHM technologies in bridges, high-rise buildings, sport avenues, offshore platforms, underground structures, dams, etc. in mainland China are summarily categorized and listed in tables. Sensors used in implementations, their deployment, damage identification strategies if applicable, preliminary monitoring achievements and experience are presented in the lists. Finally, existing problems and promising research efforts in civil SHM are discussed, highlighting challenges and future trends.

• 보건행정학회지
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• 제25권2호
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• pp.118-128
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• 2015

Background: We measured productivity changes of regional public hospitals using both global Malmquist productivity index-based on global production possibility set over all the periods-and the traditional Malmquist productivity index and analyzed the factors of productivity change. Methods: The data used in this study is two annual inputs and two annual outputs of 32 regional public hospitals in Korea from 2005 to 2009 and the results such as distances and Malmquist productivity index and global Malmquist productivity index are obtained by an R program written for this study. Results: The results can be summarized as follows. Firstly, technical efficiencies of regional public hospitals are affected largely by scale efficiency than pure technical efficiency. Second, productivity progressed and technological change has more significant influence on productivity advance over the period between 2005 and 2009. Third, the circularity problem of the traditional Malmquist index is confirmed, and so the global Malmquist index without this problem are valid for the analysis. Conclusion: Though this study also has some limitations with the data of regional public hospitals with a short time span, it is the first study of hospitals using global Malmquist productivity index and later it can be expanded to private hospitals and longer time periods.

• 한국방재학회 논문집
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• 제6권3호
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• pp.17-28
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• 2006

구조물의 건전성 모니터링은 구조물의 안전 및 사용성을 위하여 중요하다. 구조물의 변위는 직접적인 구조물 강성의 평가 지표가 되기 때문에 정확하고 주기적으로 모니터 되어야 한다. 그러나 이러한 변위 모니터를 위한 실용적인 방법이 아직까진 없고, 특히 고층 건물이나 장 스팬 교량과 같이 접근성이 어려운 구조물의 경우는 더욱 그러하다. 이러한 문제점을 해결하기 위하여 레이저 펄스를 이용하여 원격으로 물체 표면을 탐사하고 수많은 좌표를 생성할 수 있는 라이다 시스템을 제안하였다. 본 연구에서는 지상 라이다를 이용하여 구조물의 헬스 모니터링을 위한 새로운 변위계측모델을 개발하였고 검증을 위한 실험이 수행되었다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 추계학술대회
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• pp.166-167
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• 2018

정보통신기술 발전에 따라 일반 사용자들의 생활의 편리성이 많이 향상되고 있다. 또한, 정보통신 기술에 의한 건강 측정과 관리가 인간의 수명을 증가시켜주고 있다. 이에 따라 건강에 대한 관심 증가와 함께 이상 증상에 관한 일반인들의 관심도도 증가되어지고 있다. 이에 본 연구에서는 신체 이상증상에 따른 건강을 관리하기 위하여 다리의 이상증상에 관한 연구를 진행한다. 특히, 하지정맥류 이상증상을 측정하기 위한 장치개발에 관한 내용에 관하여 살펴본다.

• Smart Structures and Systems
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• 제4권6호
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• pp.795-807
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• 2008

A challenging problem in structural damage detection based on vibration data is the requirement of a large number of sensors and the numerical difficulty in obtaining reasonably accurate results when the system is large. To address this issue, the substructure identification approach may be used. Due to practical limitations, the response data are not available at all degrees of freedom of the structure and the external excitations may not be measured (or available). In this paper, an adaptive damage tracking technique, referred to as the sequential nonlinear least-square estimation with unknown inputs and unknown outputs (SNLSE-UI-UO) and the sub-structure approach are used to identify damages at critical locations (hot spots) of the complex structure. In our approach, only a limited number of response data are needed and the external excitations may not be measured, thus significantly reducing the number of sensors required and the corresponding computational efforts. The accuracy of the proposed approach is illustrated using a long-span truss with finite-element formulation and an 8-story nonlinear base-isolated building. Simulation results demonstrate that the proposed approach is capable of tracking the local structural damages without the global information of the entire structure, and it is suitable for local structural health monitoring.

• 한국산업정보학회논문지
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• 제14권5호
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• pp.149-154
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• 2009

사람들의 평균 수명이 늘어남으로써 건강에 대한 관심도가 매우 높아지고 있다. 그에 따라 사람들은 자신의 몸 상태를 체크하며 주기적으로 자신의 건강상태를 확인하기 위해 정기검진을 받는다. 그러나 평소 자신의 맥박이나 혈압의 체크를 통하여 건강관리 및 질병예방이 가능하다. 따라서 본 논문에서는 간편하게 얻을 수 있으면서도 기본적이고 유용한 정보를 많이 가지고 있는 맥박신호를 혈액량에 따라 투과율의 변화를 측정할 수 있는 광센서를 이용한 방법과 압전 센서를 사용하여 손목의 요골동맥의 압력을 측정하여 맥박을 측정할 수 있는 휴대용 맥박측정 시스템을 구현하였으며 두 방법으로 제작된 시스템을 비교연구 하였다.