• Title/Summary/Keyword: pre-state

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Role of Electromagnetic Field Exposure in Childhood Acute Lymphoblastic Leukemia and No Impact of Urinary Alpha-Amylase - a Case Control Study in Tehran, Iran

  • Tabrizi, Maral Mazloomi;Hosseini, Seyed Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7613-7618
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    • 2015
  • Childhood acute lymphoblastic leukemia (ALL) is one of the most common hematologic malignancies which accounts for one fourth of all childhood cancer cases. Exposure to environmental factors around the time of conception or pregnancy can increase the risk of ALL in the offspring. This study aimed to evaluate the influence of prenatal and postnatal exposure to high voltage power lines on the incidence of childhood ALL. It also examines the role of various factors such as environmental factors and alpha-amylase as a marker in the development of leukemia.This cross-sectional case control study was carried out on 22 cases and 100 controls who born and lived in low socioeconomic families in Tehran and were hospitalized for therapeutic purposes in different hospitals ofrom 2013-2014. With regard to the underlying risk factors; familial history and parental factors were detected as risk factors of ALL but in this age, socioeonomic and zonal matched case control study, prenatal and childhood exposure to high voltage power lines was considered as the most important environmental risk factor (p=0.006, OR=3.651, CI 95% 1.692-7.878). As the population study was from low socioeconomic state, use of mobiles, computers and microwaves was negligible. Moreover prenatal and postnatal exposure to all indoor electrically charged objects were not detected as significant environmental factors in the present study. This work defined the risk of environmental especially continuous pre and postnatal exposure to high voltage power lines and living in pollutant regions through the parents or children as well as the previously described risk factors of ALL for the first time in low socioeconomic status Iranian population.

A Technical Review on the Protective Measures of High Temperature Corrosion of Boiler Heat Exchangers with Additives (첨가제를 이용한 보일러 열교환기의 고온부식 방지기술 현황)

  • Kim, Beomjong;Ryu, Changkook;Lee, Uendo;Kim, Youngdoo;Lee, Jeongwoo;Song, Jaehun
    • Clean Technology
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    • 제23권3호
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    • pp.223-236
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    • 2017
  • As the use of waste and biomass increases in a power generation boiler, high temperature corrosion (HTC) problems of boiler heat exchangers are becoming very important. Chlorine of the low-rank fuels is mainly responsible for the HTC issues, which typically occur in the surface of high temperature heat exchanger like a superheater or reheater. In order to mitigate the problem, various approaches have been proposed in terms of design modification, material improvement, fuel pre-treatment and additive utilization. In this study, the current state of research and development focused on the additive method was investigated.

Implementation of a Mobile Sensor Device Capable of Recognizing User Activities (사용자 움직임 인식이 가능한 휴대형 센서 디바이스 구현)

  • Ahn, Jin-Ho;Park, Se-Jun;Hong, Eu-Gene;Kim, Ig-Jae;Kim, Hyoung-Gon
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • 제46권10호
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    • pp.40-45
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    • 2009
  • In this paper, we introduce a mobile-type tiny sensor device that can classify the activities of daily living based on the state-dependent motion analysis using a 3-axial accelerometer in real-time. The device consists of an accelerometer, GPS module, 32bit micro-controller for sensor data processing and activity classification, and a bluetooth module for wireless data communication. The size of device is 50*47*14(mm) and lasts about 10 hours in operation-mode and 160 hours in stand-by mode. Up to now, the device can recognize three user activities ("Upright", "Running", "Walking") based on the decision tree. This tree is constructed by the pre-learning process to activities of subjects. The accuracy rate of recognizing activities is over 90% for various subjects.

Scale Development: The Personal Power of Health Care (PPHC) (개인의 건강관리능력(Personal Power of Health Care; PPHC) 도구 개발)

  • Lee, Eun-Hee;Lee, Kyung-Sook;So, Ae-Young;Smith-Stoner, Marilyn
    • The Journal of Korean Academic Society of Nursing Education
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    • 제16권1호
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    • pp.129-139
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    • 2010
  • Purpose: A new scale was developed to measure personal power and ability for health care and promotion including health determinants. Method: Research phases designed for this study were a literature review, scale development, discussion with experts, pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 20 items on 4 point Likert scale and was tested on middle aged Korean-Americans (110) and Koreans (105) living in a community. Result: As the result of factor analysis, 7 dimensions were identified that were similar yet different from the original dimensions. They included health literacy, socialbelonging and gender role, self-perception, health policy participation, socio-cultural interpersonal relationships, spiritual comfort, and socioeconomic involvement. The total variances explained 59.73%. The reliability was .736 of Cronbach's alpha. The mean PPHC was not different in age, gender, economic status and disease presence, but significantly different in country where living, religion, education level, job presence, and emigration period. The increased power group perceived more wellbeing and less depression, high internal locus of control and increased power with others. In addition, they had a greater health promotion lifestyle profile. Conclusion: This scale was statistically reliable and valid to measure personal power of health care.

Limited Impact of Music Therapy on Patient Anxiety with the Large Loop Excision of Transformation Zone Procedure - a Randomized Controlled Trial

  • Kongsawatvorakul, Chompunoot;Charakorn, Chuenkamon;Paiwattananupant, Krissada;Lekskul, Navamol;Rattanasiri, Sasivimol;Lertkhachonsuk, Arb-Aroon
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2853-2856
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    • 2016
  • Background: Many studies have pointed to strategies to cope with patient anxiety in colposcopy. Evidence shows that patients experienced considerable distress with the large loop excision of transformation zone (LLETZ) procedure and suitable interventions should be introduced to reduce anxiety. This study aimed to investigate the effects of music therapy in patients undergoing LLETZ. Materials and Methods: A randomized controlled trial was conducted with patients undergoing LLETZ performed under local anesthesia in an out patient setting at Ramathibodi Hospital, Bangkok, Thailand, from February 2015 to January 2016. After informed consent and demographic data were obtained, we assessed the anxiety level using State Anxiety Inventory pre and post procedures. Music group patients listened to classical songs through headphones, while the control group received the standard care. Pain score was evaluated with a visual analog scale (VAS). Statistical analysis was conducted using Pearson Chi-square, Fisher's Exact test and T-Test and p-values less than 0.05 were considered statistically significant. Results: A total of 73 patients were enrolled and randomized, resulting in 36 women in the music group and 37 women in the non-music control group. The preoperative mean anxiety score was higher in the music group (46.8 VS 45.8 points). The postoperative mean anxiety scores in the music and the non-music groups were 38.7 and 41.3 points, respectively. VAS was lower in music group (2.55 VS 3.33). The percent change of anxiety was greater in the music group, although there was no significant difference between two groups. Conclusions: Music therapy did not significantly reduce anxiety in patients undergoing the LLETZ procedure. However, different interventions should be developed to ease the patients' apprehension during this procedure.

Usefulness of Three Dimensional Proset MR Images for Diagnosis of Symptomatic L5-S1 Foraminal and Extraforaminal Stenosis

  • Kim, Sang Woo;Kim, Chang Hwan;Kim, Min Su;Jung, Young Jin;Byun, Woo Mok
    • Journal of Korean Neurosurgical Society
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    • 제54권1호
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    • pp.30-33
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    • 2013
  • Objective : To suggest a new useful diagnostic technique, principles of the selective excitation technique-magnetic resonance images (Proset-MRI), and to know the precise radiologic findings that can prove symptomatic foraminal and extraforaminal stenosis at L5-S1. Methods : Nineteen patients with symptomatic L5-S1 stenosis were checked by Proset-MRI. Four patients were performed decompressive surgery and 15 patients were performed selective nerve root block (SNRB) at L5. The pain scale of patients was checked by Visual Analogue Scale (VAS) scores at the pre- and post-treatment state. Results : Proset-MRI findings of patients with symptomatic stenosis are root swelling (RS) and indentation. The comparisons with VAS scores had a meaningful statistical result at each RS (p<0.01) and indentation (p<0.01). However, the findings of RS combined with indentation lacked statistical significance (p=0.0249). In addition, according to a comparison with the treatment modalities, reducing of VAS scores had statistical meaningful significance in decompressive surgery cases (p<0.01), and also in SNRB cases (p<0.01) after a 3-month follow-up period. Conclusion : The three dimensional Proset-MRI is very useful and sensitive technique to diagnose the symptomatic foraminal and extraforaminal stenosis at L5-S1.

Effects of the Inpatient Cardiac Rehabilitation Program on Behavioral Modification and Quality of Life in Patients with Coronary Artery Disease (원내 심장재활프로그램이 심혈관질환자의 행동수정과 삶의 질에 미치는 영향)

  • 송라윤;이해정
    • Journal of Korean Academy of Nursing
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    • 제30권2호
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    • pp.463-475
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    • 2000
  • The purpose of the study was to identify the effects of inpatient cardiac rehabilitation programs on motivation, the performance of health behavior, and quality of life in patients with coronary artery disease. The subjects consisted of 31 patients who participated in the rehabilitation program during their hospital stay, and were compared with 34 patients who did not participate. The study results are as follows: 1. The mean of cardiac risk factor scores for the subjects was 22.5 (SD = 5.5) at the level of low to moderate risk with some possibility to improve. The physiological and behavioral risk factors for the subjects were also in the normal range or slightly above the normal range. 2. The motivation level to preform health behaviors for both groups was improved after discharge. Also, perceived self-efficacy was significantly higher for the program participants than for the comparison group at the post-test. 3. The performance of cardiac related health behaviors improved for both groups after discharge, but there were no significant differences between the two groups. The program participants reported better performance in most health behaviors at the post-test, but the results failed to reach a statistical significant level. 4. As for motivation and health behavior, the subjects in the both groups showed an improved quality of life after the discharge. In addition, the program participants produced significantly higher scores in health and functioning dimension than the comparison group during the post-test. In conclusion, the study partially supported the effects of the inpatient cardiac rehabilitation program to motivate and improve the quality of life, and provide the need to apply early rehabilitation interventions for the patients after cardiac events. Further study with a longitudinal design is also suggested to verify the effect of cardiac rehabilitation program from hospitalization to discharge and subsequently to fully recover to the level of pre-hospitalized state.

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Influences of Sulfate and Nitrate Application on Cadmium Sorption in Soils

  • Lee, Jin-Ho
    • Korean Journal of Environmental Agriculture
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    • 제20권5호
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    • pp.352-357
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    • 2001
  • Cadmium (Cd) has been identified as a potential contaminant in agricultural and environmental soils. Ionic condition in the soils is an important factor to influence Cd availability. In this study, the effect of sulfate or nitrate application on Cd sorption in acidic and calcareous soils was investigated. The Cd, sulfate $(SO_4)$, and nitrate $(NO_3)$ sources were solutions of $CdCl_2$, $K_2SO_4$, and $KNO_3$, respectively. The soil-solution system pH was affected by the application of sulfate or nitrate in both acidic and calcareous soil system, but there was not clear pH difference between pre- and simultaneous applications of sulfate or nitrate (PAS/PAN or SAS/SAN). Solution ionic strength (I) values were similar between the acid and calcareous soil systems after applying the Cd even though it was significantly different in the untreated control soils. However after applying the sulfate or nitrate, the I values increased and were always higher with SAS/SAN treatments. Solution Cd concentration also increased with the application of sulfate or nitrate. However, the Cd concentration in soil solution controlled by Cd sorption in the systems was different between PAS/PAN and SAS/SAN treatments only in the calcareous soil system, but not in the acidic soil system. The difference in Cd concentration between SAS/SAN and PAS/PAN in the calcareous systems may be caused by system pH, ionic strength, complexation, and predominately, competition of the $Cd^{2-}$ with the index $K^+$ ion. Potassium ion-Cd competition in the acidic soil system may be minimized because of the abundance of hydrogen ions.

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A Case Study on the Fundamental Breach of Contract and its Application for the Avoidance of Contract and Requiring Substitute Goods under the CISG (국제물품매매계약에 관한 UN협약(CISG)상 근본적 계약위반과 이를 원용한 계약해제권과 대체품청구권에 관한 판례연구)

  • PARK, Eun-Ok
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • 제66권
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    • pp.47-73
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    • 2015
  • This study primarily concerns the fundamental breach of contract by a seller and a buyer's two remedies that are entitled to under the CISG. Regarding the breach of contract, the CISG simply provides a list of each party's obligations and regulates that both parties should fulfill the obligations under the contract as well as the Convention. When the CISG specifies the remedies for both parties, it requires to divide the fundamental breach of contract from breach of contract. By doing so, it provides different remedies to both parties depending on whether it is the fundamental breach of contract or not. From the point of buyer's view, the buyer has two remedies when there is the fundamental breach of contract by the seller; they are the right to declare the avoidance of contract and to require the delivery of substitute goods. The fundamental breach of contract is a pre-requisite condition to be fulfilled in order to exercise these two remedies. Although the CISG provides the definition of fundamental breach of contract, its meaning is not clear enough, so it is interpreted and applied case by case. Therefore, this paper will analyze recent cases focusing on the most debated issues regarding the interpretation of fundamental breach of contract; first, who determines the substantial deprivation and when is the time for determination, second, when is the time for unpredictability of substantial deprivation, and last, who has a burden of proof.

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The Effect of Balance Task-Related Circuit Training on Chronic Stroke Patients (뇌졸중 환자의 균형 향상 과제 중심 순환 훈련의 효과)

  • Lee, Han-Suk;Kim, Myung-Chul
    • The Journal of Korean Physical Therapy
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    • 제21권4호
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    • pp.23-30
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    • 2009
  • Purpose: This study investigated the efficacy of task-related circuit training aimed at improving balance in individuals discharged from rehabilitation facilities following a stroke. Methods: We recruited 12 stroke patients (34-66 years of age) to participate in a task-related circuit training program. Baseline assessment included a history of stroke and an assessment using the Mini-Mental State Examination Korea (MMSE-K). After a baseline assessment, follow-up assessments were administered pre- and post-training. These included Berg Balance Scale (BBS), Functional Reach Test (FRT), and the Time Up & Go Test (TUG). Physiotherapists trained study subjects under the one-to-one supervision of students from the department of physical therapy. Circuit class study participants attended 90-minute treatment sessions, one day a week for 12 weeks (from September to December 2008). The program consisted of a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period (10 min). Results: Scores for the BBS assessment increased significantly (from 43.2 to 49.7) after the training (p<0.05). Reach distance on the FRT increased substantially (from 27.7 cm to 47.0 cm), although the improvement was not significant (p>0.05). The average time on the TUG test decreased significantly (from 23.7 sec to 19.5 sec) after the training (p<0.05). Conclusion: The task-related circuit training program improved the balance and mobility of subjects, indicating that such a group program is useful for stroke patients who are discharged from the hospital. More such task-related programs set in a community environment should be developed.

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