• Tuberculosis and Respiratory Diseases
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• v.49 no.6
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• pp.684-690
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• 2000

Background : The most common cause of treatment failure of pulmonary tuberculosis is early stoppage of treatment or irregular medication. The most important aspect of a retreatment is regular medication provided over a long period. Inadequate treatment may cause drug resistance and prolong the duration of chemotherapy. This study analyzed the risk factors of pulmonary tuberculosis patients, who failed in retreatment, and to use the results as basic data in the management of intractable tuberculosis patients with improving the rate of retreatment success. Methods : We performed a retroactive study of 62 pulmonary tuberculosis patients in retreatment at National Mokpo Tuberculosis Hospital from Jan. 1994 to Dec. 1995. The patients were separated into two groups: group I was retreatment failure and group II was retreatrnent success. For the analysis of risk factors in retreatment failure, we compared the difference between the two groups and tested the confidence limit about results of the results by independent t-test, ${\chi}^2$ test and Fisher's exact test. Results : The treatment failure rate of retreatment patients was 13(21%), and treatment success 49(79%). No significant difference (p>0.05)in age, sex, number of treatment, irregular rate of treatment, extent of the disease & cavitary lesion on the chest X-ray, number of resistance drugs, number of used drugs to medication, number of sensitive bactericidal drugs to medication, rate of sensitive drugs to medication and resisiance to INH & RFP had not significant difference. was found. However, the number of treatment was $2.4{\pm}0.8$ in group I and $1.6{\pm}0.9$ in group II, and had showing a significant difference(p<0.05) between the two groups. Conclusion : The risk factor of retreatment failure was more irregular previous treatment the irregularity of the previous treatment. For reducing the retreatment failure of pulmonary tuberculosis, greater efforts are needed more need to be done to prevent failure of first treatment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.17 no.2
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• pp.98-105
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• 2006

Objectives : To consider which questions are most useful clinically and to find a framework for assessment of suicidality or risk of suicide for adolescents. Methods : Authors reviewed and integrated both clinical works and researches about measures used to evaluate suicidal behaviors in adolescents. Results : The 'cascade approach' for assessment of suicidality was developed; the quality and quantity of 'distress' leads to an entry question to do with the 'quality of life' and whether it is worth living. These two questions lead to examinations of 'thoughts' which may lead to 'plans' which leads to 'threats' which then leads to 'deliberate self injury' and then on to a history of 'past suicide attempts'. Authors also suggested to use a summed score of cascade approach in clinical decisions and showed how to modify it up to different evaluation situations. Focusing on the good things helps not only to qualify suicidality but also to begin the search for solutions. Conclusion : In the clinical assessment process, while scales assist the clinician, there is nothing to supplant a sensitive clinical approach. The 'cascade approach' was proposed as a framework for assessing adolescents for suicidality.

• Journal of Environmental Impact Assessment
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• v.6 no.2
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• pp.113-121
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• 1997

LHR(Landfill Hazard Ranking Model) was developed for assessing the relative hazard of landfills by using the method of value-structured approach. LHR consists of combining a multiattribute decision-making method with a qualitative risk assessment approach. A pairwise comparision method was applied to determine weights of landfill factors related. To prove the validity of weights allocation of landfill hazard evaluation factors, sensitivity analysis was applied. Firstly, the impact on landfill hazard score according to variations of weights of landfill hazard factors was analyzed. Secondly, the impact on landfill hazard score according to conditions change of landfill hazard factors was analyzed. As a result of sensitivity analysis, LHR composite scores are largely influenced by some factors following sequential order such as waste volume, proximity to sensitive environments, containment facilities, distance from drinking water supplies, and waste toxicity. The relative order of landfill hazard evaluated by LHR is not influenced by the weights change of individual factors. Therefore, LHR seems to be a credible model to determine priorities of landfill remediation based on the vulnerability of water resources.

• Applied Microscopy
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• v.47 no.3
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• pp.148-156
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• 2017

The wide distribution of redox-sensitive elements (RSE) as arsenic (As), cadmium (Cd), selenium (Se), and strontium (Sr) in the top soil of Siwaqa area are related to the weathering action of alkaline surface and groundwater on the parent rocks. The bioavailability, distribution, sorption, and ecotoxicity of As, Cd, Se, and Sr, of the wild plants and top soils in the study area were investigated. A total number of 23 surface soil samples and 23 plant samples were collected and analyzed for the most toxic elements. The uptake of elements by plants was dependent on the plant species and the concentration of elements in the soil. For example, Sr was the highest concentration in soil samples and plants, while Se was the lowest concentration in soil samples and pants. For the plants, the results showed that Bellevalia sp. had the highest elements uptake, while Allium rothii had the lowest elements uptake. The results of this work provide a valuable knowledge for understanding the bioavailability of some toxic elements in the soil and plants of Central Jordan. The results are expected to be of great help for the Jordanian Uranium Mining Company during their environmental risk assessments.

• Journal of Korean Academy of Nursing
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• v.45 no.1
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• pp.1-13
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• 2015

Purpose: The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes. Methods: A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses. Results: 29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents. Conclusion: Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

• Journal of Advanced Research in Ocean Engineering
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• v.3 no.1
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• pp.1-14
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• 2017

The safety analysis of an earthquake is carried out during the operation of a subsea pipeline and an onshore pipeline. Several cases are proposed for consideration. In the case of a buried pipeline, permanent ground deformation by the earthquake and an increase of internal pressure by the acceleration of the earthquake should be considered. In the case of a subsea pipeline, a bending moment is caused by liquefaction of the backfill material on a trenched seabed, etc., which results in a high bending moment of the buried pipeline. The bending moment causes the collapse of the subsea pipeline or a leak of crude oil or gas, which results in economic loss due to enormous environmental contamination and social economic loss owing to operation functional failure. Thus, in order to prevent economic loss and operation loss, structurally sensitive design with regard to seismic characteristics must be performed in the buried pipeline in advance, and the negative impact on the buried pipeline must be minimized by conducting a thorough analysis on the seabed and backfilling material selection. Moreover, it is proposed to consider the selection of material properties for the buried pipeline. A more economical review is also required for detailed study.

• Journal of Ecology and Environment
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• v.36 no.2
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• pp.141-150
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• 2013

Natural zooplankton communities are composed of many different species at different trophic levels in the aquatic food web. Several researchers have reported that in mesocosm/enclosure experiments, larger cladocerans tend to be more sensitive to carbamate insecticides than smaller ones (Daphnia > Moina, Diaphanosoma > Bosmina). In contrast, results from individual-level laboratory tests have suggested that large cladoceran species are more tolerant than small species. To clarify this inconsistency, we conducted a microcosm experiment using model zooplankton communities with different species compositions, where animals were exposed to lethal (near to the 24 h LC50, concentration estimated to kill 50% of individuals within 24-h for the small cladoceran Bosmina) and lower, sublethal concentrations of carbaryl. In the experiment, population densities of the small cladocerans (Bosmina and Bosminopsis) decreased subsequent to the applications of chemical, but no impacts were observed on the large cladoceran Daphnia. Our results supported the reports of previous individual level toxicity tests, and indicated that the sensitivity of zooplankton to the insecticide was unchanged by biological interactions but the response of population can be modified by compensation of population through hatching from resting eggs and/or the persistence of insecticide in the systems.

• Journal of Chest Surgery
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• v.18 no.3
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• pp.517-528
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• 1985

Pulmonary function studies today are generally accepted as an integral part of the evaluation of poor-risk patients who are to have pulmonary surgery. The effect of various pulmonary surgery on lung function was investigated in 54 patients in whom comprehensive lung function test were performed before and between 2 months and 14 months after operation at the Department of Thoracic Surgery, Seoul National University Hospital. According to the result of analysis, the effect of pulmonary resection on forced flow rate was keeping with the change of lung volume, and the preoperative level of ventilatory function plays a major role in determining postoperative loss of functioning lung. Although all measures of expiratory flow [FVC, FEV1, FEFO.2-1.2, MEF50, FEF25-75] have the same percentage of reproducibility, but FEV1 shows most sensitive, reliable linear correlation with the functioning pulmonary tissue loss than other parameters. The linear regression lines derived from the correlation between preoperative [X] and postoperative [Y] FEV1 on various surgical procedures were as follows: 1. Y = 0.57X 0.03. in pneumonectomy group of lung cancer[r=0.84]. 2. Y = 0.56X + 0.33. in lobectomy group of lung cancer[r=0.79]. 3. Y = 0.69X + 0.25. in lobectomy group of pulmonary infection[r=0.91].

• Korean Management Science Review
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• v.32 no.1
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• pp.1-13
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• 2015

We estimate the option value embedded in reverse mortgages using the framework of European put option. The reverse mortgage is a very useful financial product for senior citizens who own homes but do not have a cash income while it is a high risk one from lender's perspective. One of benefits of the reverse mortgages is that the debt limit is restricted to the scope of the disposition price of the collateralized house, which is considered a put option to borrowers. The put option is evaluated using Black-Scholes model and a sensitive analysis is performed on variables such as discount rate, volatility, and time period. We confirm that the option value of reverse mortgages increases rapidly as the borrowers live longer than their life expectancy. The results of this study can be used to promote the reverse mortgage program more effectively in order to solve the problem of income shortage of the elderly homeowners.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 1994.04a
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• pp.596-605
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• 1994

An efficient measurement and evaluation system for hand tool tasks will provide a practical solution to the problem of designing and evaluating manual tool tasks in the workplace. Few studies on the biomechanical analysis of hand postures and tool handling tasks exist because of the lack of appropriate measurement techniques for hand force. A measurement system for the finger forces and joint angles for analysis of manual tool handling tasks was developed in this study. The measurement system consists of a force sensing glove made from twelve Force Sensitive Resistors and an angle-measuring glove (Cyberglove$\^$TM/, Virtual technologies) with eighteen joint angle sensors. A biomechanical model of the hand using the data from the measurement system was also developed. Systems of computerized procedures were implemented integrating the hand posture measurement system, biomechanical analysis system, and the task analysis system for manual tool handling tasks. The measurement system was useful in providing the hand force data needed for an existing task analysis system used in CTD risk evaluation. It is expected that the hand posture measurement developed in this study will provide an, efficient and cost-effective solution to task analysis of manual tool handling tasks. These tasks are becoming increasingly important areas of occupational health and safety of the country.