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( Charles Chidiebele Maduba ),( Ugochukwu Uzodimma Nnadozie ) 대한외상학회 2020 大韓外傷學會誌 Vol.33 No.1
Composite skull defects in patients with severe head injuries are very challenging to manage. The dilemma when deciding whether to perform a definitive reconstruction is how long to wait for physiological recovery before an intervention complicates the situation. The inability of such patients to tolerate prolonged anesthetic exposure is a driving factor for performing the minimal intervention necessary to facilitate recovery. Herein, we present a case involving the successful immediate reconstructive treatment of a severely head-injured adolescent with a composite scalp defect secondary to trauma. A 14-year-old boy sustained a severe head injury from a motor vehicle accident with a composite scalp defect in the right fronto-parietal region. The frontal lobe was exposed, and the right eye was crushed and devitalized. The patient was deeply unconscious for 3 days, without any significant improvements before reconstructive surgery was proposed due to fear of possible meningitis resulting from the exposure of brain structures. We successfully managed the patient with a fronto-parieto-occipital flap, after which the patient promptly recovered consciousness.
Network Governance of Private Sector Development Policy Implementation in Singapore
Charles Conteh 서울대학교행정대학원 2009 Asian Journal of Political Science Vol.17 No.1
The discussion examines private sector development policy implementation in Singapore,examining the new role of the government’s economic development agencies from the pointof changing relationships among public and non-state actors in the policy arena. Singapore’s model of private sector development consists of an exclusive network ofpartnerships among economic development agencies and between these agencies andprivate sector actors, such as business and organized labour, as integral policy stakeholders. As Singapore has moved within the past 15 years towards its articulated goal of becoming aknowledge-based economy and an industrial hub in the Asia Pacific region, the country’smodel of network governance is undergoing a gradual reconfiguration to include a greaterrole for local enterprises in the policy process. The changing institutional mechanics ofnetwork governance surrounding the new model of private sector development inSingapore are examined, along with the highlights of some implications surroundingthis shift.
Creativity of images: using digital consensual assessment to evaluate mood boards
Charles Freeman,Sara Marcketti,Elena Karpova 한국의류학회 2017 Fashion and Textiles Vol.4 No.1
Mood boards are used frequently in design and product development as well as in academic courses related to fashion design. However objectively evaluating the creativity of fashion design mood boards is often difficult. Therefore, the purpose of this investigation is to examine reliability of a digital consensual assessment instrument measuring creativity, using expert (from related domains) and non-expert raters (students). Creativity measures were compared with the mood board themes to further investigate any relationships between mood board types and the consensual assessment. Independent samples t test comparing group means indicated expert raters evaluated the mood boards significantly higher in creativity than the non-experts, t (99) = −6.71, p < .001, (95% CI −.57, −.29), while Pearson correlation results indicate a significant relationship between the two groups of raters, r (50) = .33, p < .01. ANOVA results for all raters indicated a significant difference between the five subject matter categories; F (4, 95) = 4.64, p < .005. Overall, expert and non-expert raters reported significant reliability, which further supports prior research using consensual assessment for creativity measures across domains.
Vibration and Ergonomic Exposures Associated With Musculoskeletal Disorders of the Shoulder and Neck
Charles, Luenda E.,Ma, Claudia C.,Burchfiel, Cecil M.,Dong, Renguang G. Occupational Safety and Health Research Institute 2018 Safety and health at work Vol.9 No.2
Background: According to the US Bureau of Labor Statistics, musculoskeletal disorders (MSDs) accounted for 32% of all nonfatal injury and illness cases in 2014 among full-time workers. Our objective was to review and summarize the evidence linking occupational exposures to vibration and awkward posture with MSDs of the shoulder and neck. Methods: A literature search was conducted using the terms musculoskeletal disorders, vibration, and awkward posture. All types of observational epidemiologic studies, with the exception of case reports, published during 1998-2015 were included. Databases searched were MEDLINE (Ovid), Embase (Ovid), Scopus, Ergonomic Abstracts, NIOSHTIC-2, and Health and Safety Science Abstracts. Results: Occupational exposures to whole-body or hand-arm vibration were significantly associated with or resulted in MSDs of the shoulder and neck. Awkward postures while working were also associated with MSDs in these locations. These findings were consistent across study designs, populations, and countries. Conclusion: Occupational exposure to vibration and awkward posture are associated with shoulder and neck MSDs. Longitudinal studies are required to elucidate the mechanisms responsible for these associations, and intervention studies are warranted.
Safety and Health Perceptions in Work-related Transport Activities in Ghanaian Industries
Charles Atombo,Chaozhong Wu,Emmanuel O. Tettehfio,Godwin Y. Nyamuame,Aaron A. Agbo 한국산업안전보건공단 산업안전보건연구원 2017 Safety and health at work Vol.8 No.2
Background With the recent rapid industrialization, occupational safety and health (OSH) has become an important issue in all industrial and human activities. However, incidents of injuries and fatality rates in the Ghanaian industry sector continue to increase. Despite this increase, there is no evidence regarding the element of OSH management in transport activities in Ghanaian industries. Thus, this study aims to examine the perceptions regarding the importance of safety and health in work-related transport activities in Ghanaian industries. Methods A survey data collection technique was used to gather information on best safety practices over a 5-month period. We randomly selected 298 respondents from industries to answer structured questionnaires. The respondents included drivers, transport managers, and safety engineers. Standard multiple regression model and Pearson product–movement correlation were used to performed the analysis. Results The result shows that for interventions to improve safety and health, concentration has been on drivers’ safety practice with less attention to safe driving environments and vehicle usage. Additionally, the respondents are aware of the importance of OSH in transport activities, but the level of integration does not measure up to the standard to reduce operational accidents and injuries. Finally, strong commitment to changing unsafe practices at all levels of operations appears to be the effective way to improve safety situations. Conclusion OSH culture is not fully complied in industries transport activities. This study, therefore, supports the use of safety seminars and training sessions for industry workers responsible for transport operations for better integration of safety standards.