As the certifications of ISO 9001/1400, OHSAS 18001(not official standard) is increasing, it is needed to construct a integrated management system(IMS) for the efficient operation. This paper deals with the types of integration of management of the various areas of interest -Quality, Environment, Safety and Health. Second, this presents how an integrated management system could be developed, implemented and operated through case studies.

Objective: The purpose of this case study was to describe the treatment of a stoke patient with dysphagia. Method: The subject was an adult stroke patient with dysphagia. She was evaluated on the Functional Dysphagia Scale employing videofluoroscopic method. Swallowing task was swallowing of a thick fluid (5 cc) on oral intake. The treatments in this case study included active postural control activities, strengthening of facial muscles, facial and oral cavity massage, jaw and tongue mobilization, respiratory activities, icing and feeding training once a day. Results: A total score of functional dysphagia scale decreased from 95 to 60 and 23 consecutively. Conclusion: In this particular case study, the swallowing function in the stroke patient with dysphagia improved through occupational therapy intervention.

Objective: To examine the effects of occupational therapy intervention on hand function after botulinum toxin injection in a patient with dystonia. Method: The subject was a 41 year old female and the study was carried out from February 25th to May 24th in 2002. The Jebsen Hand Function Test and Nine Hole Peg Test were used for assessment, and also hand and finger powers were assessed by grip strength, lateral pinch strength and three jaw chuck pinch strength. The scores were obtained during occupational therapy sessions at 4 weeks and 12 weeks after the injection. Modified Ashworth Scale was employed to grade spasticity before the injection, at 4 weeks, and 12 weeks after the injection. Results: Among the subtests of Jebsen Hand Function Test, the speed increased in the writing (15.4%), turning cards (64.4%), simulated feeding (92.0%), moving empty large cans (30.0%) and moving weighted large cans (41.6%), however, the speed of other subtests which were checkers(-26.8) and picking up small objects (0.0%) did not increase. The performance on Nine Hole Peg Test did not change (0.0%). Hand power of grip strength increased by 275%. Finger power increased in lateral pinch strength (40.0%) and three jaw chuck pinch strength(150.0%). Based on Modified Ashworth Scale, spasticity decreased from grade 4 before the injection to grade 1 at 4 weeks and 12 weeks after the injection in wrist and fingers. Conclusion: Occupational therapy intervention after botulinum toxin injection can improve the hand function in a patient with dystonia.

We report the reorganization of motor network resulted from intensive unilateral coordination training and the effect of cross education on the untrained side in patient with traumatic brain injury using functional magnetic resonance imaging (fMRI). A 22 year-old male patient who had suffered from diffuse axonal injury for 58 months showed coordination deficit in the left hand at initial examination. Intensive motor training including complex finger movements and coordination activities using a metronome was introduced to the patient 4 hours per day for a week. FMRI was performed on a 3T ISOL Forte scanner. All functional images were analyzed using SPM-99 software. Hand function was improved after training not only in the trained left hand, but also in the untrained right hand. There was no activation in the right primary motor area (M1) during left hand movement before training whereas robust activation of left M1 was demonstrated by the right hand movement. Profuse activation of bilateral prefrontal lobes was seen during both hand movements before training. After training of left hand, right M1 became prominently activated during the left hand motion. The activation of bilateral prefrontal lobes disappeared after training not only for the left hand movement but also for the right, which clearly demonstrated the effect of cross education. This case report demonstrated the learning-dependent reorganization of the M1 and the effect of cross education.

유기물이 함유된 공업용 폐수(2차처리수)의 수질을 정화하기 위해 2000년 7～10월에 친환경적인 방법인 식물정화조를 조성하여 하천의 수질 및 지하수를 보전하고 공업단지내에서 생물서식공간과 휴게공간을 제공하고자 본 실험을 진행하였다 식물정화조의 크기는 10m×6m(상부면)로 1일 처리용량은 2.5㎥였다. 폐수는 1일 4회, 6시간 간격으로 0.625㎥씩 나누어 처리하였다. 처리효율을 높이기 위해 수직흐름방식을 채택하였고, 배수층은 모래와 자갈을 2:1의 비율로 혼합하여 깊이 1.0m로 조성하였다. 식물정화조 내에는 갈대, 부들, 골풀, 노랑꽃창포 등의 다년생 정수식물을 20본/㎥ 식재하였다. 처리수 재활용 차원에서 생물종다양성을 증진시키는 자연형 연못을 조성하였으며, 이를 환경교육장으로 활용하기 위해 관찰데크, 안내해설판 등을 도입하였다. 실험결과 BOD5, COD, T-N, T-P 등의 제거에 상당한 효과가 있는 것으로 나타났고, 생태계 모니터링 결과, 생물서식공간(비오톱)으로서의 기능이 점진적으로 향상되고 있는 것으로 나타났다.

There have been continuous efforts on automating welding processes. This automation process could he said to fall into two categories, weld seam tracking and weld quality evaluation. Recently, the attempts to achieve these two functions simultaneously arc on the increase. For the study presented in this paper, a vision sensor is made, a vision system is constructed and using this, the 3 dimensional geometry of the head is measured on-line. For the application as in welding, which is the characteristic of nonlinear process, a fuzzy controller is designed. And with this, an adaptive control system is proposed which acquires the bead height and the coordinates of the point on the bead along the horizontal fillet joint, performs seam tracking with those data, and also at the same time, controls the bead geometry to a uniform shape. A communication system, which enables the communication with the industrial robot, is designed to control the bead geometry and to track the weld seam. Experiments are made with varied offset angles from the pre-taught weld path, and they showed the adaptive system works favorable results.

This study looked specifically at the community corrections programs in Virginia where those are being practiced statewide. For the research, the interviews with program managers not only in the state level but also in the specific field level were conducted. The major findings are as follows: (1) For the successful management of these programs, it is important to make best use of community resources and to manage the conflicts with local residents effectively. (2) Even though in Virginia community corrections programs are cost-efficient, the operation of these programs cannot be stable because of budgetary or political reason. So the success of community corrections depends upon the favorable policy environment to these fields. (3) More programs may be initiated by the existing correctional systems in lieu of creating new community corrections programs or facilities. All in all, the diversion center program, especially for non-felon women offenders can be useful and considerable in the short run in Korea. This program can be applied in private prisons, women's correctional facilities or open house facilities in our nation.

Objective: To explore the effectiveness of sensory integrative procedures in promoting postural control, bilateral coordination and motor planning outcomes in child with developmental delay. Design: A single-subject ABA research design. Setting: Early Intervention Center of University. Participant: A 7-year-old boy with developmental delay. Interventions: Sensory integrative procedure. The subject was tested four times before, four times during, and three times after intervention. Main Outcome Measure: Part of subtests of DeGangi-Berl Test of Sensory Integration, Bruininks-Oseretsky Motor Proficiency and Sensory Integration and Praxis Test. Result: Postural control and motor planning are effected on sensory integrative procedure. Bilateral coordination did not change by this study. The quality of performance was increased by the therapy.

Objective: To explore the effect of a eye patching technique in order to decrease patients’ unilateral neglect. For this study, eye patching is easy to get and a simple method that most patients find acceptable. Method: This study used the ABA design. The subject was a male patient at the age of 66 who had the left hemiplegia and left unilateral neglect caused by right cerebral vascular accident. He was required to wear the eye patching on the right eye during all the period of ADL because unilateral neglect causes many problems in the majority of ADL. The assessments for the unilateral neglect had been performed by the Line bisection and the Albert test once a session (day). Results: Regarding the Means of the errors to the Line bisection and the Albert test, the Means of the errors was decreased during the period of the intervention (B) and was decreased after the withdrawal (A'). Conclusions: Right monocular patching was effective to release the unilateral neglect. Further study is necessary to increase the sample size and the duration of experiments.

최근 우리 나라에서는 국립공원의 지정 목적을 효과적으로 달성하기 위한 정책들이 등장하고 있다. 가슴반달곰 보호를 위한 등산로 폐쇄, 병원균 확산을 막기 위한 애완동물 출입금지, 화재를 예방하기 위한 화기 반입 금지 등이 그 예이다. 이러한 정책들은 다소간 국립공원 방문객과 지역주민들에게 불편을 야기할 수 있으므로 그로 인한 저항과 반발을 줄이고 정책의 원활한 추진을 위해 대중 참여를 통한 의사결정의 중요성이 커지고 있다. 본 연구에서는 생태계 관리 정책을 수립하는 과정에서 흔히 발생하는 선호와 가치 사이의 갈등 문제를 국립공원을 사례로 설문 조사를 통해 분석하였다. 242명의 대학생이 참여한 본 연구의 결과, 응답자들의 절대다수(93.%)가 생태계 관리 정책을 수립하는 과정에 대중이 참여하는 것이 필요하다고 응답하였으며, 그 이유로는 대중이나 지역주민이 원하는 바를 정책에 적절히 반영할 수 있다는 점을 꼽았다(51 7%). 또한 생물종보존을 위해 개인의 재산권이 제한될 수 있지만. 그에 대한 보상이 이루어져야 한다고 응답하였다. 가슴반달곰에 대한 개인적 선호를 넘어서 절대 다수의 응답자(97.1%)가 반달곰 보호를 위한 등산로 폐쇄 정책을 지지하는 것으로 나타났다. 국립공원 내 식물 채취에 대해서는 과거부터 해 오던 일이라면 주민들의 식물 채취는 허가해야 한다는 의견이 많았다(53.3%). 본 연구의 결과는 국립공원 생태계 관리 정책 수립 과정에서 대중의 참여를 포함시킬 때 개인적 선호를 넘어 집단적 가치의 측면에서 판단하도록 유도하고. 대중에게 충분한 정보와 토론할 기회를 제공하는 것이 중요하다는 선행 연구의 결론을 지지하는 것으로 생각된다.