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Quality of Same-Day Sputum Smears Microscopy and Presumptive Tuberculosis Patients Drop-out at Health Facilities of Addis Ababa, Ethiopia

  • Taddese, Boja Dufera;Misganaw, Abay Sisay
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.1
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    • pp.89-95
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    • 2020
  • Background: Same-day sputum microcopy is recommended in areas where sputum smear microscopy external quality assessment (EQA) is effectively implemented and sturdy. In Addis Ababa, the status of EQA and drop-out of same-day sputum smear microcopy has not yet been assessed. The objective of this study was to assess the quality of same-day sputum smear microscopy and diagnostic drop-out of presumptive tuberculosis (TB) patients in health facilities (HFs) across Addis Ababa, Ethiopia. Methods: Amulti-analysis was conducted from September 2016 to July 2017 to determine the status of external quality assessment and diagnostic drop-out of presumptive TB patients registered for same-day sputum smear microscopy. Data was coded and entered in Microsoft Excel, and subsequently transferred and analyzed using SPSS version 20.0. Results: The drop-out of same-day sputum smear microscopy was 209 (6.2%). More than 33% of the specimens collected for purposes of same-day sputum smears were of poor quality. Among the selected HFs for the study: 13 (46.4%) used filter reagents prior to sputum smear staining while 75% of the selected HFs for the study used smear microscopy services interruption in a year. The sensitivity and specificity of the HFs participating in regional quality assessment scheme for the diagnosis of TB was 97.4% and 99.6%, respectively. Conclusion: The diagnostic drop-out of same-day sputum smear microscopy was high in Addis Ababa. Strengthening EQA, competency-based laboratory professionals training on sputum smear microscopy might reduce the reading errors in sputum smear. Awareness creation of the community on the benefits gained from completion of specimen provision for the same-day approach decreases diagnostic drop-out and enhances TB control program.

The analysis of lower extremities injury on depth jump (Depth Jump 시 하지 관절 상해에 관한 운동역학적 분석)

  • So, Jae-Moo;Kim, Yoon-Ji;Lee, Jong-Hee;Seo, Jin-Hee;Chung, Yeon-Ok;Kim, Koang-Ki
    • Korean Journal of Applied Biomechanics
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    • v.15 no.1
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    • pp.127-142
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    • 2005
  • The purpose of this study was to analysis biomechanics of the lower extremities injury the heights(40cm, 60cm, 80cm) of jump box as performed depth jump motion by 6 females aerobic athletes and 6 non-experience females students. The event of depth jump were set to be drop, landing and jump. The depth jump motions on the force plate were filmed using a digital video cameras, and data were collected through the cinematography and force plate. On the basis of the results analyzed, the conclusions were drawn as follows: 1. The landing time of skill group was shorter than unskill group at 40cm, 60cm drop height during drop-landing-jump phase especially. The landing time of 60cm drop height was significant between two group(p<.05). 2. The peak GRF of sagittal and frontaI direction following drop height improve was variety pattern and the peak vertical force of 40cm drop height was significantly(p<.05). 3. The magnitude of peak passive force was not increase to change the drop height. 4. The peak passive forces was significant at 40cm drop height between two groups(p<.05)

Analysis of Injury Mechanism on Ankle and Knee during Drop Landings According to Landing Directions (드롭랜딩 시 착지 방향에 따른 발목과 무릎 상해 기전 분석)

  • Cho, Joon-Haeng;Kim, Kyoung-Hun;Moon, Gon-Sung;Cho, Young-Jae;Lee, Sung-Cheol
    • Korean Journal of Applied Biomechanics
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    • v.20 no.1
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    • pp.67-73
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    • 2010
  • The purpose of this study was to compare the differences in kinematic and kinetic parameters of the ankle and knee joint according to three landing direction(central, left, right). Fifteen collegiate male athletes(age: $22.7{\pm}3.5$ years, height: $174.9{\pm}7.1\;cm$, weight: $69.4{\pm}6.7\;kg$) with the right leg as dominant were chosen. The subjects performed series of drop landings in three directions. In terms of the three different landing directions, plantar flexion was the greatest during the central drop landings. For each initial contact of the landing direction, plantar flexion of the ankle was greatest at the central drop landing, inversion of the ankle was greatest at the right landing and valgus of the knee was greatest at the left drop landing. Regarding the peak force, the greatest was at the 1st peak force during the central drop landing. For the time-span of the 2nd peak force and the 2-1 peak force, both right sides resulted as the greatest. Therefore, with the appropriate training in landing techniques and developing neuromuscular training for proprioception by taking the injury mechanisms on ankle and knee during drop landings into account, it will assist in preventing such injuries.

A Study on the Pressure drop Variance of Pulse interval, injection distance in Pulse Air Jet Type Bag Filter (충격기류식 여과집진장치의 펄스간격 밀 분사거리에 따른 압력손실변화에 관한 기초 연구)

  • Seo, Jeong Min;Choe, Geum Chan;Park, Jeong Ho
    • Journal of Environmental Science International
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    • v.13 no.3
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    • pp.223-232
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    • 2004
  • The change of pressure drop according to the change in the inlet concentration, pulse interval, and injection distance of pulse air jet type bag filters, and the effect of venturi installation are as follows. The pressure drop with the range of 30 to $50mmH_2O$ varies according to the injection distance with 30, 50, 70, 90sec and the inlet concentration of venture built-in fabric filters. For the lower concentration of 0.5g/㎥ and 1g/㎥, the pressure $drop(\DeltaP)$ was stable 60 to 90minutes after operation. For the higher concentration of 3g/㎥, as $\DeltaP$ continues to go up, pulse interval should be set shorter than 30 seconds. The pressure drop with the injection distance of 1l0mm, when inlet dust concentration is 0.5g/㎥ or 1g/㎥, is 1.3 to 2 lower than with the injection distance of 50, 160, and 220mm, which means that the inflow amount of the secondary air by the instant acceleration is large. The injection distance of 2g/㎥ and 3g/㎥ has the similar pressure distribution. The higher inlet concentration is, the more important pulse interval is than injection distance. The pressure drop has proved to be larger when inlet concentration is lower and injection distance closer, on condition that the venturi is installed. The change in the pressure drop was smallest when injection distance was 50mm, followed by 220mm, 160mm, and 110mm.

Inkjet 공정에서 발생하는 TIPS Pentacene Crystalline Morphology 변화에 따른 OTFT 특성 연구

  • Kim, Gyo-Hyeok;Seong, Si-Hyeon;Jeong, Il-Seop
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.02a
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    • pp.379-379
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    • 2013
  • 본 논문에서는 Normal ink jetting 공법으로 OTFT를 제작할 때 coffee stain effect에 의해서 반도체 소자의 특성이 저하되는 것을 극복하기 위해서 동일한 위치에 동일한 부피로 Droplet을 형성하는 Multiple ink jetting 공법을 통해 TIPS pentacene 결정의 Morphology와 전기적 특성이 어떻게 변화하는지 알아 보았다. Multiple ink jetting의 drop 횟수가 증가할수록 coffee stain effect에 의해서 형성된 가운데 영역의 Dendrite grain이 점점 작아지다가 7 Drops 이후로는 Big grain 만 남게 되었다. Active layer의 표면 Roughness는 drop 횟수가 증가할수록 낮아지다가 일정 count 이후로는 다시 높아지는 것을 확인할 수 있었다. 전계 이동도(mobility)는 drop 횟수가 증가할수록 커지다가 일정 count 이후로는 saturation되는 것을 확인할 수 있었다. Multiple ink jetting에 의해서 만들어진 OTFT 소자의 전계 이동도(mobility)는 1 drop과 10 drops에서 각각 0.0059, 0.036 cm2/Vs 로 6배 정도 차이가 있었다. 이것은 첫 drop에 의해 만들어진 가운데 Dendrite grain 영역이 Multiple ink jetting을 반복하면서 점점 작아지게 되어 사라지고 두꺼운 Grain 영역만 남게 된 것으로 판단된다. Vth 와 On/Off ratio는 1 drop과 10 drops에서 각각 -3 V, -2 V 그리고 $3.3{\times}10^3$, $1.0{\times}10^4$를 보였다. OTFT의 substrate로 Flexible한 polyethersulfone (PES) 기판을 사용하였고, 절연체로 Spin coating된 Poly-4-vinylphenol (PVP)가 사용되었으며, Gate 및 Source/Drain 전극은 Au를 50 nm 두께로 증착하였다. Channel의 width와 length는 각각 100 um, 40 um 였고, Gate 전극 위에 Active layer를 형성한 Bottom gate 구조로 제작되었다. Ink jet으로 제작된 TIPS pentacene의 결정성은 x-ray diffraction (XRD)와 광학 현미경으로 분석하였고 Thickness profile은 알파스텝 측정기를 이용하였으며, OTFT의 전기적 특성은 Keithley-4,200을 사용하여 측정하였다.

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Analysis of Voltage Drop Characteristics of Transformer-based 3-phase Voltage Disturbance Generator (변압기 기반 3상 전압변동발생기의 전압강하 특성해석)

  • Han, Heung-Soo;Lee, Young-Ho;Song, Woong-Hyub;Nho, Eui-Cheol;Kim, In-Dong;Kim, Heung-Geun;Chun, Tae-Won
    • The Transactions of the Korean Institute of Power Electronics
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    • v.15 no.5
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    • pp.411-416
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    • 2010
  • A voltage drop characteristics of a transformer-based voltage disturbance generator with series transformers is analysed. It is well known that a voltage disturbance generator with series transformer is cost-effective and reliable compared with other types. The voltage drop depends on the %Z of the transformer, power rating, and output power factor. A wrong design of the transformer results in a severe voltage drop, which can not guarantee the proper performance of the generator. The voltage drop is analysed under the condition of 10kVA output power rating and 4% of %Z with the variation of power factor. It is found through simulations and experiments that the drop increases as the power factor decreases in lagging mode, and the drop is 4% of the rated voltage in case of 0.85 lagging power factor.

Evaporation Pressure Drop of Carbon Dioxide in Horizontal Tubes with Inner Diameter of 4.57 mm and 7.75 mm (내경 4.57과 7.75 mm인 수평관내 이산화탄소의 증발 압력강하)

  • Son, Chang-Hyo
    • Transactions of the Korean Society of Automotive Engineers
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    • v.16 no.3
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    • pp.30-37
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    • 2008
  • The evaporation pressure drop of $CO_2$ (R-744) in horizontal tubes was investigated experimentally. The experiments were conducted without oil in a closed refrigerant loop which was driven by a magnetic gear pump. The main components of the refrigerant loop are a receiver, a variable-speed pump, a mass flow meter, a pre-heater and evaporator (test section). The test section consists of a smooth, horizontal stainless steel tube of 7.75 and 4.57 mm inner diameter. The experiments were conducted at saturation temperature of $-5^{\circ}C\;to\;5^{\circ}C$, and heat flux of 10 to $40kW/m^2$. The test results showed the evaporation pressure drop of $CO_2$ are highly dependent on the vapor quality, heat flux and saturation temperature. The pressure drop measured during the evaporation process of $CO_2$ increases with increased mass flux, and decreases as the saturation temperature increased. The evaporation pressure drop of $CO_2$ is very lower than that of R-22. In comparison with test results and existing correlations, the best fit of the present experimental data is obtained with the correlation of Choi et al. But existing correlations failed to predict the evaporation pressure drop of $CO_2$. Therefore, it is necessary to develop reliable and accurate predictions determining the evaporation pressure drop of $CO_2$ in a horizontal tube.

Loading Effect on ACPD of a Crack in Paramagnetic Material (균열을 가진 상자성체의 교류전위차에 미치는 하중의 영향)

  • Lee, Jeong-Hee
    • Journal of the Korean Society for Nondestructive Testing
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    • v.19 no.1
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    • pp.1-7
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    • 1999
  • In order to determine the mode I stress intensity factor ($K_I$) by means of the alternating current potential drop(ACPD) technique, the change in potential drop due to load for a paramagnetic material containing a two-dimensional surface crack was examined. The cause of the change in potential drop and the effects of the magnetic flux and the demagnetization on the change in potential drop were clarified by using the measuring systems with and without removing the magnetic flux from the circumference of the specimen. The change in potential drop was linearly decreased with increasing the tensile load and was caused by the change in conductivity near the crack tip. The reason of decreasing the change in potential drop with increasing the tensile load was that the increase of the conductivity near the crack tip due to the tensile load caused the decreases of the resistance and internal inductance of the specimen The relationship between the change in potential drop and the change in $K_I$ was not affected by demagnetization and was independent of the crack length.

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Effective Way of Measuring $K_I$ by Means of ACPD Technique (교류전위차법을 이용한 효과적인 응력확대계수의 측정 방법)

  • Lee, Jeong-Hee
    • Journal of the Korean Society for Nondestructive Testing
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    • v.19 no.1
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    • pp.8-15
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    • 1999
  • In order to develop an effective way of measuring the mode I stress intensity factor, $K_I$, by the technique based on the alternating current potential drop (ACPD), the effect of the magnetic flux in the air on the change in potential drop due to load for both ferromagnetic and paramagnetic materials containing a two-dimensional surface crack was investigated. Additionally the effects of the demagnetization and the crack length on the change in potential drop were examined. In the case that the measuring system was designed to induce a large amount of electromotive force, the amount of the change in potential drop due to load was shown to increase largely Also the relationship between the change in potential drop and that in $K_I$ was indicated to be linear without any treatment and it was shown that the demagnetization had almost no effect on the change in potential drop. The change in potential drop did not depend on the crack length but on the measuring system. For the application of the ACPD technique to determine $K_I$.

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An Experimental Study on Effects of Soot Loading and Mass Flow Rate on Pressure Drop and Heat Transfer in Catalyzed Diesel Particulate Filter (촉매 코팅 DPF의 soot loading과 유량 변화에 따른 압력강하 및 열전달에 관한 실험적 연구)

  • Cho, Yong-Seok;Noh, Young-Chang;Park, Young-Joon;Kim, Duk-Sang
    • Transactions of the Korean Society of Automotive Engineers
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    • v.15 no.3
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    • pp.72-78
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    • 2007
  • A diesel particulate filter causes progressive increase in back pressure of an exhaust system due to the loading of soot particles. To maintain the pressure drop caused by DPF under proper level, a regeneration process is mandatory when excessive loading of soot is detected in the filter. It is a major reason why the relation between the amount of soot and the pressure drop in a DPF becomes crucial. On the other hand, pressure drop varies with not only the soot loading but also conditions of exhaust gas such as mass flow rate. Therefore, the relation among them becomes complicated. Furthermore, the characteristics of heat transfer in a DPF is another crucial parameter in order for the filter to avoid thermal crack during regeneration period. This study presents characteristics of pressure drop under various conditions of soot loading and mass flow rate in catalyzed diesel particulate filter. This study also shows characteristics of heat transfer in DPF when high temperature gas flows into the filter. Experiments reveal that the soot loading and mass flow rate affect characteristics pressure drop independently. Experiments also indicate that the amount of coating material has little influence on pressure drop with changes in soot loading and mass flow rate. However, increased catalyst coating may lead to the improved heat transfer which is efficiency to reduce thermal stress of the filter.