• Title/Summary/Keyword: Face-to-face (F2F)

Search Result 145, Processing Time 0.027 seconds

Factors Influencing Medication Adherence and Status of Medication Use of the Elderly with Chronic Disease Taking Non-opioid Analgesics (만성질환 관련 비마약성 진통제 처방 노인의 약물사용 실태 및 약물복용이행에 영향을 미치는 요인)

  • Jeon, Hae Ok;Kim, Bockryun;Kim, Haesook;Chae, Myung-Ock;Kim, Myeong Ae;Kim, Ahrin
    • Journal of Korean Biological Nursing Science
    • /
    • v.19 no.1
    • /
    • pp.18-29
    • /
    • 2017
  • Purpose: This study investigates the status of medication use of the elderly with chronic disease taking non-opioid analgesics and attempts to identify factors influencing medication adherence. Methods: Data were collected from September 1 to October 19, 2016. A structured questionnaire was used for face-to-face interview with a convenience sample of 161, elderly people with chronic disease taking non-opioid analgesics. The survey included questions about status of medication use, medication adherence, symptom experience, depression and family function. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with IBM SPSS 23.0 program. Results: The mean score of medication adherence of the elderly with chronic disease was $4.48{\pm}2.35$. Experiences of side effects (${\beta}=.31$, p< .001), use of over-the-counter pain medication (${\beta}=.19$, p= .009), and family function (${\beta}=.16$, p= .031) were identified as significant predictors. The final model explained 18.0% of the variation of medication adherence of the elderly with chronic disease taking non-opioid analgesics (F= 12.30, p< .001). Conclusion: Therefore, as a strategy to improve medication adherence of the elderly with chronic disease, therapeutic intervention should be developed to improve family function and to manage with personalized plans considering experiences of side effects and use of over-the-counter pain medication.

Physical and Mechanical Properties and Fire-endurance Characteristics of Recycled Particleboards

  • Suh, Jin-Suk;Han, Tae-Hyung;Park, Joo-Saeng;Park, Jong-Young
    • Journal of the Korea Furniture Society
    • /
    • v.19 no.6
    • /
    • pp.475-486
    • /
    • 2008
  • In this study, fire-retardant chemicals were melt with mixed composition ratios of dibasic ammonium phosphate and each half of boric acid and borax in hot water, in which hammer-milled chips were immersed to increase swelling of waste particleboards. Also, fire-retardant treated particles from sawn lumber chip and recycled particleboard chip were composed in ratio of 70:30 in core layer to improve boards' properties. Retention ratio of fire-retardant chemicals for the particles for face layer was high due to high specific surface area, and that of sawn lumber chips was somewhat higher than that of recycled particleboard chips. The mixture of particles from sawn lumber chips and recycled PB of 70:30 in weight ratio exceeded bending strength of 100 $kgf/cm^2$. It seemed that the relatively greater portions of dibasic ammonium phosphate affected adversely to dimensional stability, however fire-retardants treatment resulted in distinct effect lowering formaldehyde emission such as $E_0$ type(0.5mg/$\ell$ or less) in KS F 3104. In fire-retardancy, the recycled boards with a mixed ratio of dibasic ammonium phosphate to boric acid borax(50:50 mixture) of 70% to 30% in weight satisfied fire-retardancy 3rd grade in KS F 2271, and also this composition from cone calorimeter test met same standard grade figuring total heat release of 4.6MJ/$m^2$.

  • PDF

Seismic response evaluation of fixed jacket-type offshore structures by random vibration analysis

  • Abdel Raheem, Shehata E.;Abdel Aal, Elsayed M.;AbdelShafy, Aly G.A.;Fahmy, Mohamed F.M.
    • Steel and Composite Structures
    • /
    • v.42 no.2
    • /
    • pp.209-219
    • /
    • 2022
  • Offshore platforms in seismically active areas must be designed to survive in the face of intense earthquakes without a global structural collapse. This paper scrutinizes the seismic performance of a newly designed and established jacket type offshore platform situated in the entrance of the Gulf of Suez region based on the API-RP2A normalized response spectra during seismic events. A nonlinear finite element model of a typical jacket type offshore platform is constructed taking into consideration the effect of structure-soil-interaction. Soil properties at the site were manipulated to generate the pile lateral soil properties in the form of load deflection curves, based on API-RP2A recommendations. Dynamic characteristics of the offshore platform, the response function, output power spectral density and transfer functions for different elements of the platform are discussed. The joints deflection and acceleration responses demands are presented. It is generally concluded that consideration of the interaction between structure, piles and soil leads to higher deflections and less stresses in platform elements due to soil elasticity, nonlinearity, and damping and leads to a more realistic platform design. The earthquake-based analysis for offshore platform structure is essential for the safe design and operation of offshore platforms.

External retrofit of beam-column joints in old fashioned RC structures

  • Adibi, Mahdi;Marefat, Mohammad S.;Arani, Kamyar Karbasi;Zare, Hamid
    • Earthquakes and Structures
    • /
    • v.12 no.2
    • /
    • pp.237-250
    • /
    • 2017
  • There has been increasing attention in many countries on seismic retrofit of old fashioned RC structures in recent years. In such buildings, the joints lack transverse reinforcement and suffer inadequate seismic dimensional requirements and the reinforcement is plain bar. The behavior of the joints is governed by sliding of steel bars and diagonal shear failure is less influential. Different methods to retrofit beam-column joints have been proposed in the literature such as wrapping the joint by FRP sheets, enlargement of the beam-column joint, and strengthening the joint by steel sheets. In this study, an enlargement technique that uses external prestressed cross ties with steel angles is examined. The technique has already been used for substructures reinforced by deformed bars and has advantages such as efficient enhancement of seismic capacity and lack of damage to the joint. Three reference specimens and two retrofitted units are tested under increasing lateral cyclic load in combination with two levels of axial load. The reference specimens showed relatively low shear strength of 0.150${\surd}$($f_c$) and 0.30${\surd}$($f_c$) for the exterior and interior joints, respectively. In addition, relatively brittle behavior was observed and large deformations extended into the panel zone of the joints. The retrofit method has increased ductility ratio of the interior beam-column joints by 63%, and energy dissipation capacity by 77%, relative to the control specimen; For external joints, these values were 11%, and 94%. The retrofit method has successfully relocated the plastic joints far from the column face. The retrofit method has improved shear strength of the joints by less than 10%.

Clinical and Laboratory Features to Consider Genetic Evaluation among Children and Adolescents with Short Stature

  • Seokjin Kang
    • Journal of Interdisciplinary Genomics
    • /
    • v.5 no.2
    • /
    • pp.18-23
    • /
    • 2023
  • Conventional evaluation method for identifying the organic cause of short stature has a low detection rate. If an infant who is small for gestational age manifests postnatal growth deterioration, triangular face, relative macrocephaly, and protruding forehead, a genetic testing of IGF2, H19, GRB10, MEST, CDKN1, CUL7, OBSL1, and CCDC9 should be considered to determine the presence of Silver-Russell syndrome and 3-M syndrome. If a short patient with prenatal growth failure also exhibits postnatal growth failure, microcephaly, low IGF-1 levels, sensorineural deafness, or impaired intellectual development, genetic testing of IGF1 and IGFALS should be conducted. Furthermore, genetic testing of GH1, GHRHR, HESX1, SOX3, PROP1, POU1F1, and LHX3 should be considered if patients with isolated growth hormone deficiency have short stature below -3 standard deviation score, barely detectable serum growth hormone concentration, and other deficiencies of anterior pituitary hormone. In short patients with height SDS <-3 and high growth hormone levels, genetic testing should be considered to identify GHR mutations. Lastly, when severe short patients (height z score <-3) exhibit high levels of prolactin and recurrent pulmonary infection, genetic testing should be conducted to identify STAT5B mutations.

A CEPHALOMETRIC STUDY OF SOFT TISSUE PROFILE CHANGES ASSOCIATED WITH ORTHODONTIC TREATMENT (Cephalogram 분절(分折)에 의(依)한 부정교합자(不正咬合者) 치료전후(治療前後)의 연조직(軟組織) 측모(側貌) 변화(變化)에 관(關)한 연구(硏究))

  • Park, Young Guk;Lee, Ki Soo
    • The korean journal of orthodontics
    • /
    • v.14 no.1
    • /
    • pp.103-113
    • /
    • 1984
  • This work was undertaken to evaluate the integumental response in lower face to hard tissue changes, and to grope the prediction equation for expected integumental profile changes. Cephalometric headplates of 25 persons consisted of 8 Angle's class 1 maxillary protrusive and 17 Angle's class II division 1 patients whose mean age was 15.2 years were traced, diagramatized, and statistically analyzed. The results were as follows; 1. Upper incisor and lips were retracted and convexity of integumental profile decreased concurrently with decrease of hard tissue procumbency, however soft tissue point A', B', and Pog' did not undergo significant changes after orthodontic treatment. 2. Remarkable increment of upper lip thickness and upper lip height was shown and this was related to upper incisor retraction. The ratio between the amount of upper incisor retraction and the increment o f upper lip thickness was approximately 1.16:1. 3. Moderate correlation of upper lip retraction to upper incisor retraction, and of lower lip retraction to lower incisor movement were arranged, and yet comparatively wide variability from subject to subject was shown. 4. It was possible to predict statistically for horizontal alteration of lip position and change of upper lip angulation ground in orthodontic treatment.

  • PDF

MORDERN METHODS FOR TUNNEL (지하철 터널 굴착공법)

  • Heo, Jin
    • Journal of the Korean Professional Engineers Association
    • /
    • v.14 no.3
    • /
    • pp.9-21
    • /
    • 1981
  • The rationalization for Tunnel Drifting is based on the high productivity which is achievable due to Continuous work with a Jumbo Drill, resulting in a much higher efficiency them the Conventional method of blasting, mucking and supporting services. Large projects of over 4,000m Tunnel Drifting are condidated to justify the use of a Jumbo Drill with a combination of superior explosives, machinery and techniques. During a Tunnel Drifting test, Gulita, Nabit and slurry made by Nitro Nobel were employed with following results. 1, Conditions: a. Granite Rock with Two free face b. Burden (W), 2m c. Diameter of hole, 42mm d. Depth of hole 3.5m e. Hole pitch 0.6m f. Charged Explosive per hole Gelatin Dynamite 4 pieces (112.5${\times}$4ea)+Guuita 5 pieces(110g${\times}$5ea) g. Simal-taneous Detonation h. After the blasting resultant rock size was Less 40% of the 0.3m Lumps. 2. Calculation results W=q/Wn=100cm‥‥‥Burden in simultaneous blasting 0.865kg(7.7ea)/hole ‥‥‥Amount of charge but hole pitch is 1.5W-2W The estimated cost of using a Jumbo Drill for the Construction of a 3,000,000 bbL sub-surface oil storage would be as follows: This calculation is based on the Jumbo Drill advancing 3.6m per blasting cycle. Unit cost/bbL Excavation $3.13 The attached sheet shows ideal Drilling pattern with Burn Cut & Smooth blasting method. In conclusion, it is my opinion that this method will assure safety and save cost and improve our technical know-how.

  • PDF

Simulation study on effects of loading rate on uniaxial compression failure of composite rock-coal layer

  • Chen, Shao J.;Yin, Da W.;Jiang, N.;Wang, F.;Guo, Wei J.
    • Geomechanics and Engineering
    • /
    • v.17 no.4
    • /
    • pp.333-342
    • /
    • 2019
  • Geological dynamic hazards during coal mining can be caused by the failure of a composite system consisting of roof rock and coal layers, subject to different loading rates due to different advancing velocities in the working face. In this paper, the uniaxial compression test simulations on the composite rock-coal layers were performed using $PFC^{2D}$ software and especially the effects of loading rate on the stress-strain behavior, strength characteristics and crack nucleation, propagation and coalescence in a composite layer were analyzed. In addition, considering the composite layer, the mechanisms for the advanced bore decompression in coal to prevent the geological dynamic hazards at a rapid advancing velocity of working face were explored. The uniaxial compressive strength and peak strain are found to increase with the increase of loading rate. After post-peak point, the stress-strain curve shows a steep stepped drop at a low loading rate, while the stress-strain curve exhibits a slowly progressive decrease at a high loading rate. The cracking mainly occurs within coal, and no apparent cracking is observed for rock. While at a high loading rate, the rock near the bedding plane is damaged by rapid crack propagation in coal. The cracking pattern is not a single shear zone, but exhibits as two simultaneously propagating shear zones in a "X" shape. Following this, the coal breaks into many pieces and the fragment size and number increase with loading rate. Whereas a low loading rate promotes the development of tensile crack, the failure pattern shows a V-shaped hybrid shear and tensile failure. The shear failure becomes dominant with an increasing loading rate. Meanwhile, with the increase of loading rate, the width of the main shear failure zone increases. Moreover, the advanced bore decompression changes the physical property and energy accumulation conditions of the composite layer, which increases the strain energy dissipation, and the occurrence possibility of geological dynamic hazards is reduced at a rapid advancing velocity of working face.

The Slope Stability Establishment with P.C. Anchoring Method (P.C. Anchoring 공법을 활용한 사면안정대책)

  • 박철숙;손재호;인영길;장두희
    • Proceedings of the KSEG Conference
    • /
    • 2002.04a
    • /
    • pp.61-73
    • /
    • 2002
  • Daegok dam is Concrete Face Rockfill Dam(C.F.R.D) of which 52m height, 190m length, that construction in beneath 306, Chanjeon-Ri, Dudong-Myeon, Ulju-Gun, Ulsan Metrocity. Left slope excavation of spillway have related to Daegok dam construction are developing crack in Sta. No. 1~2, EL. 134~137m after 67.0mm rainfall from 2000. 7. 23. 13:00 to 7. 24. 04:00. Surface geological survey and slope stability investigation with stereographic projection method in order of slope stability establishment. Partial supplement excavation and SSL. P. C. Anchoring method is able to pre-stressing are think about unstable element after excavation. This slope stability establishment is very successfully completion.

  • PDF

A Study on Cubism Fashion Style Appearing in Modern Fashion: Focused on the 2010 S/S-2013 S/S Paris Collection (현대 패션에 나타난 큐비즘스타일패션 연구: 2010 S/S - 2013 S/S 파리컬렉션을 중심으로)

  • Choi, Yeree;Choi, Jeongwook
    • Journal of Fashion Business
    • /
    • v.18 no.2
    • /
    • pp.14-28
    • /
    • 2014
  • This study analyzed the group of experts who were related to cubism, selected among the works of 2010~2013 Paris Collection based on F.G.R.(Focus Group Research). According to the results of this study, there were appeared first, 'a one-piece dress' second, 'H silhouette' third, 'cotton', in case of item distribution and frequency. The analysis was done by using the manner of expression, cubical expression, exaggeration, distortion, dismantlement, geometrical division of face, mix-match look, wraparound repetition, asymmetric structure, etc. Based on the outcomes of the analysis on figurative design elements, this study adjusted three manners appearing on cubism fashion style. First, it was 'avant garde manner' of constitution or 'dismantlement' which was compiled into multi-view representations of overlaps and viewpoints by repetitive use of color tone trimming detail. Second, it was 'geomagnetic block placement' which expresses cubism with geometric partitioning of surface and separation of panel by cutting disintegration. Finally, it was 'distortion and simplification of silhouette' which is a distortion created by constitution-line pressed thin with silhouette. It maximizes the beauty of human body outline, which was distorted by three-dimensional-manipulation, and simplified by ellipsis for another shape for the extension or expansion of detail trimming.