• Title/Summary/Keyword: Group Maintenance

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Increment in vitamin D level and bone mineral accrual in children with vitamin D deficiency

  • Rao, Yashwant Kumar;Midha, Tanu;Singh, Satyajeet;Bajpai, Anurag;Tilak, Amita
    • Clinical and Experimental Pediatrics
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    • v.59 no.7
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    • pp.292-297
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    • 2016
  • Purpose: To compare different regimens of vitamin D with respect to its serum increment levels and bone mineral accrual in vitamin D-deficient children. Methods: Children identified as being vitamin D deficient (serum levels<20 ng/mL) were divided into 3 treatment groups by stratified block randomization (group 1, 4,000 IU/day of vitamin D3 plus 50 mg/kg/day calcium for 12 weeks; group 2, 30,000 IU/wk of vitamin D3 plus 50 mg/kg/day calcium for 12 weeks; and group 3, 300,000 IU of vitamin D3 once intramuscularly plus 50 mg/kg/day calcium). After regimen completion, each child received a maintenance dose of 400 IU/day vitamin D3 plus 50 mg/kg/day calcium. Their serum vitamin D level was measured after 3 and 12 months. Total body less head bone mineral concentration (BMC) and total body less head bone mineral density (BMD) were measured after 12 months. Results: The mean increment in serum vitamin D levels from baseline to 3 months was significantly higher in group 3 than in groups 1 and 2, but the levels from 3 to 12 months were almost similar among all 3 groups. There were no significant differences among the 3 groups with respect to percentage increase of BMD and BMC. Conclusion: The injectable form of vitamin D was more efficacious than the oral forms in increasing the serum level to the normal range. All 3 regimens were equally effective in increasing the BMC and BMD. The 400 IU/day maintenance dose was sufficient to keep the serum level within the normal range.

Comparison of Maintenance Period on Muscle Activity and MVIC according to Type of Stretching (스트레칭의 유형에 따른 근활성도 및 최대 수의적 등척성 수축력의 유지기간 비교)

  • Jeong, Jin-Gyu;Lee, Byung-Hoon;Yoo, Jae-Young;Kim, Yong-Nam
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.8
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    • pp.1271-1276
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    • 2013
  • This study selected 22 male subjects to examine the maintenance period of static and ballistic stretching applied to rectus femoris, divided them into 11 static stretching group and 11 ballistic stretching group and analyzed changes in median frequency and in maximal voluntary isometric contraction before stretching and at 30 sec, 1 min, 3 min, 5 min, and 10 min after stretching. Median frequency showed significant differences in changes according to time and groups after the test of main effects. It was reduced after 3 min. in both static stretching and ballistic stretching groups and then increased again. Maximal voluntary isometric contraction showed significant differences in changes according to time and groups from the results of the main effect test. Static stretching group was reduced at 3 min after the experiment and then increased after that and ballistic stretching group was reduced at 5 min after the experiment and then increased again. In conclusion, changes were shown according to time after stretching and the effects of ballistic stretching were maintained a little longer than those of static stretching.

The Study on the Development of Automatic Rebar Placement System Applying Selection Method of Optimum Reinforcing Bar Group on Shear Wall (최적배근그룹 선정방법을 적용한 전단벽체의 자동배근 시스템 개발에 관한 연구)

  • Cho, Young-Sang;Kim, Dong-Eun;Jin, Hyun-Ah;Jang, Hyun-Suk
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.1
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    • pp.81-89
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    • 2015
  • This study takes shear wall of reinforced concrete structure as study object, and the purpose of this study is to suggest structure BIM based on automatic reinforcing bar placement system applying set-based design through the most optimum reinforcing bar placement group that was selected by applying AHP (analytical hierarchy process) method from design step. For this, the most optimum reinforcing bar placement group was selected by pairwise comparison analysis on complex standard of multiple alternatives. And shear wall automatic reinforcing bar placement system has been developed, which can automatically generate members and arrange reinforcing bar by structure design algorithm and using open API (application programming interface) provided by a BIM software vendor. As a result, the most optimum reinforcing bar placement group of the highest weight, ALT1, was selected and was generated using Tekla Structure program.

Effects of excessive Pronation of the Foot on Knee joint Strength and Gait (발의 과도한 회내 상태가 슬관절 근력과 보행에 미치는 영향)

  • Jung, Sang-mo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.2
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    • pp.77-85
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    • 2021
  • BACKGROUND: This study aimed to determine the changes in muscle strength and walking ability in patients who complained of knee instability due to excessive pronation of the foot. METHODS: Twenty patients (ten men and ten women) who complained of instability of the knee joint due to excessive pronation of the foot participated in the experiment. In the experimental group, the internal rotation of the tibia caused by excessive adduction of the foot was maintained as external rotation, and the joint state was to recognize the movement of the joint position changed through maintenance of the muscle. This exercise was performed five times for each patient, and the muscle strength maintenance was performed for 20 seconds. In the control group, stretching and range of motion (ROM) exercises were performed. For the stretching exercise, one specific motion was performed for 20 second, and the ROM exercise was performed to confirm the change in muscle strength in the knee joint area and walking ability. RESULTS: The knee flexion and extension strength in the patients with excessive pronation of the foot differed significantly from those in the subjects from the control group (p<.05). Further, the before-after comparison of the step time and length in the evaluation of walking ability, which affects overall postural movement due to knee joint instability, revealed a significant difference between the experimental and control groups (p<.05). CONCLUSION: The patients that were subjected to manual therapy and ROM exercise for the knee joint showed improved knee joint muscle strength and walking ability compared to the subjects from the control group.

Effect of cigarette smoking on the maintenance of reduction after treatment of acute acromioclavicular joint dislocation with hook plate fixation

  • Jee-Hoon Choi;Yong-Min Chun;Tae-Hwan Yoon
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.373-379
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    • 2023
  • Background: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries. Methods: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal. Results: No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups. Conclusions: Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.

A Study on CRM in TV Home Shopping Mall (Part 2) -Focusing on the Frequency and Gender- (TV 홈쇼핑에서의 패션제품 CRM에 관한 연구 (제2보) -거래빈도와 성별을 중심으로-)

  • Lee, Seung-Hee;Park, Soo-Kyeong
    • Journal of the Korean Society of Clothing and Textiles
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    • v.31 no.5 s.164
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    • pp.705-716
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    • 2007
  • The purpose of this study was to examine the relationship structure in TV home shopping focusing on purchasing frequency and gender. Subjects for this study were 300 customers who had purchased fashion products in TV home shopping. For date analysis, factor analysis, t-test, correlation analysis and path analysis were used. As the result, when comparing groups by the purchasing frequency, the group which had higher purchase experiences had significant relationship between trust and commitment than other group of lower purchase experiences. There were statistically significant differences in 'service', 'benefits', 'influence', 'security' variables between purchasing frequency groups. Also when comparing groups by the gender, both men and women had 'relationship maintenance intention' in CRM. However, women had the effects from 'trust' to 'commitment', while men had not effects. However, there were statistically significant differences in 'service', 'information', 'reputation', 'influence' variables between men and women. Based on these results, TV home shopping fashion marketing strategies would be suggested.

Modal parameters identification of heavy-haul railway RC bridges - experience acquired

  • Sampaio, Regina;Chan, Tommy H.T.
    • Structural Monitoring and Maintenance
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    • v.2 no.1
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    • pp.1-18
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    • 2015
  • Traditionally, it is not easy to carry out tests to identify modal parameters from existing railway bridges because of the testing conditions and complicated nature of civil structures. A six year (2007-2012) research program was conducted to monitor a group of 25 railway bridges. One of the tasks was to devise guidelines for identifying their modal parameters. This paper presents the experience acquired from such identification. The modal analysis of four representative bridges of this group is reported, which include B5, B15, B20 and B58A, crossing the Caraj$\acute{a}$s railway in northern Brazil using three different excitations sources: drop weight, free vibration after train passage, and ambient conditions. To extract the dynamic parameters from the recorded data, Stochastic Subspace Identification and Frequency Domain Decomposition methods were used. Finite-element models were constructed to facilitate the dynamic measurements. The results show good agreement between the measured and computed natural frequencies and mode shapes. The findings provide some guidelines on methods of excitation, record length of time, methods of modal analysis including the use of projected channel and harmonic detection, helping researchers and maintenance teams obtain good dynamic characteristics from measurement data.

The Effects of the Individual Application of Low Sodium Dialysate on Weight Gain, Blood Pressure, and Intradialytic Side Effects in Patients on Maintenance Hemodialysis (개별적 저나트륨 투석액 적용이 혈액투석 환자의 체중증가, 혈압 및 투석 중 부작용에 미치는 효과)

  • Song, Ji Sook;Kim, Eun Sook;Lee, Yu Na
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.45-56
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    • 2013
  • Purpose: The purpose of this study is to identify the effect of low sodium dialysate (LSD) rather than conventional dialysate on interdialytic weight gain (IWG), blood pressure (BP), and intradialytic side-effects (ISEs) in patients on maintenance hemodialysis (HD). Methods: The study was performed in 43 patients, who were treated in the university hospital over 8 weeks. Each participant's serum sodium set point was measured using dialysate sodium 140 mEq/L during the first 4 weeks. For the next 4 weeks dialysate sodium concentrate (134,136,and138 mEq/L) was provided to each participant but only to an experimental group (EG) (n=22) based on the individual set point, although 140 mEq/L dialysate was given to all of the control group (CG) (n=21). Consequently, outcomes including IWG, BP, and ISE were evaluated. Results: In EG, difference of pre-HD SBP (p=.047) and post-HD serum sodium (p=.006) were significantly decreased compared to CG. Also, ISEs was not more frequent in EG. However, the differences were not statistically significant, IWG (kg & %), pre-HD DBP, post-HD SBP & DBP, and serum osmolality in EG. Conclusion: Individual application of LSD in patients on maintenance hemodialysis is beneficial to decrease pre-HD SBP and post-HD serum sodium without increasing ISE. Therefore, LSD can be better treatment than conventional dialysate.

Factors affecting vegetable preference in adolescents: stages of change and social cognitive theory

  • Woo, Taejung;Lee, Kyung-Hea
    • Nutrition Research and Practice
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    • v.11 no.4
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    • pp.340-346
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    • 2017
  • BACKGROUND/OBJECTIVES: Despite the importance of consuming sufficient amounts of vegetables, daily vegetable intake among adolescents in Korea is lower than the current dietary recommendation. The objective of this study was to examine determinants affecting vegetable preference in order to suggest a stage-tailored education strategy that can promote vegetable consumption in adolescents. SUBJECTS/METHODS: Adolescents (n = 400, aged 16-17 years) from two high schools participated in a cross-sectional study. Survey variables were vegetable preference, the social cognitive theory (SCT) and stages of change (SOC) constructs. Based on vegetable preference, subjects were classified into two groups: a low-preference group (LPG) and a high-preference group (HPG). SOC was subdivided into pre-action and action/maintenance stages. To compare SCT components and SOC related to vegetable preference, chi-squared and t-tests, along with stepwise multiple-regression analysis, were applied. RESULTS: In the LPG, a similar number of subjects were classified into each stage. Significant differences in self-efficacy, affective attitudes, and vegetable accessibility at home and school were detected among the stages. Subjects in the HPG were mainly at the maintenance stage (81%), and there were significant differences among the stages regarding self-efficacy, affective attitudes, and parenting practice. In the predictions of vegetable preference, self-efficacy and parenting practice had a significant effect in the "pre-action" stage. In the action/maintenance stage, outcome expectation, affective attitudes, and vegetable accessibility at school had significant predictive value. In predicting the vegetable preference for all subjects, 42.8% of the predictive variance was accounted for by affective attitudes, self-efficacy, and vegetable accessibility at school. CONCLUSION: The study revealed that different determinants affect adolescent vegetable preference in each stage. Self-efficacy and affective attitudes are important determinants affecting vegetable preference. Additionally, school-based nutrition intervention that focuses on enhancing affective attitudes, self-efficacy, and vegetable exposure may constitute an effective education strategy for promoting vegetable consumption among adolescents.

Analyses of Psycho-Social Determinants in Processes of Exercise Behaviors for Older Adults (고령자 운동지속 행동의 사회심리적 결정요인 분석)

  • Yoo, Jin;Lee, Sun-Ae
    • 한국노년학
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    • v.28 no.4
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    • pp.1213-1225
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    • 2008
  • The purpose of this study was to determine psychosocial variables of exercise behaviors for old adults. A major research problem identified through theory of planned behavior and it's empirical data: Do cognitive-social variables(health risk perception, self-efficacy, group conformity, exercise attitude) significantly mediate exercise behaviors(intention, action, maintenance)? A total of 453 older adults above 65 years(171 males and 282 females) who were enrolled in various classes were randomly selected at adults centers in Seoul. Participants completed a battery of questionnaires including the psycho-social variables(health risk perception, self-efficacy, group conformity, exercise attitude) and exercise behaviors(intention, action, maintenance). The results of statistical procedures(e.g., hierarchical multiple regression) indicated self-efficacy and exercise attitude significantly predicted exercise intentions of older adults. Exercise intention was a significant predictor of action, and action was a significant predictor of exercise maintenance. In discussion, various psycho-social mechanisms were provided to interpret the results of this study, and future directions were suggested.