• Title/Summary/Keyword: Management of DM

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Research Trends in Diabetes Mellitus Self-Management Intervention: The Scoping Review (당뇨병 자가관리 중재 연구동향: 주제범위 문헌고찰)

  • Lee, Jiyoung
    • Journal of muscle and joint health
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    • v.29 no.2
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    • pp.113-123
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    • 2022
  • Purpose: The present study aims to identify research trends on diabetes mellitus (DM) self-management intervention, suggesting directions for follow-up studies through a scoping review. Methods: This study conducted the scoping review process outlined by Arskey and O' Malley using the JBI (Joanna Briggs Institute) template. The databases used were Riss, Kiss, NDSL, KMbase, Google Scholar. This study searched the literature published between January 2011 and November 2021 by entering keywords related to DM self-management. Results: Thirty-five studies were selected for analysis. The period for 24 articles was 12 weeks or longer. The interventions consisted of education, exercise, counseling, and coaching. Not all studies applied the theory of behavior change. Fourteen studies included three factors relating to behavioral, cognitive, emotional, and blood sugar changes to measure effectiveness, while ten studies included all four factors. Most interventions were effective both in DM self-management and self-care. Further, the intervention persistence effect of each study varied. Conclusion: While research on DM self-management intervention has been conducted at domestically and abroad, this decreased during COVID-19 pandemic. This study suggests the importance of systematically developing effective necessary optimal DM self-management interventions that can change behaviors to prevent diabetic complications and improve quality of life.

Q-factor Improvements of WDM Signals using Optical Transmission Link with Dispersion Management and OPC (분산 제어와 OPC를 갖는 광전송 링크를 이용한 WDM 신호의 Q-factor 개선)

  • Lee, Seong-Real
    • Journal of Advanced Navigation Technology
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    • v.13 no.1
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    • pp.27-33
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    • 2009
  • New optical transmission link techniques improving performance of WDM channels, each channel have bit rate of 40 Gbps, are proposed. The proposed optical link configuration consist of optical phase conjugator (OPC) placed at middle of total transmission length, and dispersion management (DM) as a role of compensating dispersion cumulated in transmission line. It is confirmed that Q-factor of total channels are improved by combining OPC and DM in optical transmission link as a result of following fact; DM not only mitigate the cumulated dispersion in total transmission line but also help OPC to compensate optical nonlinearities. And, it is confirmed that the improvement of Q-factor of overall WDM channels depends on net residual dispersion (NRD) of optical link.

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A National Chronic Disease Management Model and Evaluation of Validity of Primary Care Physician(PCP) Model in Korea (우리나라 만성질환 관리를 위한 질환주치의 모형의 타당성 분석)

  • Chun, Ki-Hong;Paek, Kyung-Won;Lee, Soo-Jin;Park, Chong-Yon
    • Health Policy and Management
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    • v.19 no.3
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    • pp.92-108
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    • 2009
  • This study suggests a model for continuing and comprehensive management of hypertension or Type 2 diabetes mellitus (T2DM) in Korea. Moreover, this paper computed the contribution cost of hypertension or T2DM management using the healthcare medical cost, which could have occurred from stroke, myocardial infarction (MI), and end-stage renal disease (ESRD) that were successfully prevented from the effective hypertension or T2DM management. Additionally, these costs were compared with the cost of implementing the hypertension or T2DM management model suggested in this study. This study used the medical fee summary of the health insurance claims submitted to National Health Insurance Corporation by medical facilities for services provided during the period from January 1st 1999 to December 31st 2006. The prevalence rate with treatment referred to cases in which patients submitted their medical claims at least once during the period, along with an accordant diagnosis. The incidence rate with treatment referred to cases in which patients who never submitted claims for the accordant disease during the five years from 1999 to 2003 submitted claims for the accordant disease in 2004 and 2005. The relative risk of the occurrence of stroke, MI and ESRD was 11.0, 13.6, and 30.3, respectively. The attributable risk of hypertension or T2DM for stroke was 0.730, and that for MI and ESRD were 0.773 and 0.888, respectively. Based on these, the contribution cost of hypertension or T2DM is estimated to be 986.3 billion Korean Won(KRW) for stroke patients, 330.5 billion KRW for MI patients, and 561.7 billion KRW for ESRD patients as in 2005. Hence, the total contribution cost of hypertension or T2DM to stroke, MI, and ESRD is 1.878 trillion KRW. The estimate for operational costs included an annual expenditure of 50,000 KRW per each recipient and an annual subsidy of 0.22 million KRW per person for the 1.6 million low.income individuals with hypertension or T2DM to cover their out.of.pocket medical expenses. Under this assumption, it took approximately 0.6 trillion KRW to manage 5 million high.risk patients in the low. and mid.income range, coverings up to 50% of costs. In conclusion, considering the potential benefits of preventing stroke, MI, and ESRD, the costs seems to be reasonable.

An interactive face search procedure for multiple objective linear programming

  • Lee, Dong-Yeup
    • Korean Management Science Review
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    • v.10 no.2
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    • pp.11-26
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    • 1993
  • This paper presents a new interactive procedure for multiple objective linear programming problem (MOLP). In practical multiple objective linear programming applications, there is usually no need for the decision maker to consider solutions which are not efficient. Therefore, the interactive procedure presented here searches only among efficient solutions and terminates with a solution that is guaranteed to be efficient. It also can converge to nonextreme efficient final solutions rather than being restricted to only extreme efficient points of the feasible set. The procedure does not require sophisticated judgements or inputs from the decision maker. One of the most attractive features of the procedure however, is that the method allows the DM to examine the efficient faces it finds. As iteration goes, the DM can explore a wide variety of efficient faces rather than efficient faces confined to only certain subregion of the feasible set of problem MOLP since the efficient faces that the procedure finds need not be adjacent. This helps the DM explore the nature of the efficient set of problem MOLP and also helps the DM have confidence with a final solution. For these reasons, I feel that the procedure offer significant promise in solving multiple objective linear programs rapidly and in a satisfying manner to the DM.

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A Study on the smartphone management standards(OMA DM) (스마트폰 관리 표준(OMA DM)에 관한 연구)

  • Bae, Jung-Min;Jung, Sung-Jae;Bae, Yu-Mi;Jang, Rea-Young;Soh, Woo-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.05a
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    • pp.253-255
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    • 2013
  • It is being exposed to hazard about the person or company's information, according to mobile-telecommunication's development. Those situations are being threatened to private information exposure and in a bid to stop the outflow of new technologies from coporations or goverment. to resolve this issue, the administration of SMART phone's applications and the skill of handling for device applying the standard of DM defining protocol and Mechanism Study into the software management and Device supervision under controlling, OMA which is affiliated to Mobile Service Standard Organization.

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A Comparison of Forage Production and Utilization Efficiency on Some Different Grass/LeGume Pasture Mixtures for Grazing Management (서로 다른 화본과/두과 방목이용 초지에서 사초생산성 및 초지 이용률 비교 연구)

  • Seo, Sung;Lee, Joung-Kyong;Jo, Mu-Hwan
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.16 no.3
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    • pp.183-189
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    • 1996
  • The productivity and utilization of four different grasdlegume pastures for grazing management were examined. The pasture mixtures used in this study were orchardgrass + ladino clover (Tl), orchardgrass + alfalfa (T2), perennial ryegrass + alfalfa (T3), and orchardgrass (T4, without legumes) respectively. The pastures were mtationally grazed 7 times with growing cow which had an initial weight of ca 243kg. The gmwth of pasture plants, dry matter (DM) yield, DM distribution, daily DM production, and pasture utilization were investigated at the NLRI, in Suwon, from April to October in 1991 and 1992. The average plant height at each grazing was 32-33m. The average DM content was 17.8%, wil the lowest in TI (16.4%) and highest in T3 and T4 (18.4%). The annual DM production were 9,609 kg (T3), 9,420 kg (Tl), 9,402 kg (T2), and 9,194 kgha (T4) in that order, but no significant differences were found in forage yield between treatments. Most of forage DM was produced in spring season, particularly in May. The daily DM production was highest in May (81.9kg), and lowest in August (33.0kg/ha). The average efficiency of pasture utilization was about 79%, with the lowest in TI (77%), and highest level of utilization was observed in T4 (82%). In this experiment, production and utilization of each pastures were observed similarly. However, the forage nutritive value, botanical composition, and animal performance as affected by different pasture mixtures for suitable grazing management are needed to ascertain.

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In the Automation Environment of Factory and Production, the Implementation of Security-enhanced Mobile Device Management System using Android-based Smart Phones (공장 및 생산 자동화에 있어 안드로이드 기반의 보안성이 강화된 모바일장비관리시스템 구현)

  • Yu, Hyung-Cik;Seon, Ki-Hyun;Kim, Sung-Un
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.7
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    • pp.779-789
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    • 2014
  • Utilizing smart phones based on android applications in the field of FA(Factory Automation) or PA(Production Automation) is being deployed actively. In general, MDM(Mobile Device Management) is a crucial infra-structure to build such a FA or PA environment. In this paper, we suggest an open mobile device management platform and implement its prototype. The developed prototype consists of three modules such as DMS(Device Management Server), FUMO(Firmware Update Management Object) and SCOMO(Software Component Management Object). In addition, we suggest a security module based on the concept of the EAP (Extensible Authentication Protocol) and the AES (Advanced Encryption Standard). The suggested security module's prototype is applied to guarantee the data integrity in the process of communicating among DMS, FUMO and SCOMO for the purpose of utilizing smart phones based on android applications in a FA field. We also evaluate the performance of the implemented security prototype. According to our simulation results, the implemented prototype has a good performance in a FA environment and can be utilized in the other FA, PA or OA(Office Automation) environment with guaranteeing the security.

Adiponectin gene SNP 276G${\rightarrow}$T, nutrient intakes, and cardiovascular disease risk in Korean type 2 DM patients

  • Yu, So-Young;Ryu, Han-Kyoung;Park, Hee-Jung;Choi, Young-Ju;Huh, Kap-Bum;Kim, Wha-Young
    • Nutrition Research and Practice
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    • v.1 no.4
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    • pp.363-370
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    • 2007
  • Single nucleotide polymorphism (SNP) in adiponectin gene has been associated with insulin resistance, diabetes, and cardiovascular disease (CVD). This study was performed to investigate the association of SNP 276G${\rightarrow}$T at adiponectin gene with CVD risk factors in Korean type 2 diabetes mellitus (DM) patients. The subjects were 351 type 2 DM patients visited a DM clinic in Seoul, and the patients with known CVD were excluded. The adiponectin SNP 276G${\rightarrow}$T was analyzed and dietary intakes were assessed by a Food Frequency Questionnaire. The prevalence of G/G, G/T, and T/T genotype was 47.6%, 43.3%, and 9.1%, respectively. Male subjects with T/T genotype showed significantly lower level of adiponectin and HDL-cholesterol and significantly higher C-reactive protein (CRP) level compared to G/G and G/T genotypes. In G/G genotype, protein intake was negatively correlated to body weight, BMI, and waist circumference, and there were positive correlation between carbohydrate intake and BMI, waist-hip ratio, and ApoB/apoA-1 ratio in G/T genotype. However, in T/T genotype, there was no significant association between macronutrient intakes and anthropometric and hematological values. In conclusion, CVD risk would be high in type 2 DM patients with T/T genotype, and the association of macronutrient intakes with anthropometric and hematologic factors was different among the three adiponectin genotypes. These results may imply the need for different dietary management regime according to adiponectin genotype to lower CVD complications in Korean type 2 DM patients.

Latent Autoimmune Diabetes in Adults: A Review on Clinical Implications and Management

  • Pieralice, Silvia;Pozzilli, Paolo
    • Diabetes and Metabolism Journal
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    • v.42 no.6
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    • pp.451-464
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    • 2018
  • Latent autoimmune diabetes in adults (LADA) is a heterogeneous disease characterized by a less intensive autoimmune process and a broad clinical phenotype compared to classical type 1 diabetes mellitus (T1DM), sharing features with both type 2 diabetes mellitus (T2DM) and T1DM. Since patients affected by LADA are initially insulin independent and recognizable only by testing for islet-cell autoantibodies, it could be difficult to identify LADA in clinical setting and a high misdiagnosis rate still remains among patients with T2DM. Ideally, islet-cell autoantibodies screening should be performed in subjects with newly diagnosed T2DM, ensuring a closer monitoring of those resulted positive and avoiding treatment of hyperglycaemia which might increase the rate of ${\beta}-cells$ loss. Thus, since the autoimmune process in LADA seems to be slower than in classical T1DM, there is a wider window for new therapeutic interventions that may slow down ${\beta}-cell$ failure. This review summarizes the current understanding of LADA, by evaluating data from most recent studies, the actual gaps in diagnosis and management. Finally, we critically highlight and discuss novel findings and future perspectives on the therapeutic approach in LADA.