• Title/Summary/Keyword: Management of DM

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Factors Influencing Body Image Among Children with Type 1 Diabetes (1형 당뇨 아동의 신체상 영향요인)

  • Shin, Hyun-Sook;Ji, Eun-Sun
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.150-156
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    • 2009
  • Purpose: This study examines the factors influencing the body image of Korean children with type-I diabetes. Methods: The data were collected from 65 children (ages 9-15) who attended a DM management camp in 2004. Nine items from Offer's Self-Image Questionnaire (OSIQ-revised), which was modified and standardized to the Korean population by Hong, Kim, and Shin, were used to measure the self body image. Descriptive and correlational analyses were performed by using SPSS 13.0. Results: Although not statistically significant, children's self body image decreased as they became older. The body image and age were found to be significantly correlated. Conclusions: The results suggest the need for an effective intervention program to improve the self body image among children with type-I diabetes. In this regard, nursing intervention or educational programs may be beneficial for inducing positive self body image.

Analysis of Overseas Data Management Systems for High Level Radioactive Waste Disposal (고준위방사성폐기물 처분 관련 자료 관리 해외사례 분석)

  • MinJeong Kim;SunJu Park;HyeRim Kim;WoonSang Yoon;JungHoon Park;JeongHwan Lee
    • The Journal of Engineering Geology
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    • v.33 no.2
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    • pp.323-334
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    • 2023
  • The vast volumes of data that are generated during site characterization and associated research for the disposal of high-level radioactive waste require effective data management to properly chronicle and archive this information. The Swedish Nuclear Fuel and Waste Management Company, SKB, established the SICADA database for site selection, evaluation, analysis, and modeling. The German Federal Company for Radioactive Waste Disposal, BGE, established ArbeitsDB, a database and document management system, and the ELO data system to manage data collected according to the Repository Site Selection Act. The U.K. Nuclear Waste Services established the Data Management System to manage any research and survey data pertaining to nuclear waste storage and disposal. The U.S. Department of Energy and Office of Civilian Radioactive Waste Management established the Technical Data Management System for data management and subsequent licensing procedures during site characterization surveys. The presented cases undertaken by these national agencies highlight the importance of data quality management and the scalability of data utilization to ensure effective data management. Korea should also pursue the establishment of both a data management concept for radioactive waste disposal that considers data quality management and scalability from a long-term perspective and an associated data management system.

Mineral Status in Cattle Fed Rice Straw and Para Grass Combined with Different Levels of Protein Derived from Cassava Foliage

  • Sath, K.;Pauly, T.;Holtenius, K.
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.1
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    • pp.59-64
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    • 2013
  • Eight male cattle of the Local Yellow breed with an average live weight of 121 kg and an average age of 18 months were used to evaluate the effects of different levels of sun-dried cassava (Manihot esculenta) foliage supplementation on mineral metabolism in growing cattle fed rice straw and para grass as basal diet. Rice straw ad libitum and para grass (Brachiaria mutica) at 1% DM of BW comprised the basal diet. The study was arranged as a $4{\times}4$ double Latin square design, with cassava foliage contributing 0, 0.8, 1.6 or 2.4 g CP/kg BW. The cassava foliage intake was lower than the planned levels. DM consumption was significantly affected by cassava foliage supplementation, with the largest intake observed at the two highest levels of cassava foliage supplementation. Rice straw intake showed the opposite pattern, with lower intake at higher cassava foliage supplementation. No refusals occurred for para grass in any of the treatments. Ca, P, Mg, K, S and Mn intake increased significantly with increasing intake of cassava foliage, but Na intake was not affected by treatment. Faecal excretion of Ca, Mg, S and Mn increased significantly with increasing cassava foliage intake. There were no differences between P, K and Na excretion in faeces. There was a significant diet effect on Mg, S and Mn digestibility. Mg and Mn digestibility increased with increasing cassava foliage supplementation, while S digestibility decreased. Ca, P, K and Na digestibility was not affected by diet. There was a significant effect of treatment on P retention, with the highest value observed for supplementation with 1.6 g CP/kg BW cassava foliage. Ca and Mg showed similar trends, with the highest retention again for supplementation with 1.6 g CP/kg BW cassava foliage. There were weak but significant positive correlations between nitrogen retention and the macro minerals Ca, P and Mg. Furthermore, retention of all these minerals was positively correlated. Mineral losses in urine were not affected by dietary treatment with the exception of P excretion, which was affected by treatment. In conclusion, cassava foliage is a good Ca source which compensates for the low Ca content in rice straw and para grass, but P deficiency appears to be exaggerated in cattle with higher cassava intake. The results suggest that under these conditions growing cattle on a high cassava intake would benefit from P and S supplementation.

Well-being of young and middle aged diabetic patients with medication according to combination of non-pharmacological treatment: a path analysis (청장년층 약물치료 당뇨환자의 비약물적치료 병행 여부에 따른 웰빙: 경로분석)

  • Kim, Sun-Kyung;Kim, Yu-Mi;Kim, Sun-Ae
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.401-410
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    • 2020
  • The purpose of this study was to investigate predictors and mediating effects of physical activity and nourishment regulation on well-being among young and middle aged patients on DM medication and to compare between those with non-pharmacological treatment and those without. Data were obtained from 2017 community health survey including 1,480 DM patients with oral medication in the age between 20 and 49. Using SPSS 25.0 and AMOS 25.0, path analysis was performed to explore the association between personal factors (socio-economic status, health habit, eating habit and compliance of health examination) and well-being, along with mediating effects of physical activity. Results demonstrated the different mediating role of physical activity. In medication only group, there was no direct effect of physical activity and no indirect effect of personal factors. Direct effect of physical activity and indirect effects of predictors were found in those with non-pharmacological treatment group. When developing strategies to enhance well-being of young and middle aged diabetic patients, proper reflection of their age specific traits and disease management capability are essential.

Analytical Evaluation of PPG Blood Glucose Monitoring System - researcher clinical trial (PPG 혈당 모니터링 시스템의 분석적 평가 - 연구자 임상)

  • Cheol-Gu Park;Sang-Ki Choi;Seong-Geun Jo;Kwon-Min Kim
    • Journal of Digital Convergence
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    • v.21 no.3
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    • pp.33-39
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    • 2023
  • This study is a performance evaluation of a blood sugar monitoring system that combines a PPG sensor, which is an evaluation device for blood glucose monitoring, and a DNN algorithm when monitoring capillary blood glucose. The study is a researcher-led clinical trial conducted on participants from September 2023 to November 2023. PPG-BGMS compared predicted blood sugar levels for evaluation using 1-minute heart rate and heart rate variability information and the DNN prediction algorithm with capillary blood glucose levels measured with a blood glucose meter of the standard personal blood sugar management system. Of the 100 participants, 50 had type 2 diabetes (T2DM), and the average age was 67 years (range, 28 to 89 years). It was found that 100% of the predicted blood sugar level of PPG-BGMS was distributed in the A+B area of the Clarke error grid and Parker(Consensus) error grid. The MARD value of PPG-BGMS predicted blood glucose is 5.3 ± 4.0%. Consequentially, the non-blood-based PPG-BGMS was found to be non-inferior to the instantaneous blood sugar level of the clinical standard blood-based personal blood glucose measurement system.

The Effects of Three Herbs as Feed Supplements on Blood Metabolites, Hormones, Antioxidant Activity, IgG Concentration, and Ruminal Fermentation in Holstein Steers

  • Hosoda, K.;Kuramoto, K.;Eruden, B.;Nishida, T.;Shioya, S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.19 no.1
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    • pp.35-41
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    • 2006
  • The aim of this study was to investigate the effects of three herb supplementations on blood metabolites, hormones, antioxidant activity, immunoglobulin (Ig) G concentration, and ruminal fermentation in steers. Four Holstein steers in a $4{\times}4$ Latin square design received four herb treatments. The treatments consisted of the steers' regular diets with addition of: 1) nothing (control), 2) peppermint, 3) clove, and 4) lemongrass at 5% of the diet (DM basis). Clove supplementation increased the plasma concentration of cholesterol by about 10% (from 79 to 87 mg/dl). Peppermint and lemongrass feeding resulted in an increase in the concentrations of plasma urea nitrogen (from 5.9 to 6.9 and 6.4 mg/dl, respectively). The three herb treatments had no effect on other metabolites and hormones. Steers receiving clove supplementation showed a higher plasma antioxidant activity. The three herb treatments caused lower concentrations of IgG in the blood. Peppermint and lemongrass feedings increased, and clove feeding decreased ruminal concentrations of ammonia. There were no significant differences in VFA concentrations among herbal treatments, except for the decrease in propionate concentration in steers receiving clove treatment. This study suggested that clove feeding changed cholesterol metabolism and increased antioxidant activity in plasma, and feeding of three herbs affected immunity system and ruminal fermentation in steers.

Characteristics of Reduction of Hydration Heat through Utilization of Blast Furnace Slag in the Cement-based Landfill Soil Liner System (고로슬래그를 이용한 폐기물 매립지 고화토차수층의 수화열 저감특성)

  • Cho, Jae-Beom;Hyun, Jae-Hyuk;Lee, Jong-Deuk;Park, Joung-Ku
    • Journal of Korean Society of Environmental Engineers
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    • v.27 no.12
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    • pp.1327-1331
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    • 2005
  • This study was to investigate the reduction of hydration heat by utilizing industrial by-products such as BFS(Blast Furnace Slag). DM(Dredged Mud) was used by parent soil and Ordinary portland cement was used by cementing material. Additive added to reduce the heat of hydration was BFS. From the results of experiment, hydration heat was decreased in accordance with the addition of BFS. The reason was that surface of BFS coated with aluminosulfate. Initial uniaxial strength was low, neither was not long term uniaxial strength. It was concluded that silica rich layer($H_2SiO_4^{4-}$) in solid phase early in the reaction of hydration was difficultly moved in liquid phase due to the increase of ZP(Zeta Potential). However, the ZP in the later hydration was decreased due to the acceleration of mobility of silica rich layer($H_2SiO_4^{4-}$). Therefore, long term physical properties such as uniaxial strength revealed.

A Study on a Effect of Product Design and a Primary factor of Qualify Competitiveness (제품 디자인의 파급효과와 품질경쟁력의 결정요인에 관한 연구)

  • Lim, Chae-Suk;Yoon, Jong-Young
    • Archives of design research
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    • v.18 no.4 s.62
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    • pp.95-104
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    • 2005
  • The purpose of this study is to estimate the determinants of product design and analyze the impacts of product design on quality competitiveness, product reliability, and consumer satisfaction in an attempt to provide a foundation for the theory of design management. For this empirical analysis, this study has derived the relevant measurement variables from a survey on 400 Korean manufacturing firms during the period of $August{\sim}October$ 2003. The empirical findings are summarized as follows: First, the determinants of product design are very significantly (at p<0.001) estimated to be the R&D capability, the level of R&D expenditure, the level of innovative activities(5S, TQM, 6Sigma, QC, etc.). This empirical result can support Pawar and Driva(1999)'s two principles by which the performance of product design and product development can be simultaneously evaluated in the context of CE(concurrent engineering) of NPD(newly product development) activities. Second, the hypothesis on the causality: product design${\rightarrow}$quality competitiveness${\rightarrow}$customer satisfaction${\rightarrow}$customer loyalty is very significantly (at p<0.001) accepted. This implies that product design positively affects consumer satisfaction, not directly but indirectly, by influencing quality competitiveness. This empirical result of this study can also support the studies of for example Flynn et al.(1994), Ahire et at.(1996), Afire and Dreyfus(2000) which conclude that design management is a significant determinant of product quality. The aforementioned empirical results are important in the following sense: the empirical result that quality competitiveness plays a bridging role between product design and consumer satisfaction can reconcile the traditional debate between QFD(quality function development) approach asserted by product developers and conjoint analysis maintained by marketers. The first empirical result is related to QFD approach whereas the second empirical result is related to conjoint analysis. At the same time, the empirical results of this study can support the rationale of design integration(DI) of Ettlie(1997), i.e., the coordination of the timing and substance of product development activities performed by the various disciplines and organizational functions of a product's life cycle. Finally, the policy implication (at the corporate level) from the empirical results is that successful design management(DM) requires not only the support of top management but also the removal of communication barriers, (i.e. the adoption of cross-functional teams) so that concurrent engineering(CE), the simultaneous development of product and process designs can assure product development speed, design quality, and market success.

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Ruminal Degradation of Sugarcane Stalk

  • Kawashima, T.;Sumamal, W.;Pholsen, P.;Chaithiang, R.;Hayashi, Y.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.9
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    • pp.1280-1284
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    • 2003
  • The number of protozoa and VFA content in the rumen fluid, in situ disappearance and turnover rate were examined with four rumen-fistulated cattle given either sugarcane stalk or Ruzi grass hay in order to clarify the manner of rumen digestion of sugarcane stalk. Cattle were given either sugarcane stalk or Ruzi grass hay at 1.0% of body weight level with commercial concentrate feed. Feeding sugarcane stalk reduced acetate content and increased propionate and butyrate contents in rumen fluid. While rapidlysoluble fraction of sugarcane stalk was 42%, the insoluble but potentially degradable fraction was only 17%. This clearly showed that sugarcane stalk mainly consisted of water soluble fraction (i.e. sugar) and tough fiber (i.e. bagasse). The ruminal degradation rate of both Ruzi grass hay and sugarcane stalk was lower in the animal given sugarcane stalk in comparison with those given Ruzi grass hay. While the turnover rate of liquid phase was about 50% higher in the animals given sugarcane stalk than in the animals given Ruzi grass hay, that of the solid phase was about 40% lower in the animals given sugarcane stalk. The effective degradability of DM of sugarcane stalk was higher than that of Ruzi grass hay. Sugarcane would be a promising roughage for ruminants in the tropics especially, in the dry season.

Forecasting Volatility of Stocks Return: A Smooth Transition Combining Forecasts

  • HO, Jen Sim;CHOO, Wei Chong;LAU, Wei Theng;YEE, Choy Leng;ZHANG, Yuruixian;WAN, Cheong Kin
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.10
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    • pp.1-13
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    • 2022
  • This paper empirically explores the predicting ability of the newly proposed smooth transition (ST) time-varying combining forecast methods. The proposed method allows the "weight" of combining forecasts to change gradually over time through its unique feature of transition variables. Stock market returns from 7 countries were applied to Ad Hoc models, the well-known Generalized Autoregressive Conditional Heteroskedasticity (GARCH) family models, and the Smooth Transition Exponential Smoothing (STES) models. Of the individual models, GJRGARCH and STES-E&AE emerged as the best models and thereby were chosen for constructing the combined forecast models where a total of nine ST combining methods were developed. The robustness of the ST combining forecasts is also validated by the Diebold-Mariano (DM) test. The post-sample forecasting performance shows that ST combining forecast methods outperformed all the individual models and fixed weight combining models. This study contributes in two ways: 1) the ST combining methods statistically outperformed all the individual forecast methods and the existing traditional combining methods using simple averaging and Bates & Granger method. 2) trading volume as a transition variable in ST methods was superior to other individual models as well as the ST models with single sign or size of past shocks as transition variables.