• 제목/요약/키워드: Monitoring Control Program

검색결과 429건 처리시간 0.025초

제 2형 당뇨 환자에서 자가혈당측정의 임상적 유용성 : 체계적문헌고찰 및 메타분석 (Clinical Benefits of Self-monitoring of Blood Glucose in Non-insulin Treated Patients with Type 2 Diabetes : A systematic Review and Meta-analysis)

  • 최윤영;손현순;신현택
    • 한국임상약학회지
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    • 제20권3호
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    • pp.183-192
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    • 2010
  • While Self-monitoring of blood glucose (SMBG) has been recommended in some diabetes mellitus (DM) patients population according to the 2010 American Diabetes Association (ADA), 2007 Korean Diabetes Association (KDA), 2005 International Diabetes Federation guideline, it is excluded from a routine insurance coverage for outpatients in Korea. The objective of this study is to meta-analyze the impact of SMBG on HbA1c in non insulin-treated diabetes mellitus (NIT) DM patients. Published clinical literatures were identified through electronic database searches from inception and until May 2010. Studies were selected if they met the following inclusion criteria: 1) randomized controlled trials (RCTs), 2) comparing SMBG with non-SMBG in NIT type 2 diabetes, 3) measuring HbA1c as an outcome. Literature qualities were assessed by the Scottish Intercollegiate Guidelines Network Checklist. The mean difference of HbA1c between the 2 groups was pooled from non-heterogeneous 6 RCTs by meta-analysis using Review Manger (RevMan) Version 5.0 program. Pooled results demonstrated that SMBG is associated with a statistically significant improvement in glycemic control (mean HbA1c difference -0.23, 95%CI -0.32, -0.13). Sensitivity analysis showed that glycemic controls were significantly improved in patients with shorter study duration, more frequent self-monitoring, higher baseline HbA1c value, and without prior SMBG experiences. Conclusively SMBG is effective in improving glycemic control in NIT DM patients, but additional evidences from further researches in Korean patients and cost-effectiveness analysis would be necessary to make a suggestion for coverage expansion.

환경감시를 통한 환경관리의 효과 (The Effectiveness of Environmental Management through Environmental Surveillance)

  • 이미향;김상하;김재연
    • 문화기술의 융합
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    • 제9권6호
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    • pp.557-561
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    • 2023
  • 본 연구의 목적은 의료기관에서 환자가 퇴원하는 병실을 대상으로 직접관찰과 형광표지를 이용하여 환경감시 활동을 통한 환경관리의 효과를 평가하기 위해 시도되었다. 본 연구는 2023년 3월부터 7월까지 병동과 중환자실 퇴실병상을 집중적 환경감시 활동 시행 전 448곳과 시행 후 494곳을 평가대상으로 하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 분석하였다. 연구결과 직접관찰은 집중적인 환경감시 활동 시행전 95.2%, 시행후 98.9%으로 통계적으로 유의하게 증가하였다. 형광표지는 집중적인 환경감시 활동 시행 전 96.1%, 시행 후 98.0%으로 미검출율이 증가하였으나 통계적으로 유의하지 않았다. 본 연구결과를 바탕으로 직접관찰과 형광표지 뿐만 아니라 다양한 환경평가방법을 적용하여 환경관리 효과를 평가하는 것이 필요하다.

DESIGN AND ANALYSIS FOR THE SPECIAL SERIAL MANIPULATOR

  • Kim, Woo-Sub;Park, Jae-Hong;Kim, Jung-Ha
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2004년도 ICCAS
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    • pp.1396-1401
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    • 2004
  • In recent years, robot has been used widely in industrial field and has been expanded as a result of continous research and development for high-speed and miniaturization. The goal of this paper is to design the special serial manipulator through the understanding of the structure, mobility, and analysis of serial manipulator. Thereafter we control the position and orientation of end-effector with respect to time. In general, a structure of industrial robot consists of several links connected in series by various types of joints. Typically revolute and prismatic joints. The movement of these joints is determined in inverse kinematic analysis. Compared to the complicated structure of parallel and hybrid robot, open loop system retains the characteristic that each link is independent and is controlled easily by AC servomotor that is used to place the robot end-effector toward the accurate point with the desired speed and power while it is operated by position control algorithm. The robot end-effector should trace the given trajectory within the appropriate time. The trajectory of 3D end-effector model made by OpenGL can be displayed on the monitor program simultaneously

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일반외과 입원 환자에 적용되는 간호진단-간호결과-간호중재 연계 확인 (Identification of Nursing Diagnosis-Outcome-Intervention (NANDA-NOC-NIC) Linkages in Surgical Nursing Unit)

  • 이은주;최순희
    • 성인간호학회지
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    • 제23권2호
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    • pp.180-188
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    • 2011
  • Purpose: This study was to identify nursing diagnosis-outcome-intervention (NANDA- NOC-NIC: NNN) linkages applied to inpatients in general surgical nursing units. Methods: We developed the NNN linkage computerized nursing process program, which consisted of the 107 nursing outcomes and the 190 nursing interventions linked to the 39 nursing diagnoses. This program was applied to 324 patients who admitted to those nursing units from July, 2004 to February, 2005. Results: First, nursing outcomes of each nursing diagnosis were identified as follows: for 'acute pain', pain control, pain level, and comfort level; for 'risk for infection', wound healing: primary intention, wound healing: secondary intention, and infection status; for 'nausea', nutritional status: food & fluid intake, comfort level, symptom severity and hydration. Second, major nursing interventions for each nursing outcome were analyzed as follows: for pain control or comfort level, pain management and medication management; for pain level, pain management and analgesic administration; for wound healing: primary intention, incision site care and wound care; for Wound healing: secondary intention or infection status, infection control; for nutritional status: food & fluid intake, fluid monitoring; for comfort level, nausea management; for symptom severity, nausea management and vomiting management; for hydration, fluid/electrolyte management. Conclusion: This identified NNN linkages will facilitate the use of nursing process in surgical nursing practice and documentation systems.

A Configurable Software-based Approach for Detecting CFEs Caused by Transient Faults

  • Liu, Wei;Ci, LinLin;Liu, LiPing
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제15권5호
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    • pp.1829-1846
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    • 2021
  • Transient faults occur in computation units of a processor, which can cause control flow errors (CFEs) and compromise system reliability. The software-based methods perform illegal control flow detection by inserting redundant instructions and monitoring signature. However, the existing methods not only have drawbacks in terms of performance overhead, but also lack of configurability. We propose a configurable approach CCFCA for detecting CFEs. The configurability of CCFCA is implemented by analyzing the criticality of each region and tuning the detecting granularity. For critical regions, program blocks are divided according to space-time overhead and reliability constraints, so that protection intensity can be configured flexibly. For other regions, signature detection algorithms are only used in the first basic block and last basic block. This helps to improve the fault-tolerant efficiency of the CCFCA. At the same time, CCFCA also has the function of solving confusion and instruction self-detection. Our experimental results show that CCFCA incurs only 10.61% performance overhead on average for several C benchmark program and the average undetected error rate is only 9.29%. CCFCA has high error coverage and low overhead compared with similar algorithms. This helps to meet different cost requirements and reliability requirements.

단기간의 포괄적인 생활습관개선 프로그램이 제2형 당뇨병환자의 당대사 및 지질대사와 체구성에 미치는 효과 (The Effects of Short Term Comprehensive Life Style Modification Program on Glycemic Metabolism, Lipid Metabolism and Body Composition in Type 2 Diabetes Mellitus)

  • 유지수;이숙정;이현철;강은석;김소헌;박은정
    • 대한간호학회지
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    • 제34권7호
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    • pp.1277-1287
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    • 2004
  • Purpose: This study was to evaluate the effects of a short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus patients. Method: A nonequivalent control group with a pre post test was designed. Data collection was done from October 2003 to June, 2004 at a hospital. Glycemic metabolism was measured by a.c., p.c. and $HbA_{1}c$, and lipid metabolism was measured by cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Body Composition was measured by body weight, body mass index, waist, measurement waist per hip ratio, body fat, muscle weight and abdominal fat tissue(intra abdominal distance). The Experimental group, which was composed of 29 participants, was educated based on a life style modification protocol at a weekly meeting for 12 weeks and carried out exercise, diet along individual parameters and self monitoring, while 24 participants in the control group received only diet education. Result: 1. The experimental group showed a significant lower a.c.(t=2.11, p=.04) and $HbA_{1}c$(t=2.65, p=.01) compared to those of the control group. 2. The experimental group showed a significant lower LDL than the results of the control group(t=2.42, p=.02). 3. The experimental group showed a significant lower weight(t=3.09, p=.00), BMI(t=3.01, p=.00), body fat(t=2.94, p=.01) and abdominal fat tissue(t=3.05, p=.01) than those of the control group. Conclusion: The results provided evidence for the effectiveness of a short term comprehensive life style modification program composed of exercise, diet, support, self efficacy elevation and self monitoring in type 2 diabetes mellitus.

대학생의 도박행동: 자기통제력의 매개효과 및 다집단 분석 (College Students' Gambling Behavior: Mediating Effect of Self-Control and Multiple Group Analysis)

  • 김덕진
    • 한국산학기술학회논문지
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    • 제18권6호
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    • pp.197-208
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    • 2017
  • 본 연구는 대학생의 도박행동과 관련된 선행연구와 문헌고찰을 토대로 가설적 모형을 구축하고 검정함으로써, 예방적 차원에서 학교 및 지역사회 정신보건 실무에 기초자료를 제공하고자 수행되었다. 대학생의 도박행동과 관련된 선행요인으로는 인지적 요인, 심리적 요인, 사회적 요인 그리고 자기통제력을 포함시켰다. 인지적 요인(비합리적 도박신념), 심리적 요인(우울, 불안), 사회적 요인(부모의 감독, 부모의 지지, 친구의 지지)은 외생변수로, 자기통제력과 도박행동(도박경험, 도박수준)은 내생변수로 하여 가설적 모형을 구성하였다. 또한 성별, 음주, 흡연, 인터넷 사용시간, 스마트폰 사용시간, 친구의 도박행동, 가족의 도박행동을 조절변수로 설정하여 그 효과를 분석하였다. 본 연구의 표적모집단은 국내의 대학생이며, 근접 모집단은 1개 광역도시와 4개의 지역도시에 소재한 7개 대학교에 재학 중인 남, 여 대학생 246명이다. 자료수집은 2016년 1월 25일부터 3월 31일까지 이루어졌으며, 자료분석은 SPSS 21.0과 AMOS 20.0 Program을 이용하여 공분산 구조분석을 실시하였다. 대학생의 도박행동을 예측하는 여러 요인들 중에서 자기통제력의 효과가 가장 크고, 예측된 모든 변수들에 대한 자기통제력의 매개효과가 나타났다. 따라서 대학생의 도박행동을 예방하기 위한 중재 개발 시 자기통제력을 증진시키는 방안을 우선적으로 고려할 것과 개인의 인지적, 심리적 요인과 사회적 요인들을 개선시킴으로써 자기통제력을 증진시키는 방안이 필요할 것으로 사료된다. 또한 성별을 고려한 접근 및 가족이나 친구를 포함하는 집단상담 프로그램 개발이 필요할 것으로 본다.

여성결혼이민자를 위한 생식건강프로그램의 개발 및 효과 (Development of Reproductive Health Program and Identification of Effect for Married Women Immigrants)

  • 박명남;최소영
    • 대한간호학회지
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    • 제44권3호
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    • pp.248-258
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    • 2014
  • Purpose: This study was done to develop a reproductive health program to improve reproductive health of women immigrants. Methods: The participants in the study were 58 immigrant women who lived in Vietnam, China, Philippines, or Cambodia before marriage. They were assigned to the experiment group (n=29) or the control group (n=29). The reproductive health program for this study consisted of reproductive health education, health counseling, phone monitoring, and emotional support based on Cox (1982)'s Interaction Model of Client Health Behavior and was implemented for four weeks. Results: There were significant differences in reproductive health knowledge (t=9.78, p<.001), reproductive health attitude (t=6.59, p<.001), and reproductive health behavior (t=5.11, p<.001) within and between groups after the reproductive health program. But there were no significant differences in clinical indicators between the two groups. Conclusion: The results of this study indicate the that reproductive health program for the women immigrants is effective in terms of reproductive health knowledge, reproductive health attitude and reproductive health behaviors. Therefore, nurses in public and private facilities, such as multicultural centers and public health centers in each community, should develop strategies to expand and provide reproductive health programs for women immigrants.

병리적 음성에 대한 언어습득 이후 인공와우이식 성인의 청지각적 변별특성과 중재 프로그램의 효과 (The Effect on Intervention Program and Auditory-Perceptual Discrimination Feature of Postlingual Cochlear Implant Adults about Pathological Voice)

  • 배인호;김근효;이연우;박희준;김진동;이일우;권순복
    • 말소리와 음성과학
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    • 제7권2호
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    • pp.9-17
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    • 2015
  • In the present study, we investigated ability of recognition of auditory perception with regards to the quality of voice in postlingual CI adults and proposed a training program to improve within subject reliability. A prospective case-control study was conducted in adults with 7 postlingual deaf who received a CI surgery and 10 normal hearing controls. The pre and post test and training program included parameters of consensus auditory-perceptual evaluation of voice(CAPE-V) with pathological voice sample by using Alvin. In results of pre-post test for monitoring improvements of internal reliability for listeners via the training program, there was statistically significant difference in both test and group. There was statistically significant difference in internal reliability between pre-post test in the normal hearing group, the result was no significant in the CI group. The present study found that CI adults showed less ability in awareness of voice quality compared to normal hearing group. Also the training program improved pitch and loudness in CI adults.

RFID와 스마트 폰을 이용한 출결관리 시스템 구현 (Implementation of Attendance Management Sysem Utilizing RFID and Smart Phone)

  • 윤남일;안성수
    • 디지털산업정보학회논문지
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    • 제8권4호
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    • pp.151-157
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    • 2012
  • This paper implements an effective attendance management and monitoring system utilizing the RFID(Radio Frequency IDentification) and Smart phone for student. In this paper, RFID system use 13.56MHz to control the attendance, and we can show that information of RFID and dynamic image through IP camera in Smart phone. We also make up the contents and database utilizing the labview program in computer. Especially, proposed technique can obtain dynamic image by server implementation at real time basis so that it is possible to use simultaneously several Smart phone. From the various and practical experiment, it is confirm that proposed system is useful for attendance management and remotely monitoring.