• Title/Summary/Keyword: Replacement method

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Comparison of Personal Characteristic Factors Relating to Quality of Life in Patients with End-Stage Renal Disease

  • Sittisongkram, Soontaree;Sarakwan, Jamras;Poysungnoen, Phakatip;Meepaen, Malee
    • Asian Journal for Public Opinion Research
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    • v.7 no.2
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    • pp.94-112
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    • 2019
  • Objective: The objective of this study was to compare the quality of life (QOL) of patients with end-stage renal disease (ESRD) between patients receiving hemodialysis (HD) and patients receiving continuous ambulatory peritoneal dialysis (CAPD) and to compare personal characteristic factors relating to the quality of life in patients with ESRD. Method: This study used a descriptive research design. The sample was recruited using purposive sampling that included 76 ESRD patients receiving either HD or CAPD at a dialysis clinic in Phraphutthabat Hospital, Saraburi Province, Thailand. Data was collected using the Quality of Life Questionnaire for Chronic Kidney Disease ($KDQOL-SF^{TM}$) version 1.3. Independent t-test and ANOVA procedures were used to analyze study data. Results: The results revealed that the HD patients had a moderate level of QOL. The highest scoring dimension of QOL was the encouragement of staff at the dialysis unit and patient satisfaction with the treatment (${\bar{X}}=100$, SD=.00), followed by social support (${\bar{X}}=89.29$, SD =16.88) and cognitive function (${\bar{X}}=88.57$, SD=11.82). On the other hand, the lowest scoring QOL dimension was physical problems (${\bar{X}}=50$, SD=51.89), and pain (${\bar{X}}=50$, SD=39.03), followed by work status (${\bar{X}}=53.57$, SD=45.84) and burden from kidney disease (${\bar{X}}=58.48$, SD=31.07). The CAPD patients also had a moderate QOL. The highest scoring QOL dimension was the encouragement of staff in the renal unit and patient satisfaction with the treatment (${\bar{X}}=100$, SD=.00), followed by social support (${\bar{X}}=95.61$, SD=14.20) and cognitive function (${\bar{X}}=88.83$, SD=13.52). The worst scoring QOL dimensions were work status (${\bar{X}}=44.44$, SD=42.72), general health (${\bar{X}}=53.61$, SD=39.05), and pain (${\bar{X}}=62.70$, SD=41.14). The difference overall and in each dimension of QOL in ESRD patients who were treated with HD and CAPD was not statistically significantly different. The QOL was not significantly different among patients with different personal characteristics except for income and duration of treatment; in those cases, the difference in QOL was statistically significant (p=.05). Conclusion: The overall QOL and life expectancy of patients with ESRD treated with HD and CAPD are not affected by gender, age, marital status, education, occupation, or type of health coverage. QOL was not significantly different, except for patients with different incomes and duration of renal replacement therapy, whose QOL was significantly different. The QOL of patients receiving dialysis should be studied to develop a QOL program for patients with chronic kidney disease who receive dialysis.

On the Occurrence of Defects by Vehicle Type According to the Fire-fighting Vehicle Detailed Inspection (소방차량 정밀점검 분석에 따른 차종별 결함 발생에 관한 연구)

  • Lee, Jang Won;Han, Yong-Taek
    • Journal of the Society of Disaster Information
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    • v.17 no.1
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    • pp.112-119
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    • 2021
  • Purpose: This study is based on the detailed inspection data for the last 6 years of fire-fighting high ladder vehicles, fire-fighting inflected ladder vehicles, fire-fighting chemical vehicles and fire-fighting pump vehicles used in front-line fire departments. The purpose is to contribute to the technological development of fire-fighting vehicles by grasping the implementation status of each city and province, the rate of defects, and the occurrence of defects by year. Method: The implementation status by city and province, defect incidence rate, and defect occurrences by year were analyzed. Result: From 2012 to 2017, when the average of 230 or more overhaul vehicles was requested, the results of each city/province show slight fluctuations, but the number of defects gradually decreased due to the old fire-fighting vehicle replacement project and the response of fire vehicle manufacturers. Conclusion: In the case of fire-fighting ladders, the incidence rate of defects was found to be in the order of elevator device, electric device, ladder device, and pneumatic supply device. And in the case of the fire fighting ladder, it was confirmed that the incidence of defects appeared in the order of the refractive ladder, hydraulic cylinder, hydraulic oil, and pneumatic supply device. In the case of fire-fighting chemical vehicles, it was confirmed that defects occurred in the powder fire extinguishing device, fire pump, vacuum pump, and pneumatic supply device.

Evaluation of Shallow Foundation Behavior on Basalt Rock Layers With Clinker and Sediment Layers Reinforced Using Cement Grouting (현무암층 사이에 존재하는 클링커층과 퇴적층의 시멘트 그라우팅 보강에 따른 얕은 기초 거동 평가)

  • Lee, Kicheol;Shin, Hyunkang;Jung, Hyuksang;Kim, Donghoon;Ryu, Yongsun;Kim, Dongwook
    • Journal of the Korean Geosynthetics Society
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    • v.18 no.3
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    • pp.33-44
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    • 2019
  • Clinker layer is a stratum structure distributed in volcanic area such as Jeju Island. The clinker layers were formed in between the repetitive action of eruption and solidification of lava flows. Since the clinker layer contains a large amount of voids accompanied by the lava gas ejection process, there is a possibility of inducing overall stability of the ground due to the low stiffness and strength of the clinker layer. Therefore, in this study, site investigation was carried out at both ends of the 00 bridge where the clinker layers exist. And, based on the ground survey results, the behavior of shallow foundations was analyzed numerically. In addition, the improved shallow foundation behavior in grouting substitution using the chemical injection method of the clinker layer was compared with the shallow foundation behavior in the ground, and the grouting substitution efficiency of each layer was analyzed. As a result, the bearing capacity, the replacement efficiency and elastic settlement were different according to the presence or absence of the sediment layer. This is because the sediment layer has a lower stiffness and density than the clinker layer.

Evaluation of NOx Reduction Performance by Photocatalytic (TiO2) Coating of Cement Mortar Mixed with Zeolite and Activate Hwangtoh (제올라이트와 활성 황토를 혼입한 시멘트 모르타르의 광촉매(TiO2) 코팅에 따른 NOx 저감성능평가)

  • Park, Jang-Hyun;Kim, Hyeok-Jung
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.8 no.4
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    • pp.483-489
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    • 2020
  • Particulate matter is divided into PM10 (particle diameter of 10 ㎛ or less) and PM2.5 (particle diameter of 2.5 ㎛ or less), which are approximately 1/5 of the thickness of the hair. Due to its effect on the human body, lung disease, arteriosclerosis and heart It is known as a carcinogen that causes various diseases such as diseases. It is known that the main cause of such fine dust is nitrogen dioxide (NOx), which is emitted from automobiles in about 57.3% of urban roadsides. Therefore, in this study, as part of the development of functional construction materials to reduce NOx generated from road transport pollutants, comparative evaluation of NOx reduction performance was conducted according to the replacement rate of cement mortar in which cement was replaced with a porous material. In addition, the NOx reduction performance of cement mortar according to the photocatalyst application method and the number of applications was compared an d evaluated. As a result of the experiment, when activated ocher was substituted by 30%, it showed a reduction effect of about 32.7%, showing the best reduction performance.

The Estimation of Appropriate Mixing Amount of Cement-Bentonite Cutoff Walls for Repair and Reinforcement of Reservoir Embankments (저수지 제체의 보수·보강용 Cement-Bentonite 벽체의 적정혼합량 산정)

  • Kim, Taeyeon;Lee, Bongjik
    • Journal of the Korean GEO-environmental Society
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    • v.22 no.6
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    • pp.27-32
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    • 2021
  • Due to heavy rainfall and typhoons caused by climate change, it has become common to witness heavy rain that exceeds the design frequency of agricultural reservoirs. This has brought greater attention to the safety of irrigation facilities including agricultural reservoirs. Out of approximately 17,740 reservoirs available in Korea, 83.87% were built before 1970. To ensure the safety of these old reservoirs, their embankments are being repaired and reinforced using various techniques. Among these techniques, using the cement-bentonite cutoff wall makes it possible to construct diaphragm walls with slurry composed of cement and bentonite, while excavation. The advantages of this technique include that it is simple and fast, and ensures the uniformity of cutoff walls by enabling the immediate application of the replacement method to excavation areas; thus excellent performance is guaranteed. However, despite these advantages, the technique is not commonly used in Korea. Thus, this study investigated the changes in strength and permeability by varying the mix ratio of cement and bentonite. As a major experimental results, when the cement of 200 kg/m3 and the bentonite of 60 to 80 kg/m3 is most suitable for the repair and reinforcement of the reservoir embankments.

Properties of Smart Vapor Self-Releasing Composite Films to Microwave Packaging (증기 자가방출 스마트 전자레인지 포장재 적용을 위한 복합필름 특성연구)

  • Wooseok, Song;Hojun, Shin;Jongchul, Seo
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.28 no.3
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    • pp.157-163
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    • 2022
  • The demands for Home Meal Replacement (HMR) products are continuously increasing owing to the convenience of instant food and online food delivery. Ready-to-heat (RTH) products have received massive attention in the HMR industry because these products can be easily warmed using a microwave oven. However, the conventional microwave packaging should be opened before microwave heating to prevent bursting or food loss owing to the steam-pressure build-up inside the package. Open packaging might lead to non-uniform food heating and cross-contamination. Therefore, packaging materials that are able to release steam without opening are of interest to the HMR industry. In this study, polylactic acid(PLA)/polyethylene glycol(PEG)/nanoclay composite films were manufactured using an extrusion method as packaging materials with a smart steam-releasing function. The introduction of PEG to the PLA imparted a steam self-releasing feature to the composite films owing to the morphology change of composite films during microwave heating. Further, PEG increased the ductility of PLA, which in turn prevented bursting caused due to the steam-pressure build-up. The uniform dispersion of nanoclay obtained by a twin-screw extrusion led to stronger mechanical properties. Therefore, the smart composite films developed here can be applied as microwave packaging materials with a self-releasing function.

Comparison of the Postoperative Pain Control Effects of a Buprenorphine Transdermal Patch on Total Knee Arthroplasty Surgery Patients according to Its Applied Sites: Retrospective Case-Control Study (슬관절 인공관절 전치환술 환자에서 부프레노르핀 경피 패치의 적용부위에 따른 수술 후 통증 조절 효과 비교: 후향적 환자-대조군 연구)

  • Kim, Ok-Gul;Lee, Sang-Wook;Kim, Hyun-Min
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.527-533
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    • 2020
  • Purpose: This study compared the effects of a buprenorphine transdermal patch (BTDP) on the chest and knee for pain control after total knee arthroplasty (TKA). Materials and Methods: A retrospective case-control study was conducted from August 2018 to August 2019 on 231 patients who underwent TKA. Two hundred cases were selected considering age, sex, and body mass index. Before and after applying the BTDP, the Numeric Rating Scale (NRS), adverse effects and compliance were measured. All measurements in the chest application group (group A=100) and knee application group (group B=100) were compared. Results: NRS was similar in rest between the groups treated with BTDP, but at two days and three days afternoon, five, six, and seven days postoperatively in group B, the NRS was significantly lower than that of group A. The adverse effects of the central nervous system and gastrointestinal system after applying BTDP were significantly lower in group B than in group A. No significant differences in adverse effects of the cardiovascular system and skin were observed between the two groups. Regarding the maintenance of BTDP, group B was significantly higher than group A. Conclusion: The direct application of BTDP after TKA to painful knee joints showed excellent results in early postoperative pain control and can be a useful method for increasing patient compliance by reducing the frequency of adverse effects.

Evaluation of Chloride Absorption in GGBS Concrete by Impedance Measurements (임피던스 측정을 통한 GGBS 콘크리트의 염화물 흡수 평가)

  • Kim, Jaehwan;Cho, Han-Min;You, Young-Jun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.6
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    • pp.230-237
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    • 2022
  • It is essential that service life of reinforced concrete structures in economic and safety aspects should be secured. It is well-known that chloride attack is a typical deterioration mechanism in field concrete structures. To prevent serious accidents like collapse, many studies have been conducted to increase resistance of chloride ingress using concrete mixed with GGBS. The usage of GGBS concrete is nowadays mandatory. Since most concretes in the field are unsaturated, study regarding chloride absorption is necessary, but many studies have focused on the chloride diffusion phenomenon. Methods for evaluating chloride absorption are cost and improper in the field. It is necessary to develop a simple method for evaluating chloride absorption in practice. This study evaluated resistance of chloride ingress in GGBS concretes with impedance measurement and absorption test. From the results, it was confirmed that the contents of absorbed chloride were linearly correlated with the measured electrical resistivities (or conductivities) in the concrete. At the end of the test, the electrical conductivities were 250.8 S/m (w/b=0.4) and 303.1 S/m (w/b=0.6) for PC concretes, and 2.6 S/m (w/b=0.4) and 64.4 S/m (w/b=0.6) for GGBS concretes, respectively. Considering influencing factors for chloride absorption and impedance measurement, chloride ingress into concrete is mainly affected by pore structures due to replacement of GGBS. Especially, formations of pore structure are different with binder, thereby binders should be considered in building reinforced concrete structures exposed to chloride environments.

An Analysis of Alternative Materials Collection Evaluation Using a National Alternative Materials Union Catalog (국가대체자료종합목록을 이용한 시각장애인 대체자료 장서 평가 연구)

  • Jang, Boseong
    • Journal of the Korean Society for information Management
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    • v.39 no.3
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    • pp.51-67
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    • 2022
  • The purpose of this study is to diagnose the current status of alternative materials in Korea and to suggest directions and goals for the development of alternative materials. The comprehensive list of national alternative materials and the list of popular and new books were analyzed using the collection evaluation method. Results first the percentage of alternative material collections based on the popular book list for 10 years is 90.1%. The production rate of alternative materials is low in the subjects of 'Language', 'Art' and 'Technology and Science'. Most of the service formats were 'text only daisy'. Second, the CCHR(Common Collection Holding Ratio) and CUI(Collection Uniqueness index) of alternative materials were analyzed using the union catalog. Libraries with a large volume of books have a high proportion of CCHR and CUI. Topics with the highest CCHR are 'Literature' and 'Social Science'. The subjects with the highest collection uniqueness index are 'religion', 'art', and 'language'. Third, the replacement ratio of new books for 3 years is 5.09%. During the same period, the average book purchase rate of public libraries was 8.83%. The average book purchase rate in public libraries is 8.83%, and it is necessary to increase the collection rate of alternative materials based on this ratio.

Application of Intraoperative Neurophysiological Monitoring in Aortic Surgery (대동맥수술에서의 수술 중 신경계감시의 적용)

  • Jang, Min Hwan;Chae, Ji Won;Lim, Sung Hyuk
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.1
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    • pp.61-67
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    • 2022
  • Intraoperative neurophysiological monitoring (INM) ensures the stability and safety of specific surgeries in high-risk groups. As part of INM, intensive tests are conducted during the surgical process. When INM tests are applied during surgery, a delay in notifying the operating surgeon in cases of neurological defects can cause serious irreversible sequelae to the patient. Aortic replacement, which is necessitated due to aortic aneurysms and aortic dissection, is a complicated procedure that blocks the blood flow to the heart. When arteries that branch out from the aorta and supply blood to the spinal cord are replaced, blood flow to the spinal cord decreases, resulting in spinal ischemia. In aortic surgery, INM plays an important role in preventing spinal ischemia and serious complications by quickly detecting the early signs of spinal ischemia during cross-clamping and reporting it to the surgeon. Therefore, this paper was prepared to help examiners who conduct INM by detailing the process, method, time, and warning criteria for INM. This paper identifies the need for INM in aortic surgery and the process flow for a smooth test, accurate and rapid examination, and subsequent reporting.