• 제목/요약/키워드: Systematic reduction study

검색결과 322건 처리시간 0.027초

욕창예방을 위한 중재와 영향요인 : 체계적 문헌고찰 (Pressure Ulcer preventive intervention and risk factors for pressure ulcers : A review of the literature)

  • 윤혜선;박지연
    • 디지털융복합연구
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    • 제18권2호
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    • pp.323-331
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    • 2020
  • 본 연구의 목적은 욕창에 대한 예방적 중재방법과 영향요인을 비교, 분석하기 위해 기존문헌을 체계적으로 고찰하였으며 논문은 PRISMA(Preferred reporting items for systematic reviews) 지침에 따라 자료를 수집하고 분석하였다. 문헌은 2010년부터 2019년 6월까지 국내외에서 발표된 논문을 대상으로 하였다. 본 연구의 논문 선정기준에 따라 총 30의 논문이 선택되었으며 실험연구가 8편, 코호트 연구가 3편, 단면조사연구가 19편 이었다. 논문검색어는 국내논문의 경우 욕창, 압박욕창, 압박궤양, 예방, 중재의 단어를 조합하여 검색하였다. 분석결과 욕창의 예방적 중재와 예측요인을 통합적으로 제시하였으며 특히 체위변경과 압력 감소 장치 적용한 중재는 욕창 발생률을 감소시켰으며 욕창 발생 감소와 욕창예방에 중요한 중재임이 확인되었다. 본 연구결과를 토대로 각 의료기관에 적합한 욕창의 예방적 중재를 위한 기초 자료를 제공하고자 한다.

여대생의 체중조절행위 (Weight Control Behaviors in Female College Students)

  • 김은주;차복경
    • 여성건강간호학회지
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    • 제13권4호
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    • pp.320-326
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    • 2007
  • Purpose: This study was carried out in an attempt to find weight control behaviors (BMI, experiences of weight control, weight control related factors, etc.) of college female students. Method: The subjects were 596 female students in 104 universities and colleges in Korea. Data was collected by using a questionnaire developed through a pretest. Result: Seventy five percent of subjects were in the normal range in weight, but 63.8% have experienced weight control behaviors and 58.9% have worried about their weight. Middle and high school was the first time to have concerns about their weight/body image. In addition, the influence towards weight control was mainly by mass communication. Weight control frequency in the most recent most year correlated with concern about weight, first time of weight control, maximum maintaining period of losing weight and BMI. Conclusion: To ensure resonable body image and weight control behaviors in women, education has to begin in elementary schools. In the case of weight control, scientific and systematic weight reduction programs should be developed.

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펨토초레이저를 이용한 알루미늄 성형다이의 미세가공에 관한 연구 (Die Surface Texturing by Femtosecond Laser for Friction Reduction)

  • 최해운;신현명
    • 한국정밀공학회지
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    • 제26권5호
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    • pp.57-63
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    • 2009
  • Interface friction in blanking dies, cold forging and extrusion of aluminum alloys is a major cause of inefficient process. This paper describes an investigation of femtosecond laser texturing for reduction of interface friction on sliding surfaces in forming process. Femtosecond direct writing technology was used to fabricate a laser micro-machined die and to create microgroove patterns with varying size and density on metal forming dies. A systematic approach to find the optimum parameters and computer simulation comparison of friction coefficients are provided to study the relation of friction coefficients and die profiles. In metal forming tests, the effectiveness of various laser-machined patterns for enhancing interface lubrication is determined.

Reaction of Lithium Cyanoaluminum Hydride with Selected Organic Compounds Containing Representative Functional Groups. Comparison of Reducing Characteristics between Lithium and Sodium Cyanoaluminum Hydrides

  • Cha, Jin-Soon;Yu, Se-Jin
    • Bulletin of the Korean Chemical Society
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    • 제30권7호
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    • pp.1588-1592
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    • 2009
  • Lithium cyanoaluminum hydride (LCAH) was prepared by the metal cation exchange reaction of sodium cyanoaluminum hydride with lithium chloride in tetrahydrofuran. The reducing characteristics of LCAH were explored systematically by the reaction with selected organic compounds containing representative functional groups under the standardized conditions (tetrahydrofuran, 0 ${^{\circ}C}$). The reducing ability of LCAH was also compared with of the sodium derivative, sodium cyanoaluminum hydride (SCAH). Generally, the reducing behavior of LCAH resembles that of SCAH closely, but the reactivity of LCAH toward representative organic functional groups appeared to be stronger than that of SCAH. Thus, the regent reduces carbonyl compounds, epoxides, amides, nitriles, disulfides, carboxylic acids and their acyl derivatives to the corresponding alcohols or amines, at a relatively faster rate than that of SCAH. The cyano substitution, a strong election-withdrawing group, diminishes the reducing power of the parent metal aluminum hydrides and hence effects the alteration of their reducing characteristics.

Transformation of Carboxylic Acids and Their Derivatives into Aldehydes by Lithium Tris(dialkylamino)aluminum Hydrides

  • Cha Jin Soon
    • Bulletin of the Korean Chemical Society
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    • 제13권6호
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    • pp.670-676
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    • 1992
  • A systematic study of the partial reduction of carboxylic acids and their derivatives to the corresponding aldehydes with lithium tris(dialkylamino)aluminum hydrides under practical conditions has been carried out. The diethylaminosubstituted derivative of lithium aluminum hydride, lithium tris(diethylamino)aluminum hydride (LTDEA), shows quite general applicability in the conversion of carboxylic acids, carboxylic esters, and primary carboxamides to the corresponding aldehydes. Lithium tripiperidinoaluminum hydride (LTPDA) also appears to be a reagent of choice for such partial transformation of primary carboxamides. In additioin, both LTDEA and LTPDA reduce tertiary carboxyamides to aldehydes in high yields. Finally, lithium tris(dihexylamino)aluminum hydride (LTDHA) is capable of achieving the chemoselective reduction of aromatic nitriles to aldehydes in the presence of aliphatic nitriles under practical conditions.

요도 카테터 삽입술에서 리도카인 윤활제의 통증 감소 효과 : 체계적 문헌고찰과 메타분석 (Pain Reduction Effects of Lidocaine Gel for Urethral Catheterization : A Systematic Review and Meta-Analysis)

  • 홍현정;김가은;이하늬;이아름
    • 한국산학기술학회논문지
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    • 제18권6호
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    • pp.438-448
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    • 2017
  • 본 연구는 요도 카테터 삽입술에서의 리도카인 윤활제의 통증 감소 효과를 검증하기 위해 수행된 체계적 문헌고찰 및 메타분석연구이다. 문헌검색은 PRISMA 가이드라인에 의거하여 데이터베이스 7개(MEDLINE, Cochrane Central, CINAHL, RISS, Koreamed, KISS, NDSL)와 회색문헌을 통해 수행되었다. 비뚤림 위험은 Risk of Bias(RoB) 도구를 통해 평가되었으며 자료의 분석은 RevMan 5.3 프로그램을 이용하였다. 문헌의 선택배제기준에 따라 합계 성인 대상자 1904명이 포함된 16편의 문헌이 최종 선정되었으며 funnel plot에서 비뚤림 위험이 관찰되지 않았다. 리도카인 윤활제의 통증 점수는 대조군과 비교할 때 표준화된 평균차이가 SMD -0.96(95% CI: -1.43, -0.49)로, 전반적으로 유의한 통증 감소효과를 보였다(p<.001). 이질성(($I^2=95%$, p<.001)의 원인을 탐색하기 위해 카테터 종류(도뇨카테터, 경성 및 연성방광경 카테터)에 따라 하위집단 분석을 실시하였으며 표준화된 평균차이가 각각 SMD -0.88(95% CI:-1.51, -0.26), -0.31(95% CI:-0.63, 0.01), -1.93(95% CI:-2.88, -0.97)이었다. 도뇨카테터 삽입에서는 성별에 관계없이 통증 감소 효과가 있었으나 경성방광경 카테터에서는 남성에서만 유의한 통증 감소 효과가 있었다. 용량에 있어 경성 방광경 카테터에서는 리도카인 윤활제를 10-11ml 이상을 사용한 경우 통증 감소 효과가 관찰되었다. 도뇨카테터에서는 리도카인 윤활제를 도포하는 방법만으로도 시간에 관계없이 유의한 통증 감소 효과가 있었다. 본 연구 결과 리도카인 젤은 남성의 요도 내로 경성방광경 카테터를 삽입하는 경우, 남녀 모두에게 도뇨카테터 삽입을 하는 경우에 유용한 통증 감소용 윤활제로 확인되었다.

식품 구매 기간에 따른 음식물 쓰레기 감량을 위한 가정의 식생활 실태 조사 (A Survey on the Dietary Home Lifestyle for the Reduction of Food Wastes by the Period of Food Purchase)

  • 신은미;박상욱
    • 한국식품영양학회지
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    • 제19권3호
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    • pp.332-341
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    • 2006
  • The goal of this study was to determine a method of reducing food wastes in the dietary home lifestyle. Statistical analyses were conducted of 491 questionnaires answered by housekeepers living in Daejeon city. The data were analyzed by SAS program and the results are summarized as follows. Among the respondents, 51.53% answered that they purchased the foods in consideration of the family number, 60.45% that they occasionally throw away foods because the date of expiry had passed, i.e., the foods threw away by mistake of storage, 68.23% that they make side dishes at a time for three meals in a day, 52.95% that they make three or four kinds of side dishes, 82.28% that they prepared meals according to the favorite foods of the family, 48.04% that they left food at home, and 47.32% that they threw away foods because too many foods had been prepared. The major reasons for food wastes at home were listed as meal leftovers (32.72%), vegetable trimming (31.29%), and non-planned purchase (25.77 %). The perception of housekeepers on the reduction of food waste were listed as the preparation of accurate meal quantity (50.92%), planned purchase (28.31%), development of recycling foods (14.05%), and reduction of side dishes (6.72%). Further reduction of food wastes of dietary home lifestyle can be summarized to emphasize the preparation of accurate meal quantity, planned purchase, development of recycling foods, and reduction of side dishes. In addition, studies should be conducted to examine the systematic administration method and standard education for the reduction of food wastes.

STUDY ON THE REASONS FOR OLD AGED APARTMENT REMODELING

  • Kyeong-Seok Chae;Jin-Gu Park;Chan-Sik Lee
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.544-549
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    • 2009
  • Alongside the increasingly larger domestic construction projects is the gradual rise in construction waste. Consequently, serious environmental problems emerge. The increase in demand for housing remodeling due mainly to the increase in national income and improvement of quality of life is the main reason for the increase in construction waste. This study was conducted as the basic study for the prevention and reduction of construction waste generated by apartment remodeling; it aimed at identifying the remodeling items and reasons. Toward this end, this study targeted apartments at least 15 years old and conducted a questionnaire survey to determine the remodeled sections and remodeling reasons. As a result of the questionnaire survey, the bathroom, floor finishing, and kitchen furniture recorded the highest ratios in remodeling. Old materials, aesthetic motivation, and pleasant living space composition were cited as the major remodeling reasons. This study is significant as a basic study for generating environmental and economic profits through systematic waste management. Further studies should develop guidelines suitable for construction waste reduction and recycling in line with the construction and demolition phases in case of remodeling.

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슬개대퇴통증증후군의 침 치료 효과에 대한 체계적 문헌고찰 (A Systematic Review of Acupuncture Treatment Effect for Patellofemoral Pain Syndrome)

  • 지민준;권도영;양재은;구지향;오민석
    • 한방재활의학과학회지
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    • 제33권2호
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    • pp.19-32
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    • 2023
  • Objectives The purpose of this study is to systematically review the degree of pain and function improvement in acupuncture treatment for patellofemoral pain syndrome (PFPS). Methods Randomized controlled trials (RCTs) were searched from Medline/PubMed, Cochrane Library, Embase, WanFang Data, China National Knowledge Infrastructure (CNKI), Citation Information by NII (CiNII), Koreanstudies Information Service System (KISS), ScienceON, KoreaMed, and Korean Medical Database (KMbase). The methodological quality of selected RCTs' were evaluated according to Cochrane RoB2 tool. Results Total of 158 studies were identified and 7 RCTs were selected for systematic review. Frequently used evaluation method were visual analogue scale and Kujala scores. All studies showed significant effect on pain reduction and knee function between before and after treatment, but showed partial significance between the intervention and control group. Conclusions Research showed that acupuncture treatment is an effective treatment for improving the pain and function of PFPS, but it is difficult to conclude that it has a significant effect compared to other treatments. Selected studies included subjective evaluation indicators and the total of selected studies were small, so the interpretation of the results is limited. Also most of the included studies are evaluated to have some concerns of bias. Therefore, subsequent research should continously be done in more objective and systematic method.

디지털 헬스 중재가 지역사회 중증정신질환자의 정신병적 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석 (Effect of Digital Health Interventions on Psychotic Symptoms among Persons with Severe Mental Illness in Community: A Systematic Review and Meta-Analysis)

  • 오은진;강문희
    • 대한간호학회지
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    • 제53권1호
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    • pp.69-86
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    • 2023
  • Purpose: This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community. Methods: A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis. Results: A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11). Conclusion: These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.