• 제목/요약/키워드: appropriate level & range

검색결과 240건 처리시간 0.03초

성인 당뇨병 환자의 족부와 신발에 대한 조사 (Foot and Shoe Survey in Adult Patients with Diabetes Mellitus)

  • 이우천
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.153-156
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    • 2004
  • Purpose: To investigate the status of foot, preventive foot care and appropriateness of shoe size in patients with diabetes. Materials and Methods: One hundred and sixty-five patients who visited endocrinology clinic due to clinically proven diabetes mellitus were studied. Average age was 59.3 years (range, 36-90 years) and average duration of diabetes was $9.6{\pm}8.2$ years. Patients were questioned about their basic educational level and their foot and ankle problems. Physical examination of the foot was done including sensation testing of four areas of plantar surface with the 5.07 monofilament. Both feet and shoes were measured for width, length and the height of toes and toebox. Shoes were defined as properly fitting the foot if it is 5mm wider than the foot, and $20{\pm}30\;mm$ longer than the foot, and the height of toebox is more than 5mm higher than the height of the toes. Results: 48.5 percent of the patients were educated about how to select an appropriate shoewear. 47.3 percent of the patients had symptoms of neuropathy and 42.4 percent of patients were unable to feel the monofilament in at least one area. 25.5 percent of the patients had appropriate shoes in length, 63.6 percent of the patients in width, and 72.7 percent of the patients in the height of toebox. Conclusion: This study suggets that more patients needs to be educated about foot care and appropriate shoes which have adequate height of toebox as well as the length and width.

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3차병원에서의 TPN 사용의 적정성 점토 (Evaluation of Total Parenteral Nutrition in Tertiary Hospital)

  • 민경아;손기호;서옥경;최경업
    • 한국임상약학회지
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    • 제8권1호
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    • pp.35-46
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    • 1998
  • A retrospective study was conducted to evaluate the appropriateness of total parenteral nutrition (TPN) for 200 hospitalized adult patients in Samsung Medical Center from January 1st in 1995 to June 31st in 1997. Standard criteria were modified and determined from those stated by AJHP (American Journal of Health System Pharmacy) and ASPEN (American Society of Parenteral and Enteral Nutrition). The justification for indications was appropriate in $35\%,\;44\%,\;and\;32\%$ of the patient's in 1995, 1996, and 1997, respectively, without significant improvement over the last two and half years. Before and during the administration of TPN, several monitoring indicators were well documented, and monitoring frequencies were increased over two and half years period. However, the majority of the monitoring indicators were not found in the standard criteria range of $90\%$. The monitoring indicators for electrolyte balance, $PO_4$ and Mg, were not measured appropriately and resulted in the complications which could have been prevented. The indicator for lipid tolerance, triglyceride and the indicator for hemorrhagic incidence, prothrombin time (PT), were not well documented in comparison with other indicators. The indicators for the improvement in nutritional status, albumin and total protein, were appropriate in $90\%$ of the patients. Determination of TPN formula was based on the laboratory data and chart reviews, and it was appropriate in $98\%$. But the administration of lipid and vitamin K for the prevention of essential fatty acid deficiency and hemorrhage, respectively, was not carried out appropriately when the administration of TPN was prolonged, lasting more than 7 days. When a patient returned to oral or enteral feeding, TPN was terminated. However, increase in albumin level or weight was rarely observed. In conclusion, healthcare professionals should all work as a team and active participation to provide optimized nutrition support for partners.

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모바일 RFID 시스템의 인식거리 확대를 위한 전력 공급용 RF Shower 시스템 개발 (A Study on the RF Shower System to Extend Interrogating Range on Mobile RFID Reader)

  • 안시영;김용택;배성우;내관규;노형환;김기범;박준석;조홍구;오하령;성영락;송호준;장병준;이정석
    • 한국통신학회논문지
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    • 제32권1A호
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    • pp.91-100
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    • 2007
  • 본 논문에서는 저출력 모바일 RFID 리더의 인식 거리를 확대시키기 위하여 20Watts 급의 전력 공급용 RF Shower 시스템을 개발하였으며, 실험을 통하여 Shower 시스템의 출력을 조절하면 리더-태그 간 인식거리가 3배 이상 늘어나는 것을 확인하였다. 향후 RF Shower 시스템을 이용하여 Shower Zone 설계를 적절히 함으로써 저출력 리더(20dBm이하)를 사용하면서 기존 RFID 시스템의 인식거리를 획기적으로 확장할 수 있을 것으로 기대된다.

급식소 HACCP 관리항목에 대한 영양사의 중요성 인지도 평가 (Evaluation of Dietitians' Perception of Importance about HACCP Guidelines in Foodservice Facilities)

  • 배현주
    • 대한영양사협회학술지
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    • 제11권1호
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    • pp.105-113
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    • 2005
  • The purpose of the study was to evaluate the perception of importance about HACCP guidelines of dietitians. A questionnaire was developed to achieve research objectives and sent to random samples of 500 dietitians by a mail ; 418(84%) responses were analyzed. The respondents used three-point-scale to rate their perception of importance about HACCP from 1-"will be necessary" to 3-"very important". All statistical analyses were conducted using SAS package(version 8.12) for Windows. Means and standard deviations were computed for all variables. One-way analysis of variance and Duncan's multiple range test were used to assess differences in the perception of importance about HACCP guidelines among business and industry, health care and school foodservice managers. The study results were summarized as follows. Dietitians especially had lower perception of importance on the contents of Critical Control Points(CCPs), such as; adequate thawing methods and keeping records(1.95) and correct cleaning and sterilizing for raw vegetables and fruits(1.93). The rates of perception of importance about HACCP guidelines were significantly different from 19 of the 37 contents among business and industry, health care and school foodservice(p<.05 or p<.01 or p<.001). Generally, the item related to purchasing and inspection management had the highest perception level score and the item related to pre-preparation management had the lowest perception level score in foodservice production process(p<.001). Results indicate that there is a need for increased education of dietitians about HACCP principles and appropriate practices.

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의복구매 의사결정과정의 가격탐색에 따른 가격반응 유형 (Types of Consumer Responses to Price Based on Price Search)

  • 윤남희;이은영
    • 한국의류학회지
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    • 제34권8호
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    • pp.1403-1414
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    • 2010
  • Consumer decisions and responses about the price to pay vary. Some consumers might decide the appropriate price range prior to shopping, while others compare and evaluate prices. Especially, consumers can have different reference points for price evaluation based on various price searching behavior that represent heterogeneous responses for prices in the clothing purchase decision-making process. This research identifies how consumers evaluate the price and helps explain their decision-making based on price searches. By analyzing qualitative research, we found that consumers recalled price information as a representative indicator and product level price information through the internal search. Their level of internal references can be an important factor affecting price evaluations. In addition, each consumer groups were subdivided into high and low external searching. The four types of responses to price were classified in the price search process and the identified differences in the price evaluation. Therefore, pricing strategy needs to be differentiated for these various consumer types.

토사재해 취약 지역 분류 및 구조적 대안 수립을 위한 위험지표 적용 (Application of Risk Indexes for Classifying Vulnerable Zone and Planning Structural Alternative in Preparation for Debris Flow Disaster)

  • 오승명;송창근;정민형;성주현
    • 한국안전학회지
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    • 제32권3호
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    • pp.112-116
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    • 2017
  • This study applied risk indexes to the disaster flow event occurred at Mt. Umyeon region in 2011. A 2D hydrodynamic model was employed to calculate flow characteristics, and the model was validated against two dam break flow problems conducted by Bellos and EU CADAM project. The model performance was shown to be satisfactory. In order to determine which index is more appropriate to assess the vulnerability of debris flow, 3 risk indexes (FII, FHR and VDI) were considered. It was found that VDI, which determines the risk level only by the velocity factor, consistently predicted the risk level corresponding to 6 because the velocity range was widely organized. However, in the case of FII and FHR, the risk was reasonably quantified due to combined consideration of significant factors of flow velocity and debris thickness. Therefore, FII and FHR are expected to be more accurate than VDI. However, two indexes still need to be improved to include major factors such as debris density or material properties.

지표면 모델링 및 폴리건 검색기법에 관한 연구 (A Study on Terrain Surface Modeling and Polygon-Searching Algorithms)

  • 공지영;강현주;윤석준
    • 한국시뮬레이션학회:학술대회논문집
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    • 한국시뮬레이션학회 2002년도 추계학술대회 논문집
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    • pp.163-170
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    • 2002
  • Terrain surfaces have to be modeled in very detail and wheel-surface contacting geometry must be well defined in order to obtain proper ground-reaction and friction forces for realistic simulation of off-road vehicles. Delaunay triangulation is one of the most widely used methods in modeling 3-dimensional terrain surfaces, and T-search is a relevant algorithm for searching resulting triangular polygons. The T-search method searches polygons in successive order and may not allow real-time computation of off-road vehicle dynamics if the terrain is modeled with many polygons, depending on the computer performance used in the simulation. In order to accelerate the searching speed of T-search, a terrain database of triangular polygons is modeled in multi-levels by adopting the LOD (Level of Detail) method used in realtime computer graphics. Simulation results show that the new LOD search is effective in shortening the required computing time. The LOD search can be even further accelerated by introducing an NN (Neural Network) algorithm, in the cases where a appropriate range of moving paths can be predicted by cultual information of the simulated terrain, such as lakes, houses, etc.. Numerical tests show that LOD-NN search almost double the speed of the original T-search.

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Effectiveness of non-linear fluid viscous dampers in seismically isolated buildings

  • Guler, Elif;Alhan, Cenk
    • Earthquakes and Structures
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    • 제17권2호
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    • pp.191-204
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    • 2019
  • Near-field earthquake records including long-period high-amplitude velocity pulses can cause large isolation system displacements leading to buckling or rupture of isolators. In such cases, providing supplemental damping in the isolation system has been proposed as a solution. However, it is known that linear viscous dampers can reduce base displacements in case of near-field earthquakes but at the potential expense of increased superstructure response in case of far-field earthquakes. But can non-linear dampers with different levels of non-linearity offer a superior seismic performance? In order to answer this question, the effectiveness of non-linear viscous dampers in reducing isolator displacements and its effects on the superstructure response are investigated. A comparison with linear viscous dampers via time history analysis is done using a base-isolated benchmark building model under historical near-field and far-field earthquake records for a wide range of different levels of non-linearity and supplemental damping. The results show that the non-linearity level and the amount of supplemental damping play important roles in reducing base displacements effectively. Although use of non-linear supplemental dampers may cause superstructure response amplification in case of far-field earthquakes, this negative effect may be avoided or even reduced by using appropriate combinations of non-linearity level and supplemental damping.

Comparison of porcine and human acellular dermal matrix outcomes in wound healing: a deep dive into the evidence

  • Saricilar, Erin Cihat;Huang, Sarah
    • Archives of Plastic Surgery
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    • 제48권4호
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    • pp.433-439
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    • 2021
  • Acellular dermal matrices (ADM) are a novel graft. The goal of this systematic review is to evaluate the evidence behind differences in human and porcine ADM, irrelevant of manufacturing method, and to determine if there is enough of an evidence base to change clinical practice. An extensive literature search was performed through MEDLINE and Embase with search terms defining a population, intervention and outcome. Title and abstract exclusion were performed with other exclusion criteria. In 191 articles were found after exclusion of duplicates, with only 29 remaining following exclusions. Ten studies were found to have level I and II evidence (I=3, II=8), of which two were histopathological, one was an animal model, one was a systematic review, and six were clinical. The remaining studies were reviewed and considered for discussion, but did not hold high enough standards for medical evidence. Strong clinical evidence already exists for the use of human ADM, but questions of access, cost, and ethics require consideration of a xenograft. Histopathologically, evidence suggests minimal long-term differences between human and porcine ADM, although there is a short acute immune response with porcine ADM. Clinically, there is limited difference in outcomes, with a small range in effect of different ADM preparations. Considering the effectiveness of ADM in wound healing, more high-level research with appropriate statistical analysis to facilitate a future meta-analysis is recommended to justify a transition from human to porcine ADM.

비타민 무기질 임의영양강화 최대허용수준 추정 (Estimation of Safe Maximum Levels of Vitamins and Minerals to Foods)

  • 정해랑;오세영
    • Journal of Nutrition and Health
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    • 제39권7호
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    • pp.692-698
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    • 2006
  • The voluntary addition of vitamins and minerals to the appropriate foods may help reduce the risks associated with low intakes of these micronutrients, yet the potential of excessive intake, particularly for persons consuming very large amount of foods needs to be addressed. Using the Flynn's model to estimate the level of each vitamins and minerals that can be added safely to foods, maximum levels of fortification to conventional foods per 100 kcal portion were estimated. Critical factors in the Flynn's model included tolerable upper intake level (UL), each micronutrient intake at the $95^{th}$ percentile, the proportion of fortified foods in the diets of individuals, the proportion of foods to which micronutrients could be practically added, and a range of estimates for fractions of foods which might be actually fortified in each nutrient. Food vehicles included all foods except for fresh foods and alcoholic beverages, in general. With fortification of 50% of all potentially fortifiable foods, micrornutrients could be added safely to foods at levels per 100 kcal 1) > 100% Recommended Intake (RI) for vitamin $B_12$, 2) 1,200% RI for vitamin $B_1$ and niacin, 3) 1,000% $B_1$ for vitamins $B_2$ and $B_6$, 4) 400% RI for vitamin E, 5) 30% RI for calcium, 6) 20% RI for folic acid, iron and zinc, 7) 10% RI for manganese, 8) no fortification for magnesium, phosphorous and vitamin A, and 8) further consideration of vitamin D, copper and selenium due to insufficient evidence. Results of this study suggests a wide range of vitamins and minerals that can be added safely to foods in current diets of Koreans.