• Title/Summary/Keyword: behavior modification

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A Web-based Internet Program for Nutritional Assessment and Diet Management of Patient Having Hyperlipidemia (고지혈증 환자의 웹기반 식사관리 및 영양평가 프로그램)

  • 한지숙;허지연
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.2
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    • pp.287-294
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    • 2003
  • The purpose of this study was to develop a web-based internet program for nutritional assessment and diet management of patient having hyperlipidemia. Hyperlipidermia were classified by hypercholesterolemia and hypertriglyceridemia. The program consisted of four parts according to their functions and contents. The first part explained the metabolism of lipids and defined the hyperchotesterolemia and hypertriglyceridemia. The second part is to assess the general health status such as body weight, obesity index, basal metabolic rate and total energy requirement by the input of age, sex, height, weight and degree of activity. This part also provides the Patient with menus lists and 1 day menu suitable to his weight, activity and the status of hyperlipidemia and offers the information for food selection, snacks, convenience foods, dine-out, behavioral modification, cooking methods, food exchange lists, and information on energy and nutrients of foods and drinks, and top 20 foods classified by nutrients. The third part is designed to investigate diet history of patient, that is, to find out his inappropriate dietary habit and give him some suggestions for appropriate dietary behavior. This part also offers on-line counseling and frequently asked Questions. The fourth part is evaluating their energy and nutrients intake by comparing with recommended dietary allowance for Koreans or standardized data for patient with hyperlipidemia. In this part, it is also analyzing energy and nutrients of food consumed by food group and meals, and evaluating the status of nutrient intake. These results are finally displayed as tabular forms and graphical forms on the computer screen.

MULTIDISCIPLINARY APPROACH OF A PATIENT WITH MENTAL RETARDATION UNDER GENERAL ANESTHESIA : A CASE REPORT (정신지체 환자의 협력 진료에 의한 전신마취 하 치과치료 증례)

  • Jang, Yoon-Hyoung;Pae, Ah-Ran;Choi, Sung-Chul;Park, Jae-Hong;Kim, Kwang-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.1
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    • pp.23-26
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    • 2009
  • Mental retardation is defined by the American Psychiatric Association as" subnormal general intellectual functioning which originates during the developmental period and is associated with impairment of either learning and social adjustment or maturation, or both." A patient with mild to moderate mental retardation can be managed adequately using restraints and medications. However, in case of severe or profound mental disability, dental treatment cannot be accomplished even with the use of behavior modification, physical restraints and sedation techniques. When treatment in the dental office has much difficulty, hospitalization for dental treatment under general anesthesia can and should be considered. This case presents the treatment of a patient with mental retardation who was referred to our department for comprehensive dental care. Dental examination revealed widespread dental caries and a severe anterior open bite with crowding problems. Under general anesthesia, generalized caries treatment was performed by our department, and the anterior dental esthetics was achieved in collaboration with the department of prosthodontic dentistry.

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Prognosis of Recurred TMD Patients According to Conservative Therapy (측두하악장애 재발환자의 보존적 처치에 따른 예후)

  • Ko, Myung-Yun;Kim, Ik-Hwan;Ok, Seung-Joon;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
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    • v.32 no.2
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    • pp.241-250
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    • 2007
  • We examined 104 patients(primary group, controlled group) who had visited PNUH from 1994 to 2002, having been diagnosed as temporomandibular disorders(TMDs) and treated in conservative ways such as Behavior modification, medications, physical therapies and splint therapies. We also examined 54 patients(recurred group, experimental group) who had visited PNUH from 1991 to 2001, having been diagnosed as TMDs and experienced recurrence after conservatively treated. To find out the symptoms of Recurred TMD patients and their results of conservative treatments, we compared these two groups mentioned above. The obtained results were as follows: 1. Both primary and recurred groups have showed great improvements with conservative treatments. 2. Both primary and recurred groups have showed no differences in pain, LOM, MCO in their first visits but the noise were louder in primary group. 3. Both primary and recurred groups have showed no differences in pain, LOM, MCO when the treatments were over but the noise were louder in recurred group. 4. Treatments modalities, diagnosis, sex, kind of disease had not affected the results of treatment in either of groups. 5. It has come out that much better results were achieved when the patients in primary group had treated for over 6 months and for more than 10 times.

Effect of Demand Spectrums on the Accuracy of Capacity Spectrum Method (요구곡선 산정방법에 따른 능력스펙트럼법의 유효성 평가 및 비교)

  • Kim, Hong-Jin;Min, Kyung-Won;Park, Min-Kyu
    • Journal of the Earthquake Engineering Society of Korea
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    • v.8 no.3
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    • pp.33-42
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    • 2004
  • While transforming the inelastic system into the equivalent elastic one gives an advantage of simpler analysis, the actual inelastic behavior of the system is hardly modeled in the capacity spectrum method (CSM). Therefore, the accuracy of CSM depends on the precise estimation of equivalent period and damping ratio as well as the modification of the elastic response spectrum and the corresponding demand spectrum. In this paper, the effect of demand spectrums on the accuracy of CSM is evaluated. First, the response reduction factors provided in ATC-40 and Euro Code are evaluated. Numerical analysis results indicated that the acceleration responses obtained using the factor of Euro Code are closer to the actual response than those obtained using the factors of ATC-40. Next, the accuracy of CSM is evaluated constructing the demand spectrum using the absolute acceleration responses and pseudo acceleration responses. The results obtained using the absolute acceleration responses were found to be generally larger than those obtained using the pseudo ones. Since CSM often underestimates the response, the use of absolute acceleration response gives the response relatively closer to the exact ones. However, the difference becomes negligible as the hardening ratio and the yield strength ratio become larger.

A STUDY OF ION BEAM ASSISTED DEPOSITION(IBAD) OF TiN ON Ni-Cr Be ALLOY FOR SURFACE CHARACTERISTIC (이온빔 보조 증착법에 의한 TiN 박막도포가 니켈-크롬-베릴륨 합금의 표면 성상에 미치는 영향에 관한 연구)

  • Choi, Soo-Young;Lee, Sun-Hyung;Chang, Ik-Tae;Yang, Jae-Ho;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.2
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    • pp.212-234
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    • 1999
  • Dental restorative materials must have the physical properties to withstand wear and corrosion. Base metal alloys possess better mechanical properties and lower price than the gold alloys. For these reasons such alloys have largely replaced the precious metal alloys. One aspect to con-sider is the release of metal substances to oral environment. The release of elements from dental alloys is a continuing concern because the elements may have the potentially harmful biological effects on local tissues. The purpose of this study was to minimize metal release on the nonprecious metal surfaces by ion beam assisted deposition(IBAD) of titanium nitride (TiN) Ni-Cr-Be alloys with and without TiN coatings were secured in an wear test machine opposing ruby ball to determine their relative resistance to wear with loom, 200m, 300m and 400m sliding distance. And the corrosion behavior of the Ni-Cr-Be alloys with and without TiN coatings and 3 dental noble alloys have been studied. Potentiodynamic curves were used to analyse the corrosion characteristics of the alloys. The measurement of the released Ni and Cr ions was conducted by analysis of the electrolyte solution with atomic absorption spectroscopy. The results were as follows : 1. The critical sliding distance that wore down TiN coatings of $2.5{\mu}m$ thickness in this study condition was 300m. 2. Ion beam assisted deposition of TiN showed a good surface modification with respect to the properties of wear and corrosion resistance. 3. X-ray diffraction showed that the strongest peak of TiN is TiN(111) in the coatings. 4. The release of Ni and Cr ions from alloys measured by means of atomic absorption spectroscopy was reduced by ion beam assisted deposition of TiN.

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A STUDY ON OSTEOBLAST-LIKE CELL RESPONSES TO SURFACE-MODIFIED TITANIUM

  • Hong Min-Ah;Kim Yung-Soo;Kim Chang-Whe;Jang Kyung-Su;Lee Jae-Il
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.3
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    • pp.300-318
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    • 2003
  • Statement of problem: The success of implants depends on intimate and direct contact of implant material on bone tissue and on functional relationship with soft tissue contact. Creation and maintenance of osseointegration depend on the understanding of the tissue's healing, repairing, and remodeling capacity and these capacities rely on cellular behavior. Altering the surface properties can modify cellular responses such as cell adhesion, cell motility, bone deposition, Therefore, various implant surface treatment methods are being developed for the improved bone cell responses. Purpose: The purpose of this study was to evaluate the responses of osteoblast-like cells to surface-modified titanium. Materials and Methods: The experiment was composed of four groups. Group 1 represented the electropolished surface. Group 2 surfaces were machined surface. Group 3 and Group 4 were anodized surfaces. Group 3 had low roughness and Group 4 had high roughness. Physicochemical properties and microstructures of the discs were examined and the responses of osteoblast-like cells to the discs were investigated. The microtopography was observed by SEM. The roughness was measured by three-dimension roughness measuring system. The microstructure was analyzed by XRD, AES. To evaluate cell responses to modified titanium surfaces, osteoblasts isolated from calvaria of neonatal rat were cultured. Cell count, morphology, total protein measurement and alkaline phosphatase activities of the cultures were examined. Results and Conclusion: The results were as follows 1. The four groups showed specific microtopography respectively. Anodized group showed grain structure with micropores. 2. Surface roughness values were, from the lowest to the highest, electropolished group, machined group, low roughness anodized group, and high roughness anodized group. 3. Highly roughened anodized group was found to have increased surface oxide thickness and surface crystallinity. 4. The morphology of cells, flattened or spherical, were different from each other. In the electropolished group and machined group, the cells were almost flattened. In two anodized groups, some cells were spherical and other cells were flattened. And the 14 day culture cells of all of the groups were nearly flattened due to confluency. 5. The number of attached cells was highest in low roughness anodized group. And the machined group had significantly lower cell count than any other groups(P<.05). 6. Total protein contents showed no difference among groups. 7. The level of alkaline phosphatase activities was higher in the anodized groups than electropolished and machined groups(P<.05).

The Survey on Construction of Obesity Management Program for Primary, Middle and High Schools (초 . 중 . 고등학교 비만관리프로그램 구축에 관한 연구)

  • 김이순;주현옥;신유선;송미경
    • Korean Journal of Health Education and Promotion
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    • v.19 no.3
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    • pp.97-105
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    • 2002
  • This study attempts to develop a program for obesity prevention and management for students in primary, middle, and high school and was carried based on the program development process as suggested by Ewles and Simnett. Data were collected from September 1st to September 30th, 2000. The study method is as follows: 1) Reviewing the present obesity control programs practiced in primary, middle, and high school (196 schools total) in metropolitan, medium-sized, and small cities, 2) Surveying obesity students'(682 students total) perception of the obesity management in their school. 3) Reviewing the annual plan for obesity in primary, middle, and high schools 4) Analyzing the educational data (CD, VIDEO) for obesity The results are as below: I. The media researched related to obesity were mainly CD and video, aimed primarily primary school students and are biased in nature. 2. The results of how to manage obesity in students: the difficulty of obesity education in the primary school, is the arousal of a sense of shame among obese students and the lack of various educational data are the most. In the middle and high schools, a lack of various educational data, and no time or lack of time were prevailing concerns. Paramount in managing obesity is weight control, as answered by majority of primary, middle, and high school students. The major problem of obesity management is the non-cooperation of children. 3. Asked whether the weight controlling aspect of health care class was helpful or not, 51.4% of primary school students, and 71.6% of middle and high school students answered not. The most popular educational method used in health care class is the computer, with a 56.4% approval rating. Most 43.5% of respondents answered that they wanted the content of obesity management program to focus on how to lose weight. Therefore, based on the results, the obesity management program is constructed to the steps of assessment, planning, implementation, and evaluation. Assessment includes administering surveys on health needs among students and their parents and physique tests. Planning includes the set-up of long term and short term educational goal and the establishment of an operation system. Implementation includes education, exercise, behavior modification, and health service programs. Evaluation includes step-by-step evaluations for obesity reduction. After this study is conducted, the following should be further researched: More practical and systematic obesity management programs should be developed for the evaluation results. In addition, it is important to develop an appropriate media for obesity management the primary, middle and high school students.

E-BLP Security Model for Secure Linux System and Its Implementation (안전한 리눅스 시스템을 위한 E-BLP 보안 모델과 구현)

  • Kang, Jung-Min;Shin, Wook;Park, Chun-Gu;Lee, Dong-Ik
    • The KIPS Transactions:PartA
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    • v.8A no.4
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    • pp.391-398
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    • 2001
  • To design and develop secure operating systems, the BLP (Bell-La Padula) model that represents the MLP (Multi-Level Policy) has been widely adopted. However, user\`s security level in the most developed systems based on the BLP model is inherited to a process that is actual subject on behalf of the user, regardless whatever the process behavior is. So, there could be information disclosure threat or modification threat by malicious or unreliable processes even though the user is authorized in the system. These problems can be solved by defining the subject as (user, process) ordered pair and by defining the process reliability. Moreover, when the leveled programs which exist as objects in a disk are executed by a process and have different level from the process level, the security level decision problem occurs. This paper presents an extended BLP (E-BLP) model in which process reliability is considered and solves the security level decision problem. And this model is implemented into the Linux kernel 2.4.7.

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Nonlinear Flexural Analysis of RC Beam Rehabilitated by Very-Early Strength Latex-Modified Concrete (초속경 라텍스개질 콘크리트로 보강된 RC보의 비선형 휨해석)

  • Choi, Sung-Yong;Yun, Kyong-Ku;Kim, Yong-Bin;Kang, Mun-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4635-4642
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    • 2010
  • Latex modification of concrete provides the material with higher flexural strength, as well as high bond strength and reduced water permeability. One of the most advantages of the very early-strength latex-modified concrete (VES-LMC) could be the similar contraction and expansion behaviour to normal concrete substrate, which enable to ensure long-term performance. The purpose of this study was to parametric nonlinear flexural nonlinear analysis of RC beam rehabilitated by VES-LMC. The results were as follows; The flexural nonlinear analysis model of RC beam overlaid by VES-LMC in ABAQUS was proposed to predict the load-deflection response, interfacial stress, and ultimate strength. The proposed FE analysis model was verified by comparison of an experimental data and the FE analysis results. The FE analysis results showed that yield point as well as flexural stiffness increased as the depth increased; the stiffness of beam overall increased as the bond stiffness became larger; the bond strength between two different materials is a key factor in composite beam. A parametric study showed that an overlay thickness was a main influencing factor to the behavior of RC beam overlaid by VES-LMC.

A Study on the Improvement and the Survey Study on the Complaints of People with Disabilities in the Use of Disabled Car (복지차 이용 시 장애인의 불편사항 조사와 개선방안 연구)

  • Rhee, Kum Min;Kim, Dong Ok
    • 재활복지
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    • v.17 no.4
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    • pp.339-370
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    • 2013
  • This study is to suggest necessary improvements of inconvenient elements as well as the ergonomic design standard to develop disabled cars by evaluating the types of needs and observing the behavior characteristics on their car use and the survey on the complaints of the disabled drivers and their guardians in the use of disabled car. The results of this study are as follows. First, both the disabled drivers and their guardians are found to feel high inconvenience and low satisfaction with the cars they use now. Second, the disabled owner-drivers also answered in a same way as guardians. They find the most difficulty in moving the supporting equipment to get into and out of a car. Both the owner-drivers with disabilities and guardians complained of lack of handiness they face when they wear the seat belts and sitting on the seats. In view of this, a disabled car to be developed should have ergonomic design for its seats and the safety of the seatbelt as well as trouble-free supporting equipment helping them move. Third, rather than owner-drivers with handicaps, guardians expressed more difficulties and less contentment with the cars for the disabled, which is reckoned to lead to the changes of perspectives on development of cars for the disabled breaking away from existing viewpoints focusing on the accessibility to the vehicles. Fourth, both owner-drivers and guardians showed higher interests in driving and other safety and convenience measures than in using supporting equipment to get into and out of vehicles, implying that rather than the accessibility to get into and out of a car, convenience should primarily be taken into account for the design of the disabled car. Fifth, the auto-manufacturer is to give prior thought to user convenience when developing a car in practice. For this, the developer may have the disabled car users join the process of development as well as asking experts for help and participation.