• 제목/요약/키워드: effective period

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요양병원 낙상 고위험 노인 환자를 위한 King의 목표달성이론 기반 낙상 예방 프로그램 개발 및 효과 (Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital)

  • 박봄미;유호신;권경은;이춘영
    • 대한간호학회지
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    • 제49권2호
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    • pp.203-214
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    • 2019
  • Purpose: The purpose of this study to develop a fringed fall prevention program based on King's goal attainment theory and education. This study is applied to the personal, interpersonal, and social systems of fall high-risk patients to test its effects. Methods: This study was a nonequivalent control group pre- and post-test design. There were 52 fall high-risk patients in the experimental group and 45 in the control group. The experimental group received six sessions, with the group sessions lasting 60 minutes and the individual sessions lasting 20~30 minutes. Data were analyzed using descriptive statistics, an ${\chi}^2-test$, a paired sample t-test, and a Wilcoxon signed-ranks test utilizing IBM SPSS software. Results: For the 3-month intervention period, the fall prevention program was found to be particularly effective for patients in the experimental group (from 3.38 to 1.69 per 1000 patient days; p=.044), as opposed to the control group (from 1.94 to 1.49 per 1000 patient days; p=.300). For the 6-month follow up period, the fall prevention program was again found to be effective for patients in the experimental group (from 3.26 to 0.76 per 1000 patient days; p=.049) compared to the control group (from 1.98 to 1.01 per 1000 patient days; p=.368). Conclusion: These results indicate that the fringed fall prevention program is very effective in reducing falls, not only during the intervention period, but also after the intervention period has ended. We can therefore recommend this program for use concerning fall high-risk patients in long-term care hospitals.

顔面痙攣患者 29例에 대한 臨床的 考察 (The Clinical Observation on 29 Cases of Patients with Hemifacial Spasm)

  • 정동환;심상희;유미경;김종한;박수연;최정화
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.88-94
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    • 2004
  • Hemifacial spasm is painless uncommon disorder characterized by involuntary paroxysmal movement of one side face. In the treatment of hemifacial spasm, the Western operation or non-operation therapy has many side effect such as hearing loss, exudative otitis media, facial paralysis etc. So we studied mainly the effect of cause, treatment frequency, diseased part of 29 cases with hemifacial spasm for effective clicical application of oriental medicine. The results of study are as follow; 1. It shows more female patients than male patients, and mostly patients in their forties. 2. The diseased part is shown more on left side than right side, and the left side hemifacial spasm is cured more effective. 3. The causes of hemifacial spasm are mainly stress, ignorance, overwork, and the stress, a cold are more effective causes than ignorance in. 4. The disease period is mainly within six months, and that period is the most effective time. 5. The palpebral site is the most frequent site, ineffective site. 6. The effect go with the treatment frequency is not available. 7. There is a 55 percent improvement of 29 cases.

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마늘뜸의 연소특성에 관한 연구 (Experimental Study on the Characteristics of Combustion in Indirect Moxibustion with Garlic)

  • 이건목;이건휘;조남근;박소영
    • Journal of Acupuncture Research
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    • 제21권4호
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    • pp.31-51
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    • 2004
  • Objective: The propose of this study is to investigate the characteristics of combustion in indirect moxibustion with garlic. Methods: We observed the characteristics of combustion by the variations of the thickness(3mm, 4mm, 5mm) of a slice for indirect moxibustion with garlic and mass(80mg, 100mg, 120mg) of moxa cone and existence of holes. The temperature of indirect moxibustion for garlic insulation with holes was higher than temperature of indirect moxibustion for garlic insulation without holes. Combustions time in the preheating period is about 1 minute, it varies by the existence of holes, the thickness of a slice for indirect moxibustion with garlic, and the density of moxa cone. Results: Maximum temperature of heating period was $38.7{\sim}46.2^{\circ}C$, combustion time in the heating period was 118~164sec and maximum ascending temperature gradient was $0.102{\sim}0.264^{\circ}C/sec$. Retaining period was shorter than heating period and stimulus of heating retains more, because it is higher than body temperature. By this report, indirect moxibustion with garlic is more effective with holes and the appropriate thickness of a slice for indirect moxibustion with garlic is 3.5~4mm. It is appropriate that the diameter of moxa cone is 8mm and height of that is 10mm. With this condition, effective combustion period is 120sec, maximum temperature is $42{\sim}44^{\circ}C$, maximum ascending temperature gradient is $0.14{\sim}0.16^{\circ}C/sec$. It is necessary to study clinical correlations for more accurate quantitative standard.

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중동호흡기증후군과 지카바이러스의 대응사례분석을 통한 해외유입 신종감염병 예방시스템 구축 방안 (Developing Prevention System of Overseas Infectious Disease Based on MERS and Zika Virus Outbreak)

  • 김자영;방준석
    • 한국임상약학회지
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    • 제26권4호
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    • pp.330-340
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    • 2016
  • Objective: The outbreak of Middle East Respiratory Syndrome (MERS) started in South Korea in May 2015 and the end of crisis was declared in December 2015 by Korea Centers of Disease Control and Prevention (KCDC). However, Zika virus emerged in less than 2 months following MERS and showed higher mortality than other countries. This study is to assess the current prevention system of overseas infectious diseases, based on MERS and Zika virus outbreak and to suggest effective response system for the future. Methods: We conducted two surveys on medical specialists working at tertiary general hospitals regarding the effectiveness of responding system by KCDC against MERS and Zika virus and education in individual medical institutions using 5-Likert points. Response system was examined in three different periods as initial period, spreading period, and post disease period. Results: Although medical specialists received the notifications in initial period, no practical prevention was proven to be placed in responding stage by medical facilities (averagely 3.5/5 points in total and sub-analyses). During spreading period, there were several academic seminars conducted, which were evaluated as helpful. In post disease period, all answered that there were changes on patient treatment in all medical facilities, with mainly report system and the treatment regulations in case of suspicious patients for infection. Only 49% respondents answered positive on the possibility of initial responses. For questionnaire items regarding Zika virus, all answered that there were notifications prior to the first outbreak of the infected patient. Eighty% of respondents were aware of 'the Guideline system for traveling to dangerous areas', and answered that the system was moderately effective (averagely 3.8/5 points in total). For the effectiveness of prevention measures for foreign novel disease by KCDC, the average point was 3.0 in both of total and sub-analyses. Conclusion: There is not enough response system to prevent infectious disease in medical institutional and governmental levels in Korea. It would warrant the modification of overall medical system to improve preventive measures for initial spread of such diseases.

Modeling for Drying of Thin Layer of Native Cassava Starch in Tray Dryer

  • Aviara, Ndubisi A.;Igbeka, Joseph C.
    • Journal of Biosystems Engineering
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    • 제41권4호
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    • pp.342-356
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    • 2016
  • Purpose: The drying of a thin layer of native cassava starch in a tray dryer was modeled to establish an equation for predicting the drying behavior under given conditions. Methods: Drying tests were performed using samples of native cassava starch over a temperature range of $40-60^{\circ}C$. We investigated the variation in the drying time, dynamic equilibrium moisture content, drying rate period, critical moisture content, and effective diffusivity of the starch with temperature. The starch diffusion coefficient and drying activation energy were determined. A modification of the model developed by Hii et al. was devised and tested alongside fourteen other models. Results: For starch with an initial moisture content of 82% (db), the drying time and dynamic equilibrium moisture content decreased as the temperature increased. The constant drying rate phase preceded the falling rate phase between $40-55^{\circ}C$. Drying at $60^{\circ}C$ occurred only in the falling rate phase. The critical moisture content was observed in the $40-55^{\circ}C$ range and increased with the temperature. The effective diffusivity of the starch increased as the drying temperature increased from 40 to $60^{\circ}C$. The modified Hii et al. model produced randomized residual plots, the highest $R^2$, and the lowest standard error of estimates. Conclusions: Drying time decreased linearly with an increase in the temperature, while the decrease in the moisture content was linear between $40-55^{\circ}C$. The constant drying rate phase occurred without any period of induction over a temperature range of $40-55^{\circ}C$ prior to the falling rate period, while drying at $60^{\circ}C$ took place only in the falling rate phase. The effective diffusivity had an Arrhenius relationship with the temperature. The modified Hii et al. model proved to be optimum for predicting the drying behavior of the starch in the tray dryer.

갑상선암 환자에서 고용량 방사성요오드 치료 후 유효반감기에 대한 연구 (A Study on the Effective Half-life after the High Dose Radioactive Iodine (131I) Therapy for Thyroid Cancer Patients)

  • 김성철;권다영;김용민
    • 한국방사선학회논문지
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    • 제11권7호
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    • pp.597-603
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    • 2017
  • 고용량 $^{131}I$ 치료는 분화갑상선암으로 인한 갑상선전절제술을 받은 환자에게 보편적으로 시행되어 왔다. 고용량 $^{131}I$ 치료를 하는 경우 환자로부터 일반인이 받게 되는 피폭선량을 선량한도 이내로 제한하기 위해 환자를 일정 기간 동안 격리하여야 한다. 유효반감기는 환자로부터 가족들이 얼마나 피폭되는지 계산하거나 격리기간을 결정하는데 중요한 값이다. 이에 본 연구에서는 NM670 SPECT/CT를 이용해 고용량 $^{131}I$ 치료환자의 유효붕괴상수, 유효반감기, 격리기간을 도출하였다. 본 연구를 통해 고용량 $^{131}I$ 치료환자의 유효반감기를 도출하였고, 체내에 잔류 방사능량이 퇴원기준인 1.2 GBq 에 도달하는 시간을 확인하였다. 또한 치료선량별 유효반감기를 비교하였을 때 유의한 차이가 없었으나, 격리기간은 치료선량이 커질수록 격리기간이 길어지는 것을 확인할 수 있었다. 전처치 유형별 유효반감기를 비교하였을 때 rhTSH 환자군과 THW 환자군의 유효반감기가 유의한 차이를 보이지 않았으나, 격리기간은 rhTSH 환자군이 THW 환자군 보다 짧게 나타났다. 이는 치료선량의 차이로 인해 격리기간이 짧아진 것으로 판단된다. 따라서 현행 의료보험체계(rhTSH 사용 시 3.7 GBq 이하에서 보험적용)가 유지된다면, 전처치 유형별로 구분하여 현행 격리기간(2박 3일)보다 더 이른 시간에 환자를 퇴원시킬 수 있을 것이다.

마늘성분의 산화방지작용에 대한 연구 - 제 3 보 가열수용성분의 과산화지질 생성억제효과에 미치는 영향 - (Studies on Antoxidative Action of Garlic Components Isolated from Garlic(Allium Stivum, L) Part III : Effects of water soluble fractions from steamed garlic on inhibition of lipoperoxide formation.)

  • 전희정
    • 대한가정학회지
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    • 제24권4호
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    • pp.87-92
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    • 1986
  • In Order to study antioxidative action of water soluble fractions which had been steamed according to time as 15, 30, 60 and 120 minutes, they were compared through the inhibitory effect of lipoperoxide formation by TBA, peroxide value and induction time for the first period of lipoperoxide formation. Results are obtained as follows: 1. In vivo experiment with TBA value, water soluble fractions showed aninhibitory effect of lipoperoxide formation. 2. Comparing with the inhibitory effect of lipoperoxide formation with TBA value in vivo, water soluble fractions which had been steamed for 30 and 60 minutes and those from fresh garlic proved effective in the blood by intraperitoneal administration. But in the liver all of water soluble fractions showed distinctive effect as in the case of fresh garlic. 3. Effect of water soluble fractions which had been steamed for 15, 30 and 60 minutes showed a distinctive effect, water soluble fraction which had been steamed for 120 minutes and that from fresh garlic also showed effective in the blood as compared with control. 4. In oral administration, water soluble fraction of fresh garlic was the most effective in the liver. 5. In vitro experiment with peroxide value, water soluble fractions which had been steamed for 60 and 120 minutes were effective, all of water soluble fractions from steamed garlic were more effective than fresh garlic. 6. In Examining the induction time for the first period of lipoperoxide formation in vitro, water soluble fractions steamed for 30, 60 and 120 minutes were effective. Other fractions were also more effective than control.

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중·저준위 방사성폐기물 천층처분시설에서 시추 후 거주시나리오 평가를 통한 폐쇄 후 제도적 관리기간 연구 (Study on the Institutional Control Period Through the Post-drilling Scenario Of Near Surface Disposal Facility for Low and Intermediate-Level Radioactive Waste)

  • 홍성욱;박진백;윤정현
    • 방사성폐기물학회지
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    • 제12권1호
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    • pp.59-68
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    • 2014
  • 처분시설은 폐쇄 후 제도적 관리기간 동안에는 처분 부지로의 일반인의 접근을 제한하며 제도적 관리기간 이후에는 부주의 한 인간침입 시에도 처분시설로 인한 방사선적 영향으로부터 침입자를 보호하도록 설계 되어야 한다. 본 논문에서는 처분시설이 부주의한 침입자에 미칠 수 있는 방사선적 영향을 GENII 프로그램을 사용하여 평가해보았다. 처분고별 적치되는 방사성폐기물의 종류를 달리하여 평가하고 제도적 관리기간 설정에 따른 침입자에 대한 영향도 분석하였다. 평가결과 제도적 관리기간을 두지 않아도 폐필터가 적치된 처분고를 제외하고 모두 성능 목표치를 만족하였다. 하지만 폐필터를 적치한 처분고의 경우 인간침입 평가결과 제도적 관리기간 300년이 되어서야 성능목표치를 만족할 수 있었다. 폐필터와 함께 잡고체 폐기물을 혼합하여 적치하는 경우 제도적 관리기간을 줄일 수 있었으며, 폐필터는 다른 폐기물과 함께 적치하여 제도적 관리기간을 줄이는 것이 필요하다. 폐기물 적치시 방사능을 고려하여 처분고 적치방안을 적절히 수립하는 것이 국부적인 방사능의 최대값을 줄일 수 있어 방사선적 안전성을 확보하며 제도적 관리기간을 단축할 수 있어 바람직하다.

인지무선통신 환경에서 슬롯-알로하 기법의 전송 효율 분석 (Throughput Analysis of Slotted ALOHA in Cognitive Radios)

  • 왕한호;우중재
    • 전기학회논문지P
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    • 제64권1호
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    • pp.41-44
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    • 2015
  • In cognitive radios, exponentially distributed idle period(EIP) is considered in this paper. In the EIP case, durations of idle periods are be limited and varied by primary traffic arrivals. Accordingly, we first analyze the idle period utilization which can be achieved by the slotted ALOHA in cognitive radio communications. The idle period utilization is a newly defined performance metric to measure the transmission performance of the secondary network as effective time durations utilized for successful secondary transmissions in an idle period. Then, the idle period utilization is maximized through controlling the data transmission time. All technical processes are mathematically analyzed and expressed as closed form solutions.

배구선수에서 Training과 Detraining 기간의 식행동 및 혈중 지질농도 (Food Habits and Serum Lipid Concentratons during the Periods of Training and Detraining in Volleyball Players)

  • 조여원;김지현;조미란;선우섭
    • 대한지역사회영양학회지
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    • 제4권2호
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    • pp.231-238
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    • 1999
  • This study was done to investigate the 12 college volleyball player's food behavior, nutrient intakes, and their serum lipid levels during the periods of training and detraining and to provide basic data for an effective program for the volleyball players during the period of detraining after the game season. The results were summarized as follows : The total daily energy intake of the players was $3,363{\pm}339kcal and 3,692{\pm}499kcal$ during the periods of the training and detraining, respectively. During the training period, daily intakes of protein, calcium and vitamin A, and $B_2$ were lower than the recommended dietary allowance for the players. During the detraining period, the players' daily intakes of calcium, iron, and vitamin A were even lower. However, the consumption of alcohol was dramatically increased during the period of detraining. The levels of serum triglyceride and very low density lipoprotein were significantly increased during the detraining period. Basal metabolic rates were significantly increased after the training period and diastolic pressure was decreased during the detraining period. In conclusion, out results suggest that the detraining of volleyball players for 10 days after intensive training, negatively affects their food behavior and serum lipid concentrations. Therefore, for the improvement of performance for the next game season, a planned program for the players' detraining period should be developed.

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