Objective: This study aimed to investigate effective cueing methods for selective muscle activation of gluteus medius muscles. Design: Cross sectional study design. Methods: Using the inclusion criteria for this study, 20 healthy adults, both males and females were selected for the measurement of muscle activation of gluteus maximus, gluteus medius, and tensor fascia latae muscles while performing clamshell exercise, basic movements in leg raise in side-lying, and 3 different cueing methods. Electromyogram was used to measure muscle activation, and both muscle activation and muscle ratio were compared during the basic movements and different cueing methods. Results: Gluteus medius activation was highest using "try not to make your body rotate" (cueing method 2) in both clamshell exercise and leg raise side-lying (F=5.533, p<0.05, F=7.771, p<0.05), and muscle ratio was highest in clamshell exercise using cueing method 2 (p<0.05) and "don't move your tensor fascia late" (cueing method 1) in leg raise side-lying (p<0.05). This study showed that cueing method 1 in leg raise side-lying and cueing method 2 in clamshell exercise were the most effective cueing methods for selective muscle activation of gluteus medius muscle. Conclusions: The results of this study may be used as basic information for future studies on muscle activation and muscle ratio for different cueing methods and different muscles in various exercises.
There have been recent advances concerning research of the feeding and nutrition of dairy goats in a wide array of areas. Ruminally emitted methane and supplementary feedstuffs to a lesser extent make appreciable contributions to the carbon footprint of dairy goats, with the former affected by type of production system and associated dietary characteristics. Unique behavior of goats necessitates careful consideration of the nature of confinement facilities to achieve optimal production by animals differing in social hierarchy. Physiological conditions such as nutritional needs and perhaps health status may influence diet selection by goats in both grazing and confinement settings. Some research suggests that low concentrations of protein and fat in milk of high-yielding dairy goat breeds could involve the type and nature of dietary ingredients as influencing end products of ruminal fermentation. With the relationship between milk urea nitrogen concentration and efficiency of dietary protein utilization, through future research the measure may be a useful tool for diet formulation as in dairy cattle. Effects of dietary inclusion of sources of fats and oils vary considerably depending on their nature, as is also true for byproduct feedstuffs and conventional ones being substituted for. Supplementation of dairy goats with sources of polyunsaturated fatty acids can affect oxidative stress and various feedstuffs influence antioxidant status; however, research addressing the significance of such changes under practical production settings would be beneficial.
International journal of advanced smart convergence
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v.10
no.1
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pp.24-37
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2021
China's "One Belt and One Road" initiative has brought multiple opportunities to the development of tourism in Guangdong, Guangxi and Hainan provinces and the implementation of the Beibu Gulf Urban Agglomeration Development Plan hasset clear goalsforfurther accelerating the coordinated development, in-depth cooperation of the three. This study takes the Beibu Gulf Urban Agglomeration as the research object and utilized the data envelopment analysis (DEA) procedure to estimate the technical efficiency, pure technical efficiency, and scale efficiency scores for each city and Malmquist index was subsequently used to analyze dynamically, then tries to offer an adequate inclusion of sustainable factors in overall tourism development efficiency results through the detection and estimation of potential sources of efficiency. In order to complete the task, data collection was focused on Guangdong, Guangxi and Hainan provinces of China over the period from 2016 to 2018. The results in the first phase show relatively high efficiency scores, particularly in the case of the Beibu Gulf Urban Agglomeration and with room for improvement in the case of other cities of Guangdong, Guangxi and Hainan provinces. The second stage results present several aspects that should be carefully considered in order to analysis tourism efficiency of the Beibu Gulf Urban Agglomerations vertically according to the changes of the frontier.
Background: The purpose of present study was to determine the effectiveness of training program based on job stress management in NEDSA and line staff. Methods: The study method of this study was quantitative and quasi-experimental research Methods: From the statistical population (all employees of the NEDSA and line staff in 2020-2021), 30 of these people were selected by judgmental sampling method and considering the inclusion and exclusion criteria. The participants were first matched based on age and education and were randomly divided into experimental and control groups. First, pre-test was taken from both groups (Job Stress Questionnaire). The experimental group was presented with a job stress management training package and no protocol was presented in the control group. After the sessions, post-test was received from both groups (experimental and control). After two months, a follow-up test was performed. Results: The results were entered into SPSS-24 software and analyzed. The results of repeated measure showed high effectiveness of the job stress management package (researcher-made). The results showed that the job stress management training package showed 67.5% effectiveness and also the training effect of job stress management training was stable for two months (follow-up). Conclusion: Based on these results, Training program based on stress management can be effective in military staff.
A headword finding system is defined as an information retrieval system using a word gloss as a query. We use the gloss as a document in order to implement such a system. Generally the gloss is very short in length and then makes very difficult to find the most proper headword for a given query. To alleviate this problem, we expand the document using the concept of query expansion in information retrieval. In this paper, we use 2 document expansion methods : gloss expansion and similar word expansion. The former is the process of inserting glosses of words, which include in the document, into a seed document. The latter is also the process of inserting similar words into a seed document. We use a featureless clustering algorithm for getting the similar words. The performance (r-inclusion rate) amounts to almost 100% when the queries are word glosses and r is 16, and to 66.9% when the queries are written in person by users. Through several experiments, we have observed that the document expansions are very useful for the headword finding system. In the future, new measures including the r-inclusion rate of our proposed measure are required for performance evaluation of headword finding systems and new evaluation sets are also needed for objective assessment.
Background One-per-mil tumescent solution, which contains 0.2% lidocaine with 1:1,000,000 epinephrine, has been reported to be clinically effective for hand surgery under local anesthesia. However, it was lacking in its basic pharmacokinetics profile in regard to the onset of action (OOA) and duration of action (DOA). Methods A randomized, double-blind study was conducted on 12 volunteers who met the inclusion criteria from October to November 2014. All volunteers had their right and left ring finger pulps injected with either one-per-mil solution or 2% lidocaine. Semmes-Weinstein and two-point discrimination tests were used to test sensation. Visual analogue scale was recorded at the time when the finger lost its sensation and when it regained normal sensation to measure the OOA and DOA. The data were then analyzed with a paired t-test and a Wilcoxon signed-rank test. Results The OOA and DOA of 2% plain lidocaine were 1 minute and 99.67 minutes, respectively. Meanwhile, 0.2% lidocaine in a one-per-mil tumescent solution showed an OOA of 5 minutes and a DOA of 186.83 minutes. The OOA of 0.2% lidocaine in a one-per-mil tumescent solution is statistically shorter than 2% plain lidocaine (P=0.04); while its DOA is statistically longer than 2% plain lidocaine (P<0.001). Conclusions The 0.2% lidocaine in a one-per-mil tumescent solution is statistically and clinically superior to 2% plain lidocaine in achieving longer duration of local anesthesia.
Jo, Eun-Deok;Kim, Eun-Sol;Hong, Hae-Kyung;Han, Gyeong-Soon
Journal of dental hygiene science
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v.18
no.5
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pp.305-311
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2018
The purpose of this study was to identify the effect of providing toothbrushing by professionals as part of oral hygiene education for the elderly. We randomly visited 12 centers in the metropolitan city and analyzed the data of 114 participants among 310 early registrants aged >65 years, who participated in the study at all 3 time points. The subjects were categorized into an experimental group (odd-numbered visits) and a control group (even-numbered visits). Oral hygiene practices were provided for both experimental and control groups, but professional toothbrushing was performed in a different manner in the experimental group. Differences in plaque index (PI) according to the subjects' general characteristics and oral health status were assessed using the t-test, and the effect of PI difference between the experimental and control groups was assessed by repeated measure two-way analysis of variance. A stepwise multiple regression analysis was used to analyze factors affecting the PI. At baseline, the mean overall PI was 61.82. In both experimental and control groups, the PI significantly reduced from the baseline (p<0.01). At 5 weeks, the experimental group showed a decrease of 27.16 points from the baseline, and the 10-week PI was similar to the 5-week PI. The control group showed a decrease of 14.87 points from the baseline, and the PI increased by 5.74 points at 10 weeks. PI-related factors were gender and self-xerostomia. The PI was lower in the female group and the group with self- xerostomia (p<0.01). It is important to select an appropriate method to educate elderly subjects on proper removal of dental plaque and to habituate correct behavior, which requires inclusion of a direct toothbrushing intervention by a specialist.
O'Brien, Stephen;Twomey, Maria;Moloney, Fiachra;Kavanagh, Richard G.;Carey, Brian W.;Power, Derek;Maher, Michael M.;O'Connor, Owen J.;O'Suilleabhain, Criostoir
Journal of Gastric Cancer
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v.18
no.3
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pp.242-252
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2018
Purpose: Surgical resection for gastric adenocarcinoma is associated with significant post-operative morbidity and mortality. The aim of this study was to assess the prognostic significance of sarcopenia in patients undergoing resection for gastric adenocarcinoma with respect to post-operative morbidity and survival. Materials and Methods: A retrospective analysis was conducted on a cohort of consecutive patients who underwent surgical resection for gastric adenocarcinoma between 2008 and 2014. Patient demographics, radiological parameters, and pathological data were collected. OsiriX software (Pixmeo) was used to measure skeletal muscle area, which was normalized for height to calculate skeletal muscle index. Results: A total of 56 patients (41 male, 15 female; mean age, $68.4{\pm}11.9years$) met the inclusion criteria. Of these, 36% (20 of 56) of the patients were sarcopenic pre-operatively. Both sarcopenic and non-sarcopenic patient groups were equally matched with the exception of weight and body mass index (P=0.036 and 0.001, respectively). Sarcopenia was associated with a decreased overall survival (log-rank P=0.003) and was an adverse prognostic predictor of overall survival in multivariate analysis (hazard ratio, 10.915; P=0.001). Sarcopenia was a predictor of serious in-hospital complications in multivariate analysis (odds ratio, 3.508; P=0.042). Conclusions: In patients undergoing curative resection for gastric cancer, there was a statistically significant association between sarcopenia and both decreased overall survival and serious post-operative complications. The measurement and reporting of skeletal muscle index on pre-operative computed tomography should be considered.
Background : the hospitals in Korea are in a situation of a severe competition than the past. This situation was resulted from the increase in the number of hospitals and also from the government policy controlling the medical insurance fee. Moreover, consumer's desire for the high quality medical service g\has been significantly increased. Many programs to improve the quality of medical services are being performed in hospitals since the middle of 1990's. Studies up to now reported that more than 10 programs are being performed per hospital in Korea. So far studies have been performed to measure only the number of such programs in a hospital. The purposes of this study are to examine a specific area involved in the programs designed to improve the medical service quality and to suggest a future direction of the such programs. In addition, we hope that the results from this study could assist the programs for the medical service quality. Methods : A mailed questionnaire survey of the QI staffs at hospitals with 400 beds or more was conducted between September 15 and October 30, 2000. Of the 108 hospitals eligible for inclusion in our study, 69 participated, yielding a response rate of 63.9%. Excluding 7 hospital which are not responsed about activities of hospital then 62 hospitals were used for the analysis. Result : The total number of programs was 1,081 from the 62 hospitals participated in the survey. The highest number (24.8 programs) was found in the hospital having more than 800 beds and performing the programs more than 5 years. The 1,081 programs were consisted of 445 from the medical examination area, 343 from the medical examination support area, and 296 from the management area. Conclusion : This study showed the present situation of hospitals in Korea regarding to the quality improvement programs. The results from this study suggest that the pattern of the program for the medical service improvement is being changed to service process and result-centered programs from the structural area.
Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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v.18
no.2
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pp.55-62
/
2004
In this paper, the diagnostic expert system for silicone oil-filled transformer is developed using dissolved gas analysis(DGA). There are many diagnostic methods for diagnostic oil-immersed transformer. But DGA is used to the proposed expert system since it has been verified that DGA is very efficient diagnostic method for transformer. In addition, it is resonable that fuzzy rule, degree of inclusion and fuzzy measure must be considered to handle the uncertainty nature of gas boundary and rules. The proposed expert system consists of knowledge base module, inference engine module and human-machine interface(HMI) module. The knowledge base module consists of the knowledge using the rule. The inference engine module is used to the fuzzy rule. The history of the transformer gas data is managed by the database. the effect of the proposed expert system is verified by case studies.
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