• 제목/요약/키워드: Approval standard

검색결과 168건 처리시간 0.021초

Pathophysiology of Potassium-competitive Acid Blocker-refractory Gastroesophageal Reflux and the Potential of Potassium-competitive Acid Blocker Test

  • Masaoka, Tatsuhiro;Kameyama, Hisako;Yamane, Tsuyoshi;Yamamoto, Yuta;Takeuchi, Hiroya;Suzuki, Hidekazu;Kitagawa, Yuko;Kanai, Takanori
    • Journal of Neurogastroenterology and Motility
    • /
    • 제24권4호
    • /
    • pp.577-583
    • /
    • 2018
  • Background/Aims Potassium-competitive acid blockers are expected to be the next generation of drugs for the treatment of diseases caused by gastric acid. In 2015, vonoprazan fumarate, a novel potassium-competitive acid blocker, was approved by the Japanese health insurance system. Since its approval, patients refractory to vonoprazan can be encountered in clinical settings. We designed this study to clarify the pathophysiology of gastroesophageal reflux disease refractory to vonoprazan. Methods In this retrospective study, we involved patients who had refractory symptoms after administration of standard-dose proton pump inhibitors or vonoprazan and underwent diagnostic testing with esophageal high-resolution manometry and 24-hour multichannel intraluminal impedance and pH monitoring while using proton pump inhibitors or vonoprazan. Patients were diagnosed based on the Rome IV criteria for functional gastrointestinal disorders and diagnostic test results. Results Twenty-seven patients were analyzed during this study. Gastric pH ${\geq}4$ was sustained for a longer period of time, and the esophageal acid exposure time and number of acid reflux events were shorter in the vonoprazan group than in the proton pump inhibitor group. The percentage of patients diagnosed with acidic gastroesophageal reflux disease in the vonoprazan group was lower than that in the proton pump inhibitor group. Conclusions Intra-gastric pH and acid reflux were strongly suppressed by 20-mg vonoprazan. When patients with gastroesophageal reflux disease present symptoms after administration of 20-mg vonoprazan, the possibility of pathophysiologies other than acid reflux should be considered.

Effects of Self-Efficacy and Job Stress on Organizational Commitment among Clinical Dental Hygienists

  • Lee, Kyeong-Jin;Kim, Young-im
    • 치위생과학회지
    • /
    • 제19권1호
    • /
    • pp.60-66
    • /
    • 2019
  • Background: This study aimed to provide basic data to establish a foundation for efficient operation of the organization by assessing the effects of self-efficacy and job stress (measured by self-efficacy, job demand, and job autonomy) on organizational commitment among clinical dental hygienists. Methods: This was a cross-sectional survey study that used a self-administered questionnaire to collect data. After institutional review board approval, a survey was conducted from January to May 2017, targeting dental hygienists working in dental clinics and hospitals. The final 199 questionnaires were analyzed with PASW 18.0 for Windows (IBM Corp.). The data were analyzed using mean and/or standard deviation t-test, one-way ANOVA, and multiple regression analysis. Results: The means for self-efficacy, job demand, job autonomy, and organizational commitment were $55.94{\pm}9.65$, $26.55{\pm}2.29$, $20.24{\pm}3.88$, and $49.49{\pm}8.39$, respectively. Along with self-efficacy, the other factors of organizational commitment among dental hygienists that were statistically significant included job autonomy, mean salary (2,500~2,990 thousand Korean won [KRW] and ${\geq}3,000$ thousand KRW), and employee welfare (good), which are sub-areas of the surface acting. In other words, it was found that the higher the mean salary, the better the employee welfare, the higher self-efficacy, and the higher the organizational commitment, and the explanatory power of the model was approximately 42.1%. Conclusion: These results suggest that the higher the self-efficacy, job autonomy, mean salary, and employee welfare, the higher the organizational commitment. In order to improve job demand among dental hygienists, it is necessary to establish an effective plan to improve job welfare, self-efficacy, and job autonomy.

이동형 전산화단층촬영장치의 기본 안전 및 필수 성능 기준을 마련하기 위한 연구 (A Study on Establishment of Basic Safety and Essential Performance Criteria of Mobile Computed Tomography)

  • 김은혜;박혜민;김정민
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제44권3호
    • /
    • pp.261-267
    • /
    • 2021
  • As the number of Coronavirus Disease-19 (COVID-19) patients increases in a global pandemic situation, the usefulness of mobile computed tomography (CT) is gaining attention. Currently, mobile CT follows the basic safety and essential performance evaluation criteria of whole-body or limited-view X-ray CT in order to obtain device approval and evaluation in the Republic of Korea. Unlike stationary CT, mobile CT is not operated in shielded areas but rather areas such as intensive care units, operating rooms, or isolation rooms. Therefore, it requires a different basic safety and essential performance evaluation standard than stationary CT. In this study, four derived basic safety evaluation criteria related to electrical, mechanical, and radiation safety were included (dose indication test, protection against stray radiation, safety measures against excessive X-rays, half-value layer measurement); and seven essential performance evaluation criteria were included (tube voltage accuracy, mAs accuracy, radiation dose reproducibility, CT number of water, noise, uniformity, and spatial resolution); total eleven basic safety and essential performance evaluation criteria were selected. This study aims to establish appropriate basic safety and essential performance evaluation criteria for simultaneously obtaining images with diagnostic value and reducing the exposure of nearby patients, medical staff, and radiologic technologists during the use of mobile CT.

FPGA integrated IEEE 802.15.4 ZigBee wireless sensor nodes performance for industrial plant monitoring and automation

  • Ompal, Ompal;Mishra, Vishnu Mohan;Kumar, Adesh
    • Nuclear Engineering and Technology
    • /
    • 제54권7호
    • /
    • pp.2444-2452
    • /
    • 2022
  • The field-programmable gate array (FPGA) is gaining popularity in industrial automation such as nuclear power plant instrumentation and control (I&C) systems due to the benefits of having non-existence of operating system, minimum software errors, and minimum common reason failures. Separate functions can be processed individually and in parallel on the same integrated circuit using FPGAs in comparison to the conventional microprocessor-based systems used in any plant operations. The use of FPGAs offers the potential to minimize complexity and the accompanying difficulty of securing regulatory approval, as well as provide superior protection against obsolescence. Wireless sensor networks (WSNs) are a new technology for acquiring and processing plant data wirelessly in which sensor nodes are configured for real-time signal processing, data acquisition, and monitoring. ZigBee (IEEE 802.15.4) is an open worldwide standard for minimum power, low-cost machine-to-machine (M2M), and internet of things (IoT) enabled wireless network communication. It is always a challenge to follow the specific topology when different Zigbee nodes are placed in a large network such as a plant. The research article focuses on the hardware chip design of different topological structures supported by ZigBee that can be used for monitoring and controlling the different operations of the plant and evaluates the performance in Vitex-5 FPGA hardware. The research work presents a strategy for configuring FPGA with ZigBee sensor nodes when communicating in a large area such as an industrial plant for real-time monitoring.

자연어 알고리즘을 활용한 한국표준건강분류(KCF) 코드 검색 (Korean Standard Classification of Functioning, Disability and Health (KCF) Code Linking on Natural Language with Extract Algorithm )

  • 최년식;송주민
    • 대한물리의학회지
    • /
    • 제18권1호
    • /
    • pp.77-86
    • /
    • 2023
  • PURPOSE: This study developed an experimental algorithm, which is similar or identical to semantic linking for KCF codes, even if it converted existing semantic code linking methods to morphological code extraction methods. The purpose of this study was to verify the applicability of the system. METHODS: An experimental algorithm was developed as a morphological extraction method using code-specific words in the KCF code descriptions. The algorithm was designed in five stages that extracted KCF code using natural language paragraphs. For verification, 80 clinical natural language experimental cases were defined. Data acquisition for the study was conducted with the deliberation and approval of the bioethics committee of the relevant institution. Each case was linked by experts and was extracted through the System. The linking accuracy index model was used to compare the KCF code linking by experts with those extracted from the system. RESULTS: The accuracy was checked using the linking accuracy index model for each case. The analysis was divided into five sections using the accuracy range. The section with less than 25% was compared; the first experimental accuracy was 61.24%. In the second, the accuracy was 42.50%. The accuracy was improved to 30.59% in the section by only a weight adjustment. The accuracy can be improved by adjusting several independent variables applied to the system. CONCLUSION: This paper suggested and verified a way to easily extract and utilize KCF codes even if they are not experts. KCF requires the system for utilization, and additional study will be needed.

건설 작업자의 공종별 안전조끼 프로토타입 제안 (Suggestion of Safety Vest Prototype according to Work Type for Construction Workers)

  • 이정훈;이재용
    • 한국건축시공학회지
    • /
    • 제23권6호
    • /
    • pp.863-873
    • /
    • 2023
  • 본 연구에서는 작업자의 안전을 확보하기 위하여, 건설 현장의 안전조끼 색채에 대한 문제점을 고찰하였다. 먼셀표색계와 색채분석 프로그램을 이용하여 건설 작업종류에 따른 작업용 안전조끼의 프로토타입을 제시하였다. 현장 작업환경의 전체적인 색채와 대비되는 안전조끼를 착용하면, 작업자들을 직관적으로 구별이 가능하고 시인성이 높아져서 안전사고의 발생을 감소시킬 수 있는 것으로 나타났다. 철근배근 작업, 유로폼 거푸집 작업, 갱폼 거푸집 작업, 철골 세우기 작업자의 안전조끼의 색(색상, 명도, 채도)은 철근배근 작업자용 조끼는 10GY, 8, 8 유로폼 8.75B, 7, 8 갱폼 3.75B, 2, 4 철골 세우기 6.25BG, 5, 10이 적절한 것으로 나타났다. 각 공종별 작업자에 대한 안전조끼의 프로토타입에 대한 전문가의 의견은 철근공사와 철골공사 작업 관련 안전조끼 색에 대해서는 90% 이상의 매우 긍정적인 것으로 나타나 제시된 안이 적절한 것으로 판단된다.

Contrast-Enhanced Spectral Mammography Versus Ultrasonography: Diagnostic Performance in Symptomatic Patients with Dense Breasts

  • Zhongfei Lu;Cuijuan Hao;Yan Pan;Ning Mao;Xin Wang;Xundi Yin
    • Korean Journal of Radiology
    • /
    • 제21권4호
    • /
    • pp.442-449
    • /
    • 2020
  • Objective: To compare the diagnostic performance of contrast-enhanced spectral mammography (CESM) versus ultrasonography (US) in symptomatic patients with dense breasts, while using histology as the gold standard. Materials and Methods: After obtaining approval from the local ethics board, this prospective study collected data from patients with symptomatic breasts who underwent CESM and US examinations from May 1, 2017 to September 30, 2017. We then selected those with dense breasts and pathological results as our sample population. Both CESM and US results were classified by a radiologist through the Breast Imaging Reporting and Data System, and the results were compared with their corresponding histological results. The chi-square test was conducted to compare the diagnostic performance of CESM and US, and the receiver operating characteristic curves for the two imaging modalities were obtained. Results: A total of 131 lesions from 115 patients with dense breasts were included in this study. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were 93.8%, 88.1%, 88.2%, 93.7%, and 90.8% for CESM, and 90.6%, 82.1%, 82.9%, 90.2%, and 86.3% for US, respectively. The p values for sensitivity, specificity, PPV, NPV, and accuracy were 0.687, 0.388, 0.370, 0.702, and 0.238, respectively. The area under the curve of CESM (0.917) was comparable with that of US (0.884); however, the differences between CESM and US were not statistically significant (p = 0.225). Eight false-positive cases and 4 false-negative cases for breast cancer were found in CESM, while 12 false-positive cases and 6 false-negative cases were found in US. Conclusion: The diagnostic performances of CESM and US are comparable in symptomatic women with dense breasts; however, the routine use of additional US imaging is questionable for lesions that can be detected by CESM.

압축공기포 소화설비의 공기포비에 따른 B급 소화성능 연구 (A Study on B Class Fire Extinguishing Performance of Air Ratio in the Compressed Air Foam System)

  • 이장원;임우섭;이동호
    • 한국화재소방학회논문지
    • /
    • 제27권6호
    • /
    • pp.8-14
    • /
    • 2013
  • 본 연구는 압축공기를 포수용액(수성막포 3%)에 주입하여 발포하는 압축공기포 소화설비에서 가압 공기 혼입 비율에 따른 소화성능을 평가하고자 하였다. 실험장치는 캐나다국립연구소 및 UL162 기준을 준용하여 제작한 압축공기포전용의 포소화설비 실험장치를 활용하였으며, 소화모형은 소화약제의 형식승인 및 제품검사의 기술기준에 의한 유류화재(B급) 20단위 모형을 적용하였다. 압축공기는 공기혼합기를 통하여 주입하였으며, 공기포비를 1 : 4, 1 : 7, 1 : 10으로 증가시키면서 경향성을 연구하였다. 또한 공기포비 1 : 4에서 합성계면활성제포와 수성막포의 비교 실험도 함께 진행하였다. 소화 성능실험 결과 동일한 방출유량 조건에서 수성막포는 공기포비 1 : 7에서 소화효과가 가장 빠르게 나타났으며 공기포비 1 : 10에서 가장 소화시간이 길게 나타났다. 또한 수성막포와 합성계면활성제포간 비교 실험에서는 수성막포의 소화효과가 더 빠르게 나타났다.

공동주택의 유지관리를 위한 장기수선계획에 관한 연구 (A Study of Long-term Repair Plan for Maintenance of Apartment Housing)

  • 한범진;김태희;김선국;한충희
    • 한국건설관리학회:학술대회논문집
    • /
    • 한국건설관리학회 2002년도 학술대회지
    • /
    • pp.355-358
    • /
    • 2002
  • 국내에서 1960년대부터 공동주택의 활발한 보급이 이루어지고 있는 반면, 공동주택의 물리${\cdot}$사회적 성능을 유지하여 수명을 연장시키기 위한 제도 및 표준적 유지관리 기법 등이 마련되지 못하여 시설안전 및 주거환경 문제가 발생하게 되었다. 이러한 현 상황 하에 공동주택의 유지관리를 통하여 주택의 수명을 증진함으로써 주택자원의 효율적인 이용이 시급한 실정이다. 공동주택의 유지관리 업무 측면에 있어 정확한 장기수선계획의 수립과 그에 따른 특별수선충당금 산정은 주택의 조기 노후화를 방지할 수 있다. 하지만 유지관리 행위주체인 주택 관리자들뿐 아니라 유지관리 대상시설물에 거주하는 입주자들에게 있어서 정확한 장기수선계획의 수립과 그에 따른 특별수선충당금의 적립에 관한 필요성 의식이 불충분한 현실이다. 장기수선계획의 미수립은 특별수선충당금의 비합리적인 적립을 허용하는 결과를 초래하고 있다. 따라서, 공동주택의 성능을 최대한 발휘하도록 하여 건물의 경제적 수명을 연장시키기 위하여 정확한 근거에 의한 장기수선계획의 수립과 그에 따른 특별수선충당금산정 방법을 제시하고자 한다.

  • PDF

FRP 선박 기관실 난연성 향상을 위한 추가 방열재의 화재성능비교 (Comparison on the fire performance of additional insulation materials for improving the fire retardancy in engine-room of FRP vessel)

  • 최정민;엄한찬;진영화
    • Journal of Advanced Marine Engineering and Technology
    • /
    • 제38권9호
    • /
    • pp.1150-1155
    • /
    • 2014
  • 강화플라스틱(FRP) 선박은 화재 시 화염확산을 막기 위하여 관련 구조 기준에 따라 기관실 주위 벽 내부를 난연성 수지로 3회 이상 적층하거나, 이와 동등한 방열재로 둘러싸야한다. 관련 난연성 적층용 수지 및 일부 난연재료(연질폴리우레탄복합체)의 경우 선박용 물건의 형식승인 시험기준에 따라 그 성능을 평가할 수 있으나, 방열재로 빈번하게 사용되고 있는 '겔코트'에 대한 성능기준은 명확하지 않은 실정으로 난연성 수지와 화재안전성능이 비교 평가된 바 없다. 본 연구에서는 FRP 선박을 건조하는 조선소를 대상으로 설문조사를 실시하여 사용 중인 난연성 수지 3종, 겔코트 4종, 방염도료 1종 및 폴리우레탄 복합재 1종에 대해 화염전파시험과 방염성능시험을 적용하여 그 성능을 비교하였다. 화염전파시험 결과 임계열유속(CFE) 기준으로 각 종별 평균값을 비교하면 폴리우레탄 복합재, 난연성 수지, 방염도료, 겔코트 순으로 양호한 것으로 나왔고, 겔코트는 3회 도포한 것이 6회 도포한 것보다 양호한 결과를 보였다. 방염성능시험 결과 탄화면적 기준으로 각 종별 평균값을 비교하면 방염도료가 가장 좋게 나왔고 난연성 수지와 겔코트는 유사한 수준으로 나타났다.