• Title/Summary/Keyword: GTT

Search Result 52, Processing Time 0.025 seconds

The Application of Customer Relationship Management for the Effective Prenatal Care (효과적인 산전관리를 위한 고객관계관리(CRM)의 도입)

  • Shin, Sook;Paik, Soo-Kyung;Kang, Sung-Hong;Kim, Yu-Mi
    • Korea Journal of Hospital Management
    • /
    • v.10 no.1
    • /
    • pp.93-114
    • /
    • 2005
  • The prenatal care is the preventive medical service to help the pregnant mother deliver the healthy baby. It's regular examines give some chances to check-up the healthy conditions. This thesis concentrates on the CRM system to support an effective prenatal care system and prove the effectiveness of it. As CRM is the adapted management related to the customer's own information, it is important to develop the CRM model classified by the patients characteristics. A general hospital in Busan operated the CRM system to carry out the effective prenatal care and there is an analysis to ensure the effectiveness of CRM system for the pregnant women in our maternity ward. The results can be summarized as follows: 1) According to the comparisons with the CRM system, we can conclude the system is desirable. (1) Maternal Age : In the age distribution, the prenatal visit frequency, triple marker freqency, oral GTT and targeted ultrasonography in the experimental group in 30 to 34 years old is higher on the whole. For over 35 years old group, the higher frequency comes out in the oral GTT and targeted ultrasonography and for 25 to 29 years old group the different figure shows just in the targeted ultrasonography. (2) Area of residence: There is a clear difference in all the items in Busan and near area but no sign of difference in prenatal visits and oral GTT in other residencial area. Especially in the targeted ultrasonography the higher figure shows in the experimental group located in the both areas. The targeted ultrasonography is known as the specific examination which should be examined by the specialists, on the contrary the other examinations can be operated in the small clinic. So the public information and seminars related with ultrasonography increases the check-up frequency. The clinic requests some ultrasonographical examinations to the specialists in general hospital. (3) Parity: The clear difference shows that the CRM system causes the prenatal visit frequency to become higher in experimental group. The figure is 9.7 times and 8.6 times each. This is opposite that the past study said multiparity reduced the average prenatal visits. But the result of CRM is considered as the method to help the multiparity understand the importance of the prenatal care. (4) Obstetrical history: In the experimental group of the spontaneous delivery group, the figure is higher in the prenatal visit frequency, triple marker, oral GTT and targeted ultrasonography but the Caesarean section delivery group has higher figure in targeted ultrasonography. (5) In the first check-up, the rate of targeted ultrasonography in under 16 week pregnancy, in the 16 week pregnancy to 32 week pregnancy and the over 32 week pregnancy in the experimental group is upper than the compared one. For the oral GTT, there is a difference in under 16 week pregnancy but no difference in prenatal visits and triple marker. 2) The analysis of characteristics of prenatal care through the decision tree resulted in the fact that the most important variable is the residential area. After the delivery frequency is following, the obstetrical history and maternal age are in order. It is the same result in the triple marker and oral GTT. Consequently it is the same order of important variables in CRM system. The effectiveness of CRM system is proved in this study. The CRM system is a marketing method to control and lead the customers through the segmentation of customer data. It increases the new customer aquisition, maintenance of loyal customers, augmentation of customers value, activation of potential customers and creation of life time customers. So eventually it can enlarge the customers value. The medical institution should make efforts to establish the data base enforced by the customer's information on the underlying ordinary data system to carry out the CRM system effectively. In addition, it should develop the a variety of marketing strategy in order to set up one to one marketing satisfying the needs of individual patients.

  • PDF

Dietary Protein Restriction Alters Lipid Metabolism and Insulin Sensitivity in Rats

  • Kang, W.;Lee, M.S.;Baik, M.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.24 no.9
    • /
    • pp.1274-1281
    • /
    • 2011
  • Dietary protein restriction affects lipid metabolism in rats. This study was performed to determine the effect of a low protein diet on hepatic lipid metabolism and insulin sensitivity in growing male rats. Growing rats were fed either a control 20% protein diet or an 8% low protein diet. Feeding a low protein diet for four weeks from 8 weeks of age induced a fatty liver. Expression of acetyl-CoA carboxylase, a key lipogenic enzyme, was increased in rats fed a low protein diet. Feeding a low protein diet decreased very low density lipoprotein (VLDL) secretion without statistical significance. Feeding a low protein diet down-regulated protein expression of microsomal triglyceride transfer protein, an important enzyme of VLDL secretion. Feeding a low protein diet increased serum adiponectin levels. We performed glucose tolerance test (GTT) and insulin tolerance test (ITT). Both GTT and ITT were increased in protein-restricted growing rats. Our results demonstrate that dietary protein restriction increases insulin sensitivity and that this could be due to low-protein diet-mediated metabolic adaptation. In addition, increased adiponectin levels may influences insulin sensitivity. In conclusion, dietary protein restriction induces a fatty liver. Both increased lipogenesis and decreased VLDL secretion has contributed to this metabolic changes. In addition, insulin resistance was not associated with fatty liver induced by protein restriction.

A Study on the Mixture Formation Process and Combustion Characteristics According to Injection Timing in Premixed Charge Compression Ignition (예혼합 압축착화 디젤엔진의 분사시기 변화에 따른 혼합기 형성 과정 및 연소 특성에 관한 연구)

  • Cho, Byung-Ho;Han, Yong-Tak;Lee, Ki-Hyung;Lee, Chang-Sik
    • Transactions of the Korean Society of Mechanical Engineers B
    • /
    • v.26 no.12
    • /
    • pp.1692-1698
    • /
    • 2002
  • A diesel engine has various merits such as high thermal-efficiency, superior fuel consumption and durability. Therefore the number of diesel engine in the world is increasing. As the seriousness of environmental pollution increases in the world, the method to reduce the noxious materials of $CO_2$, NOx and P.M. is very important subject to correspond to exhaust gas regulations. A new concept, so called premixed charge diesel combustion(PCCI), is focused among the various corresponding manners. In this study, we investigated the mixture formation within the cylinder with injection timing using GTT simulation code and also compared combustion characteristics of PCCI engine with that of commercial diesel engine. From this experiments, it could be found that homogeneous mixture formation was observed according to advance of injection timing and simultaneous reduction of NOx and Soot in injection timing of BTDC 60$^{\circ}$.

Evaluation of the Autonomic Nervous System Using Laser Doppler (Laser Doppler를 이용한 자율신경 기능 평가 방법)

  • Nam, Sang-Hee;Shin, Jung-Woog;Cho, Jong-Man
    • Proceedings of the KOSOMBE Conference
    • /
    • v.1993 no.11
    • /
    • pp.51-54
    • /
    • 1993
  • The purpose of this research is to investigate the relationship between the blood flow and autonomic nervous system which regulates the circulation system. After the oral glucose tolerance test(GTT) the velocity changes of the blood flow were measured from the normal, hyperglycemia and diabetic neuropathy using the laser doppler. The FFT analyses showed that the spectrums were concentrated around the particular bands(0.02-0.166Hz, 0.8-1.1Hz) for the normal, while almost uniform distribution of the spectrums was observed for the abnormal. The blood glucose affects the compliance of the blood vessels and viscosity and finally causes the resistance problem in the blood vessels. An index PG was introduced, which was determined by the ratio of the change or the integral power spectrum in the range between 0.02 and 0.166Hz to change of the blood glucose before and after GTT. The index shows 1.0. 0.3 and 0.1 for the normal, hyperglycemia and diabetic neuropathy, respectively. As a conclusion, this spectrum analysis shows the potential of checking the progress or the diabetic, also car be used to evaluate the vasomotion which are regulated by the autonomic nervous system.

  • PDF

Bond Capacity of Near-Surface-Mounted FRP in Concrete Corresponding to Fire-Protection Method (콘크리트에 표면매립보강된 FRP의 내화단열방법에 따른 부착성능)

  • Lim, Jong-wook;Kim, Tae-hwan;Seo, Soo-yeon
    • Journal of the Architectural Institute of Korea Structure & Construction
    • /
    • v.35 no.1
    • /
    • pp.3-10
    • /
    • 2019
  • The purpose of this paper is to find the fire-protection method for keeping on the bond capacity of Near-Surface-Mounted (NSM) FRP under high temperature. Experiments have been carried out to evaluate the bond capacity of NSM FRP by using CFRP-plates and to confirm the heat transfer to the concrete block when the refractory insulation is attached to the surface of NSM FRP. Bond test of NSM FRP under room temperature was conducted to obtain the maximum bond strength. And then a heating tests were carried out with keeping the bond stress of 30% of the maximum bond strength. As a result, the bond capacity of NSM FRP was disappeared when the temperature at epoxy reached to its glass transition temperature (GTT). In order to secure the bond capacity of the NSM FRP, it is necessary to protect the front as well as side by using insulation materials.

Characteristics of Fiber Laser Welding on STS304L for GTT MARK III Membrane (GTT MARK III 스테인리스강 STS304L의 파이버 레이저 용접특성)

  • Kim, Jong-Do;Lee, Chang-Je;Song, Moo-Keun
    • Journal of Advanced Marine Engineering and Technology
    • /
    • v.36 no.8
    • /
    • pp.1069-1075
    • /
    • 2012
  • Laser is high density heat source, so it can make high speed welding with minimum heat input possible. Especially the high power fiber laser is recently commercialized and has high beam quality and the smallest system size compared with conventional laser due to it's unique oscillating mechanism. Because of these advantages it's thought that the most suitable heat source for LNG cargo tank welding precess which has to be conducted inside of ships. In this study fiber laser was used for welding of stainless steel for LNG carrier to applicate laser welding technique for shipbuilding industry. 1.2mmt STS304L of austenite stainless steel which apply to cargo tank was used for fiber laser welding. Butt and lap welding was conducted changing laser power, welding speed, then penetration characteristic was analyzed and optimal parameters for each materials. Consequently, we found that same or better mechanical properties were obtained in weld compared to base metal.

Hypoglycemic Effect of Yacon Tuber Extract and Its Constituent, Chlorogenic Acid, in Streptozotocin-Induced Diabetic Rats

  • Park, Jeong-Sook;Yang, Jae-Sik;Hwang, Bang-Yeon;Yoo, Bong-Kyu;Han, Kun
    • Biomolecules & Therapeutics
    • /
    • v.17 no.3
    • /
    • pp.256-262
    • /
    • 2009
  • Smallanthus sonchifolius (Yacon, Asteraceae) was originally cultivated in South America and used in food and traditional medicine by Andean inhabitants. Yacon is potentially beneficial for the management of diabetes and is composed of fructooligosaccharides, proteins, minerals and phenolic compounds. The aim of this study was to investigate the hypoglycemic effect of Yacon tuber extract (YTE) and its constituent, chlorogenic acid (CGA), in streptozotocin (STZ)-induced diabetic rats. In this study, a HPLC method was developed for simultaneous determination of major active phenolic components, CGA and caffeic acid in YTE. We investigated the hypoglycemic effect of YTE and CGA in STZ-induced diabetic rats and studied glucose tolerance test (GTT). The effect of orally administered multiple doses of YTE and CGA on plasma biochemical parameters was examined using diabetic rats. We also measured free radical scavenging activity by the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay. Oral administration of YTE (200 mg/kg) and CGA (10 mg/kg) for 6 weeks produced a significant hypoglycemic effect in STZ-induced diabetic rats. YTE and CGA-treated groups exhibited significantly decreased plasma glucose surge during the GTT. Total cholesterol (TC) and triglyceride (TG) concentrations were significantly decreased by 33% and 49%, respectively, in YTE-treated rats. TC and TG concentrations were also significantly decreased by 26 % and 41%, respectively, in CGA-treated rats. In the DPPH assay, free radical scavenging activity of CGA was similar to that of vitamin E, a positive control. This study suggests that YTE and its constituent, CGA, may be a useful option for management of hyperglycemia and diabetic nephropathy.

Thermal analysis of two main CCS(cargo containment system) insultaion box by using experimental thermal properties (실험적 열적 물성치를 반영한 CCS 방열박스의 열전달 해석)

  • Choi, Sung-Woong;Roh, Jeong-U;Kim, Moo-Sun;Lee, Woo-Il
    • Journal of the Computational Structural Engineering Institute of Korea
    • /
    • v.24 no.4
    • /
    • pp.429-438
    • /
    • 2011
  • In this paper, experiment of thermal conductivity among thermal properties for CCS insulation material was carried out under the condition ranged from room temperature to cryogenic temperature. CCS insulation system should be sustained under cryogenic temperature($-163^{\circ}C$), and lots of investigations will be conducted how to block the heat to insulation material. CCS components which consist of various materials are especially the main interests, and how the temperature of the entire CCS along the location is should be investigated through these studies. With the experimental thermal properties, the steady state thermal analysis of the entire cargo system was conducted. When the LNG leaked through the insulation system with external impact, temperature distribution and thermal safety of secondary barrier, especially plywood and hull structure, was observed.

Assessment on Gastrointestinal Transit Movement of Capsule Endoscopy in Beagle Dogs (비글견에서 캡슐 내시경의 위장관 이동분석 평가)

  • Chang, Hwa-Seok;Yang, Hee-Taek;Kim, Sang-Youn;Woo, Dong-Cheol;Park, Woo-Dae;Yong, Joon-Hwan;Choe, Bo-Young;Kim, Hwi-Yool;Choi, Chi-Bong
    • Progress in Medical Physics
    • /
    • v.19 no.2
    • /
    • pp.125-130
    • /
    • 2008
  • The object of this study is to measure the transit time and passage rate of capsule endoscopy (CE) in the gastrointestinal tract in medium sized beagle dogs ($7{\sim}13\;kg$). Animals were divided into four groups: only capsule (group 1, n=10), capsule+water (group 2, n=10), mettoclopramide+capsule (group 3, n=10), metoclopramide +capsule+water (group 4, n=10). The capsule transit times through the stomach and small bowel were evaluated by radiography findings. Gastric transit time (GTT), small intestinal transit time (SITT) and complete passage rate were measured in four groups. GTT's for each group were as follows; $45{\pm}20\;min$ (group 1), $117{\pm}35\;min$ (group 2), $150{\pm}40\;min$ (group 3), and $154{\pm}65\;min$ (group 4), while SITT's were $75{\pm}20\;min$ (group 1), $195{\pm}55\;min$ (group 2), $70{\pm}15\;min$ (group 3), and $76{\pm}15\;min$ (group 4). The complete passage rates were 20% (group 1), 40% (group 2), 20% (group 3), 50% (group 4). In all groups, if CE could pass through the pylorus, it passed all small intestinal tracts within 8 hours (battery life). Administration of water helped CE to pass pylori, except in case of metoclopramide administration. These results indicate that CE could be an useful tool for examining gastrointestinal diseases in the veterinary medicine.

  • PDF

Fatigue Analysis of LNG Cargo Containment System Connections in Membrane LNG Carrier

  • Park, Jun-Bum
    • Journal of Advanced Research in Ocean Engineering
    • /
    • v.3 no.3
    • /
    • pp.112-124
    • /
    • 2017
  • As an LNG carrier preserves and transports liquefied natural gas under minus $163^{\circ}C$, the cargo tank has to have sufficient hull strength against not only the wave loads but also against loads caused by loading and unloading and thermal expansion to keep the LNG safely. The main insulation types for a CCS are No.96 and Mark III from GTT for the membrane LNG carrier. Particularly, the invar membrane plate in No.96 is very thin and its connections could experience high local stresses owing to such dynamic loads. Therefore, it should be verified whether those connections have sufficient fatigue lives for the purpose of operation and maintenance. This research aims at performing fatigue analysis with 0.1 fatigue damage criteria for 40 years of design life to support new membrane CCS development using proper S-N curves and the associated finite element modeling technique for each connection and then propose a reasonable design methodology.