• Title/Summary/Keyword: Gain management

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Adverse Effect of Newer Antidepressant : Nausea and Vomiting, Weight Gain, Sexual Dysfunction - Mechanisms, Epidemiology, and Pharmacological Management - (새로운 항우울제의 부작용: 오심 및 구토, 체중증가, 성 기능장애 - 발병기전, 역학, 약물학적 처치를 중심으로 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.81-92
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    • 2013
  • Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

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A Study on the Need for Dietary Management due to Weight Changes Among Middle-aged Women in Gwangju during the COVID-19 Pandemic (COVID 19 팬데믹 기간 중 체중변화에 따른 식생활 관리 필요성에 대한 연구: 광주광역시 중년여성을 대상으로)

  • MoonSoon Kim;BokMi Jung;LanHee Jung;EunRaye Jeon
    • Human Ecology Research
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    • v.62 no.1
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    • pp.33-45
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    • 2024
  • This study aimed to identify the need for dietary management due to weight changes among middle-aged women in the Gwangju area during the COVID-19 pandemic. To achieve this, a survey was conducted of their eating habits, dietary and lifestyle habits, alterations in food intake, and changes in menopausal symptoms. Overall, significant differences were found between dietary and lifestyle habits (p<.01) depending on the frequency of eating out. Specifically, those who eating out two to three times a week exhibited a significant increase in negative habits such as ordering delivery food and consuming instant meals. In terms of food consumption changes, those who eating out two or three times a week displayed a relatively higher increase in the consumption of non-recommended food than those who eating out once a week. Regarding changes in menopausal symptoms, individuals who eating out two to three times a week experienced a greater increase in the severity of menopausal symptoms than those who eating out once a week. In terms of dietary and lifestyle habit changes, it was found that the more frequent the exercise, the greater the overall improvement in dietary and lifestyle habits (p<.001). Moreover, women who did not experience weight gain exhibited positive changes in their dietary and lifestyle habits compared with women who experienced weight gain. The results for food consumption changes revealed that the consumption of non-recommended foods was higher in middle-aged women who experienced weight gain, particularly the consumption of meat (p<.001) and noodles (p<.05).

Effective Packet Transmission Scheme in Multirate WLAN (다중 전송률 지원 무선랜에서 효율적인 패킷 전송 기법)

  • Kim, Nam-Gi
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.31 no.2A
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    • pp.168-175
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    • 2006
  • To cope with channel variation, wireless networks such as IEEE 802.11 WLAN provide multiple transmission rates by employing different channel modulation and coding schemes. However, the coexistence of different transmission rates degrades the total system performance of the network. In order to eliminate this performance abnormality and improve protocol capacity, we propose a new Packet transmission algorithm, the RAT(Rate-Adapted Transmission) scheme. The RAT scheme distributes the wireless channel fairly based on the channel occupancy time. Moreover, it efficiently transmits packets even in a single station using rate-based queue management. Therefore, the RAT scheme obtains not only the inter-rate contention gain among stations but also the intra-rate contention gain among connections in a single station.

Application of Risk Management Standards for Product Safety Management Program (리스크 관리규격의 제품안전경영프로그램에 대한 적용)

  • 이동하;나윤균;김명수
    • Journal of Applied Reliability
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    • v.1 no.2
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    • pp.109-120
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    • 2001
  • This study reviewed the national standards for risk management to judge whether they are suitable for a product safety management program. Among the standards issued from Australia, New Zealand, Canada, Japan, and UK, the risk management guideline (AS/NZS 4360: 2000) issued jointly from both Australia and New Zealand have better features for product safety management program than any other risk management standards in view point of broad definition of risk concept including opportunities of loss and gain, stepwise composition of management processes applicable iteratively, and integrable form of structure addible to existing management practice. Comparing the three product safety management programs suggested by several authors yielded common features of product safety management program model: (1) organization for product safety, (2) risk identification, (3) risk evaluation, (4) risk treatment, (5) monitoring/communication, and (6) documentation. All of these activities can be performed within risk management framework proposed by AS/NZS 4360.

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FACTORS INFLUENCING FEED EFFICIENCY AND BACKFAT THICKNESS IN STATION TESTED BEEF BULLS

  • Liu, M.F.;Makarechian, M.;Price, M.A.;Huedepohl, C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.8 no.5
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    • pp.495-498
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    • 1995
  • Records taken on 372 young beef bulls tested at the Ellerslie Bull Test Station, Alberta, Canada from November 1981 to April 1987 were analyzed to quantify the effects of age of dam, on-test age, on-test liveweight and herd of origin of bull on feed efficiency (feed/gain, kg/kg) in the test period (n = 231) and ultrasonic measurement of bakcfat thickness (mm) at the end of the test (n = 372). The reduction in $R^2$ due to each influencing factor (i.e. the variation accounted for by the factor) was used to indicate the importance of the influencing factor. Age of dam and on-test age of bull were not important factors on feed/gain and ultrasonic backfat thickness, as they accounted for less than 0.5% of the variation in feed/gain and ultrasonic backfat thickness, respectively (p > 0.1). On-test liveweight had some influence on feed/gain and ultrasonic backfat thickness, accounting for 3.5% (p < 0.01) and 0.4% (p < 0.05) of the total variation, respectively. The regression coefficients of feed/gain and ultrasonic backfat thickness on on-test liveweight were 0.016 (kg/kg)/kg and .013 mm/kg, respectively, both being significant (p < 0.05), indicating that lighter bulls entering the test were generally more efficient in feed utilization in the test period and had less backfat at the end of the test than heavier entering bulls. Herd of origin of bull accounted for a substantial amount of the total variation (> 16%) in feed/gain and ultrasonic backfat thickness (p = 0.08), indicating that a prolonged aqjustment period was needed to reduce the influence of herd of origin when assessing aggregate genetic merit of beef bulls for growth rate, feed efficiency and lean meat production using a central station performance testing program.

Outcome of Children with Severe Acute Malnutrition and Diarrhea: a Cohort Study

  • Bhatnagar, Sakshi;Kumar, Ruchika;Dua, Richa;Basu, Srikanta;Kumar, Praveen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.3
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    • pp.242-248
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    • 2019
  • Purpose: Severe acute malnutrition (SAM) is an important public health problem which contributes to significant number of under five deaths. Protocol based management significantly decreases risk of deaths in children with medical complications. Methods: Outcome of children aged 2 months-5 years admitted and fulfilling definition of SAM having diarrhea (group A) was compared to children with SAM having medical complications other than diarrhea (group B). Both groups were managed according to standard recommended protocols and monitored and followed up for 12 weeks after discharge. Results: The average weight gain, defaulter rate, primary failure, secondary relapse rate and readmission rate were similar in both groups. Length of stay in group A was three days longer (p-value=0.039). Discharge rate was comparable with overall 68% of children successfully discharged and 50% of children reaching weight/height > -2 standard deviation at follow-up of 12 weeks. Conclusion: The current management protocol is equally effective for managing children with SAM having diarrhea. Good adherence to management protocol of dehydration and timely modification of therapeutic feeds in children with persistent diarrhea results in satisfactory weight gain.

SQUIRREL SEARCH PID CONTROLLER ALGORITHM BASED ACTIVE QUEUE MANAGEMENT TECHNIQUE FOR TCP COMMUNICATION NETWORKS

  • Keerthipati.Kumar;R.A. KARTHIKA
    • International Journal of Computer Science & Network Security
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    • v.23 no.4
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    • pp.123-133
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    • 2023
  • Active queue management (AQM) is a leading congestion control system, which can keep smaller queuing delay, less packet loss with better network utilization and throughput by intentionally dropping the packets at the intermediate hubs in TCP/IP (transmission control protocol/Internet protocol) networks. To accelerate the responsiveness of AQM framework, proportional-integral-differential (PID) controllers are utilized. In spite of its simplicity, it can effectively take care of a range of complex problems; however it is a lot complicated to track down optimal PID parameters with conventional procedures. A few new strategies have been grown as of late to adjust the PID controller parameters. Therefore, in this paper, we have developed a Squirrel search based PID controller to dynamically find its controller gain parameters for AQM. The controller gain parameters are decided based on minimizing the integrated-absolute error (IAE) in order to ensure less packet loss, high link utilization and a stable queue length in favor of TCP networks.

The Differential Impacts of 'Communication'and 'Computing' Functions in Smartphones on Individuals' Performance and the Moderating Role of Organizational Roles

  • Kyung Young Lee;Minwoo Lee;Kimin Kim
    • Asia pacific journal of information systems
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    • v.27 no.4
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    • pp.191-215
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    • 2017
  • This study investigated the antecedents and the performance impact of two types of Smartphone functions (communication vs. computing functions) in organizational environment and the moderating impact of Smartphone users' organizational roles. More specifically, identifying two distinct types of Smartphone functions such as communication functions and computing functions (including informational, social network, and resource management functions), we investigated the impact of three antecedents (Smartphone dependency, task mobility, and perceived critical mass) on the use of the two Smartphone functions and how organizational workers' perceived performance gains differ by using these two different Smartphone functions for their workplace activities. We tested our hypotheses with survey data collected from 176 organizational workers. Our findings suggest that Smartphone dependency, task mobility and perceived critical mass of Smartphone use are significantly associated with the use of the two different functions, and that the use of computing functions is more strongly associated with perceived performance gain than the use of communication functions. We also found that managerial roles played by individual workers differently moderate the impact of Smartphone use on perceived performance gain. The present findings enable researchers and practitioners to better understand the impact of Smartphone use in workplaces.

Management of Weight Gain and Obesity Associated With Antipsychotics (항정신병약물 사용과 연관된 체중 증가와 비만의 관리)

  • Lee, Na-Hyun;Lee, Jae-Chang
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.86-94
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    • 2021
  • Objectives : The risk of weight gain is high when using antipsychotic drugs, and the prevalence of obesity in people with mental illness is high. Obesity management in psychiatric patients is important because obesity causes various complications and lowers treatment adherence and quality of life. Methods : In this review, we summarized the management strategies for obesity that can occur when using antipsychotic drugs through a web search. Results : Evaluate obesity-related risk factors and related indicators from the beginning of treatment, and conduct regular monitoring. If an antipsychotic drug is used and obesity is induced, a change to a drug with a low metabolic risk may be attempted. Sufficient interventions are also needed on the need to manage obesity, a healthy diet, and exercises in patients and their families. If weight loss is not achieved and obesity-related complications are associated, the use of anti-obesity drugs may be considered. Pharmacological treatment approaches should be carefully considered. Conclusions : Non-pharmacological and pharmacological therapies can be applied to manage weight gain and obesity caused by the use of antipsychotic drugs. When using anti-obesity drugs, the characteristics of mental disorders, drug safety, and drug interactions should be considered.

Risk Management Standards As a Product Safety Management Program (제품안전경영프로그램으로서의 리스크 관리규격)

  • 이동하
    • Proceedings of the Korean Reliability Society Conference
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    • 2001.06a
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    • pp.376-383
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    • 2001
  • This study reviewed the national standards for risk management to judge whether they are suitable for a product safety management program. Among the standards issued from Australia, New Zealand, Canada, Japan, and UK, the risk management guideline (AS/NZS 4360: 2000) issued jointly from both Australia and New Zealand have better features of product safety management program such as a broad definition of risk concept including opportunities of loss and gain, stepwise composition of processes applicable iteratively, and integrable composition of processes for the existing other management practice. Comparing the three product safety management programs suggested by several authors yielded common features of product safety management program model: (1) organization for product safety, (2) risk identification, (3) risk evaluation, (4) risk treatment, (5) monitoring/communication, and (6) documentation. All of these activities can be performed within risk management framework.

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