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Development of Stretchable Joint Motion Sensor for Rehabilitation based on Silver Nanoparticle Direct Printing (은 나노입자 프린팅 기반의 재활치료용 신축성 관절센서 개발)

  • Chae, Woen-Sik;Jung, Jae-Hu
    • Korean Journal of Applied Biomechanics
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    • v.31 no.3
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    • pp.183-188
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    • 2021
  • Objective: The purpose of this study was to develop a stretchable joint motion sensor that is based on silver nano-particle. Through this sensor, it can be utilized as an equipment for rehabilitation and analyze joint movement. Method: In this study, precursor solution was created, after that, nozel printer (Musashi, Image master 350PC) was used to print on a circuit board. Sourcemeter (Keithley, Keithley-2450) was used in order to evaluate changes of electric resistance as the sensor stretches. In addition, the sensor was attached on center of a knee joint to 2 male adults, and performed knee flexion-extension in order to evaluate accurate analysis; 3 infrared cameras (100 Hz, Motion Master 100, Visol Inc., Korea) were also used to analyze three dimensional movement. Descriptive statistics were suggested for comparing each accuracy of measurement variables of joint motions with the sensor and 3D motions. Results: The change of electric resistance of the sensor indicated multiple of 30 times from initial value in 50% of elongation and the value of electric resistance were distinctively classified by following 10%, 20%, 30%, 40% of elongation respectively. Through using the sensor and 3D camera to analyze movement variable, it showed a resistance of 99% in a knee joint extension, whereas, it indicated about 80% in flexion phase. Conclusion: In this research, the stretchable joint motion sensor was created based on silver nanoparticle that has high conductivity. If the sensor stretches, the distance between nanoparticles recede which lead gradual disconnection of an electric circuit and to have increment of electric resistance. Through evaluating angle of knee joints with observation of sensor's electric resistance, it showed similar a result and propensity from 3D motion analysis. However, unstable electric resistance of the stretchable sensor was observed when it stretches to maximum length, or went through numerous joint movements. Therefore, the sensor need complement that requires stability when it comes to measuring motions in any condition.

Plate waste study among hospitalised patients receiving texture-modified diet

  • Razalli, Nurul Huda;Cheah, Chui Fen;Mohammad, Nur Mahirah Amani;Manaf, Zahara Abdul
    • Nutrition Research and Practice
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    • v.15 no.5
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    • pp.655-671
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    • 2021
  • BACKGROUND/OBJECTIVES: While plate waste has been widely investigated in hospitals, there have been minimal studies specific to the texture-modified diet (TMD). This study aims to determine the percentage of plate waste among patients prescribed with TMD and its contributory factors. SUBJECTS/METHODS: This was a single-centre study conducted in the university hospital on three types of TMD (blended diet, mixed porridge, minced diet) during lunch and dinner meals. Weighing method and visual estimation method assisted by digital photograph were adopted in this study. Face to face interview was carried out to investigate on 1) the food/food service quality factors in terms of patients' satisfaction level towards sensorial quality of food and food services provided and 2) the clinical/external factors including appetite, the provision of oral nutrition support, time taking the diet, the need for feeding assistance and the length of hospital stay. RESULTS: The mean percentage of overall plate waste of 95 patients receiving TMD was high (47.5%). Blended diet was identified as the most wasted diet (65%) followed by minced diet (56%) and mixed porridge (35%). Satisfaction level among patients was moderate. Patients on TMD in general had higher satisfaction level on the aspect of food service as compared to food quality. Substantial association between sensorial qualities of food and plate waste were varied according to individual TMD type. A multiple linear regression showed that only the satisfaction level toward the aspects of appearance and variety of foods were the predictors of TMD plate waste (R2 = 0.254, P < 0.05). CONCLUSIONS: A significant relationship between the percentage of plate waste and the overall satisfaction level of patients receiving TMD suggests that vigorous strategies are needed to reduce the food waste of TMD which will lead to a better nutritional status and clinical outcomes among the patients.

The Severity of COVID-19 in Patients with Nonalcoholic Fatty Liver Disease in Korea

  • Park, Hyeki;Joe, Hyun
    • Health Policy and Management
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    • v.31 no.4
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    • pp.472-478
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    • 2021
  • Background: Early identification of patients who are highly likely to develop severe illness among confirmed cases of coronavirus disease 19 (COVID-19) can be expected to lead to effective treatment. This study therefore aimed to determine whether the presence of nonalcoholic fatty liver disease (NAFLD) has an impact on the exacerbation of COVID-19 symptoms. Methods: The study used the Korean National Health Insurance claim data for treatment of COVID-19 patients in 2020. NAFLD includes nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH). The outcome variables used were hospitalization and the use of medical devices. Hospitalization was defined by a length of stay exceeding one day and the use of medical devices was defined as one or more uses of a ventilator or extracorporeal membrane oxygenation. Multivariable logistic regression analysis was performed to determine if there was a difference in the hospitalization and use of medical devices of COVID-19 patients depending on the presence of NAFLD. Results: The odds ratio of hospitalization was 1.059, indicating slightly higher odds of hospitalization for patients with NAFL or NASH compared to those without the conditions, but it was not statistically significant (0.969-1.156). On the other hand, the odds ratio of use of medical devices was high at 1.667 and was statistically significant (1.111-2.501). Conclusion: The study results found NAFLD to be a risk factor that can exacerbate symptoms in COVID-19 patients. Accordingly, it is necessary to identify NAFLD patients through preemptive screening and provide them with appropriate treatments.

Hospital-Acquired Pressure Injury: Clinical Characteristics and Outcomes in Critical Care

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.28-33
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    • 2019
  • Electronic health records (EHRs) enable us to use and re-use electronic data for various multiple purposes, such as public reporting, quality improvement, and patient outcomes research. Current hospital-acquired pressure injury (HAPI) risk assessment instruments have not been specifically developed for intensive care unit (ICU) patients and showed false positive rates in this specific populations. Previous research studies report a number of risk factors; however, it is still not clear what factors influence ICU HAPI in this population. As part of a larger research study, we performed an exploratory analysis by using a large electronic health record data. The aims of this study were to compare characteristics of patients who developed HAPIs during their ICU stay with those who did not, and to determine whether the two groups were different in the aspects of length of ICU stay, discharge disposition, and discharge destinations. We conducted chi-square test and t-test for group comparison. Association was examined by using bivariate analyses. Pearson correlation coefficients were used to examine correlation between LOS and number of medications. Our findings suggest a number of consistent and potentially modifiable risk factors, such as sedation, feeding tubes, and the number of medications administered. The mortality of the HAPI group was significantly higher than the non-HAPI group in our data. Discharge disposition was significantly different between the groups. 67% of the HAPI group transferred to intermediate or long-term care hospitals whereas 57.7% of the non-HAPI group went home after discharge. Awareness of these risk factors can lead to clinical interventions that can be preventative in the ICU setting.

Modulating the Voltage-sensitivity of a Genetically Encoded Voltage Indicator

  • Jung, Arong;Rajakumar, Dhanarajan;Yoon, Bong-June;Baker, Bradley J.
    • Experimental Neurobiology
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    • v.26 no.5
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    • pp.241-251
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    • 2017
  • Saturation mutagenesis was performed on a single position in the voltage-sensing domain (VSD) of a genetically encoded voltage indicator (GEVI). The VSD consists of four transmembrane helixes designated S1-S4. The V220 position located near the plasma membrane/extracellular interface had previously been shown to affect the voltage range of the optical signal. Introduction of polar amino acids at this position reduced the voltage-dependent optical signal of the GEVI. Negatively charged amino acids slightly reduced the optical signal by 33 percent while positively charge amino acids at this position reduced the optical signal by 80%. Surprisingly, the range of V220D was similar to that of V220K with shifted optical responses towards negative potentials. In contrast, the V220E mutant mirrored the responses of the V220R mutation suggesting that the length of the side chain plays in role in determining the voltage range of the GEVI. Charged mutations at the 219 position all behaved similarly slightly shifting the optical response to more negative potentials. Charged mutations to the 221 position behaved erratically suggesting interactions with the plasma membrane and/or other amino acids in the VSD. Introduction of bulky amino acids at the V220 position increased the range of the optical response to include hyperpolarizing signals. Combining The V220W mutant with the R217Q mutation resulted in a probe that reduced the depolarizing signal and enhanced the hyperpolarizing signal which may lead to GEVIs that only report neuronal inhibition.

Finite element analysis for the seismic performance of steel frame-tube structures with replaceable shear links

  • Lian, Ming;Zhang, Hao;Cheng, Qianqian;Su, Mingzhou
    • Steel and Composite Structures
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    • v.30 no.4
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    • pp.365-382
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    • 2019
  • In steel frame-tube structures (SFTSs) the application of flexural beam is not suitable for the beam with span-to-depth ratio lower than five because the plastic hinges at beam-ends can not be developed properly. This can lead to lower ductility and energy dissipation capacity of the SFTS. To address this problem, a replaceable shear link, acting as a ductile fuse at the mid length of deep beams, is proposed. SFTS with replaceable shear links (SFTS-RSLs) dissipate seismic energy through shear deformation of the link. In order to evaluate this proposal, buildings were designed to compare the seismic performance of SFTS-RSLs and SFTSs. Several sub-structures were selected from the design buildings and finite element models (FEMs) were established to study their hysteretic behavior. Static pushover and dynamic analyses were undertaken in comparing seismic performance of the FEMs for each building. The results indicated that the SFTS-RSL and SFTS had similar initial lateral stiffness. Compared with SFTS, SFTS-RSL had lower yield strength and maximum strength, but higher ductility and energy dissipation capacity. During earthquakes, SFTS-RSL had lower interstory drift, maximum base shear force and story shear force compared with the SFTS. Placing a shear link at the beam mid-span did not increase shear lag effects for the structure. The SFTS-RSL concentrates plasticity on the shear link. Other structural components remain elastic during seismic loading. It is expected that the SFTS-RSL will be a reliable dual resistant system. It offers the benefit of being able to repair the structure by replacing damaged shear links after earthquakes.

Effects of Steel Fiber Properties on Compressive and Flexural Toughness of Steel Fiber-Reinforced Concrete (강섬유의 특성이 강섬유보강 콘크리트의 압축 및 휨 인성에 미치는 영향)

  • Lim, Dong-Gyun;Jang, Seok-Joon;Jeong, Gwon-Young;Youn, Da-Ae;Yun, Hyun-Do
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.3
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    • pp.43-50
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    • 2019
  • Effects of tensile strength and aspect ratio of steel fiber on compressive and flexural behavior of steel fiber-reinforced concrete (SFRC) with high- and normal-strength were investigated. Also, this study explores compressive behavior of SFRC with different loading rate. For this purpose, four types of steel fiber were used for SFRC with specified compressive strength of 35 and 60 MPa, respectively. Cylindrical specimens with a diameter of 150 mm and height of 300 mm were made for compression test, and prismatic specimens with a $150{\times}150mm$ cross-section and 450 mm span length were made for flexural test. Test results from compression and flexural tests indicated that the toughness of concrete significant increased with steel fibers. Especially, using steel fiber with high tensile strength and aspect ratio can be lead to performance improvement of high-strength SFRC. In this study, equations are suggested to predict compressive toughness ratio of SFRC from flexural toughness ratio.

Axial compressive residual ultimate strength of circular tube after lateral collision

  • Li, Ruoxuan;Yanagihara, Daisuke;Yoshikawa, Takao
    • International Journal of Naval Architecture and Ocean Engineering
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    • v.11 no.1
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    • pp.396-408
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    • 2019
  • The tubes which are applied in jacket platforms as the supporting structure might be collided by supply vessels. Such kind of impact will lead to plastic deformation on tube members. As a result, the ultimate strength of tubes will decrease compared to that of intact ones. In order to make a decision on whether to repair or replace the members, it is crucial to know the residual strength of the tubes. After being damaged by lateral impact, the simply supported tubes will definitely loss a certain extent of load carrying capacity under uniform axial compression. Therefore, in this paper, the relationship between the residual ultimate strength of the damaged circular tube by collision and the energy dissipation due to lateral impact is investigated. The influences of several parameters, such as the length, diameter and thickness of the tube and the impact energy, on the reduction of ultimate strength are investigated. A series of numerical simulations are performed using nonlinear FEA software LS-DYNA. Based on simulation results, a non-dimensional parameter is introduced to represent the degree of damage of various size of tubes after collision impact. By applying this non-dimensional parameter, a simplified formula has been derived to describe the relationship between axial compressive residual ultimate and lateral impact energy and tube parameters. Finally, by comparing with the allowable compressive stress proposed in API rules (RP2A-WSD A P I, 2000), the critical damage of tube due to collision impact to be repaired is proposed.

A Study on the Analysis of the Torso and Breast of Female Students by Age (13-18세 여학생의 상반신과 젖가슴형태 연령별 분석연구)

  • Kim, Youn Joo;Nam, Yun Ja
    • Human Ecology Research
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    • v.57 no.2
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    • pp.159-170
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    • 2019
  • The growth accelerator period from a child's body into an adult body is a huge transition characterized by rapid growth in the near term. Body shape changes at this time of growth should be continually studied because they can result in different outcomes due to various variables. This study is basic study for the production of a junior brassiere patternmaking was conducted to separate the upper torso and breasts of adolescents by growth level. Analysis was conducted by age classification according to sales trends. In this study. 3D body shape data of Korean girls, Based on the 6th Size Korea data, analyzed statistically the upper body and breast according to the rate of growth. The results of this study represent the basis for the development of a junior brassiere to help lead a better life in regards to clothing. The study used 3D-data from girls aged 13 to 18. The analysis indicates that the upper body is in a different shape at age 15 with an increasing circumference, width and shoulder length of the chest; in addition, the sides are analyzed differently, suggesting that the brassiere configuration should be made differently at age 15. The breast form also showed different growth patterns at age 13 and the result was that the shape of the cup in brassiere should be configured differently depending on type.

Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series

  • Nam, Su Bong;Seo, Jung Yeol;Park, Tae Seo;Sung, Ji Yoon;Kim, Joo Hyoung;Lee, Jae Woo;Kim, Min Wook;Oh, Heung Chan
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.39-45
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    • 2019
  • Background The dorsolateral branch of the posterior intercostal artery (DLBPI) can be easily found while harvesting a latissimus dorsi (LD) musculocutaneous flap for breast reconstruction. However, it remains unknown whether this branch can be used for a free flap and whether this branch alone can provide perfusion to the skin. We examined whether the DLBPI could be reliably found and whether it could provide sufficient perfusion. Methods We dissected 10 fresh cadavers and counted DLBPIs with a diameter larger than 2 mm. For each DLBPI, the following parameters were measured: distance from the lateral margin of the LD muscle, level of the intercostal space, distance from the spinal process, and distance from the inferior angle of the scapula. Results The DLBPI was easily found in all cadavers and was reliably located in the specified area. The average number of DLBPIs was 1.65. They were located between the seventh and eleventh intercostal spaces. The average length of the DLBPI between the intercostal space and the LD muscle was 4.82 cm. To assess the perfusion of the DLBPIs, a lead oxide mixture was injected through the branch and observed using X-rays, and it showed good perfusion. Conclusions The DLBPI can be used as a pedicle in free flaps for small defects. DLBPI flaps have some limitations, such as a short pedicle. However, an advantage of this branch is that it can be reliably located through simple dissection. For women, it has the advantage of concealing the donor scar underneath the bra band.