• Title/Summary/Keyword: Measurement and assessment

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A Study for the Present Conditions and the Service Satisfaction with Hospital Home Care Service (병원가정간호사업 운영 현황 및 서비스 만족도에 관한 연구)

  • Hong, Chun-Sil;Oh, Kyong-Ok;Park, Mi-Young;Sim, Hee-Sook;Cha, Young-Nam
    • Journal of Home Health Care Nursing
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    • v.8 no.2
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    • pp.121-134
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    • 2001
  • The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).

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Short-Term Effects of Mahuang on State-Trait Anxiety According to Sasang Constitution Classification : A Double-Blind Randomized Controlled Trial (마황 단기복용이 사상체질인의 불안에 미치는 영향 : 이중맹검 임상시험)

  • Hsing, Li-Chang;Yang, Chang-Sop;Lee, Tae-Ho;Kim, Lak-Hyung;Kwak, Min-Jung;Seo, Eui-Seok;Jang, In-Soo
    • The Journal of Internal Korean Medicine
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    • v.28 no.1
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    • pp.106-114
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    • 2007
  • Background : Mahuang (Ephedrae Herba, Ephedra sinica $S_{TAPE}$) has been widely used to treat respiratory disease in Asian over the past thousand years. The main ingredient of Mahuang is ephedrine, whose affects on the autonomic nervous system induce some adverse effects like vasoconstriction, hypertension, tachycardia, miosis, insomnia, dizziness, headache, etc. Although there were lots of reports about adverse effects of Mahuang, there were no clinical studies which evaluated the adverse effects of Mahuang on the autonomic nervous system by objective numerical value in the past decade. Objectives : The purpose of this report was to provide an objective assessment of state-trait anxiety that is caused by Mahuang, and to identify anxiety of Mahuang according to different Sasang constitution classifications. Methods : The study design was a double-blind randomized placebo-controlled trial. The subjects of this study were 79 adults aged between 20 to 40 who agreed to participate. Because 8 adults dropped out, a total of 71 subjects entered the study. They were allocated through randomization to a Mahuang group (N=50) and placebo group (N=21). Each group took three opaque capsules (every opaque capsule containing 2g of Mahuang or none) twice a day. To compare the state and trait anxiety before and after taking Mahuang, we checked the anxiety by using STAI-KYZ. Results : The following results were obtained. Short-term administration of Mahuang significantly increased state-anxiety, but in the placebo group, there were no significant changes in state-anxiety. In the Mahuang group except females, there was more significant increase in state-anxiety of Soeumin than Soyangin and Taeumin in the 2nd measurement. Conclusion : It is suggested that the ingestion of Mahuang can increase sympathetic activity and induce anxiety. There was a significant difference among Sasang constitution classification. Especially, the response is stronger in Soeumin than other constitutions. If we use Mahuang according to the Sasang constitution classification in clinic, we could not only minimize the anxiety but maximize the potential curative value.

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Hybrid Analysis of Displacement Behavior and Numerical Simulation on Tunnel Design (터널 변위 거동 및 수치 모의실험의 결합 해석)

  • Jeong, Yun-Young;Han, Heui-Soo;Lee, Jae-Ho
    • The Journal of Engineering Geology
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    • v.20 no.1
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    • pp.47-60
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    • 2010
  • This study is focused on the analysis of tunnel behavior to estimate the stability on tunnel design. An estimation method was proposed as a hybrid consideration, which contains the displacement analysis by 3D numerical simulation, the maximum displacement obtained after field measurement, and an assessment of tunnel stability using a deformation analysis proposed by Sakurai(1988, 1997). The points of case study by Sakurai(1988, 1997) were replotted considering his analysis. From the new analysis of the tunnel case study, the trend line for analyzed points is analogized, which curve is divided into stable, unstable and failure zone. To evaluate the estimation method, a special shape of railway tunnel was selected, which are the Inchon international airport rail way connected to subway line 9 in Gimpo, Korea. The point s of upper and below track on the Inchon international airport rail way were satisfied to the stability of tunnel after reinforcing. Also the points shows the higher apparent Young's modulus, which resulted from improvement on shear strength by the micro silica grouting and the supporting of umbrella method. Therefore, if new analysis used, proper tunnel reinforcing method could be selected according to tunnel strain and geological property.

Reliability Assessment of Impact Tensile Testing Apparatus using a Drop-bar Striker for Intermediate Strain-rate Range and Evaluation of Dynamic Deformation Behaviors for a Carbon Steel (중간 변형률속도용 낙추식 충격 인장시험 장치의 신뢰성 확보 및 탄소강의 동적변형거동 평가)

  • Bae, Kyung Oh;Kim, Dae Woong;Shin, Hyung Seop;Park, Lee Ju;Kim, Hyung Won
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.40 no.6
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    • pp.573-579
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    • 2016
  • Studies on the deformation behavior of materials subjected to impact loads have been carried out in various fields of engineering and industry. The deformation and fracture of members for these machines/structures are known to correspond to the intermediate strain-rate region. Therefore, for the structural design, it is necessary to consider the dynamic deformation behavior in these intermediate strain-rate ranges. However, there have been few reports with useful data about the deformation and fracture behavior at intermediate strain-rate ranges. Because the intermediate strain-rate region is located between quasi-static and high strain-rate regions, it is difficult to obtain the intermediate strain-rate using conventional reasonable test equipment. To solve this problem, in this study, the measurement reliability of the constructed drop-bar impact tensile test apparatus was established and the dynamic behavior at the intermediate strain-rate range of carbon steels was evaluated by utilizing the apparatus.

Development of Pre-assessment Indicator for Skin Aging and Anti-aging Effect of Inner Skin by the Cream Product Containing Gynostemma pentaphyllum Gypenoside Fraction (피부 노화의 선평가 지표 개발 및 그에 따른 칠엽담 지페노사이드 분획물 함유 크림의 피부 내부 노화 개선 효과)

  • Kim, Ju Yeon;Kim, Jung Yun;Choi, Chi Ho;Lim, Joo Hyuck;Choo, Min Joo;Moon, Sung Ho;Chang, Shin Jae
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.42 no.3
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    • pp.303-309
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    • 2016
  • The human skins had a lot of changes as aging. The synthesis of collagens and elastic fibers were reduced and the expression of matrix metalloproteinase (MMPs) was increased in the dermis. These changes have been known to be responsible for skin wrinkle formation. In this study, we tried to develop pre-indicator of inner skin aging, and investigated the effect of the cream product containing Gynostemma pentaphyllum gypenoside fraction (Gynostemma pentaphyllum gypenoside cream). 21 ~ 34 years old 52 Korean female volunteers without crow's feet were chosen for this clinical study. The starting point of inner skin aging was confirmed through dermal density measurement, even though outside skin wrinkles were not observed. In addition, 4 and 8 weeks treatment of G. pentaphyllum gypenoside cream significantly increased age-related reduction of dermal density. These results suggest that the evaluation of dermal density can be used as pre-indicator of skin aging. Furthermore, G. pentaphyllum gypenoside fraction is a potential anti-wrinkle agent for prevention and treatment of skin aging.

Natural Frequency Measurement for Scour Damage Assessment of Caisson Pier (교량 우물통 기초의 세굴피해 평가를 위한 고유진동수 측정)

  • Nguyen, Quang-Thien-Buu;Ko, Seok-Jun;Jung, Gyungja;Lee, Ju-Hyung;Yoo, Min-Taek;Kim, Sung-Ryul
    • Journal of the Korean Geotechnical Society
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    • v.37 no.11
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    • pp.51-60
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    • 2021
  • River scour erodes the soil around the pier, reducing the lateral bearing capacity of the pier and lowering the stability of the structure. In this study, in order to examine the effect of scouring on the stability of the structure, an experiment was performed to measure the natural frequency of the pier according to the excavation of the surrounding ground. Impact vibration test was conducted on the pier with the caisson foundation of the Mangyeonggang Bridge, which is scheduled to be demolished. Accelerometers were attached to the top, center, and bottom of the pier and the acceleration responses were measured by hitting those three points. The experimental results showed that the top hit showed consistent and reasonable results of the acceleration responses according to the hitting position. The measured accelerations were converted to the frequency domain through Fast Fourier Transform (FFT), and then the natural frequency was determined. In addition, to analyze the scour effect on the natural frequency of the pier, the ground around the pier was excavated and the natural frequency change was analyzed. As a result, the natural frequency showed the decreasing tendency according to the excavation depth, but the decrease was small due to the large stiffness of the caisson foundation.

Comparison of Weighted Needle Pinprick Sensory Thresholds and Sensory Nerve Conduction Studies in Diabetic Patients (당뇨병 환자에서의 가중침자 감각역치와 감각신경 전도검사와의 비교)

  • Ryoo, Jae-Kwan
    • Journal of Korean Physical Therapy Science
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    • v.3 no.1
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    • pp.929-941
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    • 1996
  • This study was conducted to determine the association between weighted needle pinprick sensory threshold(PPT) and sensory nerve conduction studies. The subjects were 53 healthy controls, 31 diabetic patients without peripheral neuropathic symptoms(DM) and 36 diabetic patients with peripheral neuropathic symptoms(DN). PPT was measured on the index and little fingers, bilaterally, as well as under the lateral malleolus, bilaterally. In electrophysiologic assessment the left and right median, ulnar and sural nerves were studied. Mean PPT in DN, DM and controls was high in turn on each sites tested. Age controlled PPT was significantly different among three groups on right little finger(p<0.05) and left malleolus(p<0.05), but on other sites, not statistically significantly different between DN and DM. The results were as follows: Sensory nerve conduction velocity and amplitude on each nerve tested were statistically significantly different among three groups(p<0.05). Correlation of PPT with sensory nerve conduction velocity and amplitude were statistically significant on each site and ranged from -0.4203(left malleolus) to -0.5649(right index finger) and from -0.3897(left index finger) to -0.6200(right index finger), respectively. When electrophysiological study is not feasible, measurement of PPT may be helpful for the assessment of peripheral sensory neurological function.

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Assessment on Accuracy of Stereotactic Body Radiation therapy (SBRT) using VERO (VERO system을 이용한 정위적 체부 방사선치료(SBRT)의 정확성 평가)

  • Lee, Wi Yong;Kim, Hyun Jin;Yun, Na Ri;Hong, Hyo Ji;Kim, Hong Il;Baek, Seung Wan
    • The Journal of Korean Society for Radiation Therapy
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    • v.31 no.1
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    • pp.17-24
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    • 2019
  • Purpose: The present study aims to assess the level of coherency and the accuracy of Point dose of the Isocenter of VERO, a linear accelerator developed for the purpose of the Stereotactic Body Radiation Therapy(SBRT). Materials and Method: The study was conducted randomly with 10 treatment plans among SBRT patients in Kyungpook National University Chilgok Hospital, using VERO, a linear accelerator between June and December, 2018. In order to assess the equipment's power stability level, we measured the output constancy by using PTW-LinaCheck, an output detector. We also attempted to measure the level of accuracy of the equipment's Laser, kV(Kilo Voltage) imaging System, and MV(Mega Voltage) Beam by using Tofu Phantom(BrainLab, Germany) to assess the accuracy level of geometrical Isocenter. We conducted a comparative analysis to assess the accuracy level of the dose by using an acrylic Phantom($30{\times}30{\times}20cm$), a calibrated ion chamber CC-01(IBA Dosimetry), and an Electrometer(IBA, Dosimetry). Results: The output uniformity of VERO was calculated to be 0.66 %. As for geometrical Isocenter accuracy, we analyzed the error values of ball Isocenter of inner Phantom, and the results showed a maximum of 0.4 mm, a minimum of 0.0 mm, and an average of 0.28 mm on X-axis, and a maximum of -0.4 mm, a minimum of 0.0 mm, and an average of -0.24 mm on Y-axis. A comparison and evaluation of the treatment plan dose with the actual measured dose resulted in a maximum of 0.97 % and a minimum of 0.08 %. Conclusion: The equipment's average output dose was calculated to be 0.66 %, meeting the ${\pm}3%$ tolerance, which was considered as a much uniform fashion. As for the accuracy assessment of the geometric Isocenter, the results met the recommended criteria of ${\pm}1mm$ tolerance, affirming a high level of reproducibility of the patient's posture. The difference between the treatment plan dose and the actual measurement dose was calculated to be 0.52 % on average, significantly less than the 3 % tolerance, confirming that it obtained predicted does. The current study suggested that VERO equipment is suitable for SBRT, and would result in notable therapeutic effect.

Exploration of optimum conditions for production of saccharogenic mixed grain beverages and assessment of anti-diabetic activity (잡곡당화음료 제조 최적 조건 탐색 및 항당뇨 활성 평가)

  • Lee, Jae Sung;Kang, Yun Hwan;Kim, Kyoung Kon;Yun, Yeong Kyeong;Lim, Jun Gu;Kim, Tae Woo;Kim, Dae Jung;Won, Sang Yeon;Bae, Moo Hoan;Choi, Han Seok;Choe, Myeon
    • Journal of Nutrition and Health
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    • v.47 no.1
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    • pp.12-22
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    • 2014
  • Purpose: This study was conducted to establish the production conditions through optimization of the production process of beverages using Aspergillus oryzae CF1001, and to analyze volatile compounds and antidiabetic activity. Methods: The optimum condition was selected using the response surface methodology (RSM), through a regression analysis with the following independent variables gelatinization temperature (GT, $X_1$), saccharogenic time (ST, $X_2$), and dependent variable; ${\Delta}E$ value (y). The condition with the lowest ${\Delta}E$ value occurred with combined 45 min ST and $50^{\circ}C$ GT. The volatile compounds were analyzed quantitatively by GC-MS. Results: Assessment of antidiabetic activity of saccharogenic mixed grain beverage (SMGB) was determined by measurement of ${\alpha}$-glucosidase inhibition activity, and glucose uptake activity and glucose metabolic protein expression by reverse transcriptase polymerase chain reaction (RT-PCR) and western blot analysis. Results of volatile compounds analysis, 62 kinds of volatile compounds were detected in SMGB. Palmitic acid (9.534% ratio), benzaldehyde (8.948% ratio), benzyl ethyl ether (8.792% ratio), ethyl alcohol (8.35% ratio), and 2-amyl furan (4.826% ratio) were abundant in SMGB. We confirmed that ${\alpha}$-glucosidase inhibition activity, glucose uptake activity, and glucose-metabolic proteins were upregulated by SMGB treatment with concentration dependent manner. Conclusion: Saccharogenic mixed grain beverage (SMGB) showed potential antidiabetic activity. Further studies will be needed in order to improve the taste and functionality of SMGB.

Assessment of the Amount of Irrigation Water for Red Pepper by Water Saving Irrigation Manual (노지재배 고추재배시 물절약형 관개 기준에 의한 물절약량 산정 연구)

  • Eom, Ki-Cheol;Park, So-Hyun;Yoo, Sung-Yung
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.2
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    • pp.301-305
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    • 2012
  • The amount of irrigation water can be calculated based on the irrigation schedule in irrigation manual. At present, the maximum irrigation manual, which was developed in 1999 for the maximum yield with maxmum irrigation, is using. Now the water saving irrigation manual for red pepper, without decrease of crop yield, has been developded in 45 areas of korea. Among 45 regions, 9 regions which were selected respectively from 9 Provinces of Korea, were used for this study. The water saving irrigation manual has been used easily without soil sampling and measurement of soil water status. The objective of this study is to assess the possibility of the saving of irrigation water compared to the maximum irrigation manual. The average potential evapo-transpiration (PET) during 30 years in 9 region for the red pepper cultivation was a $2.69mm\;day^{-1}$. The saving amount of irrigation water for red pepper cultivation by saving irrigation manual compared to the maximum irrigation manual in a year was 309.4 mm, 303.3 mm and 309.5 mm in the soil of Sandy Loam (SL), Loam (L) and Silty Loam (SiL), respectively. The average saving amount of irrigation water for red pepper cultivation by saving irrigation manual compared to the maximum irrigation manual in a year was 307.4 mm.