• 제목/요약/키워드: compliance control

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슬관절 인공관절 전치환술 환자에서 부프레노르핀 경피 패치의 적용부위에 따른 수술 후 통증 조절 효과 비교: 후향적 환자-대조군 연구 (Comparison of the Postoperative Pain Control Effects of a Buprenorphine Transdermal Patch on Total Knee Arthroplasty Surgery Patients according to Its Applied Sites: Retrospective Case-Control Study)

  • 김옥걸;이상욱;김현민
    • 대한정형외과학회지
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    • 제55권6호
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    • pp.527-533
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    • 2020
  • 목적: 슬관절 인공관절 전치환술(total knee arthroplasty, TKA) 후 통증 조절을 위한 부프레노르핀 경피 패치(buprenorphine transdermal patch, BTDP)의 흉부 적용 및 무릎 적용 효과를 비교하고자 하였다. 대상 및 방법: 2018년 8월부터 2019년 8월까지 TKA를 시행한 231명 중에서 나이, 성별, 체질량 지수(body mass index) 등을 고려한 환자-대조군 연구를 통해 선별된 200예를 대상으로 후향적으로 분석하였다. BTDP를 적용하기 전후에 Numeric Rating Scale (NRS), 부작용 및 순응도를 측정하였으며 흉부 적용군(A군=100명)과 무릎 적용군(B군=100명) 사이의 모든 측정치를 비교하였다. 결과: 술 후 BTDP 적용군 간의 휴식 시 NRS는 전반적으로 비슷하였으나 B군의 술 후 2, 3일째 오후, 5일, 6일, 7일째 휴식 시 NRS는 A군의 NRS보다 통계적으로 유의하게 낮았다. BTDP 적용 후 중추신경계, 위장관계 부작용은 B군에서 유의하게 낮았다. 심혈 관계, 피부의 부작용은 두 군 간에 유의한 차이가 없는 것으로 나타났다. 통증 조절을 위한 지속적인 BTDP 유지에서도 B군이 A군에 비하여 유의하게 높게 나타났다. 결론: TKA 후 BTDP를 통증이 있는 무릎 관절에 직접 적용하는 것은 술 후 초기 통증 조절에 있어 우수한 결과를 보였으며 기존의 흉부 적용 방법보다 부작용 빈도를 줄여 환자의 순응도를 높일 수 있는 유용한 방법으로 판단된다.

수치해석을 통한 지하공간의 제연설비 성능기준 검토 (A Study on the Performance Criteria of Smoke Control System for Underground Spaces Through Numerical Analysis)

  • 안찬솔;채한식;김흥열
    • 한국화재소방학회:학술대회논문집
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    • 한국화재소방학회 2008년도 추계학술논문발표회 논문집
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    • pp.356-362
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    • 2008
  • 본 연구에서는 국내 화재 안전 기준 중 제연설비의 성능기준에 의해 지하 공간 건축물이 준공된 후 임의의 지점에서 화재가 발생했을 경우를 모델링하여 연기 확산 현상을 분석하고 제연 설비의 작동에 의한 재실자의 피난시간 연장과의 적정성을 검토하는 것이 목적이다. 본 연구의 선행연구에서는 가연물의 종류와 발열량을 추정하였으며 추정 값의 검토를 위하여 임의의 단일지하상가를 모델링하여 검증하였다. 그리고 지하상가의 제연설비가 작동될 경우와 작동되지 않을 경우에 대한 수치해석 결과를 비교하였으며 재실자의 피난시간을 확보하는 관점에서 화재 안전 기준에 대한 적정성을 검토하였다.

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농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과 (Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities)

  • 유재순;전미양;김철규
    • 대한간호학회지
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    • 제43권5호
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    • pp.613-625
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    • 2013
  • Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

비행제어법칙 감항인증 기준 설정 및 입증 연구 (A Study for the Airworthiness Certification Criteria and Compliance Related to the Flight Control Law)

  • 고기옥;고준수;안영갑
    • 한국항공우주학회지
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    • 제41권7호
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    • pp.569-576
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    • 2013
  • 군용항공기 산업의 비약적인 발전으로 정부의 군용항공기 감항인증은 점차적으로 중요한 역할을 차지하고 있다. 감항인증은 모든 항공기가 전 수명주기 동안 운용범위 내에서 비행안전에 적합하도록 항공기 개발에 필수적으로 요구되는 절차이다. 감항인증의 도입은 단일 수요자의 요구도에 부합되게 개발 해왔던 기존의 개발 사업특성에서 다수의 수요자의 공통의 요구도를 맞춘 개발 패러다임의 변화로 이끌어 가고 있다. 본 논문에서는 전투기급 항공기의 비행제어법칙의 감항인증 기준 설정에 대한 상세 연구와 감항인증 기술기준에 대한 입증 분석을 결과로 제시하였다.

축소 모델을 이용한 마찰력의 마찰력의 온라인 추정 및 보상기법 (A friction compensation scheme based on the on-line estimation with a reduced model)

  • 최재일;양상식
    • 제어로봇시스템학회논문지
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    • 제2권3호
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    • pp.174-180
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    • 1996
  • The friction is one of the nonlinearities to be considered in the precise position control of a system which has electromechanical components. The friction has complicated nonlinear characteristics and depends on the velocity, the position and the time. The conventional fixed friction compensator and the controller based on linear control theory may cause the steady state position error or oscillation. The plant to be controlled in this study is a positioning system with a linear brushless DC motor(LBLDCM). The system behaves like a 4th-order model including the compliance and the friction. In this study, the plant model is simplified to a 2nd-order model to reduce the computation in on- line estimation. Also, to reduce the computation time, only the friction is estimated on-line while the mass and the viscous damping coefficient are fixed to the values obtained from off-line estimation. The validity of the proposed scheme is illustrated with the computer simulation and the experiment where the friction is compensated by using the estimation.

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A Study on the Design of Back Pressure for Automotive Scroll Compressor

  • Koo, In-Hwe;Lee, Geon-Ho
    • International Journal of Air-Conditioning and Refrigeration
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    • 제17권1호
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    • pp.1-6
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    • 2009
  • The optimum design of back pressure chamber is one of the most important factors in designing scroll compressors because it has a great influence on the efficiency and other design parameters. The design process can be divided into 2 parts. One is obtaining the optimum pressure of the chamber and keeping it in constant value. The other is finding out the minimum inflow rate of medium with which back pressure chamber is filled. In this study we are focused on the first step. At first we added a simple structure that can change back pressure without reassembling compressor. It makes possible to obtaining optimum back pressure. Then we designed an equipment that the back pressure control valve assembly could be independently tested with. Spring was redesigned to decrease stiffness variation. Also sealing mechanism of back pressure control valve was improved to more effective way. As a result, it was verified that in a real mode test back pressure variation could be retained in 2.3% with discharge pressure and operating frequency varied. In addition the integrated structure of back pressure control valve is expected to contribute to effective manufacturing process.

Emission Control Routes in Container Shipping between Korea-China

  • Je-Ho Hwang;Si-Hyun Kim
    • Journal of Korea Trade
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    • 제27권3호
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    • pp.119-146
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    • 2023
  • Purpose - As the severity of air pollution caused by the shipping industry is becoming evident, port authorities have started making efforts to reduce air pollutants. Considering the limitations of the currently implemented emission-control area (ECA) and vessel-speed reduction program (VSRP), which are narrow in the designation range and navigation behavior of ships, this study proposes an emission-control route (ECR) that can complement the aforementioned two environmental policies. Design/methodology - This study was conducted on Korea-China trade service routes (ports of call) of regular liners. This study employed vessel-specific data, which is from an automatic identification system (AIS), for 1,728 maritime transportations performed by 387 container vessels during one year (July 1, 2021, to June 30, 2022). Performing a scenario analysis, this study analyzed the effectiveness of reduced air-pollutant emissions. Findings - This study found that the implementation of ECRs could increase average voyage time by 12.38%-25.28% but reduced air-pollutant emissions by 29.02%-43.54%. Additionally, the increase in average voyage times reduces the anchorage time of ships outside ports, providing an incentive for ship operators to voluntarily participate in compliance with regulations, thereby contributing to the establishment of a virtuous cycle of air-environmental policies related to ships. Originality/value - This study aims to verify the policy effectiveness by designing an ECR scope for liner trade routes between Korea and China. Therefore, originality and the value of this study includes conceptualizing the ECR system, analyzing its environmental performance, and exploring new policies that can be implemented while complementing existing policies.

형상공간 접근 방식에 기반한 모듈식 고정쇠의 적재가능성 분석 (Loadability Analysis of Modular Fixtures based on a Configuration Space Approach)

  • 유견아
    • 제어로봇시스템학회논문지
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    • 제9권5호
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    • pp.398-406
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    • 2003
  • In modular fixturing systems, a given part or a subassembly is fixed by placing fixture elements such as locators and clamps adequately on a plate with a lattice of holes. It is known that the minimal number of point contacts to restrict translational and rotational motions on a plane is four and the type of three locators and a clamp(3L/1C) is the minimal future. Brost and Goldberg developed the complete algorithm to automatically synthesize 3L/1C types of fixtures which satisfy the condition of form closure. Due to the nature of the fixture, the clearance between the fixture and the part is extremely small. It is hard to load the part repeatedly and accurately for human as well as for robot. However the condition of loadability has not been taken into account in the B&G algorithm. In this paper, a new method to decide a given fixture to be loadable by using configuration space is proposed. A method to plan for a part to be loaded by using compliance safely even in the presence of control and sensing uncertainty is proposed is well.

The in vivo significance of in vitro test procedures for the evaluation of drug products

  • Pernarowski, M.
    • 약학회지
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    • 제16권3호
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    • pp.113-120
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    • 1972
  • The last decade of this centry is now the accepted birth date of that sub-discipline of pharmacy that is now called 'biopharmceutics'. Wagner defines biopharmaceutics 'as the study of the influence of fomulation on the therapeutic activity of a drug product.' More specifically, he states that biopharmaceutics encompasses the study of the relationship between the nature and intensity of the biological effects observed in animals or man and the following factors: 1. The nature of the form of the drug (ester, salt, complex, etc). 2. The physical state, particle size, and surface area. 3. Presence or absence of adjuvants with the drug. 4. The type of dosage form in which the drug is administered. 5. The pharmaceutical process (es) used to make the dosage form. The philosophy inherent in this definition has revolutionized our thinking with respect to product development, quality control, and to the practice of pharmacy itself. Althoughthe the emphasis herein will be on quality control, the interrelationship between this and the other areas of pharmacy will be evident. The principles of quality control dictate that a wide variety of techniques be used to evaluate the quality of a dosage form. Since quality must be built into a dosage form, the pharmaceutical scientist begins the process at the research stage, continues it during the production stage, and ends it by applying the tests and procedures established by parmacopeial commissions. These stages are usually separate and distinct and, because of this, product quality has become synonymous with compliance with pharmacopeial specifications.

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병원 외래환자를 대상으로 한 항응고임상약학업무의 개발과 평가에 대한 연구 (Development and Evaluation of Anticoagulation Clinical Pharmacy Sevice for Ambulatory Patients in a Community Hospital)

  • 최수임;신현택;최해미;김정선;안정순;최경업
    • 한국임상약학회지
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    • 제5권2호
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    • pp.17-31
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    • 1995
  • Pharmacist-managed Anticoagulation Service(ACS) was estabilished and the effectiveness of warfarin monitoring by ACS in maintaining therapeutic INR was evaluated. The primary goal of ACS is to maximize the control of therapy, to maintain therapeutic INR and to decrease morbidity and hospitalization caused by inadequate dosage regimen. Clinical pharmacists performed chartreview, laboratory interpretation, recommendations for warfarin dosage adjustments, physician and patient education, and coordination of follow-up in ACS. Patients receiving warfarin sodium were evaluated via retrospective chart review. Sixty-two patients were referred to ACS by primary physicians were compared with 117 patients in the physician-amtrolled group. The ACS patients maintained $88.6\%$ in the therapeutic range for anticoagulant therapy and the control group maintained $63.7\%$, where the difference was statistically significant.(P<0.001) The ACS improved warfarin dose determination, PT stability, patient compliance and provided improved therapy compared with the control group. ACS offers safe and efficient anticoagulant therapy in the ambulatory setting.

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