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A Meta-analysis of Intervention Studies on the Effects of Self Management and Education in Adult Asthmatic Patients (성인 천식환자의 자가관리교육 중재의 효과 메타분석)

  • Kim, Chae-Bong;Han, Min-Kyung;Jeong, Mi-Seon;Choi, Bo-Young;Choi, Kil-Yong;Kim, Moo-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.175-185
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    • 2015
  • Objectives : This study was did a meta-analysis of emergency room visits decreased effectiveness of self management education interventions in asthma among adult patients with asthma. Methods : A search of the database PubMed resulted in identifying 8,619 studies done between January 1990 and November 2012. STATA version 10.0 was used to analyze the effect size, explore possible causes of heterogeneity, and determine publication bias with a funnel plot. Results : We included 7 cases on emergency room visits decreased effectiveness of self management and education. Asthmatic patients experienced fewer attacks (summary effect size, 0.75; 95% confidence interval [CI], 0.65-0.95). We found that emergency room visits decreased effectiveness of self management and education were associated with statistically significant effects. Conclusions : Based on these finding, self management and education on interventions are necessary to prevent asthmatic attacks in patients and to reduce the severity of the attacks, and self management and education programs are needed in Korea.

Stimulation-Oriented Interventions for Behavioral Problems among People with Dementia: A Systematic Review and Meta-Analysis (치매 환자의 문제행동을 위한 자극지향적 중재의 효과 연구: 체계적 고찰과 메타분석)

  • Kim, Eun Young;Hwang, Sung-Dong;Kim, Eun Joo
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.475-489
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    • 2016
  • Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.

Meta Analysis of Symptom Improvement through Eradication of Helicobacter pylori in Patients with Non-ulcer Dyspepsia (비궤양성 소화불량에서 Helicobacter pylori 박멸치료후 증상개선에 대한 메타분석)

  • Ohm, Sang-Hwa;Jeong, Ki-Won;Shin, Won-Chang;Cho, Jong-Rae;Shon, Hye-Suk;Pae, Ki-Taek;Kim, Sung-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.4
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    • pp.427-434
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    • 1999
  • Objectives: This study was conducted to determine, by reviewing the literature, whether treatment of Helicobacter pylori infection in patients with non-ulcer dyspepsia affects symptoms. Methods: We retrieved the literature using MEDLINE search, with nonulcer dyspepsia and Hericobacter pylori and treatment as key words, which were reported from 1984 to 1998, and manual literature search. The criteria for inclusion was as follows; 1) The paper should have confirmed nonulcer dyspepsia as case definition. 2) The paper should have peformed a randomized, blind trial. 3) Confirmation of Helicobacter pylori eradication should be done 4 weeks after treatment. 4) studies with no information on measurement of symptoms after treatment were not accepted. The percentage of patients with symptom improvement after eradication therapy for Helicobacter pylori infection was calculated. Cumulative odds ratio was compared by fixed effect model and random effect model as sensitivity and funnel plot was used to evaluate publication bias. Results: The overall effect size of symptom improvement was calculated by cumulative odds ratio. Cumulative odds ratio of random effect model was 4.16(95% CI: 1.55-11.19). Before integrating each effect sizes into common effect size, the homogeneity test was conducted and random effect model was selected(Cochran's Q=41.08 (d.f=10, p<0.001)). The heterogeneity across studies was evaluated and the different methodological aspects of studies led to differences between study results Conclusions: The results suggest that the eradication of Helicobacter pylori in patients with non-ulcer dyspepsia results more symptom improvement. In studios that shows the opposite results there are methodological aspects explaining the heterogeneity.

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Electrochemical Behavior of Pt-Ru Catalysts on Zeolite-templated Carbon Supports for Direct Methanol Fuel Cells

  • Lim, Tae-Jin;Lee, Seul-Yi;Yoo, Yoon-Jong;Park, Soo-Jin
    • Bulletin of the Korean Chemical Society
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    • v.35 no.12
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    • pp.3576-3582
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    • 2014
  • Zeolite-templated carbons (ZTCs), which have high specific surface area, were prepared by a conventional templating method using microporous zeolite-Y for catalyst supports in direct methanol fuel cells. The ZTCs were synthesized at different temperatures to investigate the characteristics of the surface produced and their electrochemical properties. Thereafter, Pt-Ru was deposited at different carbonization temperatures by a chemical reduction method. The crystalline and structural features were investigated using X-ray diffraction and scanning electron microscopy. The textural properties of the ZTCs were investigated by analyzing $N_2$/77 K adsorption isotherms using the Brunauer-Emmett-Teller equation, while the micro- and meso-pore size distributions were analyzed using the Barrett-Joyner-Halenda and Harvarth-Kawazoe methods, respectively. The surface morphology was characterized using transmission electron microscopy and inductively coupled plasma-mass spectrometry. The electrochemical properties of the Pt-Ru/ZTCs catalysts were also analyzed by cyclic voltammetry measurements. From the results, the ZTCs carbonized at $900^{\circ}C$ show the highest specific surface areas. In addition, ZTC900-PR led to uniform dispersion of Pt-Ru on the ZTCs, which enhanced the electro-catalytic activity of the Pt-Ru catalysts. The particle size of ZTC900-PR catalyst is about 3.4 nm, also peak current density from the CV plot is $12.5mA/cm^2$. Therefore, electro-catalytic activity of the ZTC900-PR catalyst is higher than those of ZTC1000-PR catalyst.

Fabrication of Tungsten Powder Mixtures with Nano and Micro Size by Reduction of Tungsten Oxides (텅스텐 산화물의 환원을 이용한 나노/마이크로 크기 텅스텐 혼합분말 제조)

  • Kwon, Na-Yeon;Jeong, Young-Keun;Oh, Sung-Tag
    • Korean Journal of Materials Research
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    • v.27 no.10
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    • pp.513-517
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    • 2017
  • An optimum route to fabricate a hybrid-structured W powder composed of nano and micro size powders was investigated. The mixture of nano and micro W powders was prepared by a ball milling and hydrogen reduction process for $WO_3$ and W powders. Microstructural observation for the ball-milled powder mixtures revealed that the nano-sized $WO_3$ particles were homogeneously distributed on the surface of large W powders. The reduction behavior of $WO_3$ powder was analyzed by a temperature programmed reduction method with different heating rates in Ar-10% $H_2$ atmosphere. The activation energies for the reduction of $WO_3$, estimated by the slope of the Kissinger plot from the amount of reaction peak shift with heating rates, were measured as 117.4 kJ/mol and 94.6 kJ/mol depending on reduction steps from $WO_3$ to $WO_2$ and from $WO_2$ to W, respectively. SEM and XRD analysis for the hydrogen-reduced powder mixture showed that the nano-sized W particles were well distributed on the surface of the micro-sized W powders.

Controlled Synthesis of Single-Walled Carbon Nanotubes

  • Park, Chong-Yun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.02a
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    • pp.2-2
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    • 2011
  • Single-walled carbon nanotubes (SWNTs) have been considered as a promising candidate for nextgeneration electronics due to its extraordinary electrical properties associated with one-dimensional structure. Since diversity in electronic structure depends on geometrical features, the major concern has been focused on obtaining the diameter, chirality, and density controlled SWNTs. Despite huge efforts, the controlled synthesis of SWNTs has not been achieved. There have been various approaches to synthesize controlled SWNTs by preparation of homogeneously sized catalyst because the SWNTs diameter highly depends on catalyst nanoparticles size. In this study, geometrically controlled SWNTs were synthesized using designed catalytic layers: (a) morphologically modified Al2O3 supporting layer (Fe/Al2O3/Si), (b) Mo capping layer (Mo/Fe/Al/Si), and (c) heat-driven diffusion and subsequent evaporation process of Fe catalytic nanoparticles (Al2O3/Fe/Al2O3/Si). These results clearly revealed that (a) the grain diameter and RMS roughness of Al2O3 supporting layer play a key role as a diffusion barrier for obtaining Fe nanoparticles with a uniform and small size, (b) a density and diameter of SWNTs can be simultaneously controlled by adjusting a thickness of Mo capping layer on Fe catalytic layer, and (c) SWNTs diameter was successfully controlled within a few A scale even with its fine distribution. This precise control results in bandgap manipulation of the semiconducting SWNTs, determined by direct comparison of Raman spectra and theory of extended tight binding Kataura plot. We suggest that these results provide a simple and possible way for the direct growth of diameter, density, and bandgap controlled SWNTs by precise controlling the formation of catalytic films, which will be in demand for future electronic applications.

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Fabrication and Characterization of Nano-sized Fe-50 wt% Co Powder from Fe- and Co-nitrate (Fe- 및 Co-질산염을 이용한 Fe-50 wt% Co 나노분말의 합성 및 특성 평가)

  • Riu, Doh-Hyung;Oh, Sung-Tag
    • Korean Journal of Materials Research
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    • v.20 no.10
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    • pp.508-512
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    • 2010
  • The optimum route to fabricate nano-sized Fe-50 wt% Co and hydrogen-reduction behavior of calcined Fe-/Conitrate was investigated. The powder mixture of metal oxides was prepared by solution mixing and calcination of Fe-/Co-nitrate. A DTA-TG and microstructural analysis revealed that the nitrates mixture by the calcination at $300^{\circ}C$ for 2 h was changed to Fe-oxide/$Co_3O_4$ composite powders with an average particle size of 100 nm. The reduction behavior of the calcined powders was analyzed by DTA-TG in a hydrogen atmosphere. The composite powders of Fe-oxide and Co3O4 changed to a Fe-Co phase with an average particle size of 40 nm in the temperature range of $260-420^{\circ}C$. In the TG analysis, a two-step reduction process relating to the presence of Fe3O4 and a CoO phase as the intermediate phase was observed. The hydrogen-reduction kinetics of the Fe-oxide/Co3O4 composite powders was evaluated by the amount of peak shift with heating rates in TG. The activation energies for the reduction, estimated by the slope of the Kissinger plot, were 96 kJ/mol in the peak temperature range of $231-297^{\circ}C$ and 83 kJ/mol of $290-390^{\circ}C$, respectively. The reported activation energy of 70.4-94.4 kJ/mol for the reduction of Fe- and Co-oxides is in reasonable agreement with the measured value in this study.

Current Status and Potentiality of Forest Resources in a Proposed Biodiversity Conservation Area of Bangladesh

  • Rana, Md. Parvez;Uddin, Mohammed Salim;Chowdhury, Mohammad Shaheed Hossain;Sohel, Md. Shawkat Lsiam;Akhter, Sayma;Kolke, Masao
    • Journal of Forest and Environmental Science
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    • v.25 no.3
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    • pp.167-175
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    • 2009
  • An exploratory study was conducted in Juri Forest Range-2, a proposed biodiversity conservation area of Bangladesh to explore the present growing stock of tree, regeneration condition and status of non-timber forest products (NTFPs). This conservation area contains both natural and artificial plantation was selected by using multistage random sampling method. For determination of plot size and sampling methods, the quadrate size ($10m{\times}10m$) for tree stock measurement, ($2m{\times}2m$) for regeneration survey, ($20m{\times}20m$) for NTFPs survey was determined. Regarding tree stock survey, 14 species under eight families were found where Tectona grandis shows average number of stem/ha was 624 and basal area/ha was (10.36 $m^2/ha$) followed by Acacia auriculiformis (0.2 $m^2/ha$ and 637 stem/ha), Gmelina arborea (0.2 $m^2/ha$ and 600 stem/ha). In regeneration survey, 14 species were found belonging to 9 families where Alstonia scholaris shows highest (3,750) seedling per hectare. Regarding NTFPs, bamboo and cane are the most common resources. In last ten years, the total timber output was 1,28,596.14 cubic feet and total amount of revenue was 4,64,434 US$. The vacant area is 1,335.5 acre which contains 14% of total area. If this vacant area is planted with suitable species and take proper steps for appropriate management of this species it will be a good biologically diversified area.

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Influences of Magnetization Reversal and Magnetic Interaction on Coercivity of Sr-Ferrite Particles with Different Sizes (크기가 다른 Sr-Ferrite 입자의 자화 역전과 자기 상호작용이 보자력에 미치는 영향)

  • Kim, Hyeon Soo;Jeong, Soon Young;Kim, Kyung Min;Kwon, Hae-Woong
    • Journal of the Korean Magnetics Society
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    • v.27 no.1
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    • pp.23-29
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    • 2017
  • In this study, the influences of magnetization reversal and magnetic interaction on the coercivity of Sr-ferrite particles with different sizes were investigated through various magnetic measurements. The shape of the initial magnetization curve and the magnetic field dependence of the coercive force indicate that the magnetization reversal changes from domain nucleation to wall pinning as the particle size decreases. On the other hand, the Henkel plot, interaction field factor and ${\Delta}M(H)$ obtained from the DCD and IRM curves show that the strength of the dipolar interaction is increased with increasing the particle size. Therefore, it can be concluded that coercivity is closely related to magnetic interaction as well as magnetization reversal mechanism.

Effect of Clay-Mineral Composition on Flexural Strength of Clay-based Membranes (점토 광물 조성이 점토기반 분리막의 곡강도에 미치는 영향)

  • Lee, Young-Il;Eom, Jung-Hye;Kim, Young-Wook;Song, In-Hyuck
    • Journal of the Korean Ceramic Society
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    • v.51 no.5
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    • pp.380-385
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    • 2014
  • Clay-based membranes with submicron pore size were successfully prepared by a simple pressing process using low-cost starting materials(e.g., kaolin (K), bentonite (B), talc (T), and sodium borate). The green bodies were sintered at $1000^{\circ}C$ for 2 h in air. The effect of clay-mineral composition on the flexural strength of clay-based membranes was investigated. The porosity of the clay-based membranes could be controlled within the range of 34 - 42% by adjusting the starting composition. The flexural strength of the low-cost membranes depended on both the porosity and the ${\alpha}$-quartz content. In turn, the porosity and ${\alpha}$-quartz content were affected by the (B+T) /(K+B+T) ratio. The plot of strength relative to this ratio, showed a maximum when the ratio was 0.4. The typical flexural strength of these clay-based membranes (with ratio 0.4) was 28 MPa at 34% porosity.