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Factors Influencing Self Management Behavior for Patients with Type 2 Diabetes: Comparison of Difference between the Elderly and Adults (제2형 당뇨병 환자의 자기관리행위 예측 요인: 노인과 성인의 비교)

  • Kang, Kyung-Ja;Yu, Su-Jeong;Seo, Hyun-Mi;Yu, Mi;Park, Myung-Sook;Jang, Hak-Chul
    • Journal of Korean Biological Nursing Science
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    • v.14 no.2
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    • pp.112-121
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    • 2012
  • Purpose: The purpose of this study was to investigate the level of self management behavior of patients with type 2 diabetes and to compare the factors influencing self management behavior between the elderly and adults. Methods: The participants consisted of 105 adults and 100 elderly who visited the outpatient department of a hospital from August to December 2011. Data was collected by questionnaires and analyzed using the SPSS/WIN 18.0. Results: The elderly showed higher mean scores of subcategory of self management behavior than adults. In stepwise multiple regression analysis, a total of 42% (adults), 52% (elderly) respectively of variance in self management behavior were accounted for by self-efficacy, perceived barriers, perceived benefits, yes or no smoking and regular exercise in adults and readiness, self efficacy, perceived benefits in the elderly. Conclusion: Therefore, a diabetics intervention program should be designed and provided as a tailored one for adults and elderly separately in Korea. In the strategy for adults with type 2 diabetes in the promotion of self efficacy, perceived benefits and reduction of perceived barriers, and correction of life habits such as smoking and exercise are needed, whereas in the elderly promotion of readiness, self efficacy, perceived benefits are required.

Analysis of Positioning Accuracy Using LX GNSS Network RTK (LX 위성측위 인프라기반 네트워크 RTK를 이용한 측위성능 분석)

  • Ha, Jihyun;Kim, Hyun-ho;Jung, Wan-seok
    • Journal of Advanced Navigation Technology
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    • v.19 no.6
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    • pp.507-514
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    • 2015
  • The Spatial information research institute of the LX Korea land and geospatial informatix corporation manages infrastructure for the LX global navigation satellite system (GNSS), which comprises 30 monitoring stations nationwide. Since 2014, it has conducted network real-time kinematic (RTK) tests using the master-auxiliary concept (MAC). This study introduces the infrastructure of LX GNSS and presents the results of a performance analysis of the LX RTK service. The analysis was based on a total of 25 cadastral topographic control points in Jeonju, Seoul, and Incheon. For each point, performance was measured over one observation, two repeated observations, and five repeated observations. The measurements obtained from LX MAC and the VRS of the National Geographic Information Institute were compared with the announced coordinates derived from cadastral topographic control points. As a result, the two systems were found to have similar performance with average error and standard deviation differing only by 1 to 2 cm.

Effect of Unstable Surface Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis: After six months follow-up (불안정한 표면 운동이 척추측만증 환자의 체간자세와 균형에 미치는 영향)

  • Lee, Woo Jin;Kong, Young Soo;Ko, Yu Min;Park, Ji Won
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.232-238
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    • 2013
  • Purpose: The aim of this study was to evaluate the effect of lumbar stabilization exercise on an unstable surface on trunk posture and static standing balance ability in patients with scoliosis. Methods: Subjects included 18 patients who showed symptom of scoliosis. Patients were divided into two experimental groups, one using an unstable surface and one using a fixed surface, and the patients were required to perform a lumbar stabilization exercise a total of 12 times for 60 minutes per session, three times per week for a period of four weeks, with a six-months follow-up period. Results: A significant reduction was observed in the group that performed the lumbar stabilization exercise on an unstable surface (p<0.05). A significant decrease in both the condition of closed eyes or open eyes in the left and right directions was observed in the group that performed the lumbar stabilization exercise on an unstable surface (p<0.05). After six months, results of comparison of the length of both sides of the trunk showed a significantl decrease in the group performing lumbar stabilization exercises on an unstable surface. Conclusion: Lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and static balance ability in a standing posture showed improvement. In the future, lumbar stabilization exercise on an unstable surface may be used as an exercise for posture correction and balance increase for patients with scoliosis.

Effect of Unstale Surface Lumbar Stabilization Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis (불안정한 지지면의 척추안정화 운동이 척추측만증 환자의 체간 자세와 균형에 미치는 영향)

  • Lee, Woo-Jin;Lim, Chang-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.59-67
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    • 2012
  • Purpose : This study was somatosensory less in patients with idiopathic scoliosis somatosensory input to the lumbar stabilization exercises carried out to determine the most effective treatment method to be stable and unstable in terms of supporting the lumbar stabilization exercises the patient's torso length and postural sway by comparing the distance from a standing position and looked for differences in effect on the balance. Methods : The subjects of the study were 18 patients who showed the symptom of scoliosis. The study classified the patients into two experimental groups, one using an unstable surface and one a fixed surface, and the patients were required to do a lumbar stabilization exercise a total of 12 times for 60 minutes per session, three times a week for four weeks. The study carried out a paired comparison t-test so as to compare differences between measurement values in each experimental group before and after the exercise. Results : Superior iliac spine on the left, there was a significant reduction in the group doing the lumbar stabilization exercise on an unstable surface (p<0.05). Regarding change in sway distance to the left and right directions in the group doing the lumbar stabilization exercise on the unstable surface, there was a significant decrease in both the condition of closed eyes or open eyes (p<0.05). As for change in sway distance in forward-and-backward direction, there was a significant reduction in the condition of either closed eyes or open eyes (p<0.05). Conclusion : The lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and the static balance ability in a standing posture was discovered to be improved. In the future, the lumbar stabilization exercise on an unstable surface may be used as a posture correction and balance increase exercise for patients with scoliosis.

Differences of Screening Test Results of Health Examination between Clerks and Laborers (일부 사무직 근로자와 생산직 근로자간의 일반건강진단 검사 결과의 차이)

  • Park, Jong-Won;Shin, Dong-Hoon;Lee, Mi-Young;Suh, Suk-Kwon
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.3 s.51
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    • pp.543-550
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    • 1995
  • The authors conducted a cross-setional study to evaluate the differences of screening test results between clerks and laborers in an occupational health center in Taegu, 1992. A total of 10, 207 workers was included in the study. Of these, male were 6,597 and female 3,610. Constitutional variables included were items of health examination and some confounding variables(sex, age, body weight and work duration). All analyses were conducted separately for each sex through the use of multiple logistic regression analysis on occupation, controlling for age, work duration, and body weight. Laborers showed abnormal hearing test more often than clerks in both sexes. The blood pressure that showed statistical significance in univariate analysis in both sexes lost its significance after controlling covariates. Liver function and urine protein had statistically significant differences between two occupational groups in males and visual correction did in females. The results suggest that there are differences clerks and laborers in some of screening tests and analytic studies are needed to identify the causes of the differences.

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The Timing of Femur Fracture Fixation is an Important Factor for Prolonged Mechanical Ventilation

  • Choi, Hyung Chul;Jung, Kwang Hwan;Kyoung, Kyu Hyouck;Choi, Seong Ho
    • Journal of Trauma and Injury
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    • v.32 no.4
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    • pp.220-225
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    • 2019
  • Purpose: Mechanical ventilation (MV) is an essential life-saving modality for severely injured patients. However, the long-term use of MV is a major risk factor for late mortality. The surgical correction of long bone fractures plays a critical role not only in improving functional outcomes, but also in reducing physiological derangements, including MV duration. This study investigated the factors affecting prolonged MV (PMV) in severely injured patients with femur fractures. Methods: We retrospectively evaluated all severely injured patients (injury severity score >15) with femur fractures who were taken to the emergency department within 12 hours of the causative accidents between January 2016 and December 2018. PMV was defined as MV lasting for ≥7 days. We analyzed the factors affecting PMV. Results: In total, 35 patients were enrolled and 21 (33.3%) were included in the PMV group. The PMV group required more red blood cell (RBC) transfusions within 7 days RBC (7dRBC) (12.8 vs. 6.8 units; p=0.03) and the time to femur fracture fixation (TFFF) was longer (7.9 vs. 2.7 days; p=0.018). The area under the curve (AUC) for TFFF was 0.740 (95% confidence interval [CI]: 0.572-0.908; p=0.018) and the AUC for 7dRBC was 0.718 (95% CI: 0.546-0.889; p=0.031). Conclusions: This study indicates that TFFF is an independent risk factor for PMV. Early fixation of femur fractures might prevent PMV and its associated complications.

Balloon Kyphoplasty for the Treatment of Vertebral Compression Fractures (척추 압박골절 환자에서의 풍선 척추체 복원술의 치료 효과)

  • Han, Kyung Ream;Kim, Chan;Yang, Jong Yoon;Han, Seung Tak;Kim, Yeui Seok
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.56-62
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    • 2006
  • Background: Balloon kyphoplasty is the new technique that helps to decrease the pain and improve mobility as well as restore the vertebral body height and kyphotic curve in fractured vertebrae. We evaluated the outcome of balloon kyphoplasty in the reduction of vertebral body height, kyphotic curve and clinical improvement in the patients with painful vertebral compression fractures. Methods: From July 2002 to February 2005, 84 levels of vertebral compression fractures in 66 patients were treated with balloon kyphoplasty. The assessment criteria were the changes over time in visual analogue scale (VAS) and mobility score. We evaluated the vertebral body height and kyphotic curve at preoperative 1 day and postoperative 1 day. Results: Procedures were performed in 66 patients with a total of 84 affected vertebral bodies. The anterior wall height was restored in 74 / 84 (88%) levels with a mean increment of 2.9 mm, and the mid-vertebral body height was restored in 79 / 84 (94%) levels with a mean increment of 4.2 mm. Kyphosis correction was achieved in 60 / 84 (71.4%) from 10.1 degrees to 7.5 degrees. Pain intensity reduced by 60% in one day after operation and by 75-85% in later time. Mobility scores of all patients were improved immediately after the procedure. Cement leakage occurred in 3 levels but there was no clinical problem. Conclusions: Kyphoplasty is an efficient and safe treatment of painful vertebral compression fracture in pain relief, mobility improvement, and reduction of deformity.

Vision-based Potato Detection and Counting System for Yield Monitoring

  • Lee, Young-Joo;Kim, Ki-Duck;Lee, Hyeon-Seung;Shin, Beom-Soo
    • Journal of Biosystems Engineering
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    • v.43 no.2
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    • pp.103-109
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    • 2018
  • Purpose: This study has been conducted to develop a potato yield monitoring system, consisting of a segmentation algorithm to detect potatoes scattered on a soil surface and a counting system to count the number of potatoes and convert the data from two-dimensional images to masses. Methods: First, a segmentation algorithm was developed using top-hat filtering and processing a series of images, and its performance was evaluated in a stationary condition. Second, a counting system was developed to count the number of potatoes in a moving condition and calculate the mass of each using a mass estimation equation, where the volume of a potato was obtained from its two-dimensional image, and the potato density and a correction factor were obtained experimentally. Experiments were conducted to segment potatoes on a soil surface for different potato sizes. The counting system was tested 10 times for 20 randomly selected potatoes in a simulated field condition. Furthermore, the estimated total mass of the potatoes was compared with their actual mass. Results: For a $640{\times}480$ image size, it took 0.04 s for the segmentation algorithm to process one frame. The root mean squared deviation (RMSD) and average percentage error for the measured mass of potatoes using this counting system were 12.65 g and 7.13%, respectively, when the camera was stationary. The system performance while moving was the best in L1 (0.313 m/s), where the RMSD and percentage error were 6.92 g and 7.79%, respectively. For 20 newly prepared potatoes and 10 replication measurements, the counting system exhibited a percentage error in the mass estimation ranging from 10.17-13.24%. Conclusions: At a travel speed of 0.313 m/s, the average percentage error and standard deviation of the mass measurement using the counting system were 12.03% and 1.04%, respectively.

Influence of Drying Temperature and Duration on the Quantification of Particulate Organic Matter

  • Lee, Jin-Ho;Doolittle, James J.;Lee, Do-Kyoung;Malo, Douglas D.
    • Korean Journal of Environmental Agriculture
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    • v.25 no.4
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    • pp.289-296
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    • 2006
  • Various drying conditions, temperatures (40 to $80^{\circ}C$) and durations (overnight to 72 hrs), for the particulate organic matter (POM) fraction after wet-sieving size fractionation have been applied for determination of POM contents in the weight loss-on-ignition method. In this study, we investigated the optimum drying condition for POM fraction in quantification of POM and/or mineral-associated organic matter (MOM; usually indirectly estimated). The influence of the drying conditions on quantifying POM was dependent upon soil properties, especially the amount of soil organic components. In relatively high organic soils (total carbon > 40 g/kg in this study), the POM values were significantly higher (overestimated) with drying at $55^{\circ}C$ than those values at $105^{\circ}C$, which were, for example, 173.2 and 137.3 mg/kg, respectively, in a soil studied. However, drying at $55^{\circ}C$ for longer than 48 hrs of periods produced consistent POM values even though the values were much higher than those at $105^{\circ}C$. Thus, indirect estimates of MOM (MOM = SOM-POM) also tended to be significantly impacted by the dry conditions. Therefore, we suggest POM fractions should be dried at $105^{\circ}C$ for 24 hrs as determining POM and MOM contents. If the POM traction is needed to be dried at a lower temperature (e.g. $55^{\circ}C$) with a specific reason, at least 48 hrs of drying period is necessary to obtain consistent POM values, and a moisture correction factor should be determined to adjust the values back to a $105^{\circ}C$ weight basis.

Direct Lateral Lumbar Interbody Fusion : Clinical and Radiological Outcomes

  • Lee, Young Seok;Park, Seung Won;Kim, Young Baeg
    • Journal of Korean Neurosurgical Society
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    • v.55 no.5
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    • pp.248-254
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    • 2014
  • Objective : According to the recent development of minimally invasive spinal surgery, direct lumbar interbody fusion (DLIF) was introduced as an effective option to treat lumbar degenerative diseases. However, comprehensive results of DLIF have not been reported in Korea yet. The object of this study is to summarize radiological and clinical outcomes of our DLIF experience. Methods : We performed DLIF for 130 patients from May 2011 to June 2013. Among them, 90 patients, who could be followed up for more than 6 months, were analyzed retrospectively. Clinical outcomes were compared using visual analog scale (VAS) score and Oswestry Disability Index (ODI). Bilateral foramen areas, disc height, segmental coronal and sagittal angle, and regional sagittal angle were measured. Additionally, fusion rate was assessed. Results : A total of 90 patients, 116 levels, were underwent DLIF. The VAS and ODI improved statistically significant after surgery. All the approaches for DLIF were done on the left side. The left and right side foramen area changed from $99.5mm^2$ and $102.9mm^2$ to $159.2mm^2$ and $151.2mm^2$ postoperatively (p<0.001). Pre- and postoperative segmental coronal and sagittal angles changed statistically significant from $4.1^{\circ}$ and $9.9^{\circ}$ to $1.1^{\circ}$ and $11.1^{\circ}$. Fusion rates of 6 and 12 months were 60.9% and 87.8%. Complications occurred in 17 patients (18.9%). However, most of the complications were resolved within 2 months. Conclusion : DLIF is not only effective for indirect decompression and deformity correction but also shows satisfactory mechanical stability and fusion rate.