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Family Involvement to Stop the Conversion of Prediabetes to Diabetes
Prakoso Denny Anggoro,Mahendradhata Yodi,Istiono Wahyudi 대한가정의학회 2023 Korean Journal of Family Medicine Vol.44 No.6
Prediabetes is a condition associated with an increased risk of developing diabetes, in which blood glucose levels are high but not high enough to be diagnosed as diabetes. The rapid increase in the prevalence of prediabetes is a major global health challenge. The incidence of prediabetes has increased to pandemic levels and can lead to seri-ous consequences. Unfortunately, nearly 90% of prediabetic individuals are unaware of their ailment. A quarter of prediabetic individuals develop type 2 diabetes mellitus (T2DM) within 3–5 years. Although prediabetes is a revers-ible condition, the prevention of diabetes has received little attention. It is essential for prediabetic individuals to implement new health-improvement techniques. Focusing on family systems is one strategy to promote health, which is determined by health patterns that are often taught, established, and adjusted within family contexts. For disease prevention, a family-based approach may be beneficial. Family support is essential for the metabolic con-trol of the disease. This study aimed to show several strategies for involving the patient’s family members in pre-venting the conversion of prediabetes to T2DM and to emphasize that the patient’s family members are a valuable resource to reduce the incidence of diabetes.
A study on the pressure gradient effect due to a leak in a pressure calibration system
Samodro, R Rudi Anggoro,Choi, In-Mook,Woo, Sam-Yong,Lee, Sung-Jun Springer-Verlag 2012 METROLOGIA -BERLIN- Vol.49 No.3
<P>Leaks in a pressure calibration system should be as small as possible in order to reduce the pressure difference between the pressure standard and the device under test (DUT). However, a pressure calibration system that is perfectly sealed from the external environment does not exist, and a pressure difference due to leakage can affect the calibration results. This type of effect should be evaluated precisely because DUTs, such as precise digital pressure gauges with resolutions of less than 1 part in 10<SUP>6</SUP>, are used widely in industry and the pressure difference due to the leak effect is expected to be larger than the resolution of the DUTs. In addition, precise digital pressure gauges for intercomparisons have been used as transfer standards to determine the degree of equivalence of pressure measurement standards among national measurement institutes (NMIs). This paper explores the leak effect using a leak control valve when a precise digital pressure gauge is calibrated using a pressure balance up to 100 kPa in an absolute mode. Experiments were performed according to an applied pressure, leak amount, tube length and pressure media. It is concluded that the uncertainty caused by a possible leak should be included in the uncertainty evaluation of the calibration results.</P>
Large Atrial Septal Defect Closure in a Patient with Severe Pulmonary Arterial Hypertension
Supomo Supomo,Anggoro Budi Hartopo,Dyah Wulan Anggrahini,Handy Darmawan,Lucia Kris Dinarti 대한흉부외과학회 2017 Journal of Chest Surgery (J Chest Surg) Vol.50 No.5
Patients with an atrial septal defect (ASD) and severe pulmonary arterial hypertension (PAH) are considered ineligible for defect closure surgery because of the risk of right ventricular decompensation and death after the operation. We report the case of a patient with large ASD and severe PAH who was able to undergo defect closure surgery successfully following long-term use of combined oral sildenafil and beraprost.
Utilization of geothermal waste as a silica adsorbent for biodiesel purification
S. Silviana,Didi Dwi Anggoro,Cantika Aulia Salsabila,Kevin Aprilio 한국화학공학회 2021 Korean Journal of Chemical Engineering Vol.38 No.10
The purification process of biodiesel requires an adsorbent to reduce glycerin content releasing high purity of biodiesel. The adsorbent must be affordable in source and process, readily available, and have high adsorption capacity. This paper discusses utilization of silica aerogel from geothermal waste as an adsorbent of biodiesel to reduce glycerin. The paper investigates the potential of a high silica content of geothermal waste as silica adsorbent by observation of the glycerin adsorption capacity and its kinetics study. At the beginning, geothermal silica preparation was subjected to the purification of geothermal silica waste using sulfuric acid, sol-gel process, and drying process at ambient pressure. This research was statistically carried out by varying the volume ratio of HCl to sodium silicate (3-5), drying time (1-2 hours), and percent weight of silica (3-5%-w) using Design-Expert® Version 8.0.6 (State-Ease, Inc). The silica product was characterized through BET, FTIR, XRF, and XRD analysis. Analysis of untreated and treated biodiesel used GPC, GCMS, and titration based on Indonesian National Standard (SNI) of No. 06-1564-1995. The optimum conditions for preparation for removing glycerin in biodiesel was reached at ratio volume of HCl to sodium silicate of 3 : 1, 2 hours of drying time, and 3%-w silica adsorbent. The optimum of surface area of the s ilica adsorbent and the glycerin adsorption capacity can be attained at 371m2/g glycerin and 10±0.1 mg/g, respectively. Further meaning, the glycerin concentration in biodiesel can be reduced from (4±0.10)% to (0.1±0.01)% by using the silica adsorbent performing biodiesel characterization according to SNI in terms of glycerin content. The second-order pseudo model can be used to describe the glycerin adsorption in biodiesel by determination of k at 0.0036 g/mg min at the optimum condition preparation.
Annis Rakhmawati,Indera Noor Achmad,Anggoro Budi Hartopo,Dyah Wulan Anggrahini,Irsad Andi Arso,Noriaki Emoto,Lucia Kris Dinarti 대한재활의학회 2020 Annals of Rehabilitation Medicine Vol.44 No.6
Objective To assess the effect of combined hospital and home-based exercise programs on functional capacity and quality of life (QoL) among uncorrected atrial septal defect-associated pulmonary arterial hypertension (ASD-PAH) patients. Methods This study was a randomized controlled trial with uncorrected ASD-PAH patients as the subjects. They were allocated randomly into control and exercise groups. Exercise group subjects performed hospital and home-based exercise programs, completing baseline 6-minute walking test (6MWT) and EQ-5D-3L QoL test (Utility Index and EQ-VAS scores), and were followed up for 12 weeks. The primary outcomes were 6MWT distance and EQ-5D-3L score at week 12. The N-terminal pro B-type natriuretic peptide (NT-proBNP) level was also assessed. A repeated-measure ANOVA was performed to detect endpoint differences over time. Results The exercise group contained 20 subjects and control group contained 19. In total, 19 exercise group subjects and 16 control group subjects completed the protocol. The 6MWT distance, Utility Index score, and EQ-VAS score incrementally improved significantly in the exercise group from baseline until week 12, with mean differences of 76.7 m (p<0.001), 0.137 (p<0.001) and 15.5 (p<0.001), respectively. Compared with the control group, the exercise group had significantly increased 6MWT distance and utility index score at week 12. The EQ-VAS score increased in the exercise group at week 12. The NTproBNP level decreased at week 12 in the exercise group. Conclusion Combined hospital and home-based exercise program added to PAH-targeted therapy, improving functional capacity and QoL in uncorrected ASD-PAH patients.