14 research outputs found

    トクシマケン イシカイ トウニョウビョウ タイサクハン ダイ1ジ ダイ2ジ カツドウ ノ セイカ

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    Objective : The effectiveness of diabetes prevention programs for the general population in Tokushima Prefecture was investigated. The programs were designed by Tokushima Medical Association’ s(TMA’s)Steering Committee for Diabetes Prevention. Research design and methods : The committee promoted diabetes prevention by disseminating educational messages on diabetes to the general public and medical care providers, and establishing a referral system among public health centers and medical institutes throughout Tokushima Prefecture during the period from 2004 to 2009. The outcome of these activities were evaluated by analyzing data from the Prefectural Health and Nutrition Survey in Tokushima conducted in1997(n= 998),2003 (n=1008) and 2010 (n=1130), and then comparing these results with those of the national survey at the corresponding times. Results : The percentage of subjects with glucose intolerance at the time of initiation of the prevention program in Tokushima tended to increase from 1997 to 2003, but was slightly decreased in 2010, although the differences were not statistically significant. However, the percentage of subjects with glucose intolerance was significantly increased throughout Japan during the same period. Obesity parameters, physical activity evaluated by the number of steps and the average total energy intake changed favorably in parallel with changes in the prevalence of diabetes during the study period in Tokushima. Conclusion : The diabetes prevention programs initiated by the TMA’s committee may be useful in ameliorating the situation of diabetes in Tokushima Prefecture

    Tension–shear interaction domain for EVA-laminated countersunk point-fixing devices

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    The present paper aims is to characterize the mechanical behavior of a new embedded point-fixing device for laminated glass for combined tension-shear load cases. This kind of support is based on the principle known as "interlayer junction" in which the anchor is bonded to the interlayer and embedded in the glass panes during the lamination process. The purposes of this innovative point-fixing device are nowadays mainly focused on interior architecture applications: e.g. balustrades, stairs, doors, elevator cars and wells, design furniture, etc., taking advantage of the beautiful aesthetic of an "all-glass" element. This is due to the fact that, contrary to traditional point-fixing bolted connections, the countersunk hole is not passing through the outer glass layer, so that the stainless steel anchor looks like embedded in the glass mass. A comprehensive experimental investigation on the load-bearing capacity under the combined action of tension and shear forces is performed by means of specifically designed test apparatus and procedure. The failure modes in the different direction of load applications are identified and discussed. Finally, in addition to the interaction domain given for combined load cases between tension and shear forces, a simplified analytical interaction expression is also proposed, intended to be used in the practical design applications
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