4,537 research outputs found

    Advancing pediatric health: the multifaceted scope of

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    Analysis of Building Energy Savings Potential for Metal Panel Curtain Wall Building by Reducing Thermal Bridges at Joints Between Panels

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    AbstractTo achieve national greenhouse gas reduction in the building sector, heating and cooling energy in buildings should be reduced. The government has strengthened regulations on insulation performance for building energy savings. However, the building envelope has various thermal bridges. In particular, a metal panel curtain wall comprises a number of thermal bridges at joints between the panels and the fixing units, thus degrading the overall thermal performance. To reduce building energy, it is necessary to reduce thermal bridges in building envelopes. This study aims to analyze the energy saving potential achieved by reducing thermal bridges. For this, the insulation performance and building energy needs of the existing and alternative metal panel curtain wall were evaluated. The alternative metal panel curtain wall that uses plastic molds at joints between panels and the thermally-broken brackets was suggested to reduce heat loss through thermal bridges. As results, the effective U-value of the alternative metal panel curtain wall was reduced by 72% compared with the existing metal panel curtain wall. In addition, annual heating energy needs of the alternative metal panel curtain wall building was reduced by 26%, and annual total energy needs was reduced by 6% because annual cooling energy needs of it slightly increased compared with the existing metal panel curtain wall. In conclusion, the alternative metal panel curtain wall considerably influenced the savings in building energy needs by reducing thermal bridges

    Digital Workflow for Retrofitting a Surveyed Crown Using a Removable Partial Denture as an Antagonist

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    Digital workflow expedites the procedure of retrofitting a surveyed crown against an existing removable partial denture (RPD). This article describes a simple and straightforward technique of digital workflow where an existing RPD is scanned as an antagonist to design the rest seat, guide plane, and height of contour of a surveyed crown.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156192/2/jopr13187_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156192/1/jopr13187.pd

    Differential associations of central and brachial blood pressure with carotid atherosclerosis and microvascular complications in patients with type 2 diabetes

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    BACKGROUND: We examined the relationship between central blood pressure (BP), brachial BP with carotid atherosclerosis and microvascular complications in type 2 diabetes mellitus (T2DM). METHODS: We recruited 201 patients who were evaluated for central BP, brachial BP, carotid ultrasonography, brachial-ankle pulse wave velocity (baPWV), ankle-brachial index (ABI) and microvascular complications. Central BP were calculated using a radial automated tonometric system. RESULTS: Agreement between central BP and brachial BP was very strong (concordance correlation coefficient between central and brachial SBP = 0.889, between central and brachial PP = 0.816). Central pulse pressure (PP) was correlated with mean carotid intima-media thickness (CIMT), baPWV and ABI, whereas brachial PP was borderline significantly correlated with CIMT. The prevalence of nephropathy(DN) and retinopathy(DR) according to the brachial PP tertiles increased, the prevalences of microvascular complications were not different across central PP tertiles. In multivariate analysis, the relative risks (RRs) for the presence of DR were 1.2 and 4.6 for the brachial PP tertiles 2 and 3 when compared with the first tertile. Also, the RRs for the presence of DN were 1.02 and 3 for the brachial PP tertiles 2 and 3 when compared with the first tertile. CONCLUSIONS: Agreement of central BP and brachial BP was very strong. Nonetheless, this study showed that higher brachial PP levels are associated with increased probability for the presence of microvascular complications such as DR/DN. However, there are no associations with central SBP and central PP with microvascular complications. Central BP levels than brachial BP are correlated with surrogate marker of macrovascular complications

    The Choice of Urban Spaces in the COVID-19 Era

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    The spread of infectious diseases is a spatial process, including Coronavirus disease 2019 (COVID-19). Cluster infections of COVID-19 have arisen globally in various urban spaces, implying that tracking the spread necessitates a spatial approach to understanding the dynamics of the disease. In this study, we employ an online survey in the Seoul metropolitan area in South Korea to examine changes in the use of urban spaces and factors that affect individual’s choice in using urban spaces in the COVID-19 era. We classify various urban spaces into three activity types according to the previous studies: spaces for mandatory activities, maintenance activities, and discretionary activities. The results show that every type of urban space is visited less than before the COVID-19 outbreak. Factors involved in the use of spaces for mandatory activities include the preference for offline consumption, gender, and risk perception of COVID-19. In the case of non-mandatory activity spaces, factors that commonly influence the use of the spaces are compliance with social distancing regulations, preference for offline consumption, refraining from outdoor activities, risk perception of COVID-19, and perceived safety in the city concerning COVID-19. The present study is significant as it identified not only different factors affecting the choice of mandatory and non-mandatory activity spaces but also distinctive variables determining the choice of urban spaces for maintenance activity and discretionary activity. From the analysis, this study draws policy implications to effectively prevent and control infectious disease in the context of urban spaces
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