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An Effect of the Self-Regulation Program for Hypertensives -Synthesis & testing of Orem and Bandura's theory- (본태성 고혈압 환자의 자가간호증진을 위한 자기조절 프로그램 효과 -Orem이론과 Bandura이론의 합성과 검증-)

  • Park, Young-Im;Hong, Yeo-Shin
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.109-129
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    • 1994
  • Chronic health problems has become a major concern and challenge to the health care professionals today. Especially hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Self-care is an essential factor that keeps chronic patients in control of their health and wellness. Thus this study was conducted to identify the effect of the comprehensive self-regulation program as a nursing intervention on the promotion self-care performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi-experimental research with pre and post test design was used. The subjects of the study was consisted of thirty persons with mild or moderate essential hypertension from two companies in Cheong-ju city. The whole program was carried out from October, 1993 to February, 1994. The self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The instruments used for data collection in this study were as follows : 1) Instruments used for measuring the knowledge about hypertension, multiple health locus of control, and perceived benifits and barriers were adapted from previous studies and modified by author to be fit for the subjects. 2) Self-efficacy scale and self-care performance record were developed by the author. 3) Physiological parameters included systolic / diastolic blood pressure, body weight, level of blood cholesterol, and 24hour ambulatory blood pressure. The post-experimental Cronbach's Alpha as the reliability test of scales were 0.703-0.897, an appropriate level of confidence. The effect of the program was analyzed by experimental stages ; the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t-test and t-test, repeated measure ANOVA, and pearson's correlation to de termine the effect of program. The results were as follows : 1) After the self-regulation program, scores on knowledge(t=-2.41, p=.011), perceived self-efficacy (F=5.60, p=.001), self-care performance(F=22.31, p=.0001) were significantly higher than those before the program. 2) After the program, both systolic and diastolic blood pressure were significantly lower than those before the program(F=10.89 -13.11, p=.0001). However in 24hour ambulatory blood pressure, systolic mean pressure was nearly significantly lower, but not in diastolic mean pressure. 3) After the program, the body weight was significant decresed(t=5.53, p=.0001), but the blood cholesterol level was not decreased significantly except in those cases with higher cholesterol level. 4) There were significant relationships between changes in self-care performance and diastolic pressure at 1st week (r=.3389, p=.033) and changes in self-care performance and systolic pressure at 9th week(r=.3651, p=.024). 5) There were significant relationship between perceived self-efficacy and self-care performance at 5th week(r=.5313, p=.001) and 9th week (r=.3026, p=.052). 6) After the program, internal health locus of control and perceived benefits did not show significant change, but perceived barriers was significantly lower than those before the program (t=3.57, p=.0001). From the above results, it can be concluded that 1) The self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives and to lower the blood pressure. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings. 2) The synthesis of Orem's self-care theory and Bandura's self-regulation & self-efficacy theory in this study was proved to enhance explanation and prediction of the change of self-care behavior. Thus the result of the study would contribute in development of the self-care theory and an expansion of practice-theory.

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Use of Ergonomic Measures Related to Musculoskeletal Complaints among Construction Workers: A 2-year Follow-up Study

  • Boschman, Julitta S.;Frings-Dresen, Monique H.W.;van der Molen, Henk F.
    • Safety and Health at Work
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    • v.6 no.2
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    • pp.90-96
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    • 2015
  • Background: The physical work demands of construction work can be reduced using ergonomic measures. The aim of this study was to evaluate the use of ergonomic measures related to musculoskeletal disorders (MSDs) among construction workers. Methods: A questionnaire was sent at baseline and 2 years later to 1,130 construction workers. We established (1) the proportion of workers reporting an increase in their use of ergonomic measures, (2) the proportion of workers reporting a decrease in MSDs, (3) the relative risk for an increase in the use of ergonomic measures and a decrease in MSDs, and (4) workers' knowledge and opinions about the use of ergonomic measures. Results: At follow-up, response rate was 63% (713/1,130). The proportion of workers using ergonomic measures for vertical transport increased (34%, 144/419, p < 0.01); for measures regarding horizontal transport and the positioning of materials, no change was reported. The proportion of workers reporting shoulder complaints decreased (28%, 176/638, p = 0.02). A relationship between the use of ergonomic measures and MSDs was not found; 83% (581/704) of the workers indicated having sufficient knowledge about ergonomic measures. Lightening the physical load was reported to be the main reason for using them. Conclusion: Only the use of ergonomic measures for vertical transport increased over a 2-year period. No relationship between the use of ergonomic measures and MSDs was found. Strategies aimed at improving the availability of ergonomic equipment complemented with individualized advice and training in using them might be the required next steps to increase the use of ergonomic measures.

Mask Patterning for Two-Step Metallization Processes of a Solar Cell and Its Impact on Solar Cell Efficiency (태양전지 2 단계 전극형성 공정을 위한 마스크 패턴공정 및 효율에 대한 영향성 연구)

  • Lee, Chang-Joon;Shin, Dong-Youn
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.11
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    • pp.1135-1140
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    • 2012
  • Two-step metallization processes have been proposed to achieve high-efficiency silicon solar cells, where the front-side grids are formed by silver plating after the formation of a nickel seed layer with a mask. Because the conventional mask patterning process is performed by an expensive selective printing method using either UV resist or phase change ink, however, the combination of a simple coating and laser-selective ablation processes is proposed in this study as an alternative means. As a masking material, the solar cell wafer was coated with either inexpensive wax having a low melting temperature or a fluorocarbon solution, and then, an electrode image was patterned by selectively removing the masking material using the laser. It was found that the fluorocarbon coating was not only superior to the wax coating in terms of pattern uniformity but it also increased the efficiency of the solar cell by 0.16%, as confirmed by statistical f and t tests.

Effect of Groundwater Anions and pH on the Sorption Removal of Heavy Metals by Bentonite (벤토나이트의 중금속 흡착제거에 대한 pH와 지하수 음이온의 영향)

  • 정찬호
    • Economic and Environmental Geology
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    • v.33 no.1
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    • pp.31-40
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    • 2000
  • Sorption characteristics of Pb, Cu, Cd, and Zn onto Ca- and Na-bentonites were investigated by the batch experiments in the condition of various pHs and concentrations of groundwater major anions (${So_4}^{2-}$ and ($HCO_3$), which can form a complex with heavy metals. The sorption removal of heavy metals steadily increases as pH increases. The sorption capability about heavy metals of both Ca-bentonite and Na-bentonite is in the order of Pb>Cu>Zn>Cd. The effect of pH and selectivity of heavy metals of bentonites were explained by the change of surface charge of bentonite and the speciation of heavy metals. Na-bentonite has a little higher sorption ability about heavy metals than that of Ca-bentonite. A high sorption removal of Pb in 0.1M sulfate solution may be attributed to the precipitation of $PbSo_4$(anglesite). However, sulfate has a slight effect on the sorption of CU, Cd and Zn. More than 99% of heavy metals were removed from the 0.1 M bicarbonate solution. However, the efficiency of sorption removal of heavy metals highly decreases in the bicarbonate solution of $10^{-2}$M to $10^{-4}$M. The speciation and saturation index calculated by the WATEQ4F program indicate that the sorption of anionic complexes such as ${Pb(CO_3)_2}^{2-}$, ${Cd(CO_3)_2}^{2-}$, ${Zn(CO_3)_2}^{2-}$, ${Cu(CO_3)_2}^{2-}$ and the precipitation of the solid phases such as $PbCO_3$(cerrusite), $ZnCO_3$(smithsonite), $CdCO_3$(obtavite) are involved in sorption removal of heavy metals in bicarbonate solution. The sorption capability about heavy metals of bentonites in the presence of anions shows the following order: Pb>Cu Cd>Zn.

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A Study on Efficiency of Energy Conversion for a Piezoelectric Power Harvesting Using Polyvinylidene Fluorid Film (PVDF 필름을 이용한 효과적인 에너지 하베스팅에 관한 연구)

  • Hur, Won-Young;Lee, Tae-Yong;Lee, Kyung-Chun;Hwang, Hyun-Suk;Song, Joon-Tae
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.24 no.5
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    • pp.422-426
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    • 2011
  • Piezoelectric materials can be used to convert mechanical energy into electrical energy. In this study, we investigated the possibility of harvesting from mechanical vibration force using a high efficient piezoelectric material-polyvinylidene fluoride (PVDF). A piezoelectric energy harvesting system consists of rectifier, filter capacitor, resistance. The experiments were carried out with impacting force to PVDF film with the thickness of 1 ${\mu}m$. The output power was measured with change in the load resistance value from 100 ${\Omega}$ to 2.2 $M{\Omega}$. The highest power was obtained under optimization by selection of suitable resistive load and capacitance. A power of 0.3082 ${\mu}W/mm^2$ was generated at the external vibration force of 5 N (10 Hz) across a 1 $M{\Omega}$ optimal resistor. Also, the maximum power of 0.345 ${\mu}W/mm^2$ was generated at 22 ${\mu}F$ and 1 $M{\Omega}$. The developed system was expected at a solution to overcome the critical problem of making up small size energy harvester.

A Study on the improvement of treatment efficiency in a conventional sewage treatment plant (기존 하수처리장에서의 처리 효율개선에 관한 연구)

  • 안철우;박진식;문추연
    • Journal of environmental and Sanitary engineering
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    • v.15 no.3
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    • pp.50-56
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    • 2000
  • In this study, sewage were treated with operating Two-step Aeration System and conventional activated sludge process together in a condition. At the same HRT 8hr of Two-step Aeration System and Activated Sludge Process, BOD treatment efficiency of 1st sedimentation basin effluent 36.9% by Two-step Aeration system was 12.3% higher than 24.65 by Activated Sludge Process and the COD treatment efficiency 39.8% by two-step Aeration System was 11.6.3% higher than 28.2% by Activated Sludge Process. BOD and COD treatment efficiencies of 2nd sedimentation basin effluent were 88.1% and 85.6% Two-step Aeration System and were 83.8% and 82.3% Activated Sludge Process. In the first treatment, as BOD was relatively removed a lot, F/M ratio 0.17, $0.21{\cdot}BOD/kg{\cdot}MLSS.d$ was maintained by Activated Sludge Process. Therefore it was proved that organic matter treatment efficiency by Two-step Aeration System os Higher than by Activated Sludge Process in a aeration time 8hr. $NH_4^{+}-N$ treatment efficiencies were 55.5% by Two-step Aeration System and 39.75 by Activated sludge Process. $NO_3^{-}-N$ concentration in 2nd. sedimentation basin effluent were 3.33% by Two-step Aeration System and 2.36% by Activated Sludge Process. From this result, Two-step Aeration System was proved more advantageous treatment process for nitrification than Activated Sludge Process. The fluctuation range of BOD, COD and SS concentration in 2nd sedimentation basin effluent $16~33mg/{\ell}$, $15~23mg/{\ell}$ and $14~22mg/{\ell}$ by Two-step Aeration System was smaller than $16~57mg/{\ell}$, $15~25mg/{\ell}$ by Activated sludge Process. Overall the fluctuation range in 2nd sediment basin effluent by was smaller than by Activated Sludge Process. As a result, it is possible for this Two-step Aeration with no facility investment and a little of operation condition change in a conventional sewage treatment plant to get stability and nitrification of treatment water quality.

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An Analysis on the Age Specific Characteristics in Korean Diet (식품수요(食品需要)의 연령계층별(年齡階層別) 특성분석(特性分析))

  • Lee, Jung-Hwan;Cho, Duck-Rae
    • Journal of the Korean Society of Food Culture
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    • v.1 no.3
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    • pp.231-247
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    • 1986
  • Age specific characteristics in Korean diet and their changes were analyzed with the demand model including the number of family members by age group as independent vasiables Urban household budget data, 773 household data in 1977 and 947 household data in 1983, was applied to the demand model. A series of F-test was carried out to set up the age groups by food item. The main results can be summarized as follows; 1. Food consumption patterns are remarkably different between 0-13 years old age generation and over 40 years old generation. The 0-13 years old generation reveals higher preference for milk, wheat product, fruit and milk and lower preference for rice and vegetable than any other age generation. This characteristics of the childhood diet has been formed In the generation born after 1970's and thus will be reserved as their generational characteristics. On the other hand, over 40 years old age group prefers rice and fish to fruit, milk and wheat product. Therefore we can conclude that over 40 years old age group maintains the traditional Korean diet pattern. 2. The preference for fish is low. in 20-30 years old age group than in any other age group and wheat product is Preferred highest in 6-13 years old age group of all age groups. Meanwhile the most remarkable change In food consumption pattern is shown in meats and vegetables. Namely in 30 40 years old age group the preference for meat has increased substantially and that vegetable has decreased to a great extent. 3. The declining per capita consumption of rice spreads like a wave to higher age. groups, but over 40 years old age group bas played an important role in reducing the decreasing rate of rice consumption. In order to restrain the declining rice consumption a special integrated food policy is required to induce rice consumption in less 30 years old generation.

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Quality Characteristics of Sulgidduk Containing Added Red Ginseng Powder (홍삼분말을 첨가한 설기떡의 품질특성)

  • Shin, Seung-Mee;Jung, Jung-Suk;Han, Myung-Ryun;Kim, Ae-Jung;Kim, Young-Ho
    • Korean journal of food and cookery science
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    • v.25 no.5
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    • pp.586-592
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    • 2009
  • Sulgidduk samples containing 2, 4, and 8% red ginseng powder and a control[ED highlight - consider specifying what the control was, if 0%, then change to Sulgidduk samples containing 0(control), 2, 4 and 8%] were examined for moisture content, color, gelatinization properties, textural characteristics, and sensory qualities to determine the optimal ratio of red ginseng powder in the formulation. The moisture contents among the samples did not differ significantly. Specifically, they ranged from 39.64 to 40.69%, and increased as the red ginseng powder content increased. Additionally, the lightness decreased and the yellowness and redness increased as the red ginseng powder content increased. Evaluation of the gelatinization properties revealed that the, peak viscosity(P), hold viscosity(H), final viscosity(F), setback, and time to peak viscosity decreased with increasing red ginseng powder content, but the breakdown and temperature to peak viscosity did not differ significantly among samples[ED highlight - please ensure my changes are correct]. The hardness and adhesiveness decreased with increasing red ginseng powder content, as did the cohesiveness, gumminess, and chewiness; however, the springiness did not differ significantly among samples. Sulgidduk containing 4% red ginseng received the highest scores for flavor, taste, texture and overallquality. Based on the above results of the sensory and texture analyses, Sulgidduk containing 4% red ginseng had the highest quality[ED highlight - please ensure my changes are correct].

A Study on Changes in Biomechanical Characteristics of the Foot with Respect to Wedge-type Insole Thickness (키높이 인솔두께에 따른 족부의 생체역학적 특성변화에 대한 연구)

  • Park, T.H.;Jung, T.G.;Han, D.W.;Lee, Sung-Jae
    • Journal of Biomedical Engineering Research
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    • v.34 no.2
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    • pp.80-90
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    • 2013
  • Recently, functional insoles of wedge-type it is for the young to raise their height inserted between insole and heel cause foot pain and disease. Additionally, these have a problem with stability and excessively load-bearing during gait like high-heel shoes. In this study, we compared the changes in biomechanical characteristics of foot with different insole thickness then we will utilize for the development of the insole with the purpose of relieving the pain and disease. Subjects(male, n = 6) measured COP(center of pressure) and PCP(peak contact pressure) on the treadmill(140cm/s) using F-scan system and different insole thickness(0~50 mm) between sole and plantar surface during gait. Also, we computed changes of stresses at the foot using finite element model with various insole thickness during toe-off phase. COP moved anterior and medial direction and, PCP was increased at medial forefoot surface, $1^{st}$ and $2^{nd}$ metatarsophalangeal, ($9%{\uparrow}$) with thicker insoles and it was show sensitive increment as the insole thickness was increased from 40 mm to 50 mm. Change of the stress at the soft-tissue of plantar surface, $1^{st}$ metatarsal head represents rapid growth($36%{\uparrow}$). Also, lateral moments were increased over the 100% near the $1^{st}$ metatarsal as the insole thickness was increased from 0 mm to 30 mm. And it is show sensitive increment as the insole thickness changed 10 mm to 20 mm. As a result, it was expected that use of excessively thick insoles might cause unwanted foot pain at the forefoot region. Therefore, insole thickness under 30 mm was selected.

Effects of the Case Currents of Mobile Phone on the Antenna Characteristics (휴대폰 몸체 전류 변화를 이용한 안테나 특성 연구)

  • Kim, Jae-Hee;Park, Se-Hyun;Kim, Young-Eil;Park, Wee-Sang
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.18 no.2 s.117
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    • pp.136-142
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    • 2007
  • We present two effects of the case currents of a mobile phone on changing the radiation pattern of a PIFA and on enhancing the bandwidth of the monopole antenna. In order to change the radiation pattern, a modification of the ground plane is suggested to suppress the back radiation. The resulting gain is higher than that of a conventional PIFA by 0.5 dB. For enhancing the bandwidth, two parasitic metallic lines are added in the direction orthogonal to the monopole to induce double resonances. The impedance bandwidth of the proposed structure is 341 MHz, which is nearly twice of that of the conventional monopole.