• Title/Summary/Keyword: 스트레스

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Alterations in Left ventricular End-systolic Wall Stress During Short-term Follow-up After Correction of Isolated Congenital Aortic Stenosis (선천성 대동맥 협착증의 술전 및 술후 단기간의 수축말기 좌심실 내벽 스트레스의 변화)

  • 김시호
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.777-784
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    • 2000
  • Congenital aortic stenosis in children is characterized by "excessive" left ventricular hypertrophy with reduced left ventricular systolic wall stress that allows for supernormal ejection performance. We hypothesized that left ventricular wall stress was decreased immediately after surgical correction of pure congenital aortic stenosis. Also measuring postoperative left ventricular wall stress was a useful noninvasive measurement that allowed direct assessment for oxygen consumption of myocardium than measuring the peak systolic pressure gradient between ascending aorta and left ventricle for the assessment of surgical results. Material and Method: Between September 1993 and August 1999, 8 patients with isolated congenital aortic stenosis who underwent surgical correction at Yonsei cardiovascular center were evaluated. There were 6 male and 2 female patients ranging in age from 2 to 11 years(mean age, 10 years). Combined Hemodynamic-Ultrasonic method was used for studying left ventricular wall stress. We compared the wall stress peak systolic pressure gradient and ejection fraction preoperatively and postoperatively. Result: After surgical correction peak aortic gradient fell from 58.4${\pm}$17.6, to 23.7${\pm}$17.7 mmHg(p=0.018) and left ventricular ejection fraction decreased but it is not statistically significant. In the consideration of some factors that influence left ventricular end-systolic wall stress excluding one patient who underwent reoperation for restenosis of left ventricular outflow tract left ventricular end-systolic pressure and left ventricular end-systolic dimension were fell from 170.6${\pm}$24.3 to 143.7${\pm}$27.1 mmHg and from 1.78${\pm}$0.4 to 1.76${\pm}$0.4 cm respectively and left ventricular posterior wall thickness was increased from 1.10${\pm}$0.2, to 1.27${\pm}$0.3cm but it was not statistically singificant whereas left ventricular end-systolic wall stress fell from 79.2${\pm}$24.9 to 57.1${\pm}$27.6 kdynes/cm2(p=0.018) in 7 patients. For one patient who underwent reoperation peak aortic gradient fell from 83.0 to 59.7 mmHg whereas left ventricular end-systolic wall stress increased from 67.2 to 97.0 kdynes/cm2 The intervals did not change significnatly. Conclusion ; We believe that probably some factors that are related to left ventricular geometry influenced the decreased left ventricular wall stress immediately after surgical correction of isolated congenital aortic stenosis. Left ventricular wall stress is a noninvasive measurement and can allow for more direct assesment than measuring peak aortic gradient particularly in consideration of the stress and oxygen consumption of the myocardium therefore we can conclude it is a useful measurement for postoperative assessment of congenital aortic stenosis.

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Biochemical Responses in Olive Flounder, Paralichthys olivaceus Fed Diet Supplemented with Fermented Aquaculture Sewage (양식장 배출물 발효물의 사료첨가에 따른 넙치, Paralichthys olivaceus의 생화학적 반응)

  • Jee, Jung-Hoon;Moon, Sang-Wook;Kim, Se-Jae;Lee, Young-Don;Keum, Yoo-Hwa;Kang, Ju-Chan
    • Journal of fish pathology
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    • v.18 no.2
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    • pp.187-195
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    • 2005
  • Effluent of aquaculture industry has caused a growing concern regarding its environmental impact. We assessed the use of flounder farming sewage as supplement of diet, to minimize the impact of aquaculture on the environment or also establish the technique for the recycling of effluent sediment derived from land-based seawater fish farm. In order to investigate the effects of a fermented aquaculture waste on biochemical responses of olive flounder (Paralichthys olivaceus), fermented products of aquaculture wastes were used as test compounds that cause hepatic and renal stress through the induction of oxidative stress in liver and kidney. Hepatosomatic index (HSI), glutathione content and glutathione dependent enzyme were not significantly different and no correlation was found within the different types of fermentation condition or supplement concentration, except for significant increases in 50% fermentation group and 50% concentration group in case of glutathione peroxidase activity and HSI value, respectively. These results showed addition of fermented aquaculture sewage may be an economic artificial sources of diet for fish aquaculture practices without affecting the function and safety in view of biochemical examination.

A Study on Families' Coping with the Mentally III (정신장애인 가족의 대처에 관한 연구)

  • Seo, Mi-Kyoung
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.217-239
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    • 1999
  • The main premise of this study is that a successful treatment and rehabilitation of the mentally ill depends on an active. coping of their family members, who are the primary care-takers of the patients, even if families are confronting many difficulties because of caring their patients. Accordingly, this study aims to find out which factors are related to families active coping with the mentally ill. This study is conducted the survey with 191 family members of the mentally ills in order to discover: 1) what kinds of relations do exist between sociodemographic factors of the respondents, care-burden toward the mentally ill, and social supports, and the active coping, and 2) in what extent do these related factors affect on the active coping. The major findings of the study are: 1) gender and educational background of the respondents are positively related to the active coping; 2) regarding care-burden felt by the respondents, there is statistically significant positive relationship between - the respondents' burden due to a lack of social and institutional support and their active coping; 3) considering the relationship with social support, there is highly positive relationship between decision. emotional. material supports and the active coping; 4) using a multiple regression, respondents' sociodemographic background, care-burden, social support affect significantly on the active coping by 26.2% of explanatory power; and 5) using a step-wise multiple regression, the most powerful influenced factors on active coping are emotional support, burden due to a lack of social and institutional support, and educational background of the respondents. In conclusion, this study recommends clinicians to use an educational and support model for the families. All these efforts will contribute to enhance active coping of the families with the mentally ill.

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Reconstruction of the Experience of Single Mothers in Poverty -The Meaning of Self-Sufficiency, Welfare Dependency, and Work- (빈곤 여성 한부모 자활 경험의 재구성 -자활, 복지의존, 일의 의미-)

  • Chong, Hye-Suk
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.251-277
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    • 2015
  • This qualitative study is designed for the reconstruction of the experience of single mothers in poverty based on the bottom-up approach. Welfare dependency is identified as vital help to protect their own and children's lives, through their stories telling that welfare services provided by government and community take care of them "in place of their husbands", and "raise them up by hand." What is self-sufficiency to them is more of a process-orientation through welfare dependency than a state out of it, and a way to look through building their self-esteem and working to discover their self-worth except their economic power. Restoring their potential to self-sufficiency through dealing with their psycho-social stresses and expanding services for them related to child-care(education) and occupation ability development for long-term self-sufficiency, rather than hasty focusing on welfare exit, should be built on the foundation of helping them self-sufficient. In order for the self-sufficiency program to overcome the participant's images of "subordination and stigma" and to convey the original meaning of "welfare to work", the performance and evaluation system of self-sufficiency programs that reflects the insider's perspectives on their participation motive and process, and the self-sufficiency program customized for their needs and interests should be encouraged to develop.

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Physiological and Biochemical Response of Blood on Low Temperature Stress in Sevenband Grouper, Epinephelus septemfasciatus (저수온 스트레스에 따른 능성어 (Epinephelus septemfasciatus) 혈액의 생리생화학적 반응)

  • Park, Jong Youn;Park, Jae Min;Hong, Chang Gi;Kim, Kyong Min;Cho, Jae Kwon
    • Korean Journal of Ichthyology
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    • v.28 no.1
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    • pp.1-8
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    • 2016
  • This study was conducted to investigate the physiological responses of sevenband grouper, Epinephelus septemfasciatus at low temperature condition in winter season. Water temperature was dropped from $12^{\circ}C$ to $5^{\circ}C$ by two different interval (interval I: $-1^{\circ}C/24h$ and interval II: $-1^{\circ}C/8h$). The experimental fishes were exposed for 9 days at each water temperature condition, and were observed survival rate. The blood sample was collected from fishes for analysis of cortisol, glucose, total protein (TP), and electrolytes ($Na^+$, $Cl^-$, $K^+$). Mortality of fish was not observed until $5^{\circ}C$. The mortality (12 individuals) began after 170 h and all fish were death after 174 h in interval I case, whereas the mortality (9 individuals) began after 72 h and all fish were death after 76 h in interval II case. Little different was observed in the physiological responses, but trend was similar between two intervals. The physiological metabolism of plasma cortisol and glucose were increased rapidly, and swimming ability and respiration response was faster at $7^{\circ}C$. This result means that the critical temperature of sevenband grouper was $7^{\circ}C$ at low water temperature condition.

Relationship between Low Back Pain and Health-Related Quality of Life among Some Elderly (노인의 요통과 건강관련 삶의 질과의 관련성)

  • Oh, Kyeong-Ae;Park, Jong;Jeon, Dae-Jung;Han, Mi-Ah;Choi, Seong-Woo
    • Journal of agricultural medicine and community health
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    • v.37 no.3
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    • pp.156-166
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    • 2012
  • Objectives: This study aimed to identify the relationship among health-related quality of life of the Cheon-nam region elderly with low back pain. Methods: Data were obtained from cross-sectional surveys conducted as a part of the Community Health Survey 2008. The final analysis included data from 7,003 of the 7,070 elderly participants (aged over 65 years), as 67 responses were excluded since they were inaccurate. Data were analyzed with SPSS for Windows (ver. 19.0), using a ${\chi}^2$-test, a t-test, an ANOVA, and multiple liner regression. The significance threshold was set as p<0.05. Results: Factors related to the health-related quality of life of the elderly were low back pain, age, education level, occupation, subjective health status, subjective stress, drinking status, number of chronic diseases, and sleep duration. Further, health-related quality of life was significantly lower in elderly adults with low back pain. Conclusions: In order to improve health-related quality of life of the elderly and the development of the program for the management of low back pain will be needed to determine, it is considered necessary to study more to follow through the various analysis of in the elderly and health-related quality of life.

The relationship among mother's adult attachment, psychological well-being and affection parenting in low income class and middle income class (저소득층 어머니의 애정적 양육행동에 미치는 성인애착 영향에서 심리적 안녕감의 매개 효과: 중산층을 비교집단으로 하여)

  • Min, Ha Yeoung
    • Korean Journal of Childcare and Education
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    • v.7 no.3
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    • pp.1-20
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    • 2011
  • This study investigated the relationships among mother's adult attachment, psychological well-being and affection parenting in low-income class and middle income class The subjects were 339 mothers who reared 3-5 old age child in Daegu and Gyoungbuk Province. The collected data were analyzed by t-test, Pearson's correlation, single and hierachical multiple regression, using SPSS Win 15.0. The results were as follows. (1) Adult attachment fully exerted indirect effects on affection parenting mediated by psychological well-being in low income class of mothers. (2) But adult attachment partly exerted indirect effects on affection parenting mediated by psychological well-being in middle income class of mothers.

MESIODENS EXTRACTION OF A PATIENT WITH ROBINOW SYNDROME UNDER GENERAL ANESTHESIA (로비노 증후군(Robinow syndrome) 환자의 전신마취 하 과잉치 발치)

  • Park, Sung-Hee;Shin, Teo-Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Kim, Chong-Chul;Jang, Ki-Taeg
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.1
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    • pp.1-5
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    • 2016
  • Robinow syndrome is skeletal dysplasia with both autosomal dominant and recessive inheritance patterns. It is characterized by short-limbed dwarfism, abnormalities in the head and face, as well as vertebral segmentation. A 2-year-7-month old boy with Robinow syndrome had visited Seoul National University Dental Hospital, for the evaluation of tooth palatal eruption on maxilla. He had micrognathia, delayed tooth eruption, cleft lip with bifid uvula. He also had an erupted mesiodens on the palatal side of maxillary primary incisors, which was tuberculated and 8mm in major diameter. The patient was scheduled for mesiodens extraction under general anesthesia. He was a young child with delayed development, so general anesthesia was inevitable. General anesthesia was induced and maintained with inhalation agent, Sevoflurane. There were no postoperative complications related to anesthesia and dental treatment. Robinow syndrome patients have craniofacial dysmorphism and eruption disorders. Therefore, he requires regular check-ups as well as dental managements.

Suggestion, Design, and Evaluation of a New Modified Double Tee Slabs (새로운 개량 더블티 슬래브의 제안, 설계 및 평가)

  • Yu, Sung-Yong
    • Journal of the Korea Concrete Institute
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    • v.20 no.6
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    • pp.809-820
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    • 2008
  • A new modified full scale double tee slabs with the length of nib plate - 1,500 mm were suggested, designed, and experimentally evaluated up to the loading of flexural failure. This slabs were composed of the tee section which was same to original PCI double tee and the plate section which was modified in a new shape, and the prestressing force was applied at the bottom of tee section only. This specimens were made from the domestic precast factory. The safety and serviceability of the modified nib plate with the dapped ends were evaluated up to the ultimate flexural strength of tee section. As the experimental loading increased, the flexural crackings developed first in the bottom of the slab and they changed to the increased flexural shear and inclined shear crackings in the nib and dapped portion of the double tees. The suggested modified double tee slabs failed in ductile above the design loading with many evenly distributed flexural crackings. The thickness of nib plate - 250 mm does not show any cracking under the service loading and show several minor flexural cracking up to the ultimate state of tee portion. The proposed specimens were satisfied with the strength and ductility requirements in the design code provisions in the tests. Additional experimental tests are required to reduce the depth and tensile reinforcement of nib plate concrete for the practical use of this system effectively.

A Study on Architecture of Test Program based UML (UML 기반 점검 프로그램 설계 방법에 관한 연구)

  • Kim, ByoungYong;Jang, JungSu;Ban, ChangBong;Lee, HyoJong;Yang, SeungYul
    • Journal of the Institute of Electronics and Information Engineers
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    • v.49 no.10
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    • pp.217-230
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    • 2012
  • This paper propose interacting test programming methods between test equipment and hardware unit to verify function and performance of the hardware unit under test. Proposed test program can minimizes the risk of failures when the unit is mounted on the aircraft by testing and verifying the unit under the worst stress condition. Also, Object oriented design using UML make it easy to apply in other equipments. Test program consists of architecture package and hardware package. Architecture package is in a role for system management, log analysis, message receiving and message analysis. Messages that are used by system management define messages for testing and defined messages is sent and received to test equipment through Ethernet. Hardware package is in a role for hardware management that is needed to be tested and is related to a system. Hardware to be tested is divided into internal test and transmission test. Internal test inspects hardware itself and reports the test results to the test equipment. Transmission test inspects communication device by sending or receiving data. All kinds of test is done in the worst condition of the test unit executing in parallel. Each device is tested at least 482 times and at most 15,003 times about one hour. Test program is utilized in hardware reliability test like as environmental test or EMI test.