• Title/Summary/Keyword: 4D Experience

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Does the Layman Understand "the Whistling Sounds when Breathing out" as Real Wheezing? (일반인들은 숨쉴 때 "쌕쌕하는 소리"를 천명음으로 이해하는가?)

  • Jang, Seung-Hun;Jung, Seung-Hyun;Eom, Kwang-Seok;Shin, Taerim;Kim, Chul-Hong;Bahn, Joon-Woo;Kim, Dong-Gyu;Park, Myung-Jae;Hyun, In-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.4
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    • pp.378-385
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    • 2003
  • Background : Wheezing is an important clue in the diagnosis of asthma. Previously, a Korean National asthma survey used a written questionnaire, containing the question, "Have you ever experienced a breathing sound-like 'sack-sack' or a flute sound (the Korean description for wheezing) during the last 12 months?" The response to this question showed a large discrepancy between the prevalence of wheezing and physician diagnosed asthma. This might have resulted partly from a misunderstanding of the question, due to an inadequate description for wheezing. This study was aimed at finding how well the layman understands the term "wheezing" when described as a breathing sound-like 'sack-sack', a whistle or a flute. Subjects and method : Sixty subjects, without experience of wheezing(group I), and 45 subjects, with chronic cough alleging wheezing(group II), were recruited from the Hallym University's Sacred Heart Hospital, in Anyang, Korea. Four different breathing sounds; vesicular, wheezing, tracheobronchial and crackle, were played for the subjects, without any experience with wheezing, and they were asked "which sound is most like that you would imagine when asked about a breathing sound-like 'sack-sack', a whistle or a flute?" This was followed by replaying the true wheezing sound, and then a global assessment was requested for the concordance between the real wheezing sound and the imagined wheezing sound. The wheezing sound was played for those subjects alleging wheezing, and they were asked, "have you really experienced that sound". Results : Only 46.7% of group I answered correctly, with 13.3% choosing the vesicular sound, 16.7% the tracheobronchial sound, 5.0% the crackle and 18.3% failed to answer. The concordance between their imagined wheezing and the real sound was $69.3{\pm}22.4%(mean{\pm}S.D.)$. 77.8% of group II recognized the correct sound as the one they had experienced. Conclusions : Language is not sufficient to the layman for describing natural sounds, such as wheezing.

The Effect on the Lower Limbs Joint as the Landing Height and Floor Pattern (착지 높이와 지면 형태가 하지 관절에 미치는 영향)

  • Kim, Eun-Kyong
    • Korean Journal of Applied Biomechanics
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    • v.21 no.4
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    • pp.437-447
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    • 2011
  • In this study, the lower limbs joints were analyzed for features based on the biomechanical characteristics of landing techniques according to height and landing on the ground type (flats and downhill). In order to achieve the objectives of the study, changes were analyzed in detail contents such as the height and form of the first landing on the ground at different angles of joints, torso and legs, torso and legs of the difference in the range of angular motion of the joint, the maximum angular difference between joints, the lower limbs joints difference between the maximum moment and the difference between COM changes. The subjects in this study do not last six months did not experience joint injuries 10 males in 20 aged were tested. Experimental tools to analyze were the recording and video equipment. Samsung's SCH-650A model camera was used six units, and the 2 GRF-based AMTI were used BP400800 model. 6-unit-camera synchronized with LED (photo cell) and Line Lock system were used. the output from the camera and the ground reaction force based on the data to synchronize A/D Syc. box was used. To calculate the coordinates of three-dimensional space, $1m{\times}3m{\times}2m$ (X, Y, Z axis) to the size of the control points attached to the framework of 36 markers were used, and 29 where the body was taken by attaching a marker to the surface. Two kinds of land condition, 40cm and 60cm in height, and ground conditions in the form of two kinds of flat and downhill slopes ($10^{\circ}$) of the landing operation was performed and each subject's 3 mean two-way RM ANOVA in SPSS 18.0 was used and this time, all the significant level was set at a=.05. Consequently, analyzing the landing technique as land form and land on the ground, the changes of external environmental factors, and the lower limbs joints' function in the evaluation were significantly different from the slopes. Landing of the slop plane were more load on the joints than landing of plane. Especially, knee extensor moment compared to the two kinds of landing, slopes plane were approximately two times higher than flat plane, and it was statistical significance. Most of all not so much range of motion and angular velocity of the shock to reduce stress was important. In the further research, front landing as well as various direction of motion of kinetic, kinetic factors and EMG variables on lower limbs joints of the study in terms of injury-prevention-approach is going to be needed.

Tritium Fuel Cycle of the International Thermonuclear Experimental Reactor (국제핵융합실험로 삼중수소 연료주기)

  • Song, Kyu-Min;Sohn, Soon Hwan;Chung, Hongsuk;Yun, Sei-Hun;Jung, Ki Jung
    • Korean Chemical Engineering Research
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    • v.50 no.4
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    • pp.595-603
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    • 2012
  • International Thermonuclear Experimental Reactor (ITER) will be constructed in 2019 according to the JIA (Joint Implementation Agreement) of 7 countries. The ITER fusion fuel cycle consists of fusion vacuum vessel, tritium plant and fuelling system. The tritium plant provides the functions of storage, delivery, separation, removal and recovery of the deuterium and tritium used as fusion fuels for the ITER. The tritium plant systems supply deuterium and tritium from external sources and treat all tritiated fluids from ITER operation through Storage and Delivery System (SDS), Tokamak Exhaust Processing (TEP), Isotope Separation System (ISS), Water Detritiation System & Atmosphere Detritiation System (WDS & ADS) and Analysis System (ANS). In this paper, the functions and design requirements of the major systems in the tritium plant and the status of R&D are described. Korean party is developing the SDS for ITER tritium plant and partially attaining the WDS technology through the construction and operation experience of the Wolsong Tritium Removal Facility (WTRF). Now it is expected that researchers in other fields such as chemical engineering take part in the development of upcoming technologies for ISS and TEP.

Analysis of Convergent Factors Related to Depression among Some College Women of Health Affiliated Educations (보건계열학과 일부 여대생들의 우울과 관련된 융복합적 요인 분석)

  • Kim, Seung-Hee;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.367-376
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    • 2015
  • This study is executed to investigate convergent factors related to depression among some college women of health affiliated educations. It surveyed 419 college women in Honam area during the period from March 9th to April 30th, 2015. The structured self-administered questionary was delivered and they were collected without respondents' personal information. The results of multiple regression analysis show the followings. The depression level of respondents turned out to be significantly higher in following groups: a group that experienced school bullying or violence, a group in which sleeping time is improper, a group in which subjective health status is bad, a group in which subjective happiness is lower, a group in which type A behavior pattern is higher, a group in which job seeking stress is higher, a group in which self esteem is lower, a group in which hopelessness is higher. Their explanatory power was 42.8%. The results indicate that the efforts to prevent bullying and violence experience, to get the proper amount of sleep, to be healthy, to increase subjective happiness and self esteem, to decrease type A behavior pattern, job seeking stress and hopelessness, are required to reduce the depression level of the college women of health affiliated educations.

The Effect of Controlled Respiration on the Impedance Cardiography and the Second Derivative of PhotoPlethysmography (호흡 제어에 따른 임피던스 심장도와 지첨용적맥파에 관한 연구)

  • Ko, Young-Il;Park, Young-Bae;Park, Young-Jae;Lee, Hyon-Soo
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.1
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    • pp.82-104
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    • 2007
  • Purpose: We performed this study to examine the effect of controlled respiration on cardiovascular system in healthy adult subjects using impedance cardiography and photoplethysmography. Materials and Methods: This study had performed on 74 subjects, which were healthy men and women without a experience of respiration practice. Using the instruments for impedance cardiography and photoplethysmography, parameters of each subject had been measured after each controlled respirations which were natural respiration, controlled natural respiration (I:E=1.1.6), longer inspiration(I:E=3:3), and longer expiration(I:E=2:4). The measured parameters of impedance cardiography and photoplethysmography were processed statistically by one-way repeated ANOVA. Results: 1. HR and CI of impedance cardiography were decreased significantly during controlled respiration comparing with the result of basal state(the state of enough break). There was no significant difference among the results of controlled respiration. 2. PEP of impedance cardiography had no significant difference among the result of basal state and the results of controlled respiration(p=0.059). 3. VI of impedance cardiography had significant differences among the result of basal state and the results of controlled respiration, and decreased continuously through the controlled respiration. 4. b/a of photoplethysmography had no significant difference among the result of basal state and the results of controlled respiration(p=0.554). 5. c/a of photoplethysmography were decreased significantly during controlled respiration comparing with the result of basal state. There was no significant difference among the results of controlled respiration. 6. d/a of photoplethysmography had significant differences among the results of the controlled respiration decreasing continuously through the controlled respiration and had no significant difference between the result of basal state and the result of natural respiration. 7. AGI of photoplethysmography had significant differences among the result of basal state and the results of the controlled respiration increasing continuously through the controlled respiration. Conclusion: We had examined the effects of controlled respirations on cardiovascular system in multiple points of view. The effects of controlled respirations on cardiovascular system can't be explained in a simple way, as the cardiovascular system is controlled by many factors. Therefore, more physiological parameters must be measured in the future study on the effect of the controlled respiration on human cardiovascular system.

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How Socio-economic Factors, Relationships, Daily Life, and Future Orientation Affect Happiness for College Students (대학생의 행복에 영향을 미치는 사회경제적 요인, 관계, 일상생활, 미래지향성에 관한 연구)

  • Jung, Jeaah;Lee, Song Yi;Shim, Tae Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.237-249
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    • 2017
  • This research aims to gain a better understanding of college students' thoughts on what factors make them happy and contribute to enhancing their happiness. We focused on the relationship between their self-assessed happiness and various factors affecting happiness, such as their socio-economic status, relationships with others, future orientation, and daily activities. Survey data were collected from October, 2014 to December, 2014 at a South Korean University. The final total number of respondents was 474 from 500 distributed questionnaires, after excluding 26 responses with missing values and unanswered items. The response was comprised of 247 male students, and 227 female students, and of 268 freshmen, 145 sophomores, 35 juniors, and 26 senior students. Factors that were statistically significant were gender, year, average cost of leisure, appearance satisfaction, conversation hour with parents, having girlfriend/boyfriend, sexual experience, number of friends, satisfaction with major, Grade Point Average (GPA), studying hours, time for self-improvement, reading hours, use of smart phone hours, number of daily meals, exercise hour, schedule management and future goal setting. This research was conducted utilizing only data from one university and so it may not be appropriate to generalize the results. Moreover, some of the variables are not in line with previous studies on happiness. Some other mediating variables may exist. Therefore, following research should be conducted.

Repeated Reading Experience of Senior High School Girl: Centered on Jeonju Girls' High School Freshmen (여고생들의 반복독서 경험에 관한 연구 - 전주여고 1학년 학생들을 중심으로 -)

  • Lee, Seung-Chae
    • Journal of Korean Library and Information Science Society
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    • v.39 no.2
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    • pp.313-332
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    • 2008
  • The goal of this study is to examine what sort of books girl's high school students read repeatedly, what are the different preferences between high school and university students. how much the repeatedly-read books are related to the most memorable books and how the repeatedly-read books are connected to reading habits. A questionnaire was provided to Jeonju Girls' High School Freshmen and their repeated reading experiences were searched. The results of the statistical analysis are summarized: 1) Most girls' high school students have experienced repeated reading more than twice. 2) The number of girls' high school students who have experienced repeated reading twice is the highest and next. those who have read repeatedly 3 times. Also, the number of times of repeated reading tends to be similar between woman high school and College students. 3) The books which many students read repeatedly more than twice are : a) Little Prince b) The Myth of Greece and Rome c) Chinese nine spine stickle back d) Meu Pe de Larania Lima e) Giving Tree f) Harry Potter. 4) About half of the students have read the most memorable books many times. 5) The importance of books was evaluated on the basis of the number of repeated readers and the number of readings. The order of the important books is Little Prince, The Myth of Greece and Rome, Harry Potter, Giving Tree, Meu Pe de Larania Lima, Chinese Nine Spine Stickle Back.

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Head and neck extra nodal NHL (HNENL) - Treatment Outcome and Pattern of failure - A Single Institution Experience

  • Giridhar, Prashanth;Mallick, Supriya;Bhasker, Suman;Pathy, Sushmita;Mohanti, Bidhu Kalyan;Biswas, Ahitagni;Sharma, Atul
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6267-6272
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    • 2015
  • Background: Extra nodal lymphoma (ENL) constitutes about 33 % of all non-Hodgkin's lymphoma. 18-28% develops in the head and neck region. A multimodality treatment with multi-agent chemotherapy (CT) and radiotherapy (RT) is considered optimum. Materials and Methods: We retrieved the treatment charts of patients of HNENL treated in our institute from 2001-2012. The charts were reviewed and the demographic, treatment details and outcome of HNENL patients were retrieved using predesigned pro-forma. Results: We retrieved data of 75consecutive patients HNENL. Median age was 47years (Range: 8-76 years). Of the 75 patients 51 were male and 24 were female. 55patients were evaluable. The patient and tumor characteristics are summarized in Table 1. All patients were staged comprehensively with contrast enhanced computed tomography of head, neck, thorax, abdomen, pelvis and bone marrow aspiration and biopsy 66 patients received a combination multi-agent CT with CHOP being the commonest regimen. 42 patients received 4 or lesser number of cycles of chemotherapy whereas 24received more than 4 cycles chemotherapy. Post radiotherapy, 41 out of 42 patients had a complete response at 3 months. Only 21patients had a complete response after chemotherapy. All patients received radiation (mostly involved field radiation) as a part of the treatment. The median radiation dose was 45 Gray (Range: 36 Gray-50 Gray). The radiation was planned by 2D fluoro simulation based technique in 37cases and by 3 Dimensional conformal radiation therapy (3DCRT) in 36 cases. Two patients were planned by the intensity modulated radiation therapy (IMRT) technique. IMRT was planned for one thyroid and one nasal cavity primary. 5 patients experienced relapse after a median follow up of 19 months. The median survival was not reached. The estimated two and three year survival were 92.9% (95%CI- 68.6- 95.35) and 88% (95%CI- 60.82 - 92.66) respectively. Univariate analysis revealed higher stage and poorer baseline performance status to be significantly associated with worse progression free survival. 5 patients progressed (relapse or primary disease progression) after treatment. Of the 5 patients, two patients were primary orbital NHL, two patients had NHL nasal cavity and one was NHL thyroid. Conclusions: Combined modality treatment in HNENL confers excellent disease control with acceptable side effects.

A Study on the Health Care Management of Industries in Seoul (서울지역 산업장의 보건관리)

  • Jung, Yeun-Gang;Park, Shin-Ae;Lee, Na-Mi;Yoon, Soon-Young;Kim, Young-Im;Wang, Myoung-Ja;Lee, Soon-Nam;Kim, En-Hee;Ko, Young-Ae
    • Research in Community and Public Health Nursing
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    • v.4 no.1
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    • pp.5-13
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    • 1993
  • The objective of this study was to analyze the status of health examination, and the health care management of industries in Seoul. This will provide effective industrial health care services. 46 industries were selected as a sample, and were given self administered questionnaire developed by the academic affairs of community health nursing. The results of this study are as follows: (1) The general characteristics of industries: The greater part of the industries were manu facturing companies, 300-900 workers, in a one shift system. (2) The general characteristics of health man ager: 96% of the companies had industrial nurses and the larger industries had comprehensive health managers. 90% of the industrial nurses were full-time employees and 77% of the industrial physician were part time employees. 80% of the industrial physician were age 50 or older, while 59% of the industrial nurses were 25-29 years of age. (3) Health examination and follow up care: The proportions of the workers who took general health examination was 94%. Of those, 12% took secondary examinations. In secondary examinations, 36% were evaluated at the C-grade, 20% were evaluated at the D-grade. The proportion of the workers who were required to take special examination were 29% and of that, the proportion of the workers who actually took the examination was 88%. 85% of the workers who were recommended for follow up cares were given follow up care while working. The physical agents among the special examination were done the most frequently to detect the examination effects. (4) Health care services: Industrial nurses performed health examination most frequently and health education was done the least. There were significant differences in health care services according to the size of the industries. Companies with 300 workers or less had higher health care services than other groups. The three primary reasons of health care management and examinations of workers are: First, industrial nurses are requires to accumulate professional knowledge and experience through continuos' activities. Second, systematic and concert examination for industrial workers should be performed periodically. Third, it needs developing health education strategies that are important workers for health promotion in industries.

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A case study on the effect of communication training program on nurse's communication ability, emotional intelligence (EQ), self - esteem and interpersonal ability (의사소통 훈련 프로그램이 간호사의 의사소통능력, 감성지능(EQ), 자존감 및 대인관계능력에 미치는 효과에 대한 사례연구)

  • Yoo, Mi-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.280-290
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    • 2018
  • This study was a non-equivalence-based Quasi experimental study comparing the difference in communication ability, emotional intelligence (EQ), self-esteem, and interpersonal abilities between an experimental group with communication training and a non-control group. The subjects of the study were nurses working for D university hospital located in C city and comprised an experimental group of 21 people and a control group of 21 people. From April to May 2017, the experimental group took communication training programs, which were designed to improve communication capacity, emotional intelligence, self-esteem, and interpersonal ability for a total of four sessions (for 2 hours a week), and pre-post examination was conducted for the validity of the study. For data analysis, the SPSS for Windows 23 was used for the mean and standard deviation of pre-post tests, and U-test of the independent sample Mann-Whitney and the Wilcoxon code order test of the corresponding sample were carried out. The study results indicate that, compared with the control group, the experimental group showed communication capacity (Z=-3.361, p<.05), emotional intelligence (Z=-2.209, p<.05), self-esteem (Z=-1.633, p<.05), and interpersonal relationship (Z=-2.577, p<.05). After the communication training program, scores of communication capacity, emotional intelligence (EQ), self-esteem, and interpersonal competence of the experimental group increased significantly, and all hypotheses were supported. These results suggest that nurses' use of communication training experience in performing nursing work in a clinical setting would improve communication skills, emotional intelligence (EQ), self-esteem, and interpersonal skills and provide therapeutic communication and effective nursing, thereby enhancing patients' satisfaction and contributing to the improvement of nursing quality.