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Comparison of Sleep Indices between Both Wrist Actigraphies and Nocturnal Polysomnography (양측 손목에 착용한 Actigraphy와 야간수면다원검사 간의 수면지수 비교)

  • Shin, Byung-Hak;Park, Doo-Heum;Lee, Hyun-Kwon;Yu, Jae-Hak;Ryu, Seung-Ho;Ha, Ji-Hyeon;Shin, Hyeon-Sil;Hong, Seok-Chan
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.20-25
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    • 2007
  • The present study compared the actigraphic indices between both wrist actigraphies (WATGs), and the sleep estimates between each WATG and nocturnal polysomnography (NPSG) to assess their differences and consistencies. We studied 22 right-handed subjects (mean age $43.9{\pm}13.3\;years$, M:F=14:8) with untreated primary sleep disorders (primary insomnia=8, simple snorer=2, obstructive sleep apnea=12) undergone by overnight both WATGs and NPSG, simultaneously. Comparison and correlation were analyzed between right and left wrist actigraphic data. In the sleep estimates of both WATGs and NPSG, each WATG was compared and correlated with NPSG in sleep period time (SPT), total sleep time (TST), sleep latency (SL), sleep efficiency (SE) and wake time (WT). Sleep indices between both WATGs showed significant positive correlations with no correlations in SL and fragmentation index (FI). There were no differences in sleep indices between both WATGs. SPTs of both WATGs, SL of left WATG, and TST of right WATG showed positively significant correlations, and SE of right WATG did negatively significant correlation in sleep indices between each WATG and NPSG. As each WATG was compared to PSG, SPTs of both WATGs and WT of right WATG were decreased, and TST and SE of right WATG and SL of left WATG were increased. Inconsistent SL and FI between both WATGs indicate that the activities between both WATGs can differentially happen during wake or arousal. Inconsistent sleep estimates between each WATG and NPSG may indicate the limited usefulness in measuring and analyzing one-night sleep by using WATG.

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Consideration on Shielding Effect Based on Apron Wearing During Low-dose I-131 Administration (저용량 I-131 투여시 Apron 착용여부에 따른 차폐효과에 대한 고찰)

  • Kim, Ilsu;Kim, Hosin;Ryu, Hyeonggi;Kang, Yeongjik;Park, Suyoung;Kim, Seungchan;Lee, Guiwon
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.1
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    • pp.32-36
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    • 2016
  • Purpose In nuclear medicine examination, $^{131}I$ is widely used in nuclear medicine examination such as diagnosis, treatment, and others of thyroid cancer and other diseases. $^{131}I$ conducts examination and treatment through emission of ${\gamma}$ ray and ${\beta}^-$ ray. Since $^{131}I$ (364 keV) contains more energy compared to $^{99m}Tc$ (140 keV) although it displays high integrated rate and enables quick discharge through kidney, the objective of this study lies in comparing the difference in exposure dose of $^{131}I$ before and after wearing apron when handling $^{131}I$ with focus on 3 elements of external exposure protection that are distance, time, and shield in order to reduce the exposure to technicians in comparison with $^{99m}Tc$ during the handling and administration process. When wearing apron (in general, Pb 0.5 mm), $^{99m}Tc$ presents shield of over 90% but shielding effect of $^{131}I$ is relatively low as it is of high energy and there may be even more exposure due to influence of scattered ray (secondary) and bremsstrahlung in case of high dose. However, there is no special report or guideline for low dose (74 MBq) high energy thus quantitative analysis on exposure dose of technicians will be conducted based on apron wearing during the handling of $^{131}I$. Materials and Methods With patients who visited Department of Nuclear Medicine of our hospital for low dose $^{131}I$ administration for thyroid cancer and diagnosis for 7 months from Jun 2014 to Dec 2014 as its subject, total 6 pieces of TLD was attached to interior and exterior of apron placed on thyroid, chest, and testicle from preparation to administration. Then, radiation exposure dose from $^{131}I$ examination to administration was measured. Total procedure time was set as within 5 min per person including 3 min of explanation, 1 min of distribution, and 1 min of administration. In regards to TLD location selection, chest at which exposure dose is generally measured and thyroid and testicle with high sensitivity were selected. For preparation, 74 MBq of $^{131}I$ shall be distributed with the use of $2m{\ell}$ syringe and then it shall be distributed after making it into dose of $2m{\ell}$ though dilution with normal saline. When distributing $^{131}I$ and administering it to the patient, $100m{\ell}$ of water shall be put into a cup, distributed $^{131}I$ shall be diluted, and then oral administration to patients shall be conducted with the distance of 1m from the patient. The process of withdrawing $2m{\ell}$ syringe and cup used for oral administration was conducted while wearing apron and TLD. Apron and TLD were stored at storage room without influence of radiation exposure and the exposure dose was measured with request to Seoul Radiology Services. Results With the result of monthly accumulated exposure dose of TLD worn inside and outside of apron placed on thyroid, chest, and testicle during low dose $^{131}I$ examination during the research period divided by number of people, statistics processing was conducted with Wilcoxon Signed Rank Test using SPSS Version. 12.0K. As a result, it was revealed that there was no significant difference since all of thyroid (p = 0.345), chest (p = 0.686), and testicle (p = 0.715) were presented to be p > 0.05. Also, when converting the change in total exposure dose during research period into percentage, it was revealed to be -23.5%, -8.3%, and 19.0% for thyroid, chest, and testicle respectively. Conclusion As a result of conducting Wilcoxon Signed Rank Test, it was revealed that there is no statistically significant difference (p > 0.05). Also, in case of calculating shielding rate with accumulate exposure dose during 7 months, it was revealed that there is irregular change in exposure dose for inside and outside of apron. Although the degree of change seems to be high when it is expressed in percentage, it cannot be considered a big change since the unit of accumulated exposure dose is in decimal points. Therefore, regardless of wearing apron during high energy low dose $^{131}I$ administration, placing certain distance and terminating the administration as soon as possible would be of great assistance in reducing the exposure dose. Although this study restricted $^{131}I$ administration time to be within 5 min per person and distance for oral administration to be 1m, there was a shortcoming to acquire accurate result as there was insufficient number of N for statistics and it could be processed only through non-parametric method. Also, exposure dose per person during lose dose $^{131}I$ administration was measured with accumulated exposure dose using TLD rather than through direct-reading exposure dose thus more accurate result could be acquired when measurement is conducted using electronic dosimeter and pocket dosimeter.

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Convergence Study of Wearing Head-Mounted Display on Cervical Range of Motion, Neck Muscles Thickness, and Pain (헤드 마운티드 디스플레이 착용이 목 관절가동범위와 목 근육 두께 및 통증에 미치는 융합연구)

  • Oh, So-Hyun;Choung, Sung-Dae;Shim, Jae-Hoon;Yang, No-yul
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.277-285
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    • 2020
  • The purpose of this study was to evaluate the effects of wearing Head-Mounted Display (HMD) on the cervical range of motion (CROM), neck muscle thickness, and pain in healthy young adults. The HMD group(male=16, female=7) was asked to perform sitting comfortably in a backless chair with hands on their knees with the HMD was worn on their heads to watch the video for 30 minutes. The control group(male=15, female=8) was asked to sit in the same posture as the HMD group for 30 minutes. CROM, neck muscle thickness, and pressure pain threshold (PPT) of both the upper trapezius and levator scapulae were measured before and after intervention. CROM and PPT of the upper trapezius and levator scapulae in the HMD group were significantly decreased and the thickness of the muscles in the HMD group were significantly increased more than in the pre-test (p<.05). There was no significant difference in CROM, muscle thickness, and PPT in the control group. Wearing HMD for a long time can cause a decrease in CROM and PPT and an increase in muscle thickness, and there is a risk of developing musculoskeletal disorders in the neck and shoulder. Therefore, this study recommends maintaining the correct posture of the neck and shoulder and using HMD only for an appropriate time.

The Study of tear film stability for normal eyes in adults (성인 정상안의 눈물 안정성에 대한 연구)

  • Oh, Hyun-Jin;Doo, Ha-Young;Sim, Sang-Hyun;Choi, Sun-Mi;Oh, Seung-Jin
    • Journal of Convergence Society for SMB
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    • v.6 no.4
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    • pp.85-91
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    • 2016
  • This study is to research the tear film stability for 48 eyes, agreed the purpose of study, didn't have no contact lens wearing and were tested all two times in a day. Their visual acuity was more than 0.8, corrective visual acuity more than 0.8, the fattest K-reading, apical corneal radius, was in 7.40~8.40mm, corneal astigment was less than 1.00D and orthophoria. The tests, tear scope test, tear film break up time test(TBUT) and schirmer test order, were performed their functions before and after their working at interval of 6 hours over. The tearscope test results was no difference, TBUT was no difference, although 1.2 seconds more in the afternoon, shcirmer test was decreased 2.0mm in the afternoon.

Effects of Aromatherapy on Stress and Mood of Junior Nursing Students during Clinical Practice (아로마 요법이 임상실습 중 간호대학생의 스트레스와 기분에 미치는 영향)

  • Park, Soohyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.71-79
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    • 2018
  • The purposes of this study were to identify the stress level of nursing students prior to clinical training and to examine the effects of aromatherapy on stress, stress perception, and mood during clinical practice. This study was a randomized control trial using a pre-post test conducted from May-July 2016. A total of 41 junior nursing students were recruited. The experimental group (n=22) underwent aroma inhalation using a necklace containing lavender essential oil and a control group (n=19) used a normal saline necklace. There were significant improvements in stress (p=.023) and mood levels in the experimental group (p=.006). The difference in stress perception between the experimental and control groups was not statistically significant (p=.382). Aroma therapy might be useful for decreasing stress and improving their positive mood during clinical practice for nursing students.

A Convergence Study of Insole Inserted Indoor Sandal Effectiveness in School Aged Flexible Flat-foot Patients (학령기 유연성 편평족 환아에서 치료용 깔창이 삽입된 실내화의 효과에 관한 융합 연구)

  • Lee, Jun Young;Moon, Jeong Eun;Cho, Yong Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.199-207
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    • 2019
  • This study was a convergence study of pre- and post-treatment clinical outcomes and radiologic results of school aged flexible flat foot using insole inserted indoor sandal. Thirty five subjects were asked to wear insole inserted indoor sandals at least five times a week and at least four hours a day. Before and after the $4^{th}$ and $8^{th}$ week of the treatment, foot radiography and FAOS questionnaire were performed. Statistical analysis was performed using repeated measure ANOVA. The clinical results showed statistically significant improvement in FAOS symptom and pain category. Radiological results showed a tendency of improvement in the Anterioposterior Talo-$1^{st}$ Metatarsal angle, the Lateral Talo-$1^{st}$ Metatarsal angle, and the Talo-Horizontal angle, but no statistical significance was found. In this study, the use of insole inserted indoor sandal during the majority of the indoor life in school aged flexible flat foot patients is effective in alleviating symptoms and pain relief in the short term.

Shielding Effect of Radiation Protector for Interventional Procedure (중재적 방사선 분야 방호용구 차폐효과)

  • Ko, Shin-Kwan;Kang, Byung-Sam;Lim, Chung-Hwang
    • Journal of radiological science and technology
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    • v.30 no.3
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    • pp.213-219
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    • 2007
  • The purpose of this study is to evaluate shielding effect of radiation protector for interventional radiologists in procedures by measuring inside and outside of radiation protector. In this study, we measured the radiation dose of 4 interventional radiologists during TACE and PTBD procedure for 4 month(2005.05-2005.09). Absorbed dose were measured by TLD placed underneath and over radiation protector such as Goggle, Thyroid protector, Apron and placed on the 4th finger of Hand. In addition, we measured background radiation dose in the control room using TLD. During TACE procedure, using 0.07 mmPb Goggle decreased average 53.8% of radiation dose rate in continuous fluoroscopic mode and decreased average 77.6% of radiation dose rate in pulse fluoroscopic mode. Using 0.5 mmPb Thyroid protector decreased average 88.9% of radiation dose rate in continuous fluoroscopic mode and decreased average 92.8% in pulse fluoroscopic mode. During PTBD procedure, using 0.07 mmPb Goggle decreased radiation dose rate average 62.7%, 87.9% by 0.5 mmPb Thyroid protector, 90.5% by 0.5 mmPb Apron. The average fluoroscopic time of PTBD was 6.14 min. shorter than TACE procedure, but radiation exposure dose rate of PTBD was 3 times higher in total body dose, and 40 times higher in hand dose rate than TACE. Interventional radiologists must wear thicker protector recommended over 0.5 mmPb. Also, they must use lead Goggle during interventional procedure. Abdomen dose decreased average 38.4% by drawing a lead curtain under the patient's table, therefore, they must draw a lead curtain to shield scattering ray. Radiation exposure dose decreased average 59.0% by using pulse fluoroscopic mode. So radiologists would better use pulse fluoroscopic mode than continuous fluoroscopic mode to decrease exposure dose.

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The Effect of Abdominal Breathing Exercise on Weight and Body Fat, BMI, Waist Hip Ratio in Obese College Student (복식호흡 운동이 비만 대학생의 체중, 체지방률, BMI, 복부 비만률에 미치는 영향)

  • Kwak, Yi-Sub;Kim, Young-Il
    • Journal of Life Science
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    • v.20 no.12
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    • pp.1867-1871
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    • 2010
  • The purpose of this study was to investigate the effects of 12 weeks of abdominal breathing exercises, through AB spur, on weight and BMI, % body fat, and waist-hip ratio in healthy college students. The subjects consisted of 20 obese young college students, and all of whom had no other health complications. The subjects were shown in detail the proper way to utilize the equipment and practice abdominal breathing in a laboratory setting. They were told to wear the AB spur for at least six hours a day in order to induce abdominal breathing exercise. Because the subjects were students, most of the abdominal breathing exercises took place while they were sitting in lectures at school, and they wore the equipment for 12 weeks. At 4, 8, and 12 weeks after the subjects started using the AB spur, there were significant decreases in weight, % body fat, BMI, and waist-hip ratio (p<0.05). In conclusion, the results of the stud suggest that abdominal breathing exercise may be a good weight loss method, as well as a beneficial way to decrease obesity factors, in obese college students.

A Study on the Wearing Satisfaction of Men's Upper Body Correction Underwear

  • Han, Hyun-Sook
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.8
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    • pp.161-168
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    • 2022
  • In this study, a survey on the wearing satisfaction of commercial men's upper body correction underwear was conducted targeting mildly obese men in their twenties, and it was intended to suggest improvement points for the correction underwear. The product used for the study was Adapt's 95 PROBLEM, and 15 subjects were selected as males in their 20s with a BMI of 25-30 (mild obesity). As a result, men's awareness and interest in corrective underwear were low. In the wearing satisfaction survey, 74% of those who answered negatively that it was uncomfortable to wear and take off. In terms of pressure relief, 60% of those who felt the pressure was strong at the beginning, but as time passed, they got used to it and answered that there was no major inconvenience. However, with regard to digestion after a meal, 40% of the subjects felt that the pressure interfered with digestion. There were many deficiencies in terms of functionality, with more than half of those who responded negatively with regard to stuffiness and heat, and many negative opinions regarding sweat absorption and discharge. In the visual section, positive reaction was shown in chest, side waist and front waist correction, and among them, the front waist had the highest score. In conclusion, it seems that functional parts related to heat and sweat must be improved in consideration of the stuffiness and indigestion brought about by excessive pressure for men's upper body correction underwear.

TLD dose variation of Magnetic Resonance Imaging Equipment (자기공명영상장비에서 열형광선량계의 선량 변화)

  • Je, Jaeyong;Kang, Eunbo
    • Journal of the Korean Society of Radiology
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    • v.6 no.6
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    • pp.473-476
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    • 2012
  • The PET-MRI which has been installed and being managed recently uses both magnetic field and radiation. Most radiation workers wear a thermoluminescenct dosimeter (TLD) as a personal radiation dosimeter, and the TLD is affected both by a magnetic field and radiation. In this research, the same amount of X-ray was applied to 36 TLDs, and the changes in the dose of the 32 TLDs exposed to magnetic field at the location where its intensity of the magnetic resonance imaging (MRI) was about 5000 Gauss for eight hours with one-hour unit and that of the four TLDs not exposed to magnetic field were compared and checked. The measurement result showed that exposure dose of the TLD attached to the MRI changed irregularly depending on the amount of exposure time. Therefore, the TLD whose amount of changes little in the environment of a MRI is demanded to be developed.