• Title/Summary/Keyword: Adverse conditions

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Frailty assessed by the electronic frailty index and its impact on health outcomes in older adults with chronic diseases: a systematic review (전자허약지수(electronic frailty index)를 활용한 만성질환 노인의 허약평가와 건강결과 간의 관계: 체계적 고찰)

  • Jung-Wook Shin;Min-Young Yu;Youn-Jung Son
    • Journal of Korean Biological Nursing Science
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    • v.25 no.4
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    • pp.229-242
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    • 2023
  • Purpose: The electronic frailty index (eFI), which is derived from electronic health records, has been recommended as screening tool for frailty due to its accessibility and ease of use. The objective of this systematic review was to identify the prevalence of frailty assessed by the eFI and its influence on health outcomes in older adults with chronic diseases. Methods: We searched PubMed, Embase, Web of Science, CINAHL, SCOPUS, Cochrane, Google search, and nursing journals in Korean from January 2016 to December 2022. Results: Twelve studies were analyzed. The eFI score, based on routine clinical data, was associated with adverse health outcomes. The most frequent outcome studied was mortality, and the eFI was associated with increased mortality in nine studies. Other outcomes studied included hospitalization, length of stay, readmission, and institutionalization in relation to hospital care usage, and cardiovascular events, stroke, GI bleeding, falls, and instrumental activities of daily life as health conditions. Conclusion: Early identification of frailty in older adults with chronic diseases can decrease the burden of disease and adverse health outcomes. The eFI has a good discriminative capacity to identify frail older adults with chronic diseases.

Effects of Waves and Free-Surface Boundary Conditions on the Flow A Surface-Piercing Flat Plate (수면 관통 평판주위 유동에 미치는 파의 영향 및 자유표면 경계조건에 대한 연구)

  • Choi, Jung-Eun;Stern, F.
    • Journal of the Society of Naval Architects of Korea
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    • v.34 no.1
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    • pp.41-49
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    • 1997
  • Computational results from Navier-Stokes equations are presented for the Stokes-wave/flat-plate boundary-layer and wake for small wave steepness(Ak=0.01), including exact and approximate treatments of the viscous free-surface boundary conditions. The macro-scale flow indicate that the variations of the external-flow pressure gradients cause acceleration or deceleration of the streamwise velocity component and alternating direction of the cross flow. Remarkably, the wake displays a greater response, i.e., a bias with regard to favorable as compared to adverse pressure gradients. The micro-scale flow indicates that the free-surface boundary conditions have a profound influence over the boundary layer and near/intermediate wake. Order-of-magnitude estimates are conformed to the computational results. And appreciable errors are introduced through approximations to the free-surface boundary conditions.

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An overview of several techniques employed to overcome squeezing in mechanized tunnels; A case study

  • Eftekhari, Abbas;Aalianvari, Ali
    • Geomechanics and Engineering
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    • v.18 no.2
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    • pp.215-224
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    • 2019
  • Excavation of long tunnels by shielded TBMs is a safe, fast, and efficient method of tunneling that mitigates many risks related to ground conditions. However, long-distance tunneling in great depth through adverse geological conditions brings about limitations in the application of TBMs. Among various harsh geological conditions, squeezing ground as a consequence of tunnel wall and face convergence could lead to cluttered blocking, shield jamming and in some cases failure in the support system. These issues or a combination of them could seriously hinder the performance of TBMs. The technique of excavation has a strong influence on the tunnel response when it is excavated under squeezing conditions. The Golab water conveyance tunnel was excavated by a double-shield TBM. This tunnel passes mainly through metamorphic weak rocks with up to 650 m overburden. These metamorphic rocks (Shales, Slates, Phyllites and Schists) together with some fault zones are incapable of sustaining high tangential stresses. Prediction of the convergence, estimation of the creeping effects and presenting strategies to overcome the squeezing ground are regarded as challenging tasks for the tunneling engineer. In this paper, the squeezing potential of the rock mass is investigated in specific regions by dint of numerical and analytical methods. Subsequently, several operational solutions which were conducted to counteract the challenges are explained in detail.

Equivalent static wind loads analysis of tall television towers considering terrain factors of hilltops based on force measurement experiment

  • Ke, Shitang;Wang, Hao;Ge, Yaojun;Zhao, Lin;Cao, Shuyang
    • Structural Engineering and Mechanics
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    • v.63 no.4
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    • pp.509-519
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    • 2017
  • Wind field in mountainous regions demonstrates unique distribution characteristic as compared with the wind field of the flat area, wind load and wind effect are the key considerations in structural design of television towers situated in mountainous regions. The television tower to be constructed is located at the top of Xiushan Mountain in Nanjing, China. In order to investigate the impact of terrain factors of hilltops on wind loads, firstly a wind tunnel test was performed for the mountainous area within 800m from the television tower. Then the tower basal forces such as bending moments and shear strength were obtained based on high frequency force balance (HFFB) test. Based on the experiments, the improved method for determining the load combinations was applied to extract the response distribution patterns of foundation internal force and peak acceleration of the tower top, then the equivalent static wind loads were computed under different wind angles, load conditions and equivalent goals. The impact of terrain factors, damping ratio and equivalent goals on the wind load distribution of a television tower was discussed. Finally the equivalent static wind loads of the television tower under the 5 most adverse wind angles and 5 most adverse load conditions were computed. The experimental method, computations and research findings provide important references for the anti-wind design of high-rise structure built on hilltops.

Responses of nutrient uptake, carbohydrates and antioxidants against low temperature in plants (저온에 대한 식물의 양분흡수, 탄수화물 및 항산화 반응 특성)

  • Lee, Suyeon;Jung, Jungah;Sung, Jwakyung;Ha, Sangkeun;Lee, Deogbae;Kim, Taewan;Song, Beomheon
    • Korean Journal of Agricultural Science
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    • v.41 no.2
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    • pp.75-83
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    • 2014
  • Recently, a quick drop of air temperature in plastic film houses by adverse weather conditions leads to the occurrence of low temperature damages to growing crops. Chilling injury, defined as a variety of growth restriction occurring below the optimal temperature, is one of environmental factors strongly affecting crop growth and yield. Low temperature causes the restricted evapotranspiration, reduced mineral uptake (P > K > $NO_3{^-}$), and an increase in electrolyte leakage such as K. Despite being different with plant species, an accumulation of soluble carbohydrates such as glucose, fructose, sucrose and starch under chilling condition is well known. A variety of environmental stresses are known to cause oxidative damage to plants either directly or indirectly by triggering an increased level of production of reactive oxygen species (ROS), and, to combat the oxidative damage, plants have the antioxidant defense systems comprising of enzymes, SOD, POD, CAT, GPX and APX, and non-enzymes, ascorbate, gluthathione, ${\alpha}$-tocopherol, phenolic compounds, carotenoid and flavonoids. The aim of this review is to provide basic information to build chilling-indicators and optimal nutrition management under adverse temperature conditions as broadly considering mineral uptake, carbohydrate metabolism and antioxidative defense system.

Differences of Water Absorption Property and Seed Viability according to Morphological Characters in Soybean Genotypes

  • Kim, Seok-Hyeon;Kim, Ji-Na;Chung, Jong-Il;Shim, Sang-In
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.51 no.1
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    • pp.59-65
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    • 2006
  • The impermeable seed coat is valuable trait in soybean because impermeable seed retain viability for longer period than permeable seed under adverse conditions such as delayed harvest or prolonged storage. Soybean seeds of various size showing different seed hardness were examined for their water absorption and seed viability under adverse storage conditions. Of one hundred thirty nine genotypes, eight types of seeds having different seed hardness and seed size were used as material. Soybean genotypes showing high hard seed rate, GSI13125 (89%), GSI10715 (54%), and GSI10284 (42%), were slow in water absorption and low in the electroconductivity of seed leachate in distilled water. Germination of GSI10284 and GSI13125 that have higher hard seed rate was less affected by CSVT and artificial aging treatment indicating higher seed storability. The higher storing ability of both collections was confirmed by electroconductivity test for leachate. GSI10122 showed low seedling emergence when the seeds were artificially aged. This genotype was considered as to having a poor storing ability based on difference of electroconductivity before and after artificial aging. Among tests conducted in the experiment, CSVT could be used for determining storage life in legumes. In conclusion, water absorption property of seed was strongly related to the hardness that is directly related to the seed viability and storing ability in soybean seed.

Adverse Events of Thread Embedding Acupuncture for the Musculoskeletal Conditions and Diseases: A Narrative Review of Clinical Studies

  • Lee, Ji Sun;Oh, Yoona;Kim, Yeonhak;Lee, Byung Ryul;Yang, Gi Young;Kim, Eunseok
    • Journal of Acupuncture Research
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    • v.39 no.1
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    • pp.10-16
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    • 2022
  • This study aimed to analyze the status of adverse events (AEs) in the treatment of musculoskeletal conditions/diseases using thread embedding acupuncture (TEA). Five electronic databases were searched to retrieve data on clinical studies published in the last 5 years (2016 to 2021). Of the 151 studies retrieved, 22 studies analyzed AEs and were selected for this review. There were no AEs reported in 6 studies (27.3%); of the remaining 16 studies, 4 studies (18.2%) reported AEs that were not related to TEA. The most common AEs reported in the Chinese studies were redness of skin with/without swelling and tingling sensation, and in the Korean studies they were stiffness, a foreign body sensation, and bruising. The percentage of patients with AE experience was 5.1% in the Chinese studies and 19.9% in the Korean studies. The discrepancies between the findings in the Chinese and Korean studies may be attribute to differences in the diameter of needles, thread materials, TEA treatment procedure, and evaluation methods for AEs. Most of the reported AEs were of a mild status and did not last for a long time. However, further research on the clinical course after TEA treatment is needed.

Modeling of a Switched Reluctance Motor in Sensorless and 'With Sensor' Modes

  • Bhuvaneswari G.;Thakurta Sarit Guha;Rao P. Srinivasa;Murthy S.S.
    • Journal of Power Electronics
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    • v.6 no.4
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    • pp.315-321
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    • 2006
  • Switched Reluctance Motors (SRM) have emerged as viable alternatives to other adjustable speed drives such as vector controlled induction motors (VCIM) and permanent magnet brush-less (PMBL) motors due to their simple construction, ease of control, low inertia and higher operating speeds. However, the indispensability of the rotor position sensor in an SRM for its successful operation increases its cost, apart from causing other problems like decreasing its reliability and inability to operate in adverse environmental conditions. In this paper, a new sensorless control scheme for the SRM is advocated. The required fundamental data is obtained by analyzing the SRM using the Finite Elements (FE) package MAXWELL. The drive is studied in both 'with sensor' and 'sensorless' modes and a comparison of the performances, in both cases, is presented for various operating conditions.

A study on the Unmanned Aerial Vehicle(UAV) Flight Test Planning Establishment through Atmospheric Considerations (대기요소 고려를 통한 무인항공기 비행시험계획 수립에 대한 연구)

  • Kim, Yeong-Rae;Lee, Jeong-Suk;Lee, Sang-Cheol;Ko, Sang-Ho;Kang, Ja-Yeong;Choi, Jong-Uk;Seong, Deoky-Yong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.18 no.4
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    • pp.73-79
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    • 2010
  • Flight test is the final and a mandatory process for the development of unmanned aerial vehicles(UAVs) as well as manned. Since most UAVs fly in a low speed and are prone to adverse weather conditions such as air turbulence, atmospheric weather environment around flight test regions will be a critical item to be considered for a flight test planning for UAVs. In this paper, we suggest a decision method for a UAV flight test schedule based on weather conditions of surface and upper atmospheres and also introduce a program for an effective flight test planning through weather forecasts.

Effects of an Anabolic Steroid, Nandrolone Phenylpropionate, on Reductions in Body and Muscle Proteins Under the Dietary Regimens of Feeding a Low-Protein Diet and of 50% Food Restriction in Rats

  • Choo, Jong-Jae
    • Nutritional Sciences
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    • v.1 no.1
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    • pp.3-7
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    • 1998
  • The aim of the present investigation was to see whether an anabolic steroid, nandrolone phenylpropionate (NPP), exerts protienanabolic effects under such adverse nutritional conditions as protein deficiency and protein-energy malnutrition in male rats. feeding on a low-protein (8% casein) diet resulted in a marked reduction in body weight gain that was associated with reductions in body protein and protein content of gastrocnemius muscle. Administration of NPP (4 mg/kg body weight) did not alter muscle and body protein depletion induced by a low-protein diet. 50% food restriction caused reductions in body protein and in protein content of gastrocnemius muscle. These reductions were partially prevented by NPP (4 mg/kg body weight). Food restriction did not affect plasma concentration of corticosterone, insulin, or tetosterone plus dihydrotestosterone. On the other hand, neither plasma concentration of corticosterone nor insulin were affected by NPP. The present results show that anabolic steroids do not express anabolic effects under conditions of protein deficiency, but in protein-energy malnutrition, anabolic steroids exert their anabolic effects even in male rats.

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