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A Study of a Pattern of the Stress Perceived by Stroke Patients through the Rehabilitative Process (뇌졸중 환자의 재활과정에 따른 스트레스 변화 양상)

  • Lee, Jung-Min
    • Journal of East-West Nursing Research
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    • v.1 no.1
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    • pp.82-98
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    • 1997
  • The purpose of this study was to determine pattern of the stress perceived by stroke patients over time. The ultimate goal of the research is to provide data to help nurses to design the plan of nursing care of the stroke patients both in the hospital and at home. A total of 57 admitted stroke patients were collected from one general hospital in Seoul from June, 12 to September, la, 1993. The data were collected for three phases(within one week after leaving the hospital). The tools for this study, three scales were used ; Stress scale developed by the investigator. Constitution classifing scale designed by Kho(1984), and Self-care measuring scale by Kang(1984). Data were analyzed in four steps using statistical analysis. First, demographic data were determined by descriptive statistics. Second. the pattern of stress perceived by stroke patients across three phases was measured using repeated measures ANOVA. Third, stress of stroke patients classified by constitution, paralyzed area. and attack frequency were measured using ANOVA or t-test, and the pattern of stress by group over time was determined using paired t-test in post hoc test. Fourth. Pearson correlation coefficients were calculated to determine the relationship between the stress and self-care activities. The results of this study are ; 1. The pattern of stress across three phases ; There was a decrease of the stress across three phases. In general. psychological stress as the highest among three phases(F=36.92. P=.000). There was a statistically significant difference of the physical stress(F=34.55, p=.000), the psychological stress (F=15.49, p=.0005) and the social stress (F=24.71. p=.000) among three phases. There was a statistically significant difference of the stress between the first phase (on admission) and the second phase(before leaving the hospital) and was a decrease of the stress (t =6.36. p=.000). 2. The pattern of stress of stroke patients classified by constitution across three phases ; Stroke patients classified as So-Eum perceived the highest stress among three groups(Tae-Eum, So-Eum. So-Yang). There was no statistically significant difference of stress according to the constitution of stroke patients among three phases. Hence. stress was not influenced by the constitution of stroke patients, but there was a statistically significant difference of stress over time. 3. The pattern of stress of stroke patients classified by the paralyzed area across three phases ; Right paralyzed stroke patients perceived higher stress than left paralyzed stroke patients. There was, however, no statistically significant difference of stress between two groups except 2nd phase. There was no statistically significant difference of the perception of stress bet ween the right and left paralyzed stroke patients. 4. The pattern of stress of stroke patients classified by the frequency of the relapse of the disease across three phases ; Stress was higher in stroke patients who had the relapse of the disease twice more than the first time. There was, however, no statistically significant difference of stress between two groups. There was no statistically significant difference of stress of stroke patients according to the relapse of the disease among three phases. Hence, stress was no influenced by the relapse of the disease. 5. The relationship between the stress and self-care activities ; There was a negative relationship between the stress and self-care activities each phase(on admission, r= -.1563 ; before leaving the hospital, r= -.4030 ; after leaving the hospital, r= -.5291). Hence, the higher the self-care activities, the lower the stress. This study has three important findings. First finding was that psychological stress perceived by stroke patients was the highest among three phases. The second finding was that factors such as the constitution, the paralyzed area, and the relapse of the disease did not have an influence on the stress perceived by stroke patients across three phases(on admission, before leaving the hospital, after leaving the hospital). There was a statistically significant decrease of the stress perceived by stroke patients across three phases. The third finding was that there was a negative relationship between the self-care ability and stress. In this study, these findings have implications for nursing care for the rehabilitation of stroke patients and suggest the need of nursing intervention to promote the self-care ability and to support the psychological self-esteem of stroke patients.

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Counseling Case Study of a Child with Peer Confliction due to Lack of Social Skills and Impulsiveness (사회적 기술 부족과 충동성으로 인해 또래갈등이 심한 분교아동의 상담사례)

  • Lee, In-Sun
    • The Korean Journal of Elementary Counseling
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    • v.5 no.1
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    • pp.227-253
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    • 2006
  • It seems common for students living at a small county and islands to experience psychological conflicts and be unaccustomed in the peer society because they are not familiar with peer interaction and social skills. This is a case study of L (hereinafter called L) who was grown up in the sheltered school at a small county. L was psychologically disturbed because he couldn't get along well in the transferred school. It is the reason why he had lived in the sheltered school at a small county, so he had not enough exposure to interact with peer and social skills. Sometimes he was obstinate irrationally and when he had trouble with friends, he threw something out or went out of school and tricked juniors dangerously. The fact of disperse with families, parent's indifference, and hate of older brother made L to have ill feeling against family. He had low motivation and low self confident in learning because of short attention time and accumulated poor learning progress. In this study, he was evaluated at various area, such as, intelligent, affective, personal and inter-personal, before counselling. To evaluated the effect of the counselling, K-WISC-III, KPRC, sentence filling test, social adaptation ability test, etc, were administered right after the counselling was over and 8 weeks later. For specific information gathering and analysing, observation diary and deepen counselling were accomplished by homeroom teacher, his mother, and his peers. To correct his problematic behaviors, 13 counseling sessions were accomplished for 6 months and those counselling sessions were recorded and analysed definitely. Followings are the result of this case study. First, he was recovered from the anxiety of inter-personal interaction and he started to interact with peers. The result of sac scale score of KPRC profile was lower than before as much as average student after counseling and 8 weeks later. This reveals that the distress against interpersonal relation have settled. Especially, through the result of sentence filing test, he seemed to feel attachment to peers and be positive, active in the relation of peer. For instance, he was active in the open class lesson and interacted well with peers. It could be said that he overcame the psychological distress comparing with previous time. Second, he could apologize to his peer and juniors for his fault. His attitude were well shown in the letter from an old friend at the sheltered school, average KPRC profiling score comparing with previous counseling time, and remarkable decrease of attack scale score of teacher and peer. Third, his view toward family turn out positive. He recognized his situation that he lived apart from family and even worried about his parent's financial difficulty. Through solving the confliction with his older brother, he could acquire the feeling of family reunion. Fourth, his learning motivation and self-confidence were increased. He confirmed his future positively and he might be judged more attentive because his intelligence index was higher than before as much as average student. With the main goal of this study, verification for effectiveness of counseling. understanding and helping problematic students such as L who lives at a small county and island through investigation of their real situation and problems with the method of counseling and socio-cultural analysis is worthwhile. Identification of ideal relationship with peer is related with positive self-conception, harmonic social adaptation and development of child. It is time to investigate easy adaptive in classroom and well-organised program to acquire general social skills for sheltered school students at a small county and islands.

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Accumulation of oxyresveratrol in Ramulus mori upon postharvest storage (숙성에 의한 뽕나무 상지 내 옥시레스베라트롤 축적)

  • Kim, Jun-Ho;Kim, Ki-Hyun;Lee, Min-Young;Lim, Young-Hee;Kim, Jeong-Keun
    • Korean Journal of Food Science and Technology
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    • v.50 no.1
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    • pp.98-104
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    • 2018
  • Oxyresveratrol (trans-2, 3', 4, 5'-tetrahydroxystilbene), found in many plants including grape, peanut and mulberry, is a phytoalexin, an antimicrobial and antioxidative substance that rapidly accumulates in areas infected by the pathogen. We examined the accumulation of oxyresveratrol in nine Morus alba L. cultivars with respect to storage time and temperature postharvest and infection with GRAS microorganisms. Among the nine cultivars, the Suwon cultivar showed the highest oxyresveratrol content (9.6-fold increase) postharvest, when stored at $30^{\circ}C$ for 7 days. The optimal temperature and postharvest storage time for oxyresveratrol accumulation was $30^{\circ}C$ and 6 days. When Ramulus mori was infected with five microorganisms, the accumulation of oxyresveratrol increased over 4-fold in response to B. coagulans infection. These results suggest that oxyresveratrol accumulation is influenced by storage temperature, storage time, Ramulus mori cultivars, and microbial attack. Therefore, postharvest storage for an appropriate time period at a suitable temperature might be a useful way to industrially produce Ramulus mori cultivars with high oxyresveratrol content.

Changes of Somatosensory Evoked Potential and Functional Recovery in Patients of Cerebrovascular disease (뇌혈관 질환자의 기능 회복과 체성감각 유발전위의 변화)

  • Kim, Yoon-Hwan;Kim, Chan-Kyu;Park, Jong-Hang;Lee, Seung-Yub;Choi, Won-Jye
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.11-20
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    • 2008
  • This study was designed to test the effects of comprehensive rehabilitation management on functional recovery after attack of cerebrovascular disease. 16 cerebrovascular disease patients applied comprehensive rehabilitation management of physical therapy at department of physical Therapy, C medical center in Gwang-ju. The collection of the data had been executed for 4months(April 15, 2007${\sim}$July 15, 2007). For evaluating, Functional Independence measure(FIM) and Somatosensory Evoked Potential(SSEP) were used to assess functional recovery. The results of this study were as follows: 1. In the comparison of latency of median nerve SSEP before and after treatment, the lat. N20 and P25 increased, the ampl. P25/N20 was decreased. In the comparison difference data of median nerve SSEP, however there was no significant difference in the group(p>0.05). 2. In the comparison of latency of Post Tibial nerve SSEP before and after treatment, the lat. P40, P50, P60 increased, the ampl. P40 was decreased. In the comparison difference data of post tibial nerve SSEP, however there was no significant difference in the group(p>0.05). 3. In the comparison of FIM scores of Self-care, Sphincter Control, Mobility: Transfer, Locomotion before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was significant difference(p<0.05). 4. In the comparison of FIM scores of Communication, Social Cognition before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was no significant difference in the group(p>0.05). Based on these results, it is concluded that the comprehensive rehabilitation management for cerebrovascular disease case was not significant difference in the SSEP, was significant difference in the motor part of FIM. Further study should be done to analyze the effect of intervention duration of treatment, optimal time to apply the treatment in more long period.

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Atmospheric Pressure Plasma Treatment of Aqueous Bisphenol A Solution (비스페놀 A 수용액의 대기압 플라즈마 처리)

  • Jo, Jin-Oh;Choi, Kyeong Yun;Gim, Suji;Mok, Young Sun
    • Applied Chemistry for Engineering
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    • v.26 no.3
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    • pp.311-318
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    • 2015
  • This work investigated the plasma treatment of aqueous bisphenol A (BPA) solution and mineralization pathways. For the effective contact between plasmatic gas and aqueous BPA solution, the plasma was created inside a porous ceramic tube, which was uniformly dispersed into the aqueous solution through micro-pores of the ceramic tube. Effects of the gas flow rate, applied voltage and treatment time on the decomposition of BPA were examined, and analyses using ultraviolet (UV) spectroscopy, ion chromatography and gas chromatography-mass spectrometry were also performed to elucidate mineralization mechanisms. The appropriate gas flow rate was around $1.0L\;min^{-1}$; when the gas flow rate was too high or too low, the BPA decomposition performance at a given electric power decreased. The increase in the voltage improves the BPA decomposition due to the increased electric power, but the energy required to remove BPA was similar, regardless of the voltage. Under the condition of $1.0L\;min^{-1}$ and 20.8 kV, BPA at an initial concentration of $10L\;min^{-1}$ (volume : 1 L) was successfully treated within 30 min. The intermediates produced by the attack of ozone and hydroxyl radicals on BPA were further oxidized to stable compounds such as acetate, formate and oxalate.

The analysis on Japan's New Maritime Strategy and the Development of its Naval Forces - focusing on Japan's countermeasure to China's pursuing of maritime hegemony - (일본의 신(新) 해양전략과 해상전력 발전 동향 분석 - 중국의 해양패권 추구에 대한 대응을 중심으로 -)

  • Bae, Joon-Hyung
    • Strategy21
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    • s.40
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    • pp.5-36
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    • 2016
  • Recently, the Japanese government revised the three guidelines of its security policy, the National Security Strategy(NSS), the National Defense Program Outline and Midterm Defense Buildup Plan, exceptionally at one time. This means Japan has been seeking the new strategy and strengthening military power considering changing regional security environment. Moreover, Japan revised the security laws for the right to collective self-defense, which authorized the use of force even when Japan is not under attack. Also, Japan renewed the Guidelines for Japan-U.S. Defense Cooperation in twenty years, and has expanded JSDF's scope of activity to a worldwide level. These changes imply Japan would constantly seek to build military forces focusing on naval forces. Because Japan's naval forces, the JMSDF is the means that allow Japan to use its force at anywhere overseas and expand its roles and missions in international society by the basis of the right to collective self-defense. This research will analyze Japan's new maritime strategy and trend of force development and eventually look for the implication on our maritime security These days, Japan has perceived Chinese rapid increase of naval power and pursuing of maritime hegemony as a grave threat. In response to this, Japan is designing new maritime strategy, which are "remote islands defense and recapture" and proactively develop a new type of naval forces to accomplish this new strategy. The Japan's "remote island defense and recapture strategy" is to harden its defensive posture in Nansei islands which correspond to China's 1st island chain for chinese A2/AD strategy and directly encounter with China and to protect its own dominium and maritime interest while supporting US national strategy in East Asia. Japan continues to build compact, multi-functional ship to accomplish "remote island defense and recapture strategy" and keep strengthening its maritime power projection capability to include build of new amphibious ship, and large, multi-functional ship which can provide effective C2. These changes imply that Japan is shifting its strategy from passive and defensive to proactive and aggressive way and continues to pursue naval buildup.The implication of Japan's new maritime strategy and naval buildup needs to be observed carefully and we need to keep developing naval power required to protect our maritime sovereignty and interest.

A Study on the Linkage Method between Emergency Simulation Model and Other Models (비상대비 시뮬레이션 모델의 타 모델 연동방안 연구)

  • Bang, Sang-Ho;Lee, Seung-Lyong
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.301-313
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    • 2020
  • This study is a study on the interlocking method between emergency preparedness simulation model and military exercise war game model. The national emergency preparedness government exercises are being carried out by a message exercise and technology development for simulation models is being carried out to create a situation similar to the actual practice. In order to create a situation similar to the actual war, the military situation must be reflected and to do so, a link with the military exercise war game model is needed. The military exercise war game model applies HLA/RTI, which is a standardized interlocking method for various models such as Taegeuk JOS, and it is necessary to apply HLA/RTI linkage method to link with these military exercise war game models. In addition, since the emergency preparedness simulation model requires limited information such as enemy location and enemy attack situation on major facilities in the military exercise model, a method of interlocking that can select and link information is required. Therefore, in this study, the interlocking interface design plan is presented in order to selectively link the interlocking method and information between the emergency preparedness simulation model and the military exercise war game model. The main functions of interlocking interface include federation synchronization, storage and recovery, object management service, time management, and data filtering functions.

Stability of suspension bridge catwalks under a wind load

  • Zheng, Shixiong;Liao, Haili;Li, Yongle
    • Wind and Structures
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    • v.10 no.4
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    • pp.367-382
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    • 2007
  • A nonlinear numerical method was developed to assess the stability of suspension bridge catwalks under a wind load. A section model wind tunnel test was used to obtain a catwalk's aerostatic coefficients, from which the displacement-dependent wind loads were subsequently derived. The stability of a suspension bridge catwalk was analyzed on the basis of the geometric nonlinear behavior of the structure. In addition, a full model test was conducted on the catwalk, which spanned 960 m. A comparison of the displacement values between the test and the numerical simulation shows that a numerical method based on a section model test can be used to effectively and accurately evaluate the stability of a catwalk. A case study features the stability of the catwalk of the Runyang Yangtze suspension bridge, the main span of which is 1490 m. Wind can generally attack the structure from any direction. Whenever the wind comes at a yaw angle, there are six wind load components that act on the catwalk. If the yaw angle is equal to zero, the wind is normal to the catwalk (called normal wind) and the six load components are reduced to three components. Three aerostatic coefficients of the catwalk can be obtained through a section model test with traditional test equipment. However, six aerostatic coefficients of the catwalk must be acquired with the aid of special section model test equipment. A nonlinear numerical method was used study the stability of a catwalk under a yaw wind, while taking into account the six components of the displacement-dependent wind load and the geometric nonlinearity of the catwalk. The results show that when wind attacks with a slight yaw angle, the critical velocity that induces static instability of the catwalk may be lower than the critical velocity of normal wind. However, as the yaw angle of the wind becomes larger, the critical velocity increases. In the atmospheric boundary layer, the wind is turbulent and the velocity history is a random time history. The effects of turbulent wind on the stability of a catwalk are also assessed. The wind velocity fields are regarded as stationary Gaussian stochastic processes, which can be simulated by a spectral representation method. A nonlinear finite-element model set forepart and the Newmark integration method was used to calculate the wind-induced buffeting responses. The results confirm that the turbulent character of wind has little influence on the stability of the catwalk.

ARP Spoofing attack scenarios and countermeasures using CoAP in IoT environment (IoT 환경에서의 CoAP을 이용한 ARP Spoofing 공격 시나리오 및 대응방안)

  • Seo, Cho-Rong;Lee, Keun-Ho
    • Journal of the Korea Convergence Society
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    • v.7 no.4
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    • pp.39-44
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    • 2016
  • Due to the dazzling development of IT in this IT-oriented era, information delivering technology among objects, between objects and humans, and among humans has been actively performed. As information delivery technology has been actively performed, IoT became closely related to our daily lives and ubiquitous at any time and place. Therefore, IoT has become a part of our daily lives. CoAp, a web-based protocol, is mostly used in IoT environment. CoAp protocol is mostly used in the network where transmission speed is low along with the huge loss. Therefore, it is mostly used in IoT environment. However, there is a weakness on IoT that it is weak in security. If security issue occurs in IoT environment, there is a possibility for secret information of individuals or companies to be disclosed. If attackers infect the targeted device, and infected device accesses to the wireless frequently used in public areas, the relevant device sends arp spoofing to other devices in the network. Afterward, infected devices receive the packet sent by other devices in the network after occupying the packet flow in the internal network and send them to the designated hacker's server. This study suggests counter-attacks on this issues and a method of coping with them.

Electrodeposition onto the Surface of Carbon Fiber and its Application to Composites(I) - Electrodeposition of MVEMA and EMA (탄소섬유 표면에의 고분자 전착과 복합재료 물성(I) - MVEMA와 EMA의 전착 -)

  • Kim, Minyoung;Kim, Jihong;Kim, Wonho;Kim, Booung;Hwang, Byungsun;Choi, Youngsun
    • Applied Chemistry for Engineering
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    • v.9 no.6
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    • pp.894-900
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    • 1998
  • An interphase between carbon fiber and epoxy matrix was introduced to increase impact strength of carbon fiber reinforced composites (CFRC) without sacrificing the interlaminar shear strength. Flexible polymers, I. e., MVEMA (poly(methyl vinyl ether-co-maleic anhydride)) and EMA(poly(ethylene-co-maleic anhydride)), which have reactive functional groups were considered as interphase materials. Weight hain of MVEMA and EMA onto the surface of carbon fibers was evaluated by changing the parameters of electrodeposition process. Electrodeposition mechanism of polymers which have anhydride functional group was identified by IR spectroscopy, that is, the generation of $RCOO^-$ functional group by the attack of hydroxide anion in the basic solution was observed. The weight gain was increased by increasing concentration of polymers, current density, and electrodeposition time. However the excess generation of oxygen gas decreased the weight gain by removing the deposited polymers. Washing in the running water easily removed the deposited polymers which are on the fiber surface without bonding, as a results, only 0.5 wt% of deposited polymers are remained.

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