• Title/Summary/Keyword: Comfort level

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STN DBS of Advanced Parkinson's Disease Experienced in a Specialized Monitoring Unit with a Prospective Protocol

  • Lee, Ji-Yeoun;Han, Jung-Ho;Kim, Han-Joon;Jeon, Beom-Seok;Kim, Dong-Gyu;Paek, Sun-Ha
    • Journal of Korean Neurosurgical Society
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    • v.44 no.1
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    • pp.26-35
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    • 2008
  • Objective : In the evaluation of patients with Parkinson's disease (PD), most neurologists only see their patients during a limited period of their fluctuating 24-hour-a-day lives. This study aimed to assess the short-term outcome of STN stimulation for patients with advanced PD evaluated in a 24-hour monitoring unit for movement disorder (MUMD) using a prospective protocol. Methods : Forty-two patients with advanced PD consecutively treated with bilateral STN stimulation using multi-channel microelectrode recording were included in this study. All patients were evaluated using a 24-hour MUMD with a video recording/editing system and were evaluated with a prospective protocol of the Unified Parkinson's Disease Rating Scale, Hoehn and Yahr Staging, Schwab and England Activities of Daily Living, levodopa equivalent daily dose (LEDD), Short Form-36 Health Survey, and neuropsychological tests. Magnetic resonance (MR) images of the brain were performed prior to and six months after surgery. Results : All patients were evaluated at three and six months after surgery. There was a rapid and significant improvement of the motor symptoms, especially in tremor and rigidity, after STN stimulation with low morbidity. Dyskinesia was markedly decreased with much lowered LEDD values by 50% after STN stimulation. 1.5T MR images were safely taken according to the manufacturer's guidelines at six months after surgery without any adverse effects in 41 patients treated with STN stimulations. Conclusion : Evaluations in a 24-hour monitoring unit could reduce the dose of medication efficiently to an optimal level with patients' comfort and improve the clinical symptoms in harmony with STN stimulation.

Efficacy of Cooling Vests for Alleviating Heat Strain of Farm Workers in Summer (여름철 농민의 서열 부담 경감을 위한 냉각조끼의 성능 평가)

  • Choi Jeong-Wha;Kim Myung-Ju;Lee Joo-Young
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.8 s.145
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    • pp.1176-1187
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    • 2005
  • The purpose of this study was to evaluate the efficiency of cooling vests developed for farm workers harvesting red pepper in summer. The study was performed using the following two steps: 1) Climatic chamber test, 2) Field test. For the chamber test, a work environment was simulated as $33^{\circ}C$ and $65\%$RH, and the thermo-physiological and subjective responses were measured with and without cooling vests. Twelve young males participated as subjects. For the field test, three farmers participated while harvesting red pepper on the form, in summer. The measurements used were same as in the chamber test. Subjects were tested without any cooling vests, as a control. They were tested wearing vests with 2 frozen gel packs (CV2: Cooling area, $308cm^2$), and vests with 4 frozen gel packs (CV4: Sooting area, $616cm^2$). As a result of the chamber test, rectal temperature($T_{re}$) and mean skin temperature( $T_{sk}$) were lower in both CVs than in Control, and this tendency was statistically significant in CV4 (p<.05). Clothing microclimate temperature ($T_{clo}$) and total sweat rate (TSR) were significantly lower when wearing cooling vests (p<.05) Heart rate (HR) was also lower in wearing cooling vests than in Control, and the speed of recovery to the comfort level was faster when the subjects wore cooling vests. In addition, subjects felt 'less hot, less humid, and less uncomfortable' in both CVs than in Control. Field tests showed a similar tendency with the chamber tests. In particular, wearing the cooling vest was effective in restraining the raise of $T_{clo}$ on the back. It can be concluded that the cooling vest was effective in alleviating heat strain and discomfort in both the chamber test and the field test, despite the cooling area of the cooling vest being just $3.4\%$ of the body surface area ($616cm^2$).

Research on Actual Usage and Satisfaction of ROKAF Fighter Pilot's Flight Duty Uniform (공군 전투조종사 비행복 착용특성 및 만족도 조사)

  • Lee, Ah Lam;Nam, Yun Ja;Hong, Yu Hwa;Im, Sojung;Lim, Chae Keun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.40 no.4
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    • pp.669-684
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    • 2016
  • This study investigates Korean fighter pilot's usage and satisfaction of a flight duty uniform (FDU). The survey was conducted from October 2014 to March 2015 using Focus Group Interview (FGI) and questionnaires. FGI collected qualitative data about duty and requirements; subsequently, surveys were performed to collect quantitative data about wearing conditions and satisfaction with FDU. The results of the FGI and the questionnaire were as follows. Type of pilot duty was divided into two parts, flight duty and ground duty. It is important to consider duties as well as factors related to survival when developing FDU. According to anthropometric data and wearing size, the basic size for apparel grading should be changed from actual size, 'M95XL' to 'M100L'. It is also necessary to improve the whole sizing system. Further studies about body form changes in pilot's movement are needed to improve mobility because the respondents perceived some restrictions at several body parts in movement with the coverall uniform. Summer FDU had a low satisfaction level in vent hole function and appearance. Furthermore, protection problems in the vent hole were also an issue. Making a seasonal classification of FDU fabric will be more effective than a vent hole to increase a pilot's thermal satisfaction. Respondents had a passive stance towards FDU reform (including pocket change); therefore, a new FDU design strategy should concentrate on improving current FDU functions like mobility (or comfort) rather than dramatic changes. Pilots complained about the quality stability of FDU; therefore, quality control by military administration as well as concrete and clear design instructions by the developer should be attained together. The results obtained in this study are expected to be used as an important basis for the further development of FDU.

Improvement of the Checklist for Residential Housing's Crime Prevention Accreditation Assessment (주거시설에 대한 CPTED 평가인증 기준 개선방안 연구)

  • Park, Hyeon-Ho;Kim, Kang-Il;Cho, Joon-Tag
    • Korean Security Journal
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    • no.55
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    • pp.117-141
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    • 2018
  • Police crime statistics report that residential housing such as apartment, low rise, detached houses is the second most vulnerable to crime, which is closely followed by the number of street crimes. Also residential houses are often exposed to quality-of-life crime, e.g burglary. It threatens the basic human rights of house residents in terms of safety and comfort within the urban living environment. This study examines related precedent studies regarding the vulnerability of residential housing including studios, multi-family housing from the viewpoint of crime prevention through environment design(CPTED), extracted the elements and items suitable for the safety of residential facilities and the certification evaluation indicators and check items to be the basis for the checklist are derived. Based on these evaluation indicators and inspection items, we conducted on-site surveys of residential facilities in three areas of Seoul, Yongin and Asan, and the final draft of the checklist was revised based on the results of the field survey. There are 43 items on the 7 fields of evaluation in the final version of checklist, 11 items in the management and operation, 20 items in the surveillance, 7 items in the access control, 1 item in the territoriality, 2 items in the activity support, and 2 items in the security and safety facilities. In addition, various points of interest were added to allow the administrator of the residential facility to earn points for special measures taken for safety. This checklist can be appropriately modified and utilized in consideration of the characteristics of each facility. Korean national police agency has CPOs to check the residential facilities in their jurisdiction using checklists and to certify excellent facilities with high level of safety.

Comparison of Upper Extremity Muscle Activity With Transverse Plane Angle Changes During Vertical Keyboard Typing (타이핑 작업 시 수직형 키보드의 수평면 끼인각 변화에 따른 상지의 근활성도 비교)

  • Lee, Kang-Jin;Roh, Jung-Suk;Kim, Tack-Hoon;Cynn, Heon-Seock;Choi, Houng-Sik;Oh, Dong-Sik
    • Physical Therapy Korea
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    • v.16 no.2
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    • pp.67-76
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    • 2009
  • In order to prevent upper extremity musculoskeletal disorders, effective keyboard selection is an important consideration. The aim of this study was to compare upper extremity muscle activity according to transverse plane angle changes during vertical keyboard typing. Sixteen healthy men were recruited. All subjects had a similar typing ability (rate of more than 300 keystrokes per minute) and biacromion and forearm-fingertip lengths. Four different types of keyboard (vertical keyboard with a transverse plane angle of $60^{\circ}$, $96^{\circ}$, or $120^{\circ}$, and a standard keyboard) were used with a wrist support. The test order was selected randomly for each subject. Surface electromyography (EMG) was used to measure upper extremity muscle activity during a keyboard typing task. The collected EMG data were normalized using the reference contraction and expressed as a percentage of the reference voluntary contraction (%RVC). In order to analyze the differences in EMG data, a repeated one-way analysis of variance, with a significance level of .05, was used. Bonferroni correction was used for multiple comparisons. There were significant differences in the EMG amplitude of all seven muscles (upper trapezius, middle deltoid, anterior deltoid, extensor carpi radialis, extensor carpi ulnaris, flexor carpi radialis, and flexor carpi ulnaris) assessed during the keyboard typing task. The mean activity of each muscle had a tendency to increase as the transverse plane angle increased. The mean activity recorded during all vertical keyboard typing was lower than that recorded during standard keyboard typing. There was no significant difference in accuracy and error scores; however, there was a significant difference between transverse plane angles of $60^{\circ}$ and $120^{\circ}$ with regard to comfort. In conclusion, a vertical keyboard with a transverse plane angle of $60^{\circ}$ would be effective in reducing muscle activity compared with vertical keyboards with other transverse plane angles.

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An Analysis on Predictors of Move Intention to Silver Town in Jeju Island (실버타운 입주의도 예측요인에 대한 분석)

  • Hong, Yeon-Sook
    • Korean Journal of Social Welfare
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    • v.58 no.3
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    • pp.313-340
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    • 2006
  • The purpose of this study was to examine predictors of move intention to silver town in Jeju Island. Participants were 449 middle age and elderly who live in Seoul, Gyungido, Inchun Metropolitan and Jeju island. Participants were completed a questionnaire and/or structured interview that included measures of socioeconomic variables, motivation to move, determinants of move selection, conditions of location, and preparation for old age. Results of descriptive analysis revealed that cognition level of sliver industry and silver town was relatively high and medical service was the best necessary field, followed by field of leisure activity, house, life and finance. Logistic regression analyses on the effects of socioeconomic variables on move intention indicated that region, occupation and house ownership had significant effects on move intention to silver town. Result of motivational effect on move intention revealed that solution of offspring's burden was the most important factor, followed by convenient life of the aged, enjoyment of freedom for the elderly life. Result on the influence of determinants of move selection indicated that medical service facilities, resort facilities and leisure, cultural service facilities had significant effect on move intention. Among conditions of location for Jeju island, mild climate, comfort environment and low-price were significant predictors on move intention. Overall, result on relative influence of individual factors indicated that low price factor was the most important predictor, followed by resort facilities, cognition on necessity of silver town, enjoyment of freedom for the elderly life, leisure cultural service facilities, and medical service facilities.

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Analysis of Current Status and Teacher Librarians' Perception about Space Composition and Interior Environment of School Libraries (학교도서관 공간 영역 및 실내 환경 요소의 구성 현황과 사서 교사 인식 분석)

  • Song, Gi-Ho;Kang, Bong-Suk
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.31 no.1
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    • pp.67-87
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    • 2020
  • The purpose of this study is to analyze current status and teacher librarians' perceptions of school library space composition and indoor environment, and propose some methods for the school library to be a basic educational facility. The space most secured by the 126 teacher librarians who participated in the survey was the free reading area, and the space with the lowest level was the media production and group project area. The most important types of spaces for teacher librarians are the teaching area and the free reading area, while the recognition of the importance of media production and group project areas is relatively low. Among the elements of indoor environmental assessment, they showed that safety and comfort were the most important but diversity and flexibility were relatively less important. The result of this analysis is different from the school and library policy direction that emphasizes the learning commons and maker spaces. Teacher librarians still seem to appreciate the importance of traditional library space. Therefore, it is necessary to include the establishment and operation of maker spaces and learning commons in the teacher librarians training and retraining process. In addition, it is necessary to increase the participation of users such as teachers, students, and parents in space composition and interior design initiatives to increase the user's interior environment satisfaction.

A Study on the Effects of factor of Service Quality, Service Guarantee and Service Value in General Super Market. (종합슈퍼마켓(GSM)에서 서비스품질, 보증 및 서비스가치의 영향요인에 관한 연구)

  • Kim, Jong-Lak
    • Journal of Distribution Science
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    • v.13 no.1
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    • pp.93-103
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    • 2015
  • Purpose - This study plans to adopt a more sophisticated approach toward service recognition by customers in general supermarkets in order to revise the service quality measurement methods that suit the context of Korean distribution channels. In particular, in general supermarkets, where much of the shopping process is in the form of self-service, there is high reliance on the service recognized by the consumers; therefore, it is highly likely that consumers would make their purchasing decisions based on their recognition of service quality or guarantees. It also utilized service quality elements of a basic level in the KD-SQS development model in order to indicate that the quality recognized by consumers impacts their loyalty to the stores with financial value and abstract value. Research design, data, and methodology - The study suggested a theoretical model comprising 13 hypotheses on relations between theoretic variables, and conducted surveys with consumers using discount stores in Seoul and Gyunggi Metropolitan area in order to verify the hypotheses, while using SPSS 20.0, AMOS 21.0 as the verification program. The survey sheets used amounted to 332, and a structural equation model was used to analyze the reliability and validity of constituent elements and to verify the suggested hypothesis. Therefore, this study analyzes the interrelations between service quality and guarantee factors in the distribution channel and their relations with the loyalty to stores as a dependent variable. Results - First, the results of the hypotheses tests helped identify the relations between service quality, service guarantees, service value, and customer loyalty, providing an opportunity to define the relations between constituent elements. In particular, service convenience in service quality has no impact on financial values. Further, stores' service policy had no impact on abstract values. Service recognition by service convenience has an impact on abstract values such as good image, comfort, and usability, while mileage systems promote financial values for consumers. In order to improve consumer values in service quality and values, general supermarkets should improve their service convenience, membership, and mileage programs using various strategies. Conclusion - In order to improve consumer values in service quality and values, general supermarkets should improve their service convenience, membership, and mileage programs using various strategies. Further, as service guarantee systems have a significant and direct impact on customer loyalty, rather than customer value recognition, service guarantees should be used to encourage customers to re-visit the stores. Finally, this study applied the findings of preceding studies in terms of service quality measurement; it had limitations in referencing preceding studies in a comprehensive manner. It also had limits in expanding upon various preceding studies because it was difficult to apply new measurement tools due to the lack of service quality measurement tools for general supermarkets. Therefore, it is necessary to conduct more studies on service quality to measure service quality and develop measurement tools by incorporating various industry characteristics.

Illuminance Effects Affecting to Cognitive Ability of the Elderly (고령자의 인지력에 미치는 조도의 영향)

  • Kim, Myung-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.507-512
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    • 2019
  • To study how illuminance affects cognitive ability of the elderly, the elderly's EEG, concentration, HRV and vibra image were measured in a test room with temperature $25[^{\circ}C]$, relative humidity 50[RH%] and air flow speed 0.02[m/sec] by varying illuminance to 100[lux], 300[lux], 600[lux], 1000[lux] and 1500[lux]. Ten active elderly males were selected as subjects. Experiment condition was fixed as 1met of activity amount where the subject is seated and relaxed with cloth amount of 0.7clo. As a result, 1000[lux] was found out to be the most pleasant illuminance for the elderly, because $M{\beta}$ increased by 66.35%, and $S{\alpha}$ increased by 31.57% when the elderly was under 1000[lux] of illuminance. Also, concentration under 1000[lux] increased by 8.83% compared to 100[lux], and the pattern of concentration maintained uniformly. SDNN increased by 74.94% under 1000[lux] compared to 100[lux]. Nervousness decreased by 97.23% under 1000[lux] compared to 100[lux]. Moreover, HRT notably increased and aggression remarkably decreased under illuminance of 1000[lux]. Thus, based on the fact that comfort, concentration and heart stability of the elderly reach the highest under 1000[lux], it is determined that the illuminance has to be considered foremost in designing the elderly's welfare facilities to raise their safety and level of independence.

A field Study to Evaluate Cooling Effects of Green Facade under Different Irrigation Conditions - Focusing on modular green facade planted with Hedera helix L and Pachysandra terminalis - (관수조절에 의한 벽면녹화의 냉각효과 분석 연구- 아이비, 수호초를 식재한 모듈형 벽면녹화를 중심으로-)

  • Kim, Eun-Sub;Yun, Seok-Hwan;Piao, Zheng-gang;Jeon, Yoon-Ho;Kang, Hye-Won;Kim, Sang-Hyuck;Kim, Ji-Yeon;Lee, Young-Gu;Lee, Dong-Kun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.24 no.6
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    • pp.121-132
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    • 2021
  • Green facade has a significant impact on building's energy performance by controlling the absorption of solar radiation and improving outdoor thermal comfort through shading and evapotranspiration. In particular, since high-density building does not enough green space, green facade, and rooftop greening using artificial ground plants are highly utilized. However, the level of cooling effect according to plant traits and irrigation control is different. Therefore, in this study, the cooling effect analyzed for a total of 4 cases by controlling the irrigation condition based on hedera and spurge. Although hedera under sufficient water had the highest cooling effect(-2℃~-4℃), had the lowest cooling effect under non-irrigation(+1.1℃~+4.4℃). In addition, hedera under sufficient water had cooling effect than hedera under non-irrigation(-1℃~-8.1℃) and in the case of spurge, it had cooling effect(-0.3℃~-7.8℃) more than non-irrigation. As a result of measuring the amount of transpiration according to the light intensity (PAR) and carbon dioxide concentration conditions, transpiration of hedera was higher than the spurge (respectively 0.63204mmolm-2s-1, 0.674367mmolm-2s-1). The difference in the cooling effect of the green facade under irrigation condition was significant. But the potential cooling effect of green facade according to plants species was different. Therefore, in order to maximize and continuously provide the cooling effect of green facade in urban areas, it is necessary to consider the characteristics of plants and the control of water supply through the irrigation system.