• Title/Summary/Keyword: Discomfort Index

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Robust Design Optimization of the Vehicle Ride Comfort Considering Variation of the Design Parameters (설계변수의 산포를 고려한 차량 승차감의 강건최적설계)

  • Song, Pil-Gon;Spiriyagin, Maksym;Yoo, Hong-Hee
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.18 no.12
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    • pp.1217-1223
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    • 2008
  • Vehicle vibration mostly originates from the road excitation and causes discomfort, fatigue and even injury to a driver. Vehicle ride comfort is one of the most important performance indices to achieve a high-quality vehicle design. Since design parameter variations inevitably result in the vehicle ride comfort variance, the variance characteristics should be analyzed in the early design stage of the vehicle. The vehicle ride comfort is often defined by an index which employs a weighted RMS value of the acceleration PSD of a seat position. The design solution is obtained through two steps in this study. An optimization problem to obtain a minimum ride comfort index is solved first. Then another optimization problem to obtain minimum variance of the ride comfort index is solved. For the optimization problems, the equations of motion and the sensitivity equations are derived basing on a 5-DOF vehicle model. The numerical results show that an optimal solution for the minimum ride comfort is not necessarily same as that of the minimum variance of the ride comfort.

A Study on the Efficacy and Compliance of Oral Appliances according to the Severity of Apnea in the Treatment of Snoring and Obstructive Sleep Apnea (코골이와 폐쇄성수면무호흡증 환자에서 무호흡 심도에 따른 구강내 장치의 치료효과 및 환자의 적응도에 관한 연구)

  • 안홍균;이광호;정성창
    • Journal of Oral Medicine and Pain
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    • v.23 no.4
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    • pp.419-432
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    • 1998
  • The purpose of this Study was to examine the efficacy and compliance of a mandibular advancement device(MAD) according to the severity of sleep apnea in the snorers and obstructive sleep apnea patients. Fifty-four patients (45 males, 9 females, aged 20 - 68years ) who visited Seoul National Uiversity Dental Hospital(SNUDH) to seek for the treatment of snoring and sleep apnea were classified into four groups according to the results of the nocturnal polysomnography and they were instructed to wear MAD regularly which was designed to increase the size of the upper airway by advancing the mandible. The evaluation of the efficacy and compliance of the MAD according to the severity of apnea and the duration after the usage of MAD ( 1week, 1month, 3months, 6months, 12months) was made by using quesionnaires mad in Department of Oral Medicine and Oral diagnosis, SNUDH. The obtained results were as follows : 1. All subjects results were habitual snoreres and 43 patients(79.6%) complained the loudness of snoring that can be heard out of the room. 2. Apnea index(AI) of the total subjects was mean 29.4$\pm$26.9 and respiratory disturbance index(RDI)was mean 37.6$\pm$28.0. And there was nodifference in the efficacy and the compliances of MAD according to the severity of apnea. 3. The severityi of apnea by the questionnaires significantly corresponded with the results of nocturnal polysomnography, and this fact potentiated the diagnostic value of the questionnaire. 4. after the usage of MAD, there was significant improvement in the frequency of snoring, the loudness of snoring, frequency of apnea, daytime sleepiness nad the refreshment after sleep(p<0.001) regardless of the apnea index(AI) and respiratory distrubance index(RDI). 5. The degree of the satisfaction with MAD was mean 74.4$\pm$18.4% and that of the discomfort with the MAD was 31.4$\pm$19.6%. But there was no serious complication in occlusion and temporomandibular joint with the usage of MAD and the duration of the discomfort was mean 3.3$\pm$2.2 weeks. 6. Forty-one patients(75.9%) continued the usage of MAD but thirteen patients(24.1%) stopped the use of MAD because of the discomforts and insufficient results with it.

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Development and validation of an instrument to measure the health status of healthy but unsatisfied people : Mibyeong index(未病 index) (이상증상 기반 미병 분류도구의 신뢰도 및 타당도 연구)

  • Lee, Youngseop;Baek, Younghwa;Park, Kihyun;Jin, Hee-Jeong;Lee, Siwoo
    • Journal of Society of Preventive Korean Medicine
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    • v.20 no.3
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    • pp.45-53
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    • 2016
  • Objectives : The number of people in Mibyeong state that complain of physical and mental discomfort but without a clear medical diagnosis has rapidly increased, but the conventional medical system is insufficient to care for these people. By establishing an evaluation instrument for Mibyeong state, it will be possible to provide a research base for Mibyeong management system and expand the clinical area of integrative medicine. Methods : Mibyeong Index was designed to measure inconvenience and resilience of subject's complains including four physical symptoms (fatigue, pain, low sleep quality, indigestion) and mental distress include anxiety, anger, depression. A 21-item quality of healthy measure was developed and tested. We used results of a nation-wide stratified sampled adult data in Korea. Results and Conclusions : Mibyeong index had adequate internal consistency, Cronbach's alpha was 0.88 in general population(N=1,110). The correlation between establised quality of life questionnaires (including SF-12 and EQ-D5 VAS) and the Mibyeong index were from 0.468 to 0.493. The national promotion of advanced health for an aging society and original Mibyeong care technology based on traditional Korean medicine can be developed by a self-care system that enhancing health before suffering illness. We expect that this instrument could be contribute to health management of people in Mibyeong state.

Efficacy and Safety of Blood Stasis Based Herbal Medicine for Patients with Traffic Accident : A Prospective Observational Study

  • Bong, Sung Min;Jo, Hyo Rim;Jang, Woo Seok;Choi, Seong Kyeong;Sung, Won Suk;Jung, Chan Yung;Lee, Seung Deok;Kim, Kyung Ho;Kim, Eun Jung
    • Journal of Acupuncture Research
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    • v.37 no.3
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    • pp.151-160
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    • 2020
  • Background: Blood stasis (BS) is commonly used for pattern identification in traumatic injuries, including traffic accidents (TAs). Various studies have identified the efficacy of Korean medicine treatments for TA patients, but studies focusing on the BS-based herbal medicine (BSHM), including Tongdo-san (TDS), are rare. Methods: This was a single-center, prospective observational study, conducted from August 24th, 2018 to December 27th, 2018, which included 40 TA patients. Participants underwent routine Korean medicine treatments including acupuncture, electronic moxibustion, cupping, physical therapy, and herbal medicine. In the herbal medicine treatment, participants took BSHM with more than 3 days including taking TDS. The primary outcome measures were the scores from a 100 mm visual analogue scale (VAS) and numerical rating scale (NRS). Secondary outcome measures included scores from EuroQol-5 dimension (EQ-5D) and EQ-VAS questionnaires, the BS and cold/heat indices, and safety assessments. Results: There were significant improvements in the VAS, NRS, EQ-5D, EQ-VAS scores, and BS index after treatment. In the sub-analysis, VAS, NRS, EQ-5D, and EQ-VAS scores were higher in groups with a higher BS index. The moderate and severe BS index groups showed more improvement than the minor BS index group, and there was a significant difference in the EQ-5D scores. There was no significant differences observed in cold/heat index groups scores. Conclusion: BS is associated with TA-related symptoms. BSHM, including TDS, may significantly reduce BS, pain, and discomfort.

Association between Oral Health Status and Perceived General Health (EuroQol-5D) (구강건강상태와 감지 건강상태(EuroQol-5D)와의 연관성)

  • Sim, Seon-Ju
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.364-370
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    • 2014
  • The purpose of this study was to examine association between oral health status and perceived general health symptom. We analyzed 14,231 subjects who participated in Korea National Health and Nutrition Examination Survey (2007~2009). All individuals were examined by a questionnaire about socioeconomic history, smoking and drinking habit, the frequency of daily tooth brushing, the presence of regular dental visit, and EuroQol-5D. Dental survey was conducted to find the decayed, missing, and filled teeth (DMFT) index and community periodontal index. Subjects with perceived problem with mobility had higher DMFT index (odds ratio, 1.18, p<0.001). Subjects with with perceived problem with pain/discomfort had higher DMFT index (odds ratio, 1.16, p<0.001). Self-rating general health symptom was not associated with periodontitis (p>0.05). Perceived general health was associated with DMFT index. It is recommendable that we can use the perceived general health to predict oral health status.

A Study on Premenstrual Syndrome (PMS), Nutrient Intake, Psychological Index according to the Obesity Degree of College Women (여대생의 비만도에 따른 월경전증후군 증상, 영양섭취 실태 및 심리지수 연구)

  • Kang, Se-Na;Park, Jung-Hwa;Hwang, Hye-Jin
    • Korean Journal of Community Nutrition
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    • v.16 no.1
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    • pp.14-22
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    • 2011
  • This study was designed to compare the incidence and severity of premenstrual syndrome (PMS) between normal (N = 85) and overweight or obese (N = 28) college female students and investigated correlation between PMS, nutrient intake, hematological index and psychological index (depression, anxiety, stress). Each subject was asked a Menstrual Discomfort Questionnaire (MDQ) for PMS by 5 Likert scale. The PMS scores of women in the normal weight subjects ranked in order of severity were water retention (2.71), followed by behavioral change (2.58), negative affect (2.46), pain (2.31), autonomic reaction (2.27), decreased concentration (2.16). The symptoms of 'pain' and 'behavioral change' of overweight or obese subject were significantly higher than those of normal subject (p < 0.05). And total cholesterol concentration of overweight or obese subjects was significantly higher than in normal subject (p < 0.05). There was a significant positive correlation (p < 0.05) between the symptoms of 'negative effect' and BMI. And the triglyceride concentration was positively related with 'water retention (p < 0.01)'. The symptoms of 'decreased concentration' were negatively correlated with calcium (p < 0.01) and vitamin B6 intake (p < 0.05). The depression score were positively related with symptoms of 'behavioral change (p < 0.05)', 'negative affect' (p < 0.01), and the anxiety score was positively correlated with 'behavioral change (p < 0.05)' and 'decreased concentration (p < 0.05)'. The stress score was positively correlated with 'decreased concentration (p < 0.01)', 'behavioral change (p < 0.05)' and 'negative affect (p < 0.05)'. This suggests that PMS represents the clinical manifestation of a calcium, vitamin $B_6$ deficiency and psychological disorder. Therefore we concluded that nutrient supplementation, depression and stress management may help to relieve PMS symptoms.

A Study on the Optimal Window Floor Ratio Acording to Transmitance of Dye Sensitized Solar Cell(DSSC) by Analysis of Daylighting perfomance and Glare Index of Transmitance (염료감응태양전지의 투과율에 따른 채광성능 및 현휘지수 분석을 통한 적정창면적비에 대한 연구)

  • Oh, Myung-Hwan;Sim, Se-Ra;Lee, Chul-Sung;Chin, Kyung-Il;Yoon, Jong-Ho
    • 한국태양에너지학회:학술대회논문집
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    • 2009.11a
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    • pp.92-97
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    • 2009
  • It is more necessary to consider the various factors for developmenting visible PV module of alternative window than traditional PV module. It must have sufficient performance which is Tvis, daylighting, daylight factor, glare index. so that more needs to consider suitable plan and total evaluated technology. Under the this background. For using commonly a combination BIPV module system and Daylinghting that can alternative architectural window, our goal on this study is drawing proper window area ratio as the window by analyzing lighting performance and glare index depending on transmittance of DSSC. On this study, we drew the result about window area ratio that can apply in the building when applying DSSC in the window. In situation that window is alternated as curtain wall in atrium that has big Widow area, if applying red 15.8% DSSC of low transmittance, it is expect to proper because it is suitable illumination standard and doesn't occur a discomfort glare. In case of office, we propose to apply red 33.2% or blue 35.2% DSSC of high transmittance for no affecting lighting load. we expect to contribute to select proper and effective window when applying the window in the building by drawing the window area ratio that can apply in thee building depending on transmittance of DSSC and offering the glare index data.

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The Comparison of Hospice Care by Nurse, Volunteer and Minister (말기 암환자 호스피스 케어의 사례 - 간호사, 자원봉사자, 목회자의 케어 사례 비교 -)

  • Kim, Boon-Han
    • Journal of Hospice and Palliative Care
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    • v.2 no.1
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    • pp.46-53
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    • 1999
  • The purpose of this case study is to explore the difference of hospice care and the efficiency of hospice education, by comparing the care of the nurse, the volunteer and the minister who have been trained by the Hospice Education Program. The index of common hospice care delivered by cases is that 1) the physical problems (pain, physical discomfort, incontinece, nausea, vomiting etc.) 2) the family problems(family support, change of family function, inefficiency, preparing the death of family) 3) the psychiatric problems(grief and sadness of death, anxiety, fear, helplessness). The case of volunteer and minister is different with the hospice care by nurse, because it is some what related to Christian's base. The index of care by the volunteer and minister is pertaining to social support and spiritual support for family and dying patient. In conclusion, for the wholistic hospice care, we need the hospice caregiver who have diverse background and expert in knowledge of various dimension. For that, it is necessary to build and develop hospice education program as a team apprach, which indudes a systematic expertizing items for care in consideration of caregiver's background.

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Satisfaction and demand of the New Prosthesis Treatment according to the oral health condition of the geriatric patient in Daejeon City (대전지역 노인환자의 구강보건실태에 따른 치과보철의 만족도와 요구도)

  • Jung, Jae-Kwan;Lee, Su-Ok
    • Journal of Technologic Dentistry
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    • v.31 no.3
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    • pp.59-66
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    • 2009
  • In this study 240 geriatric patients, aged 60 year and over were evaluated using a questionnaire and oral examination for their oral status, demand and satisfaction of prosthesis treatment. 1. The single main complaint was regarding from the existing removable prosthesis. When the complaints were catagorized into larger groups, complaints regarding existing prosthesis were 32% and followed by 30% in caries and endodontic problems. 2. DMFT index woman appeared the man the age when will increase more highly recording where highly and considered statistically. 3. According to the result from questionnaire, 48% of patients wearing removable prosthesis and 43% with fixed prosthesis were not satisfied with existing prosthesis. Thirty-seven percentages of patients were not satisfied with aesthetics and unable to chew food properly. 4. Thirty-nine percentage of patients were wearing removable prosthesis. More complete dentures were found on maxilla and partial dentures on mandible. 5. Seventy-seven percentage of patients requested for new prosthesis and the majority of these patients had complaints of difficulties in chewing and discomfort.

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Ontology Components for the Depression Management based on Context (상황기반의 우울증 관리를 위한 온톨로지 구성요소)

  • Kang, Yun-Jeong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.9
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    • pp.1785-1790
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    • 2016
  • There is exhibit a degree of pain in the occurrence and course of treatment levels or oral, pain rating scale actions, such as illness, for example, the discomfort scale because of the pain "annoying", "unpleasant" "annoyed am", "painful" represents a pain scale of the order of "painful", "hard to bear", "very difficult to bear". Depression is recognized based on the premise of the situation, because it is difficult to recognize themselves. In this paper we define the components of the depression can be seen lifestyle which can lead to depression or through a biological signal. The depression index was derived from the ontology modeling to understand the state of depression. Depression ontology components and depression index will be aware of the situation based information services for depression. Combined with the situational awareness based devices and can be synchronized to verify the results of the depression index. It will be applied to improve lifestyle factors that of depression.