• Title/Summary/Keyword: Examination stress

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Health and Nutritional Factors Related to Hypertension of Subjects Aged Over 50 in High Income Class - Based on the 2005 Korea National Health and Nutrition Examination Survey - (50세 이상 고소득층 성인 및 노인의 고혈압 관련 건강 및 영양 요인에 관한 연구 - 2005년 국민건강영양조사 결과에 근거하여 -)

  • Ahn, So-Hyun;Son, Sook-Mee;Park, Jin-Kyung
    • Journal of the Korean Dietetic Association
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    • v.15 no.3
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    • pp.311-327
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    • 2009
  • This study was performed to determine the health and nutritional risk factors associated with hypertension in Koreans over the age of 50 in a high-income class (more than twice as much family income as the 2005 Korean minimum cost of living, 668,540 Won). A total of 505 subjects aged over 50 from the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) were divided into two groups: A hypertension group (HG) (N=151, Systolic Blood Pressure ${\geq}$140 mmHg or Diastolic Blood Pressure ${\geq}$90 mmHg) and normal group (NG) (N=354). Subjects who took hypertension medicines or underwent diet therapy were excluded. In HG, mean daily alcohol intake and the amount of alcohol consumption per one occasion were significantly higher than in NG, respectively. A greater number of hypertension subjects answered that they drank alcohol to reduce stress as compared to normal subjects. HG also took fewer dietary supplements than NG. Mean body mass index (BMI), waist circumference, fasting blood sugar level, and 2 hour postprandial blood sugar following a glucose load were significantly higher in HG than in NG, respectively. Also, iron, thiamin, and niacin intakes and the consumption frequency of seaweeds were significantly lower in HG than in NG, respectively. Finally, obesity (BMI ${\geq}$25 $kg/m^2$), abdominal obesity (waist circumference ${\geq}$90 cm for males, ${\geq}$ 80 cm for females), high blood sugar level 2 hours after an oral glucose load (${\geq}$140~200 mg/dl), and hypertriglyceridemia (serum TG ${\geq}$200 mg/dl) were related to a significantly higher risk of hypertension in the subjects (odds ratio: 1.884~3.040). In conclusion, dietary factors such as higher alcohol consumption; lower intakes of iron, thiamin, and niacin; lower consumption frequency of seaweeds; and metabolic syndrome were associated with hypertension in the study subjects.

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Development of Remote Reld Testing Technique for Moisture Separator & Reheater Tubes in Nuclear Power Plants (원자력발전소 습분분리재열기 튜브 원격장검사 기술 개발)

  • Nam, Min-Woo;Lee, Hee-Jong;Kim, Cheol-Gi
    • Journal of the Korean Society for Nondestructive Testing
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    • v.28 no.4
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    • pp.339-345
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    • 2008
  • The heat exchanger tube in nuclear power plants is mainly fabricated from nonferromagnetic material such as a copper, titanium, and inconel alloy, but the moisture separator & reheater tube in the turbine system is fabricated from ferromagnetic material such as a carbon steel or ferrite stainless steel which has a good mechanical properties in harsh environments of high pressure and temperature. Especially, the moisture separator & reheater tubes, which use steam as a heat transfer media, typically employ a tubing with integral fins to furnish higher heat transfer rates. The ferromagnetic tube typically shows superior properties in high pressure and temperature environments than a nonferromagnetic material, but can make a trouble during the normal operation of power plants because the ferrous tube has service-induced damage forms including a steam cutting, erosion, mechanical wear, stress corrosion cracking, etc. Therefore, nondestructive examination is periodically performed to evaluate the tube integrity. Now, the remote field testing(RFT) technique is one of the solution for examination of ferromagnetic tube because the conventional eddy current technique typically can not be applied to ferromagnetic tube such as a ferrite stainless steel due to the high electrical permeability of ferrous tube. In this study, we have designed RFT probes, calibration standards, artificial flaw specimen, and probe pusher-puller necessary for field application, and have successfully carry out RFT examination of the moisture separator & reheater tube of nuclear power plants.

Oral Health Status and Behavior Factors Associated with Self-Rated Health Status among the Elderly in South Korea: The 7th Korea National Health and Nutrition Examination Survey (2016-2018) (우리나라 노인의 구강건강상태 및 관리행태와 주관적 건강상태와의 관련성: 제7기 국민건강영양조사(2016-2018)를 이용하여)

  • Hong, Joo Hee;Lee, Yongjae;Kim, Taehyun;Kim, Roeul;Chung, Woojin
    • Health Policy and Management
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    • v.31 no.1
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    • pp.74-90
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    • 2021
  • Background: It is getting important to improve the oral health status of the elderly because oral health status may affect their health status of the whole body. In this respect, we aimed to explore the association of oral health status and behavior factors with self-rated health status by sex. Methods: Using the data from the 7th Korea National Health and Nutrition Examination Survey for health surveys and oral examinations (2016-2018), we analyzed a total of 3,070 people aged 65 or older (men: 1,329; women: 1,741). Our dependent variable, self-rated health status, was divided into two groups: not good (bad and very bad) and good (very good, good, and fair), whereas our independent variables of interest were oral health status and behavior factors. In addition to descriptive analysis and the Rao-Scott chi-square test, reflecting survey characteristics, we conducted hierarchical multivariable logistic regression analyses adjusted for socio-demographics and health status and behavior factors. All analyses were stratified by sex. Results: The proportion of people having 'not good' self-rated health was 36.5% in women but 24.5% in men. In a model adjusted for all covariates, the self-rated health status showed significant association with the self-rated oral health status. For example, in men, the risk of having 'not good' self-rated health was high in people having 'poor' (odds ratio [OR], 5.31; 95% confidence interval [CI], 2.34-12.03) self-rated oral health status and in those having 'fair' (OR, 4.03; 95% CI, 1.68-9.70) in comparison with those having 'good' self-rated oral health status. Dental status regarding speaking difficulty seemed to be very important in influencing self-rated health status. For instance, in women, compared to people having 'no discomfort' speaking difficulty, the risk of having 'not good' self-rated health was high in people having 'not bad' (OR, 1.60; 95% CI, 1.14-2.24) and 'discomfort' (OR, 1.79; 95% CI, 1.30-2.47) speaking difficulty. The covariates significantly associated with the risk of having 'not good' self-rated health were: physical activity, chronic disease, stress, and body mass index in both sexes; health insurance type and drinking only in men; and economic activity only in women. Conclusion: Oral health status and behavioral factors were associated with self-rated health status among the elderly, differently by sex. This suggests that public health policies toward better health in the elderly should take their oral health status and oral health behaviors into account in a sex-specific way.

Factors associated with health-related quality of life in Postmenopause over 10 Years Women Using National Health and Nutrition Examination Survey (국민건강영양조사를 활용한 폐경 여성의 삶의 질에 영향을 미치는 요인 ; 폐경 10년 이후 여성을 중심으로)

  • Jung, Sun-Kyung;Park, Keum-Ok;Lee, Yoon-Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.553-560
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    • 2022
  • This study was conducted to identify the factors affecting the quality of life of women over 10 years after menopause using data from 2014 to 2019 of the National Health and Nutrition Examination Survey. The subjects were 6,330. The data were analyzed by frequency analysis, t-test and multiple regression analysis using SPSS 25. As a result of the study, the factors affecting the health-related quality of life of women 10 years after menopause were age(F=30.625, p<.001), educational level(F=20.106, p<.001), perceived health status(F=187.925, p<.001, activity limitation(t=201.051, p<.001), arthritis(t=91.131, p<.001), osteoporosis(t=4.709, p=.030), hand grip strength(t=22.151, p<.001), perceived stress(F=32.775, p<.001), and depression(t=20.117, p<.001). The factors accounted for 35.1%(F=110.393, p<.001). In order to improve the quality of life of postmenopausal women, it is necessary to continuously evaluate and improve the factors affecting the quality of life from the early menopause.

A Study on Job Stress and Job Satisfaction of Dental Hygienists Working in Dental Clinics (치과의원에 근무하는 치과위생사의 직무 스트레스와 직무만족에 관한 연구)

  • Jung, Jung-Ock;Song, Kwui-Sook
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.305-312
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    • 2008
  • This study was attempted to look into relation between job stress and job satisfaction perceived by clinical dental hygienists and the influencing factors for providing fundamental data to increase their job satisfaction. For this, mailed correspondence examination was conducted with questionnaire for dental hygienists who are engaged in dental hygiene duties at dental clinics in Seoul between June 19 and July 24, 2008. Total 180 questionnaires were distributed, and among these, 156 questionnaires were included in analysis except for 24 questionnaires having incomplete answers. The findings of this study are as follows: 1. The total mean of dental hygienists' job stress was found to be 3.46 points out of 5 points, and that of their job satisfaction to be 2.99. 2. For relation between general characteristics and job stress of dental hygienists, significant difference was found just in the motive to select dental hygienist (p < 0.001) and the expected period of engagement in dental hygienist duties (p < 0.05). 3. For relation between general characteristics and job satisfaction of dental hygienists, significant difference was found just in job experience(p < 0.05), current position (p < 0.05), average salary (p < 0.001), and the expected period of engagement in dental hygienist duties (p < 0.01). 4. For correlation between job stress and job satisfaction, negative correlation was shown generally (r=-0.222), such that the more was job stress, the less was job satisfaction. 5. As a result of multiple regression analysis to look into the job stress factors influencing dental hygienists' job satisfaction, it was found that the factors of excessive workload(p < 0.05) and improper treatment(p < 0.01) most influenced job satisfaction, and the descriptive power on the job stress factors influencing their job satisfaction was found to be 24.1%.

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A Study on the Chemical Cleaning Process and Its Qualification Test by Eddy Current Testing

  • Shin, Ki Seok;Cheon, Keun Young;Nam, Min Woo;Min, Kyong Mahn
    • Journal of the Korean Society for Nondestructive Testing
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    • v.33 no.6
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    • pp.511-518
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    • 2013
  • Steam Generator (SG) tube, as a barrier isolating the primary coolant system from the secondary side of nuclear power plants (NPP), must maintain the structural integrity for the public safety and their efficient power generation. So, SG tubes are subject to the periodic examination and the repairs if needed so that any defective tubes are not in service. Recently, corrosion related degradations were detected in the tubes of the domestic OPR-1000 NPP, as a form of axially oriented outer diameter stress corrosion cracking (ODSCC). According to the studies on the factors causing the heat fouling as well as developing corrosion cracking, densely scaled deposits on the secondary side of the SG tubes are mainly known to be problematic causing the adverse impacts against the soundness of the SG tubes [1]. Therefore, the processes of various cleaning methods efficiently to dissolve and remove the deposits have been applied as well as it is imperative to maintain the structural integrity of the tubes after exposing to the cleaning agent. So qualification test (QT) should be carried out to assess the perfection of the chemical cleaning and QT is to apply the processes and to do ECT. In this paper, the chemical cleaning processes to dissolve and remove the scaled deposits are introduced and results of ECT on the artificial crack specimens to determine the effectiveness of those processes are represented.

Oxidative Stress of Mouse Fed with ${\gamma}$-Irradiated Soybean Diet (대두 함유 방사선 조사식이를 섭취한 Mouse의 산화적 스트레스)

  • Park, Sun-Young;Seo, Dae-Young;Suh, Kwang-Sun;Ly, Sun-Yung
    • Journal of Nutrition and Health
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    • v.40 no.2
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    • pp.138-146
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    • 2007
  • Food irradiation has been steadily increased in many countries concomitantly with increasing international trades. Harmful contaminants naturally occurred from foods which contain high levels of unsaturated fatty acids that are easily oxidized can affect the human anti-oxidation system through the generation of free radicals. Moreover, previous studies proved that ${\gamma}$-irradiation may cause production of free radicals in food. We investigated the effect of ${\gamma}$-irradiated soybeans in relation to oxidative stress in mice. Oxidative index of mice was evaluated by TBARS, DNA fragmentation in various organs such as blood lymphocytes, liver and kidney. Forty male ICR mice were equally divided into 4 groups and fed control diet or ${\gamma}$-irradiated diet containing 50% soybeans (5, 10, and 20 kGy, respectively) for 8 weeks. Peroxide values of the irradiated diets were higher than that of the non-irradiated one and increased according to the storage period. There was no significant difference in weight gain as well as in TBARS value in plasma and kidney of all groups. Liver TBARS value of the group fed with irradiated diet at 20 kGy increased significantly compared with the control group (p < 0.05). DNA oxidative damage as measured by alkaline comet assay showed that % tail DNA in the blood lymphocytes of 5 kGy and 10 kGy groups increased significantly over the control group (p < 0.05). Also, tail moments of 5 kGy and 10 kGy groups were higher than that of the control group. Ultrastructural examination shows myeline figures and swollen mitochondria in parietal and intestinal epithelial cells of the group fed with irradiated diet. Therefore, considering unsaturated fatty acid content, consumption of soybeans ${\gamma}$-irradiated with over 20 kGy or repeatedly may decrease the body's antioxidant mechanism.

Literature Review of Postoperative Delirium in Geriatric Patients After Elective Gastrointestinal Cancer Surgery

  • Park, Da-In;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.20 no.3
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    • pp.177-186
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    • 2018
  • Purpose: Increasing number of older adults are receiving cancer surgeries especially for gastrointestinal cancers, which brings forth attention to age-related postoperative complication prevention. Postoperative delirium (POD) is a common complication that rises after surgical procedures involving general anesthesia, largely in the elderly population. Due to its sudden onset and fluctuating symptoms, POD often goes underdiagnosed and undertreated even though it may lead to various adverse outcomes. POD in GI cancer surgical elderly patients is poorly understood in terms of prevalence, pathophysiology, assessment, treatment and nursing management. We aimed to identify available literature and investigate study results to broaden our understanding of geriatric GI cancer POD. Methods: The search process involved six databases to identify relevant studies abided by inclusion criteria. Results: Eleven studies were selected for this review. Geriatric POD is closely related to frailty and surgical complications. Frailty increases vulnerability to surgical stress and causes cerebral changes that affect stress-regulating neurotransmitter proportions, brain blood flow, vascular density, neuron cell life and intracellular signal transductions. These conditions of frailty result in increased risks of surgical complications such as blood loss, cardiovascular events and inflammation, which all may lead to the POD. Mini Metal State Examination (MMSE), Confusion Assessment Method (CAM) and Delirium Rating Scale-revised-98 (DRS-R-98) are recommended for POD assessment to identify high-risk patients. Conclusion: The POD prevalence ranged from 8.2% to 51.0%. The multifactorial causative mechanism suggests nurses to identify highrisk elderly GI-cancer surgical patients by reviewing patient-specific factors and surgery-specific factors.

Identification on Fatigue Failure of Impeller at Single Stage Feedwater Pumps During Commissioning Operation (단단 주 급수 펌프 임펠러에서 시운전 중 발생한 피로 절손에 관한 규명 연구)

  • Kim, Yeon-Whan;Kim, Kye-Yean;Bae, Chun-Hee;Lee, Young-Shin
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.18 no.9
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    • pp.937-942
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    • 2008
  • This paper presents a case history on failures of impeller and shaft due to pressure pulsation at single stage feed water pumps in 700 MW nuclear power plant during commissioning operation. The pumps had been service and had run for approximately $40{\sim}50$ hours. For the most part, the failures of impeller occurred with the presence of a number of fatigue cracks. All cracks were associated with the deleterious surface layer of impeller by visual and metallurgical examination. On-site testing and analytical approach was performed on the systems to diagnose the problem and develop a solution to reduce the effect of exciting sources. A major concern at high-energy centrifugal pump is the pressure pulsation created from trailing edge of the Impeller blade, flow separation and recirculation at centrifugal pumps of partial load. Pressure pulsation due to the interaction generating between impeller and casing coincided with natural frequencies of the impeller and shaft system during 1ow load operation. It was identified that dynamic stress exceeding the fatigue strength of the material at the thin shroud section due to the hydraulic instability at running condition below BEP.

Psychometric Properties of the Korean version of the PTSD Checklist-5 in Elderly Korean Veterans of the Vietnam War (월남전 참전 노인에서 한글판 외상후 스트레스 장애 체크리스트-5의 정신측정학적 특성)

  • Kim, Jong Won;Chung, Hae Gyung;Choi, Jin Hee;So, Hyung Seok;Kang, Suk-Hoon;Kim, Dong Soo;Moon, Jung Yoon;Kim, Tae Yong
    • Anxiety and mood
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    • v.13 no.2
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    • pp.123-131
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    • 2017
  • Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.