• Title/Summary/Keyword: Examination stress

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Cooling Strategy for Improving the Performance of Endurance Sports in Heat (고온 환경에서 지구성 스포츠의 운동수행력 향상을 위한 냉각요법의 전략)

  • Park, Chan-Ho;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.27 no.5
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    • pp.591-599
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    • 2017
  • It is well established that endurance performance is negatively affected by environmental heat stress. Numerous scientific investigations have attempted to improve performance in the heat with pre-cooling and per-cooling for endurance athletes. Some cooling strategies are more logistically challenging than others, and thus are often impractical for use in training or competition. The purpose of this study was to review the literature on the use of cooling interventions in the improvement of performance and recovery from exercise-induced heat stress. We undertook an examination that focused on the effects of pre-cooling and per-cooling on the improvement in endurance performance and the effects of post-exercise cooling on recovery. The benefits for pre-cooling and per-cooling strategies undertaken in the laboratory setting could be employed by athletes who compete in hot environmental conditions to improve performance. Most laboratory studies have shown improvements in endurance performance following pre-cooling and per-cooling, and in recovery following post-cooling. Cooling strategies such as cooling vest, neck cooling collar, menthol and ice slurry are practically relevant to sports field. Cooling interventions that can be applied frequently to reduce thermal strain prior to, during and directly after training appear to be the best effective strategy to improve performance and recovery. Future research is warranted to investigate the effectiveness of practical pre-cooling and per-cooling strategies in competition or field settings.

Effect of remifentanil on intraoperative fluid balance: a retrospective statistical examination of factors contributing to fluid balance

  • Ohara, Sayaka;Nishimura, Akiko;Tachikawa, Satoshi;Iijima, Takehiko
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.3
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    • pp.129-135
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    • 2020
  • Background: Postoperative fluid retention is a factor that causes delay in recovery and unexpected adverse events. It is important to prevent intraoperative fluid retention, which is putatively caused by intraoperative release of stress hormones, such as ADH (anti-diuretic hormone) or others. We hypothesized that intraoperative analgesia may prevent pathological fluid retention. We retrospectively explored the relationship between analgesics and in-out balance in surgical patients from anesthesia records. Methods: Anesthetic records of 80 patients who had undergone orthognathic surgery were checked in this study. Patients were anesthetized with either TIVA (propofol and remifentanil) or inhalational anesthesia (sevoflurane and remifentanil). During surgery, acetated Ringer's solution was infused for maintenance at a rate of 3-5 ml/kg/h at the discretion of the anesthetist. The perioperative parameters, including the amount of crystalloid and colloid infused, and the amount of urine and bleeding were checked. Furthermore, we checked the amount and administration rate of remifentanil during the surgical procedure. The correlation coefficient between the remifentanil dose and the in-out balance or the urinary output was analyzed using the Pearson correlation coefficient. The contributing factor to fluid retention, including urinary output, was statistically examined by means of multivariate logistic regression analysis. Results: A significant positive correlation was found between remifentanil dose and urinary output. Urinary output less than 0.04 ml/kg/min was suggested to cause positive fluid balance. Although in-out balance approaches zero balance with increase in remifentanil administration rate, no contributing factor for near-zero fluid balance was statistically picked up. The remifentanil administration rate was statistically picked up as the significant factor for higher urinary output (> 0.04 ml/kg/min) (OR, 2,644; 95% CI, 3.2-2.2 × 106) among perioperative parameters. Conclusions: In conclusion, remifentanil contributes in maintaining the urinary output during general anesthesia. Although further prospective study is needed to confirm this hypothesis, it was suggested that fluid retention could be avoided through suppressing intraoperative stress response by means of appropriate maintenance of remifentanil infusion rate.

The Influence of Health Behaviors and Health related Quality of Life on Depression among Korean Female Problem Drinker (여성 문제음주자의 건강행태와 건강관련 삶의 질이 우울에 미치는 영향)

  • Park, Min Hee;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7844-7854
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    • 2015
  • The purpose of this study is to investigate the drinking status, health behaviors, health related quality of life and depression among female problem drinkers and to examine the impact of their health behavior and health related quality of life on depression. The data of this study were derived from the 5th Korea National Health and Nutrition Examination Survey conducted during January 2010-December 2012. As for the subjects of this study, 328 female problem drinkers were selected who were classified as those with 8 or higher scores in the AUDIT, and complex samples analysis was conducted using the IBM SPSS Statistics version 21.0 software package. The study result showed that the risk of experiencing depression increased among subjects with a high level of perceived stress and subjects with a low level of health related quality of life. In addition, the risk of experiencing depression increased among subjects with 1-4 hours of sleep time compared to subjects with 8 or more hours of sleep time. Accordingly, it would be necessary to pay attention to stress, sleep time and health related quality of life that are related influencing factors for the improvement of depression and mental health of Korean female problem drinkers.

Study on Characteristics of SCC and AE Signals for Weld HAZ of HT-60 Steel (HT-60강 용접부의 SCC및 AE신호특성에 관한 연구)

  • Na, Eui-Gyun;Yu, Hyo-Sun;Kim, Hoon
    • Journal of the Korean Society for Nondestructive Testing
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    • v.21 no.1
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    • pp.62-68
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    • 2001
  • In order to characterize the microscopic fracture behaviour of the weldment din stress corrosion cracking(SCC) phenomena, SCC and acoustic emission(AE) tests were carried out simultaneously and the correlation between mechanical paramenters obtained from SCC and AE tests was investigated. In the case of base metal, much more AE events were produced at -0.5V than at -0.8V because of the dissolution mechanism before the maximum load. Regardless of the applied voltages to the specimens, however, AE events decreased after the maximum load. In the case of weldment, lots of AE events with larger amplitude $range(40{\sim}100dB)$ were produced because of the singularities of weld HAZ in comparision to the base metal and post-weld heat-treated(PWHT) specimens. Numerous and larger cracks for the weldment were observed on the fractured surfaces by SEM examination. From these results, it was concluded that SCC for the weldment appeared most severely in synthetic seawater. Weld HAZ was softened by PWHT which also contributed to the reduced susceptibility to corrosive environment in comparison to the weldment.

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A Study on Demographic, Physical·Mental Health, Oral Health and Quality of Life in Cancer Patients -The 7th Korea National Health and Nutrition Examination Survey KNHANES VII-3 (2018)- (암환자의 인구사회학적 특성, 심신건강, 구강건강과 삶의 질에 관한 연구 -국민건강영양조사 제7기 3차 년도(2018)-)

  • Kim, Seol-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.445-453
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    • 2021
  • This study investigates the factors influencing quality of life for cancer patients based on demographic characteristics, physical-mental health, and oral health. These factors are analyzed using the results from 235 cancer patients in Korea's 7th national health and nutrition survey. Data were analyzed using PASW Statistics Ver. 18.0. Studies show that cancer patients experienced stress (74.5%), depression (84.3%), and activity limitations (15.3%). In oral health, problems chewing were often experienced in groups with low incomes (3.35±.21), activity limitations (2.71±.31), and depression (3.01±.27). The factors influencing quality of life were higher by 3.43 times in the low-income group and by 8.39 times in the activity-restricted group, by 2.74 times in the high-stress group, by 4.58 times in the depression group, by 2.68 times in the chewing-problems group, and were 4.92 times higher in the speech problems group (p<0.05). To improve quality of life, not only mental and physical health care, but also oral care is necessary. An integrated management plan for medical staff in the treatment process of cancer patients is required to prevent mental, physical, and oral discomfort.

Effects of a mixture of Citri Pericarpium and Scutellariae Radix on acute reflux esophagitis in rats (진피-황금 혼합물이 급성 역류성 식도염 흰쥐에 미치는 효과)

  • Lee, Jin A;Shin, Mi-Rae;Roh, Seong-Soo;Park, Hae-Jin
    • Journal of Nutrition and Health
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    • v.54 no.3
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    • pp.321-333
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    • 2021
  • Purpose: Reflux esophagitis is a disease caused by the reflux of stomach contents and stomach acid etc. into the esophagus due to defect in the lower esophageal sphincter and is currently increasing worldwide. This study was conducted to evaluate the effect of a mixture of Citrus Reticulata and Scutellariae Radix (CS) extract on acute reflux esophagitis in rats. Methods: Rats were divided into five groups for examination: normal group (Normal, n = 8), water-treated acute reflux esophagitis rats (Control, n = 8), tocopherol 30 mg/kg body weight-treated acute reflux esophagitis rats (Toco, n = 8), CS 100 mg/kg body weight-treated acute reflux esophagitis rats (CS100, n = 8), CS 200 mg/kg body weight-treated acute reflux esophagitis rats (CS200, n = 8). The experimental groups were administrated of each treatment compounds and after 90 min, acute reflux esophagitis was induced through surgery. Rats were sacrificed 5 h after surgery. We measured the level of reactive oxygen species (ROS) in serum and analyzed the expression of nicotinamide adenine dinucleotide phosphate, inflammatory, and tight junction-related proteins by western blot in the esophageal tissues. Results: CS administration significantly protected the esophageal mucosal damage due to reflux esophagitis, and the level of ROS in the serum was significantly reduced with CS administration as compared to Control. In addition, CS administration significantly suppressed mitogen-activated protein kinase (MAPK or MAP kinase) and nuclear factor-kappa B (NF-κB) pathways and increased protein expressions of tight junction protein. Conclusion: These results suggest that the CS not only regulates the expression of inflammatory proteins by inhibiting oxidative stress, but also reduces damage to the esophageal mucosa by inhibiting the expression of tight junction proteins.

Analysis of Sediment Transport in the Gaeya Open Channel by Complex Wave Field (복합 파랑장에 따른 개야수로 퇴적물이동 분석)

  • Jang, Changhwan
    • Journal of Wetlands Research
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    • v.23 no.2
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    • pp.107-115
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    • 2021
  • In order to analyze wave propagation, tidal current, and sediment transport in the vicinity of the Gaeya open channel, it was classified into before(CASE1W) and after(CASE2W) installation of various artificial structures, and the calculation results for CASE1W and CASE2W were compared. For wave propagation, the results of incident and reflected waves were derived using the SWAN numerical model, and the tidal current velocity results were derived using the FLOW2DH numerical model for tidal current. The results of the SWAN numerical model and the FLOW2DH numerical model became the input conditions for the SEDTRAN numerical model that predicts sediment transport, and the maximum bed shear stress and suspended sediment concentration distribution near the Gaeya open channel were calculated through the SEDTRAN numerical model. As a result of the calculation of the SWAN numerical model, the wave height of CASE2W was increased by 40~50 % compared to CASE1W because the incident wave was diffracted and superimposed and the reflected wave was generated by about 7 km long northen jetty. As a result of the calculation of the FLOW2DH numerical model, According to the northen breakwater, the northen jetty and Geumrando, CASE2W was calculated 10~30 % faster than CASE1W in the tidal current of the Gaeya open channel. As a result of the calculation of the SEDTRAN numerical model, the section where the maximum bed shear stress is 1.0 N/m2 or more and the suspended concentration is 80mg/L or more was widely distributed in the Gaeya open channel from the marine environment by the complex wave field(incident wave, reflected wave and tidal wave) and the installation of various artificial structures. it is believed that a sedimentation phenomenon occurred in the Gaeya open channel.

Factors Influencing Depression in Stressed Adults by Age (스트레스 인지 성인의 나이에 따른 우울 영향 요인)

  • Kwon, Myoungjin;Kim, Sun Ae
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.747-758
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    • 2022
  • This study aimed to identify the factors that influence depression in stressed adults by age. Data were extracted from the 7th Korea National Health and Nutrition Examination Survey, covering 3,333 adults aged 20 to 59 years who were highly aware of stress. Linear regression analysis was performed using the IBM SPSS 25.0 program. The study found that in the case of people in their 20s, education level, health-related quality of life, obesity, weight change, smoking, and subjective body type were significant influencing factors, with an explanatory power of 60.3%. In the case of people in their 30s, gender, household income level, living with spouse, economic activity, health-related quality of life, food intake, obesity, alcohol consumption, smoking, and subjective health were significant influencing factors, with an explanatory power of 30.3%. For people in their 40s, household income level, living with spouse, economic activity, health-related quality of life, smoking, aerobic exercise, and subjective health were significant influencing factors, with an explanatory power of 34.4%. For people in their 50s, gender, education level, income, economic activity, health-related quality of life, protein intake, fat intake, high blood pressure, diabetes, weight control, aerobic exercise, subjective health, and subjective body type were significant influencing factors, with an explanatory power of 42.3%. Therefore, as it was found through this study that the factors affecting depression in stressed adults differ by age, it is necessary to establish an intervention strategy for each age when trying to lower depression in stressed adults.

Investigation of the Environment and Working Scope of Optometric Personnel in Ophthalmology (안과검안인력의 근무 환경 및 업무 범위에 관한 조사)

  • Han, Minho;Park, Junbeom;Jeon, Okhwan;Hwang, Eul Sung;Park, Hyun Jin;Lee, Min Woo;Kim, Gibong;Koo, Bon-Kyeong;An, Younghoi
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.3
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    • pp.224-238
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    • 2022
  • The environment and scope of work of optometric personnel in ophthalmology are unknown. We aimed to investigate these topics using an online survey. Based on the results obtained, we also make policy proposals from the perspective of clinical laboratory technologists to the University-Association-Academy. The age distribution of the study subjects was as follows; 20s (40.7%), 30s (28.4%), 40s (23.5%), and 50s (7.4%). Women constituted 56.0% of the cohort, and careers were evenly distributed from <1 to ≥15 years. We found optometric personnel had high levels of work-related stress, frequent occupational diseases, and that their duties were wide in scope. More manpower is needed to reduce work stress and improve work satisfaction. Clinical laboratory technologists held more senior positions at 48% compared to others and the occupational distribution was closely related to the senior occupation (P<0.001). Clinical laboratory technologists were responsible for about 30 types of eye examinations, and the most frequently performed examination was the refraction test; anomaloscopic examinations took the most time (27 minutes). Taken together, clinical laboratory technologists perform various eye exams. Given the importance of clinical laboratory technologists in optometry, a multifaceted effort is required at the University-Association-Academy.

Working Environment and Scope of Otorhinolaryngology Laboratory Personnel in South Korea (국내 이비인후과 검사인력의 근무 환경과 업무 범위)

  • Younghoi AN;Minho HAN;Eul Sung HWANG;Hyun Jin PARK;Bon-Kyeong KOO;Min Woo LEE;Gibong KIM;Suhng Wook KIM
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.1
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    • pp.52-64
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    • 2023
  • This study aimed to examine the types and characteristics of otorhinolaryngology examinations performed by clinical laboratory technologists and to investigate the working environment and scope of work of otorhinolaryngology laboratory personnel using online questionnaires. Based on the research results, constructive policy measures for the University-Association-Society were also presented. Most of the survey respondents were in their 40s (34.1%). Females accounted for 80.2% of respondents and 30.8% of them had a career spanning 15 years or more. We found that laboratory personnel had a wide scope of work, high work stress and frequently suffered occupational diseases. We observed that, to reduce stress and increase satisfaction, an expansion of the workforce was necessary. Compared to other occupations, 72% of clinical laboratory technologists occupied more senior positions, occupational distribution depended on senior positions (P<0.001). Clinical laboratory technologists performed about 26 types of otorhinolaryngology examinations. The most frequent test performed daily was pure tone audiometry, and polysomnography took the longest test time, with an average of 8 hours. In conclusion, clinical laboratory technologists were in charge of various specialized otorhinolaryngology examinations. Considering the importance of clinical laboratory technologists in otorhinolaryngology, the University-Association-Society should put in additional effort into nurturing otorhinolaryngology examination experts.