• Title/Summary/Keyword: Exhaustion

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Bibliographical study on the Jiu Qi(九氣) shown at Ju Tong Lun(擧痛論) in Shao Wen(素問) Huang Ti Nei Ching(黃帝內經) (${\ll}$소문(素問).거통론(擧痛論)${\gg}$에 나타난 구기(九氣)에 대(對)한 고찰(考察))

  • Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.1
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    • pp.145-167
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    • 2000
  • Jiu Qi(九氣) was shown at Ju Tong Lun(擧痛論) in Shao Wen(素問) Huang Ti Nei Ching(黃帝內經), and is nine important factors that affect the function of human body. Jiu Qi concludes endogenous, exogenous, non-endo-exogenous factors. I do the bibliographical study on the Jiu Qi, the results were as follows; 1. The Qi of Jiu Qi has two opposite meanings. one is genuine vital energy(正氣), and the other is the factors causing abnormal state in vital energy. Jiu Qi is nine factors concluding coldness-heat(exogenous factors). six emotional factors(endogenous factor), overworking(non -endo-exogenous factor). 2. Anger may lead to abnormal rising of vital energy. Anger causes Qi of the liver to go perversely upward, and perverted flow of exuberant Qi of the liver lead to dysfunction of the spleen, so resulted in hematemesis, diarrhea, indigestion. 3. Joy can promote the harmony of vital energy and blood, so do the circulation of nutrient and defensive energy in physiological state. But an excessive joy may lead to the sluggishness of vital energy. 4. The lung keeps the pathway of air unconstructed, disseminates vital energy, cleanses the inspired air and keeps vital energy flowing downward. Sorrow affects on the function of the lung and the heart, so could result in obstruction of the circulation of nutrient and defensive energy. An excessive sorrow after stagnation may lead to the consumption of vital energy. 5. Fear makes vital energy and essence of the kidney sink to inward and downside, makes Yang-Qi can't go upward, so causes obstruction of triple wanner. An excessive fear can obstructs the ascending of Yang-Qi, so may lead to the abnormal falling of vital energy. 6. Coldness makes the sweat pore be contracted, so obstructs the circulation of triple warmer, causes sluggishness of defensive energy or Qi of the internal organ. 7. Heat makes the sweat pore be open, much amount of sweat is excreted with Yang-Qi, defensive energy, vital energy. Heat may consume vital energy. 8. Sudden fright affects on spirits of the heart and liver, causes disorder of the mental faculties and separation of blood and vital energy. Fright may lead to disorder of Qi. 9. Overwork concludes overfatigue and exhaustion caused by intemperance in sexual life. Overwork renders vital energy consumed, and hence results in lassitude and listlessness. 10. Thinking affects on the function of the heart and the spleen. Over thinking may lead to depression of vital energy. Through the bibliographical study on Jiu Qi, I got smallest amount of it, and this must be more investigated correlating with clinical study.

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Study on Stress and Burnout in Medical Education at the School of Korean Medicine (한의학전문대학원 재학생들의 학업 스트레스와 학업소진에 관한 연구)

  • Kim, Sung Hye;Han, Seung Yoon;Kim, Jong Dae;Choi, Sumi;Lee, Soo Jin;Lim, Jung Hwa;Chae, Han
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.2
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    • pp.103-116
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    • 2015
  • Objectives: Medical students suffer from mental health and academic problems due to academic stress. We investigated academic stress and exhaustion along with psychological issues caused by medical education during the years in the School of Korean Medicine. Methods: Two hundred fifty-one university students from the School of Korean Medicine, Pusan National University, were asked to complete the Medical Stress Scale (MSS), Maslach Burnout Inventory-Student Survey (MBI-SS), Positive Affect and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) three times during each semester for two years from 2013 onwards. We analyzed the influence of school term and vacation on educational stress and negative affect with the T-test. The Pearson's correlation analysis and regression analysis were used to predict changes during the first semester or first years of study in the School of Korean Medicine. Results: Academic stress and burnout increased steadily until the first semester of third grade, which was measured with MSS and MBI-SS. The anxiety level was highest when the students started the first grade and it decreased significantly after the first semester. Negative affect repeatedly increased significantly after each school term; however, it reduced after each vacation. In the first grade, 19.5% of the last measure of MSS can be explained with the first measure of MSS. Discussion: This study extensively reviewed the trends and characteristics of four years of academic stress and its related psychological influence, and discussed its importance for developing a more efficient academic curriculum for traditional Korean Medicine.

Burnout among Medical School Faculty Members: Incidence and Demographic Characteristics at Three Medical Schools in the Busan and Gyeongnam Area of Korea (의과대학 교수들의 탈진: 부산·경남지역 3개 의과대학 교수 탈진 빈도와 양상)

  • Seo, Ji-Hyun;Kim, Bukyung;Bae, Hwa-Ok;Im, Sun Ju;Kim, Kyung Han
    • Korean Medical Education Review
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    • v.16 no.2
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    • pp.67-76
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    • 2014
  • Few studies have examined burnout among the faculty of medical schools in the Republic of Korea. The aim of this study was to determine the level of burnout and its associated factors among the faculty members of three medical schools in the Busan-Gyeongnam area, and to summarise the available literature on burnout. We conducted the survey using a validated questionnaire that incorporated the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as well as questions about demographic characteristics, working experience, health, lifestyle, most time spent and most difficult work, and suicidal ideation and job quitting ideation of the survey participants. MBI-HSS scores were analysed in the three dimensions of emotional exhaustion (EE), depersonalization (De), and personal accomplishment (PA). Through the survey, the 186 professors, 49% among the total, provided data which were included in the present analysis. More than thirty per cent (37.1%) of the professors reported at least 1 symptom of burnout. For burnout dimensions, 11.8% of the respondents scored high for EE burnout, 25.3% for De, and 14.5% for PA, with 1.6% scoring high on all three dimensions of burnout. High burnout was found to be strongly associated with several of the variables under study, especially hours worked per week, self-rated health, career (range, 4 to 9 years), and age (range, 50 to 59 years). The EE score was highest for the professors who chose 'patient care' as the most difficult type of work. This study showed that just over one-third of professors have at least 1 symptom of burnout and working more hours per week, short length of work (years), and especially suicidal ideation seem to be associated with the burnout of medical school faculty members in the Busan-Gyeongnam area. In summary, a greater risk of burnout of physicians (including medical professors) seems to be associated with specialties at the front line of care, working more hours per week, work-life imbalance, low self-efficacy, depression, and conflicts with colleagues and patients.

Scaled model tests for improvement and applicability of the transverse smoke control system on tunnels (횡류식 제·배연 시스템의 개선 및 적용성 분석을 위한 모형실험 연구)

  • Kim, Hyo-Gyu;Baek, Doo-San;Kim, Jae-Hyun;Lee, Seong-Won;Yoo, Ji-Oh
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.22 no.5
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    • pp.563-574
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    • 2020
  • Currently, road tunnels and railroad tunnels are building smoke control systems to emit toxic gases and smoke from fires. Among the various smoke control systems, the transverse smoke control system has the disadvantage that air supply or exhaust is performed on only half of the cross-section, rather than air supply or exhaust on the entire cross-section of the tunnel as air is supplied or exhausted by partitioning the wind path. Therefore, this study analyzed the effect of exhaustion through numerical analysis and scaled model tests on the zoning smoke control system, which improved the limitations of the transverse smoke control system. As a result of the scaled model test, the transverse ventilation system exhibited a 25.6% smoke control rate based on the state where no smoke was controled, and zoning smoke control system showed a smoke control rate of 40.8%. In addition, as a result of numerical analysis, it was found that transverse ventilation system did not control fire smoke spreading from the tunnel and continued to spread. On the other hand, zoning smoke control system was found to be smoke controled within a certain section due to the air curtain effect and the flue gas effect.

Mass Mortality of Arkshell, Anadara broughtonii SCHRENCK Seedlings with Marine Ecological Characteristics (해양 생태학적 특성에 따른 피조개 치패의 대량폐사)

  • CHUN Young-Yull;NA Gui-Hwan;CHOI Woo-Jeung
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.24 no.1
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    • pp.70-78
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    • 1991
  • Both long period of summer drought and unusual high water temperature in 1988 caused the harmfull effect to the aquacultural organisms in south coast of Korea. One of those was the mass mortality of arkshell seedlings in Jinhae Bay. The purpose of this study was to verify the effects of environmental factors on arkshell seedlings by investigating not only water quality and food organisms in culturing grounds, but also meteorological conditions. Water temperature in November was higher at $2.0^{\circ}C$ than mean water temperature and the concentration of total inorganic nitrogen and N/P ratio were $0.38{\mu}g-at/l,$ 0.98, respectively which indicated the exhaustion of nutrients, especially nitrogen in the study area. In analysis of phytoplankton population structure, species diversity index(H) , equitability-index(e), species richness $index(d_1)$ were low, but dominance $index({\delta}_2)$ was high at the value of 98.4 and dominant species was Nitzschia pungens. In conclusion, it seems that mass .mortality of arkshell seedlings in November was resulted from the metabolism disorder with poor food organism under the unstable marine environment.

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Integrated Security Management with MCGA in IPv6 Network (IPv6 네트워크 환경에서 MCGA를 고려한 통합적인 보안관리 방안)

  • Oh, Ha-Young;Chae, Ki-Joon;Bang, Hyo-Chan;Na, Jung-Chan
    • The KIPS Transactions:PartC
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    • v.14C no.1 s.111
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    • pp.27-38
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    • 2007
  • IPv6 has appeared for solving the address exhaustion of IPv4 and for guaranteeing the problems of security and QoS. It occurs the unexpected new attacks of IPv6 as well as the existing attacks of IPv4 because of the increasing address space to 128bits and the address hierarchies for efficient network management and additions of the new messages between nodes and routers like neighbor discovery and auto address configuration for the various comfortable services. For the successful transition from IPv4 to IPv6, we should get the secure compatibility between IPv4 hosts or routers working based on secure and systematic policy and IPv6. Network manager should design security technologies for efficient management in IPv4/IPv6 co-existence network and IPv6 network and security management framework designation. In this paper, we inspected the characteristics of IPv4 and IPv6, study on security requirement for efficient security management of various attacks, protocol, service in IPv4/IPv6 co-existence and IPv6 network, and finally suggest integrated solution about security vulnerability of IPv6 network in considering of analysis of IPv6 system, host and application, IPv6 characteristics, modified CGA(MCGA).

Effects of Sanjointang on Hemodynamic Functions of Isolated Rat Heart Induced by Sleep Deprivation (산조인탕이 수면박탈 흰쥐 심장의 혈역학적 기능에 미치는 영향)

  • Shin, Yu-Jeong;Kim, Deog-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.106-120
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    • 2010
  • Objectives: Sanjointang has been clinically used much for treating sleeplessness. However, the effects of Sanjointang in artificial sleep deprivation situations are not known. The purpose of this study is to evaluate the heart rate, left ventricular systolic pressure, left ventricular diastolic pressure, +dp/dt maximum, -dp/dt maximum, and -dp/dt / +dp/dt ratio which are related to the hemodynamic functions of the heart by using sleep-deprived Sparague-Dawley rats, in order to clarify the impact of Sanjointang on hemodynamic functions of the heart of sleep deprived rats. Methods: Eighteen hearts were removed from the male Sparague-Dawley rats weighting about 180g were perfused by the Langendorff technique with modified 37 Krebs-Henseleit's buffer solution at a constant perfusion pressure (60mmHg). They were randomly assigned to one of the following three groups, 1) Normal group (those which did not have sleep deprivation and received normal saline administration), 2) Control group (sleep deprived and normal saline administered), 3) Sample group (sleep deprived and Sanjointang was administered). Control and sample groups rats were deprived 96 hours of sleep by using the modified multiple platform technique. Heart rate, left ventricular systolic pressure, left ventricular diastolic pressure, +dp/dt maximum, -dp/dt maximum, -dp/dt / +dp/dt ratio were evaluated at baseline after the administration of either normal saline or Sanjointang. Results: The heart rate and -dp/dt / +dp/dt ratio was significantly decreased in rats with 96 hours of sleep deprived significantly decreased. The change in the heart rate after administering Sanjointang did not show any significant difference. The left ventricular systolic pressure of the removed heart significantly decreased due to Sanjointang administration, while the left ventricular diastolic pressure significantly increased (p<0.05). The +dp/dt maximum and -dp/dt maximum both significantly decreased in the removed heart after administering Sanjointang. (p<0.05). There was no significant difference observed in the -dp/dt / +dp/dt ratio after administering Sanjointang. Conclusions: According to the results above, sleep deprivation significantly decreases heart rate and -dp/dt / +dp/dt ratio. This is considered as a result of exhaustion due to accumulation of fatigue. Meanwhile, Sanjointang reduced left ventricular systolic pressure and raised left ventricular diastolic pressure, and relieved the contractility and relaxation of the myocardium. Consequently, this reduces the burden of the heart and creates a relatively stabilized heart condition similar to a sleeping condition.

A Valuation for Gas Hydrate R&D Project Using Fuzzy Real Options Model (퍼지실물옵션모형을 이용한 가스하이드레이트 R&D 사업의 가치평가)

  • Yun, Ga-Hye;Heo, Eunnyeong
    • Environmental and Resource Economics Review
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    • v.18 no.2
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    • pp.217-239
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    • 2009
  • As gas hydrate is recently emerging as a new energy source to solve environmental and exhaustion problems caused by fossil energy, Korea is working on a gas hydrate development project under a 10-year plan from 2005 to 2014. Gas hydrate is expected to have a big effect on the economy and society of Korea, which is largely depending on energy imports besides water energy and atomic energy. However, it is uncertain whether the project will produce successful results. Thus, it is very important to improve its validity and to propose effective execution strategies by evaluating the value of the project in advance. Thus, this study intended to include new information, which had not been evaluated in existing methods, and to reduce biases or errors in value evaluation results by applying a fuzzy risk analysis to the real option model in order to evaluate the value of a gas hydrate development project. It is advantageous that the real option model based on the fuzzy risk analysis modelizes the vagueness and inexactness of intangible element judgment into an appropriate language scale so as to evaluate these elements clearly and integrate them with estimated financial performance results. The application of the fuzzy risk analysis makes it possible to conduct an analysis by dissolving a decision-making issue with complicated and various attributes into several simplified problems. With the continuing high oil prices and today's demand of clean energy, the necessity of energy resources and technology development projects keeps growing. Amid this situation, it is expected that these study results will contribute to proposing a guideline not only for gas hydrate projects but also for policy decision-making related to future energy industries.

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A Study on the Energy-saving Variation by the Reduction of Insulation Boundary in Mixed-use Building (주상복합건물에서 단열 경계구역 축소에 따른 에너지 절감량 변화에 관한 연구)

  • Kim, Dae-Won;Kim, Young-Il;Kim, Sung-Min;Cho, Jin-Hwan;Chung, Kwang-Seop
    • Journal of Energy Engineering
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    • v.21 no.2
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    • pp.152-157
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    • 2012
  • Due to the global warming and energy exhaustion, energy efficiency improvement of construction is recognized the stream of times. To improve the efficiency of the building, in order to energy saving, passive elements should be applied. Then the first step be supposed that applying the new standards about the insulation boundary. The current insulation boundary standards are not reasonable as well as does not divide the purposes. As a result, energy is being wasted and many civil complaints are also occurred. To improve these problems, applying the insulation boundary need to divide the heating and non-heating and subdivide the purpose of construction. In this study, accurate real heating and air conditioning areas are presented that work on the new insulation boundary of purposes and applicable standards. This proposed, by the real heating and air conditioning areas, insulation boundary of purposes, matching the reasonable capacity and load of equipment, by working on standards by optimal maintenance can be energy saving, to present guidelines that environment improvement of actual residents as well as energy saving be expected.

Effective of Body Temperature Increasing during Brain MRI scan (MRI 검사 시 체온상승 효과: 1.5 T vs 3.0 T)

  • Kim, Myeong Seong;Lee, Jongwoong;Jung, Jaeeun
    • Journal of the Korean Society of Radiology
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    • v.11 no.1
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    • pp.49-54
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    • 2017
  • As the Radiofrequency(RF) increases with the magnetic field strength, the wavelength of the RF excitation field becomes smaller, which leads to more the thermal effect in the human-body placed in the electric field. MRI scanner used was GE signa 1.5T, HDx 3.0T and Philips 3.0T with same routine clinical sequence protocol. Therefore temperature was measured before and after each scan. Taken the temperatures in the ear with ear infra-red type thermometer(Braun co). 3.0T were temperature increases more than $0.15^{\circ}C$ and GE 3.0T MRI equipment about $0.14^{\circ}C$ higher than the Philips 3.0T MRI(p<0.012). Psychogenic status was investigated by the survey respondents about their status can not just answer therefore, a little different from the expected. In our study of Thermal effect of clinical MRI with clinical protocol sequence, we found that the 3.0T in the body-temperature rise was greater than the 1.5T. Therefore, in clinical 3.0T examine the dangerous situation caused by the temperature rise occurred (burns, impaired thermoregulatory mechanism in patients with high-temperature damage, exhaustion occurs due to excessive sweating), not to appear the more watched the patient's condition with procedure.