• The Journal of the Society of Korean Medicine Diagnostics
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• v.19 no.1
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• pp.35-45
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• 2015

Objective The aim of this study was to investigate stress-related factors. Method: The subjects were 22,937 persons who had received health examination by Korean Medicine and submitted questionnaires for 8 months from March to November in 2011. The stress was measured by heart rate variability in an automobile manufacturing industry. We analyzed the relationship between stress and other factors including ages, smoke amount, drinking frequency, exercise frequency, occupational category, conjugal condition by multivariate analysis with SPSS ver. 19.0. Results: Comparing "normal" to "very bad" and "bad" level of stress, ages, drinking frequency, conjugal condition are not significant difference(p>0.05). But smoking amount and occupational category are significant difference(p<0.05). Whereas comparing "normal" to "very good" and "good" level of stress, ages, occupational category, conjugal condition, smoking amount, drinking frequency are not significant difference(p>0.05). Exercise is significant difference(p<0.05). Conclusion: The results of this study suggest that smoke is affected to stress negatively, whereas exercise is affected to stress positively.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.36 no.1
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• pp.1-7
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• 2013

This study is aimed to investigate the association between anaerobic-aerobic exercise intensity and hand steadiness. Hand steadiness is the decisive contributor to affecting the job performance just as in the rifle shooting and archery in sports and the microscope-related jobs requiring hand steadiness in industries. In anaerobic exercise condition hand steadiness is measured through hand steadiness tester having 9 different diameter holes after each subject exerts 25%, 50%, 75%, and 100% of maximum back strength. In aerobic exercise occasion it is evaluated at each time heart rate reaches 115%, 130%, and 145% of reference heart rate measured in no task condition after they do jumping jack. The results indicate that an increased intensity in both types of exercise reduces hand steadiness, but hand steadiness at 25% of maximum back strength and 115% of reference heart rate is rather greater than at no exercise. Just as the relation between cognitive stress and job performance has upside-down U form, so does the association of physical loading to hand steadiness, which means that a little exercise tends to improve hand steadiness in comparison with no exercise.

• Journal of Chest Surgery
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• v.23 no.3
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• pp.438-451
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• 1990

Pneumatic total artificial heart[TAH] has been clinically applied for the purpose of permanent or temporary use followed by cardiac transplantation in the patients with end stage heart diseases. In spite of the good durability of the pneumatic TAH, thrombus formation, bleeding and infection resulted in death. The Tomasu heart, which is a type of pneumatic TAH, was used in this study. This model is a modified Jarvik heart and consists of atrial cuffs, outflow vascular grafts and thin-layer seamless diaphragm type of ventricles. Cardiac outputs of the left artificial heart were measured by Donovan`s mock circulation under variable conditions of driving parameters, and an experimental artificial heart implantation was performed in 4 calves to observe the changes of hemodynamic parameters in early postoperative period and hematologic and bio-chemical changes in a long-term survival case. In the mock circulation test, cardiac output of the heart was increased with the increase of the left atrial pressure and left driving pressure. Maximum cardiac output was obtained at the heart rate of 120 to 130/min and percent systole of 40 to 45Zo under the condition of a constant left driving pressure of 180mmHg and left atrial pressure of 10mmHg. During the first 24 hours of TAH pumping, driving pressure ranged from 178$\pm$5mmHg to 187$\pm$8mmHg for the left heart and from 58$\pm$6mmHg to 78$\pm$28mmHg for the right heart. The Mean arterial pressure significantly increased between 2 and 8 hours after the start of pumping. The survival time ranged from 27 hours to 46 days. The causes of death were respiratory failure in 2 cases, mechanical valve failure in one, and left ventricular outflow obstruction due to thrombus in a 46-day survival case. This study demonstrated that Tomasu artificial heart operated effectively during the first 24 hours of artificial heart pumping, but thrombus formation around the valve holding area was the main problem in long-term survival case.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.12 no.4
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• pp.22-28
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• 2013

It is important to begin left ventricular assist device (LVAD) treatment at appropriate time for heart failure patients who expect cardiac recovery after the therapy. In order to predict the optimal timing of LVAD implantation, we predicted pumping efficacy of LVAD according to the severity of heart failure theoretically. We used LVAD-implanted cardiovascular system model which consist of 8 Windkessel compartments for the simulation study. The time-varying compliance theory was used to simulate ventricular pumping function in the model. The ventricular systolic dysfunction was implemented by increasing the end-systolic ventricular compliance. Using the mathematical model, we predicted cardiac responses such as left ventricular peak pressure, cardiac output, ejection fraction, and stroke work according to the severity of ventricular systolic dysfunction under the treatments of continuous and pulsatile LVAD. Left ventricular peak pressure, which indicates the ventricular loading condition, decreased maximally at the 1st level heart-failure under pulsatile LVAD therapy and 2nd level heart-failure under continuous LVAD therapy. We conclude that optimal timing for pulsatile LVAD treatment is 1st level heart-failure and for continuous LVAD treatment is 2nd level heart-failure when considering LVAD treatment as "bridge to recovery".

• Journal of Acupuncture Research
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• v.23 no.1
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• pp.135-143
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• 2006

Objectives : This study was performed to observe effect of acupuncture stimulation on heart rate variability in stroke patients. Methods : Data were obtained from heart rate variability of 29 stroke patients. Heart rate variability was measured total five times(before and after needle insertion, before and after needle removal, and 10 minutes after needle removal) for five minutes each time. Results : Heart rates were continuously decreased until 10 minutes after needle removal. SDNN, Total power, LF, and HF were increased until 5 minutes after needle removal, but deceased between 5 and 10 minutes after needle removal. There was no significant changes between male and female and among age groups. Conclusion : This study showed that acupuncture stimulation could effect on heart rate variability in stroke patients. Heart rate variability could be a objective tool to verify the mechanism of acupuncture effect in various condition.

• Journal of Yeungnam Medical Science
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• v.25 no.2
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• pp.150-153
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• 2008

A 67-year-old woman with severe congestive heart failure (New York Heart Association, NYHA class IV) was set to receive general anesthesia for cardiac surgery. For several months, she had been in a constant sitting position from which the slightest change evoked dyspnea. A patient in such a condition is rarely considered a candidate for general anesthesia, because such patients are never eligible for any type of surgery other than that used to fix the heart problem itself. We report this case to explain how anesthesia was induced with the patient sitting in a crouching position and discuss other methods of induction that can probably be used in similar situations.

• Journal of Oriental Neuropsychiatry
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• v.14 no.2
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• pp.27-34
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• 2003

I studied connection between meridians and Dianxian(癲癎, Epilepsy). Dianxian is caused by Feun(風) based on the Blood-Deficiency(血虛) which is induced by Heart-deficiency(心虛). Therefore, when Heart and blood are in deficient condition(心血虛), Heart meridian(心經) and Pericardium meridian(心包經) can be easily affected by Feng(風), which is main cause of Dianxian. Furthermore, Liver heat(肝熱) is another main cause of Dianxian. It shows along Liver meridian(肝經) and affects Pericardium Meridian(心包經). Heart, Pericardium and Liver are main organs of human psychoconscious activities, and also are main pathological organs of Dianxian. Dianxian progresses in several ways and simtoms of Dianxian are variant according to the deficiency-exess state(虛實) of Stomach and Spleen meridians(脾胃經). So, I concluded that controling Heart, Pericardium, Liver, Stomach and Spleen meridians can make therapeutical effects on Dianxian. So I report it for the better treatment, and it shoud need further study.

• Journal of Veterinary Clinics
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• v.31 no.3
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• pp.163-169
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• 2014

Glucose metabolism abnormalities secondary to heart failure, including insulin resistance (IR) and impaired fasting glucose, have been gradually recognized as important prognostic factors in disease progression. However, to date, no study has investigated glucose abnormalities in dogs with chronic mitral valve insufficiency (CMVD). Thus, we hypothesized that glucose metabolism abnormalities due to heart failure may develop in dogs with CMVD. A prospective study was performed on 113 client-owned dogs with variable CMVD severities. Serum insulin, glucagon, fructosamine, and glucose concentrations were measured, and insulin resistance was determined using the homeostatic model assessment (HOMA) score. The serum insulin concentration had a significant inverse association with the heart failure severity. However, there was no significant association between the heart failure severity and fructosamine, HOMA score, and fasting blood glucose. Insulin, fructosamine, and HOMA had a significant positive association with body condition scores (BCS), whereas glucose had no association. This study found that insulin secretion in dogs with naturally occurring heart failure due to CMVD might be compromised as the disease worsens.

• The Journal of the Korean dental association
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• v.45 no.12 s.463
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• pp.753-760
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• 2007

Recently orthodontics in elderly people is continually increasing due to aging of the society arising from decrease of birth rate as well as death rate. As the elderly population grows, needs for oral health care increases, and elderly patients with poor teeth alignment need more attention with orthodontic treatment. Our study analyzes various treatment protocols for different cases of aged orthodontic patients, and following are considerations in orthodontic treatment of elderly patients. 1. Periodontal treatment should be preceded before orthodontic treatment. 2. Periodontal condition should be considered when selecting teeth for extraction 3. In dealing with the residual prosthesis, condition of prosthesis, anchorage availability, and need for size reduction, patient seconomic status should be taken into consideration. 4. Fixed retainers are recommended for retention.

• Korean Journal of Acupuncture
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• v.33 no.2
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• pp.58-66
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• 2016

Objectives : In order to find a possible non-invasive manipulation tool for maintenance of the cardiovascular functions in hemorrhagic shock, this study was aimed at evaluating effects of acupoints acupressure on the changes in blood pressure and heart rate from an animal model of hemorrhagic shock. Methods : In adult Sprague-Dawley rats, hemorrhagic shock was induced by a withdrawal of arterial blood from the femoral artery with volume of 0.8 ml per 100 g of body weight using peristaltic syringe pump. We applied the acupressure with a pressure oscillator to tail as a control and 2 different acupoints of sobu(HT8), youngchun(KI1) under 3 different conditions : 1) normal arterial blood pressure without bleeding, 2) at the beginning of bleeding, and finally 3) hemorrhagic shock. Results : Under normal arterial blood pressure without hemorrhage, there was a significant increase in systolic and diastolic blood pressures by the acupressure to the tail, HT8 and especially KI1 for 30 sec compared with before acupressure. Under hemorrhagic shock condition, the tail acupressure had minimal changes in cardiovascular parameters. Either the HT8 or KI1 acupressure resulted in a significant increase in arterial pressure but did not heart rate. At the beginning of bleeding, tail acupressure failed to change the reduction of arterial pressure and heart rate. However, there was a significant increase in blood pressure and heart rate following either the HT8 or especially KI1 acupressure. Conclusions : HT8 and KI1 acupressure affected cardiovascular signs but tail acupressure did not in rat model of hemorrhagic shock. These experimental data suggest that a acupressure with a pressure oscillator to HT8 or KI1 can be one of alternative emergency manipulations to ameliorate compromised cardiovascular functions under hemorrhagic shock condition.