• Title/Summary/Keyword: Mean Re-Stress

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A Study on The Relation between Psychological Stress and Stress Hormone, Nutritional Status of Patients with Non-Insulim Dependent Diabetes Mellitus (인슐린 비의존형 당뇨병 환자의 심리적 스트레스와 스트레스호르몬 및 영양상태와의 상관관계에 관한 연구)

  • 문수재
    • Journal of Nutrition and Health
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    • v.29 no.8
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    • pp.889-898
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    • 1996
  • This study estimated the re!ation between psychological stress and stress hormones, nu­t tritional status of patients with non-insulin dependent diabetes mellitus(NIDDM). Psycho­l logical stress such as depr'ession and anxiety in 34 diabetics was analyzedin relation to nutrient intake, blood components such as fasting blood sugar(FBS), hemoglobin AIC, stress hormones a and amino acids. The IeveIs of depression and anxiety were measured by The center for ep­i idemiological studies-depc$pm$111.49pg/ml for total catecholamine ( (norepmephrine and epinephrine) and 233.95 $pm$73.99pg/ml for norepinephrine, 94.03$pm$75. 9 97pg/ml for epinephrine, 13.lS$pm$5.55pl/dl for cortisol and 171.50$pm$62.50pg/ml for gul c cagon respectlveIy. The leveIs of stress hormones in diabetics such as total catecholamine, norep­i mephrine cortisol and glucagon were significantly higher than those in normal control. The lev­el of epmephrine was higher in diabetics but the diffierenee was not significant. The calorie m t take in diabetics was 1762$pm$292keal which is S1.4% lower than Korean recommended dietary a allowances(RDA). Calcium intake was slightly low but other nutrients intakeswere higher than R RDA. The value of fasting blood sugar(FBS), usual fasting blood sugar(usual FBS) which refteet a average FBS during 3 months and hemoglobin Al C in diabetics was 1S4.1S$pm$74.22mg/dl, 177.76$pm$42.77mg/dl and S.S4$pm$2.S2% respec디VeIy. The distribution of plasma amino acids in d diabetics was generally in the normal range. The leveI of anxiety in diabetics was positively cor­related with norepinephrine, concentration and usual FBS. The levels of glucagon, usual FBS a and hemoglobin Aj C were pOSI디veIy correlated with the branched chaimamino acid(BCM : leucme, isoleucme and valine)

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Wind Engineering Study on the Surface-Pressure Characteristic of a Triangular Prism Located Behind a Porous Fence (다공성 방풍펜스 후방에 놓인 삼각프리즘의 표면압력특성에 관한 풍공학적 연구)

  • Park, Cheol-U;Lee, Sang-Jun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.21 no.11
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    • pp.1496-1508
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    • 1997
  • The effects of porous wind fence on the pressure characteristics around a 2-dimensional prism model of triangular cross-section were investigated experimentally. The fence and prism model were embedded in a neutral atmospheric surface boundary layer over the city suburb. In this study, various fences of different porosity, back fence, inclination angle of prism and location of additional back prisms were tested to investigate their effects on the pressure and wall shear stress of the prism surface. The fence and prism had the same height of 40 mm and Reynolds number based on the model height was Re=3.9*10$^{4}$. The porous fence with porosity 40% was found to be the best wind fence for decreasing the mean and pressure fluctuations on the prism surface. By installing the fence of porosity 40%, the wall shear stress on the windward surface of prism was largely decreased up to 1/3 of that without the fence. This indicates that the porous fence is most effective to abate the wind erosion. Pressure fluctuations on the model surface were decreased more than half when a back fence was located behind the prism in addition to the front fence. With locating several back prisms and decreasing the inclination angle of triangular prism, the pressure fluctuations on the model surface were increased on the contrary.

Evaluation of Farmer's Workload and Thermal Environment During Harvesting Grape in Summer (여름철 포도 수확 작업 농민의 작업 환경 및 노동 부담 평가)

  • 최정화;김명주;이주영
    • Journal of the Korean Home Economics Association
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    • v.40 no.11
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    • pp.193-205
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    • 2002
  • To evaluate farmers' workload during harvesting grapes in summer, this study investigated farmers' physiological, psychological responses, work postures and thermal environment around in the field. This field study was conducted in the Anseong County of Kyonggi Province at the end of August. Five career farmers (1 male, 4 females) volunteered as subjects. Three of them were over their sixties. During harvesting grapes in the field, physiological responses were monitored continuously. 1. Air temperature (T/sub a/), air humidity(H/sub a/), black globe temperature(T/sub g/), air velocity and WBGT around the grape field were 26.9℃, 77.7%RH, 32.8℃, 0.08㎧ and 26.3℃, respectively. Because farmers started the harvesting task in early morning, thermal environments weren't conditions to give farmers severe heat strain. 2. The percentage of the work postures was larger in order of standing, walking, and bending one's back posture. Particularly, the percentage of standing posture with raising both arms above shoulder of two farmers was up to 29% and 61% of the total work duration. 3. Rectal temperature (T/sub re/), mean skin temperature (T/sub sk/), clothing microclimate temperature (T/sub cl/) on the chest and the back, heart rate (HR) and energy expenditure (EE) were 37.2℃, 33.1℃, 32.0℃, 32.4℃, 88bpm and 1.3 Kca1/㎡/min respectively. In the point of these physiological results, we evaluated that the harvesting task was a moderate work. 4. All farmers expressed‘hard, hot, humid and slightly uncomfortable’ at the end of works for each subjective questionnaire. The grape harvesting tasks were not evaluated as a very hard work in the point of physiological work standards. But we considered 1) inappropriate work posture (standing posture with raising both arms above shoulder) and 2) farmers' age as burden factors. These findings suggest that adding adequate protective clothing/equipments for farmers may contribute to maintain their body temperature within the normal range, stabilize HR and decrease psychological strain.

Health Locus of control : A Review of the Nursing Research in Korea (건강통제위 개념의 국내 간호연구 분석)

  • 이은희;임숙빈;김인자;이은옥
    • Journal of Korean Academy of Nursing
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    • v.23 no.4
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    • pp.694-712
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    • 1993
  • A number of nursing researchers have used the concept of health locus of control over the past decade in Korea. This article reviewed 92 nursing research papers on health locus of control conducted since 1982, and examined type of subjects, design, measurement instruments, the scores of each dimension of the HLOC, and significant variables. Most of the research were correlational in design, used an 18-item 6-point score instrument and studied the relationship between HLOC, health re-lated variables, and cognitive-emotional variables, The health related variables included health behavior, health management, preventive health behavior, compliance to treatment regimen and self care behavior The cognitive-emotional variables included depression, anxiety, stress and self- esteem. Some consistent findings are beginning to emerge. The concept of internal HLOC was positively correlated with the health related variables. But few studies found any significant correlation between powerful others HLOC and health related variables. In the case of chance HLOC, few studies reported a significant relationship. Many of the articles reported significant relationships between internal HLOC and cognitive-emotional variables, but few reported a significant relationship between powerful others or chance HLOC and cognitive -emotional variables. all experimental studies but one found that only internal HLOC was significantly changed following experimental manipulation. When the different groups of subjects such as normal persons, chronic patients, acute patients were compared in terms of mean scores, it was found that the HLOC appeared to change depending on the status of the patients. Recommendations for future research include modification of the instrument to increase the reliability and validity, study about the pattern of response suggested by Wallston and Wallston(1982) and further experimental study on changing the belief of subjects to internal HLOC.

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Estimation of Target and Completion Pressure during the Cuff Inflation Phase in Blood Pressure Measurement (혈압측정시 가압 단계에서 목표압력 및 측정 종료압력 추정)

  • Oh, Hong-Sic;Lee, Jong-Shill;Kim, Young-Soo;Shen, Dong-Fan;Kim, In-Young;Chee, Young-Joan
    • Journal of Biomedical Engineering Research
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    • v.29 no.5
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    • pp.371-375
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    • 2008
  • In blood pressure measurement, the oscillometric method detects and analyzes the pulse pressure oscillation while deflating the cuff around the arm. For its principle, one has to inflate cuff pressure above the subject's systolic pressure and deflate below the diastolic pressure. Most of the commercialized devices inflate until the fixed target pressure and deflate until the fixed completion pressure because there is no way to know the systolic and diastolic pressure before measurement. Too high target pressure makes stress to the subject and too low target pressure makes big error or long measurement time because of re-inflation. There are similar problems for inadequate completion pressure. In this study, we suggest new algorithm to set proper target and completion pressure for each subject by analyzing pressure waveform while inflating period. We compared our proposed method and auscultation method to see the errors of estimation. The differences between the two measurements were -4.02$\pm$4.80mmHg, -10.50$\pm$10.57mmHg and -0.78$\pm$5.l7mmHg for mean arterial pressure, systolic pressure and diastolic pressure respectively. Consequently, we could set the target pressure by 30 mmHg higher than our estimation and we could stop at 20mmHg lower than our estimated diastolic pressure. Using this method, we could reduce the measurement time.

The relation of the bioprosthetic valve failure to its calcification (조직판막의 실패와 석회화에 관한 연구)

  • 홍유선
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1001-1012
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    • 1989
  • In 1968, Carpentier and his associates introduced glutaraldehyde as a compound for preparing cardiac tissue valve, and this technique has provided a considerably more suitable and durable tissue valve substitute. To increase further durability of valve tissue, Reis and his colleagues designed a flexible stent to reduce the stress on the heterogeneous tissue valve mounted. However with the advent of more innovative mechanical valve currently, many bioprosthetic valves are being substituted by mechanical valves at our department of cardiothoracic surgery because of bioprosthetic valve failure. Main cause of bioprosthetic valves failure were calcification or/and tear of tissue valves. The purpose of this retrospective study is to clarify the relationship between the patients clinical profile during implantation of tissue valves and pathologic features of the failed bioprosthetic valve. From March, 1982 through June, 1988, 53 bioprosthetic heart valves that had been ex-planted from 45 patients at the department of cardiac surgery of Yonsei University Hospital were subjected to this study. The patients were 10 to 65 year-old [mean age: 30.3 yr] with 17 males and 28 females. Re-replacements of prosthetic valves were carried out twenty nine in mitral position, eight in aortic position and eight in both aortic and mitral position simultaneously. The grading and location for calcification of valves were verified by radiograms. The calcification of the explanted valves leaflets was graded from 0 to 4 plus according to Cipriano and associates method. The types of tear and perforation of leaflet were classified into four types as Ishihara has adopted initially in 1981. In younger age group under thirty three years, explanted tissue valves were significantly more affected in terms of grades of severity of valve calcification as compared with older age group [p < 0.035]. Valve calcification appeared more severe in male as compared to female [p< 0.002]. Ionescu-Shiley bovine pericardial bioprosthetic valves showed more severe calcification than Hancock porcine tissue valves [p< 0.035]. Calcium deposit was found very prevalent at the area of commissural attachment [86 % of all]. Type I of valve rupture was shown to be related with simultaneous calcification. However, the relation of explanted valve position, duration of implanted prosthetic valve, atrial fibrillation and anticoagulant therapy to the severity of bioprosthetic valve calcification were not significantly clear statistically [p > 0.05].

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Evaluation of the thermal environments and the workload of farmers during the spraying pesticide in the rice field (농약 방제 작업자의 작업 환경 및 노동 부담 평가)

  • 최정화;이주영
    • Journal of the Korean Society of Clothing and Textiles
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    • v.26 no.11
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    • pp.1672-1681
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    • 2002
  • To evaluate the thermal environments and the workload of farmers in the rice field in summer, this study investigated rice farmers' physiological, psychological responses, work postures, work clothes, air temperature and air humidity during the spraying pesticide in the rice field. Five career farmers (3 males, 2 females) volunteered as the subjects. During the spraying pesticide in the rice field, physiological responses were monitored continuously. The results were as follows. l. Farmers wore only raincoats not pesticide-proof clothing. 2. The value of WBGT, rectal temperature($T_{re}$), mean skin temperature(${\={T}}_{sk}$) were $24.9∼28.9^{\circ}C,\;37.8({\pm}0.3)^{\circ}C\;and\;33.6({\pm}0.6)^{\circ}C$, respectively. Clothing microclimate temperature($T_{cl}$) on the chest and back were $32.5({\pm}2.6)^{\circ}C\;and\;33.6({\pm}2.6)^{\circ}C$, respectively(p<0.00l). Humidity inside of the clothing ($H_{cl}$) was over 80%RH and heart rate(HR) was 112(${\pm}27$)bpm. We evaluated that the spraying pesticide was 'heavy work' by the Tre and HR. To four subjective questionnaires, all farmers expressed 'hard, hot, humid and uncomfortable' without individual difference at the end of works. We suggested that 1) the spraying pesticide in the rice field was a heavy work, 2) because the workload of farmers in the raincoat/pesticide-proof clothing can't be evaluated by only WBGT, assessors should measure physiological, psychological responses as well as thermal environments, 3) to alleviate farmers' heat strain, clothing manufacturers must consider not only the improvement of textile materials and clothing weight but also the designing of personal cooling equipment.

Thermal and subjective responses by sun hats for farmer in a hot climatic chamber (서열 환경에서 농작업 모자 착용에 따른 체온 조절 및 주관적 반응)

  • 김명주;최정화
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.5
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    • pp.713-722
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    • 2004
  • This study examined the effects of two kinds of functional sun hats through a head-manikin test and a climatic chamber trial for farm workers in summer. Experiment was composed of four conditions. The first condition was the condition without any hat (Control). The second was the condition with a sun hat on the market (Hat A). The third was the condition with a functional sun hat made of reflective fabric (Hat B). The last was the condition with a functional sun hat having a ventilating structure as well as reflective fabric (Hat C). For the subjects in the climatic chamber trials, 12 healthy males volunteered. Air temperature, relative humidity and globe temperature in the chamber was maintained at $33{\pm}0.5^{\circ}C,\;65{\pm}5%RH\;and\;39{\pm}1^{\circ}C\;(WBGT\;33^{\circ}C)$. Subjects did a simulated red pepper-work (50-min work and 10-min rest, twice repetition) for 120 min. As the result of head-manikin test, the surface temperature on middle of back-neck was the lowest in Hat B of four conditions and the surface temperature on top of head was the lowest in Hat C. As the result of climatic chamber trials, there were apparent differences between with (Hat A, Hat B, Hat C) and without a sun hat (Control). In rectal temperature ($T_{re}$), mean skin temperature ($\={T}_{sk}$), heart rate (HR), total sweat rate (TSR), The physiological heat strain was less in the condition with hats than in the condition without a sun hat. As the increasing rate in Tre, Hat B is the most effective hat for alleviation heat strain. As the subjective responses, Hat B was the most effective hat for thermal comfort even though the difference was not significant. Hat C was less effective than Hat B and the reason might be the increase of weight due to inserting the ventilating structure.

Treatment of Metacarpal Bone Fracture Using Biodegradable Plates and Screws (흡수성 고정판과 나사를 이용한 중수골 골절의 치료)

  • Cho, Jeong-Mok;Eun, Seok-Chan;Baek, Rong-Min
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.458-464
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    • 2011
  • Purpose: Metacarpal fractures are common hand injury that may require operative intervention to ensure adequate reduction and stabilization. Traditionally, titanium miniplate was used for rigid fixation of bone fractures. However, the use of permanent plate lends itself to multiple complications such as infection, exposure of the hardware, tendon adhesions, tendon rupture, prolonged pain, bony atrophy and osteoporosis (stress shielding), metal sensitization, and palpation under the skin. This study evaluated the usefulness and stability of biodegradable plates and screws for treatment of metacarpal bone fractures. Methods: There was 17 patients who had surgery for metacarpal bone fracture from April 2007 to June 2010. All patients had open reduction and internal fixation. We used absorbable plates and screws (Inion CPS$^{(R)}$) for internal fixation. Postoperative results were assessed with x-ray. Stability of plates and screws, healing process and its complications were observed by clinical and radiographic assessment. Results: All patients were successfully reduced of bone fracture, and fixations with absorbable plates and screws were stable. The mean follow up period was 7.1 months. 2 patients complained postoperative pain, but they were relieved with analgesics. All patients experienced transient stiffness, but they were relieved with active assistive range of motion after removal of splint. No patients suffered complications which could be occurred by using metallic plate. Conclusion: There was no critical complications such as re-fracture or nonunion among patients. No patients suffered side effects related with metallic implants. Biodegradable implants can offer clinically stable and attractive alternative to metallic implants to stabilize metacarpal bone fractures in the hand.

Flow-induced pressure fluctuations of a moderate Reynolds number jet interacting with a tangential flat plate

  • Marco, Alessandro Di;Mancinelli, Matteo;Camussi, Roberto
    • Advances in aircraft and spacecraft science
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    • v.3 no.3
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    • pp.243-257
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    • 2016
  • The increase of air traffic volume has brought an increasing amount of issues related to carbon and NOx emissions and noise pollution. Aircraft manufacturers are concentrating their efforts to develop technologies to increase aircraft efficiency and consequently to reduce pollutant discharge and noise emission. Ultra High By-Pass Ratio engine concepts provide reduction of fuel consumption and noise emission thanks to a decrease of the jet velocity exhausting from the engine nozzles. In order to keep same thrust, mass flow and therefore section of fan/nacelle diameter should be increased to compensate velocity reduction. Such feature will lead to close-coupled architectures for engine installation under the wing. A strong jet-wing interaction resulting in a change of turbulent mixing in the aeroacoustic field as well as noise enhancement due to reflection phenomena are therefore expected. On the other hand, pressure fluctuations on the wing as well as on the fuselage represent the forcing loads, which stress panels causing vibrations. Some of these vibrations are re-emitted in the aeroacoustic field as vibration noise, some of them are transmitted in the cockpit as interior noise. In the present work, the interaction between a jet and wing or fuselage is reproduced by a flat surface tangential to an incompressible jet at different radial distances from the nozzle axis. The change in the aerodynamic field due to the presence of the rigid plate was studied by hot wire anemometric measurements, which provided a characterization of mean and fluctuating velocity fields in the jet plume. Pressure fluctuations acting on the flat plate were studied by cavity-mounted microphones which provided point-wise measurements in stream-wise and spanwise directions. Statistical description of velocity and wall pressure fields are determined in terms of Fourier-domain quantities. Scaling laws for pressure auto-spectra and coherence functions are also presented.