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A Study on Hypertensive Patients Compliance to Medical Recommendations (고혈압 환자의 치료지시 이행에 관한 연구)

  • 최영희
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.73-85
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    • 1980
  • The purpose of this study was to investigate the compliance behavior of hypertensive patients in light of their health belief model that explains an individual's compliance with health maintenance or getting well. Although there are many effective regimens and treatments for hypertension nowadays. the most important point to be taken to consideration in their behavioral aspect is their compliance with regard to the control of body weight. eating habits as to salt and cholesterol intake. stresses. activity patterns and smoking as related to their life style. The important reasons for the failure in the control of hypertensive patients are the complexity of regimens to be complied to. irregular medication and the life long restrictions in their own life style. The compliance of patients to medical regimens and rocommendations or failure to do so is an essential factor. Accordingly. the degree of the patient's compliance is an important determinant as to the success or failure of hypertension control. The subjects for this study were 187 hypertensive patients selected from admitted and out patients of the medical department at seven University Hospitals in Seoul. Data was collected from Dec. 1, 1979 to Feb. 15, 1980 using the questionaire method and was analysed by the use of means. standard deviations, coefficient of correlations, analysis of variance and multiple regression analysis. The results obtained are as follows A. Of the seven independent variables in light of health belief model. benefit. barrier and severity are closely related to patient's compliance behavior. Therefore these variables could be used as determinants to predict and modify the hypertensive behavior. 1. Benefit is the most important and significant of the variables for explaining the dependent variables. It accounts for the highest variance of patient's compliance. (23.62%) 2. Then taking the former together with barrier. the variance of compliance showed on increase. (26.59%) 3. And with the addition of severity to the first two. the variance of compliance was also increased. (28.l2 %) B. Except for susceptibility all the independent variables such as severity. benefit, knowledge. motivation and barrier are correlated to dependent variable compliance. C. Sex. marital status and religion appeared to have significant influence on the dependent variables. Therefore one could conclude that the more the patients are aware that hypertension is a threat to health. the more they understand the benefit of taking actions to prevent such a threat. and the less they perceive any barrier when taking action. the more compliant they become in following medical regimens and recommendations. Age. marital status and religion played a significant influence to their compliance. Accordingly. the selected structural variables and demographic variables which have influenced sick role behavior of the hypertensive patient must be integrated to teaching and counselling programs for better hypertension control.

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Analysis of the Relationship between Melon Fruit Growth and Net Quality Using Computer Vision and Fruit Modeling (컴퓨터 비전과 과실 모델링을 이용한 멜론 과실 생장과 네트 품질의 관계 분석)

  • Seungri Yoon;Minju Shin;Jin Hyun Kim;Ji Wong Bang;Ho Jeong Jeong;Tae In Ahn
    • Journal of Bio-Environment Control
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    • v.32 no.4
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    • pp.456-465
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    • 2023
  • Melon fruits exhibit a wide range of morphological variations in fruit shape, sugar content, net quality, diameter and weight, which are largely dependent on the variety. These characteristics significantly affect marketability. For netted varieties, the uniformity and pattern of the net serve as key factors in determining the external quality of the melon and act as indicators of its internal quality. In this study, we evaluated the effect of fruit morphology and growth on netting by analyzing the changes in melon fruit quality under LED light treatment and monitoring fruit growth. Computer vision analysis was used for quantitative evaluation of fruit net quality, and a three-variable logistic model was applied to simulate fruit growth. The results showed that melons grown under LED conditions exhibited more uniform fruit shape and improvements in both net quality and sugar content compared to the control group. The results of the logistic model showed minimal error values and consistent curve slopes across treatments, confirming its ability to accurately predict fruit growth patterns under varying light conditions. This study provides an understanding of the effects of fruit shape and growth on net quality.

Attenuation Effects of Herbal Mixture Extract on Stress and Sleep Disturbance in Rats (구속 스트레스 및 수면장애를 유도한 흰쥐에서 허브 복합추출물에 의한 개선 효과)

  • Jung, An Na;Lee, Bo Kyung;Lee, Doo Yi;Lee, Ji In;Jung, Yi-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.3
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    • pp.313-320
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    • 2016
  • In the present study, we examined whether or not an herbal mixture extract (HME) has attenuation effects on immobilization stress and sleep disturbance in rats. Immobilization stress was induced by restricting movement using a constraint box for 2 h, and sleep disturbance was induced by exposure to 300 lx of constant light for 24 h and injection of caffeine (1 mg/kg, i.p.). Rats were orally treated with distilled water (vehicle) or HME for 3 weeks at different doses of 10, 30, and 100 mg/kg/d (HME I, II, and III, respectively). In the immobilization model, HME III treatment significantly decreased adrenal gland weight, whereas HME II and III treatment reduced plasma levels of cortisol. HME II and III also reduced the level of IL-6. In the sleep disturbance model, HME II and III meaningfully reduced the plasma level of cortisol, and the increased plasma level of melatonin. HME III significantly increased body weight. HME reduced immobilization stress and ameliorated disturbance in rats. These findings suggest that HME may have beneficial potential for attenuation of sleep disturbance and stress.

A Basic Study on the Design of the Flexible Keel in the Energy-Storage Prosthetic Foot for the Improvement of the Walking Performance of the Below Knee Amputees (하지 절단환자의 보행 능력 향상을 위한 에너지 저장형 의족의 유연 용골 설계를 위한 기초연구)

  • 장태성;이정주;윤용산;임정옥
    • Journal of Biomedical Engineering Research
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    • v.19 no.5
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    • pp.519-530
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    • 1998
  • In this paper, the basic study on the design of the flexible keel of the energy-storage prosthetic foot was performed in order to Improve the walking performance and Increase the activities of the below knee amputees. Based on the analysis of the anthropometric data and the normal gait on two dimensional sagittal plane available In the literature, we presented a model of the basic structure of the flexible keel of the prosthetic foot. The model of the basic structure was composed of the simple beams, and linear rotational spring and damper. Laminated carbon fiber-reinforced composites were selected as the material of the basic structure model of the flexible keel In order to apply the high strength and light weight materials to the basic structure of the flexible keel of the prosthetic foot. The recoverable strain energy In response to the change of beam shape was calculated bur the finite element analysis and it was suggested that the change of beam shape could be the design variable in flexible keel design. The simulation process was systematically designed by using orthogonal array table in order to design the flexible keel structure which could store the more recoverable strain energy. finite element analysis was carried but according to the design of simulations by using the finite element program ABAQUS and the flexible keel structure of the energy-storage prosthetic foot was obtained from the analysis of variance(ANOVA). The dynamic simulation model of the prosthetic walking using the flexible keel structure was made and the dynamic analysis was carried but during one walk cycle. Based on the above results, an effective design process was presented for the development of the prosthetic fool system.

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Analysis of Fire Suppression Efficiency for Intermittent Water Spray Pattern by Fire Dynamics Simulator (FDS를 이용한 교번식 미분무방식의 소화 성능 분석)

  • Jee, Moon-Hak;Lee, Byung-Kon
    • Fire Science and Engineering
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    • v.22 no.3
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    • pp.216-220
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    • 2008
  • Water mist fire suppression system utilizes the fire suppression features such as cooling of fire source, dilution of ambient oxygen, and shielding of radiation heat with the evaporation of microscopic water droplets. The momentum of water mist is relatively lower than that of larger water droplet and the infiltration of water mist to the fire source is not effective. Contribution of evaporated water vapor is liable to decline to limited portion of fire source due to its light weight and sparse density. On the other hand, the cycling water mist pattern is expected to improve the penetration force of water mist as well as the air expelling capability with the stratified spray characteristics. At this paper, we present the analyzed fire suppression capability of intermittent water spray pattern by use of FDS which is computational fire dynamics fire model. We expect this analysis can support the basic concept to the development of the prototype of water mist nozzle.

Preparation and Characterization of Conducting Composites Impregnated with Thick Polyheterocyclic Polymers (전도성 복합소재의 합성과 특성연구)

  • Park, Jun-Seo
    • Applied Chemistry for Engineering
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    • v.9 no.3
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    • pp.342-347
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    • 1998
  • Light-weight conductive polymer composites were prepared by incorporating polyheterocycles such as polypyrrole and polythiophene into pores of a highly porous cross-linked polystyrene, host polymer, to form a conductive network. The highly hydrophobic and porous host polymer was synthesized by concentrated emulsion polymerization method. Polypyrrole-based composites, prepared by employing ferric chloride-methanol system, showed a conductivity as high as 0.82 S/cm. Conductivity of polythiophene-based composites, prepared from ferric chloride-acetonitrile system, was 6.05 S/cm. Conductivity of compositivity was influenced by the initial molar ratio of oxidant to monomer as well. SEM micrographs of the composites showed that conducting polymer coated uniformly the inside wall of the porous host polymer. Shielding effectiveness of the polypyrrole-based composites and of the polythiophene-based composites were 15.2 dB and 22.5 dB at 2.0 GHz, respectively. In the temperature range from 20 to 300K, a polypyrrole impregnated composite exhibited seimiconducting behavior and followed the variable range hopping(VRH) model for charge transport.

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Freezing and Deflection Characteristics of Flexible Pavement Structure Using Frost Model Test (동상모형실험을 통한 아스팔트 포장체의 동결 및 처짐 특성)

  • Shin, Eun-Chul;Hwang, Soon-Gab;Park, Jeong-Jun
    • Journal of the Korean Geosynthetics Society
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    • v.11 no.3
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    • pp.27-35
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    • 2012
  • In this paper, the frost heaving and thawing characteristics of flexible pavement structure were evaluated in the large scale freezer which have a specification of temperature range $-20^{\circ}C{\sim}10^{\circ}C$ and $3.2m(L){\times}3.2m(B){\times}2.4m(H)$ in size. The insulated steel box with the size of $0.9m(L){\times}0.9m(B){\times}0.9m(H)$ was used to simulate actual pavement road structure. The variation of temperature, frost heave amount and frost heave pressure were measured through the instrument of TDS-602 data logger. LFWD (light falling weight deflectometer) was used to determine the change of deflection due to the frost heaving and thawing. Furthermore, the influence of aggregate layer to the freezing of the subgrade soil was studied to verify the function and effectiveness of the anti-freezing layer.

Effects of the Acasia Catechu Extract on the Membranous Nephropathy Induced by Cationic Bovine Serum Albumin in Mice (아차(兒茶)가 Cationic Bovine Serum Albumin 투여로 유발된 Membranous Nephropathy Mouse Model에 미치는 영향)

  • Jeong, Gi-Hun;Cho, Chung-Sik;Kim, Cheol-Jung
    • The Journal of Internal Korean Medicine
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    • v.30 no.3
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    • pp.495-509
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    • 2009
  • Objective : Membranous nephropathy(MN) is an organ-specific autoimmune disease and a relatively common cause of nephrotic syndrome in adults worldwide. But treatment of MN is not defined. This study was to evaluate the effects of Acasia Catechu extract(ACE) on the MN induced by cBSA in mice. Methods : Mice were divided into 4 groups. The normal group was injected with a saline solution. The control group was treated with cBSA(10 mg/kg i.p.) only. The third group was treated with cBSA (10 mg/kg i.p.) and ACE (250 mg/kg, p.o.). The fourth group was treated with cBSA (10mg/kg i.p.) and ACE (500mg/kg, p.o.). After cBSA and ACE treatment for 6 weeks, we measured change of body weight, 24hrs proteinuria, serum albumin, total cholesterol, triglyceride, BUN, creatinine, TNF-$\alpha$, IL-6, IL-$1{\beta}$, IFN-$\gamma$, IgA, IgM and IgG levels. The morphologic changes of renal glomeruli were also observed with a light microscope. Results : The levels of 24 hrs proteinuria, total cholesterol, triglyceride, IgG, IgM, IgA, TNF-$\alpha$, IL-6, IL-$1{\beta}$, IFN-$\gamma$ significantly decreased in both ACE groups. The level of albumin significantly increased in both ACE groups. The mRNA expression of IL-$1{\beta}$ in splenocytes considerably decreased in the ACE-500 group. In histological findings of kidney tissue, thickening of GBM decreased in both ACE groups. Conclusions : This study shows that ACE might be effective for treatment of MN. More clinical data and studies are to be done for efficient application.

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Effect of Dietary Protein Level on Renal Functions and Structure in Uninephrectomized Aging Model in Rat (식이 단백질 수준이 한쪽 신장을 절제한 흰쥐에서 나이 증가에 따른 신장의 기능 및 조직 변화에 미치는 영향)

  • 김화영
    • Journal of Nutrition and Health
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    • v.29 no.10
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    • pp.1059-1071
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    • 1996
  • This study was performed to investigate the effect of dietary protein level on renal senescence. Male rats of 337.8$\pm$5.7g body weight were underlateral nephrectomy or shamoperation. The rats were divided into high protein(40% casein), normal protein(15% casein) and low protein(8% casein)diets and fed experimental diets ad libitum for 24 weeks. The results are summarized as follows. There was a hypertophy of the remnant kidney of uninephrectomized rats of 40% or 15% protein group, coming up to the comparable weights of both kidneys of sham-operated rats. However, the hypertrophic effect was not seen in uninephrectomized rats of 8% protein group. Serum albumin was lower in uninephrectomized rats. With increasing dietary protein level blood urea nitrogen was increased, whereas, urinary urea nitrogen excretion was decreased. Urinary solute excretion was higher in uninephrectomized group than in sham-operated group. However, effect of dietary protein level on urinary solute excretion varied dpending on th solutes tested. GFR and urinary protein excretion, throughout experiment, increased with feeding period and with dietary protein level. Proteinuria was most severe in uninephrectomized rats fed 40% casein diet. Maximum urine concentration ability measured after dehydration was not different among the experimental groups. Light microscopic examination showed focal segmental glomerulosclerosis and mild increas of glomerular mesangial matrix in uninephrectomized rats fed 40% and 15% protein diet, however, which was not observed in uninephrectomized rats fed 8% protein diet and in sham-operated rats fed 40% diet. Immunofluorescence studies revealed segmental deposits of albumin in the mesangium and capillary loops in high protein and uninephrectomized groups. Minimal granular deposition of IgG was noted in the mesangium of all experimental groups. In conclusion, high protein intake accelerated deterioration of renal function and it was correlated with morphological change. Low protein intake was effective in preventing these changes.

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Evaluation of press formability of pure titanium sheet (순 티탄늄 판재의 프레스 성형성 평가(제 1보))

  • Kim, Young-Suk;In, Jeong-Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.380-388
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    • 2016
  • Commercially pure titanium (CP Ti) has been actively used in plate heat exchangers due to its light weight, high specific strength, and excellent corrosion resistance. However, compared with automotive steels and aluminum alloys, there has not been much research on the plastic deformation characteristics and press formability of CP Ti sheet. In this study, the mechanical properties of CP Ti sheet are clarified in relation to press formability, including anisotropic properties and the stress-strain relation. The flow curve of the true stress-true strain relation is fitted well by the Kim-Tuan hardening equation rather than the Voce and Swift models. The forming limit curve (FLC) of CP Ti sheet was experimentally evaluated as a criterion for press formability by punch stretching tests. Analytical predictions were also made via Hora's modified maximum force criterion. The predicted FLC with the Kim-Tuan hardening model and an appropriate yield function shows good correlation with the experimental results of the punch stretching test.