• Title/Summary/Keyword: Morning

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Circadian variation of IV PCA use in patients after orthognathic surgery - a retrospective comparative study

  • Park, Sookyung;Chi, Seong In;Seo, Kwang-Suk;Kim, Hyun Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.3
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    • pp.141-146
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    • 2015
  • Background: An understanding of the features of postoperative pain is essential for optimal analgesic dosing strategies. Using a visual analogue scale (VAS) score and patient controlled analgesia (PCA) infusion pattern analysis, an anesthesiologist can estimate when and how severely patients suffer from pain. Several reports have been published about circadian changes in the pain threshold. Postoperative pain was analyzed retrospectively in 250 patients who underwent orthognathic surgery. Methods: A total of 250 patients were allocated into two groups according to the time of recovery from anesthesia. Patients in the early group (group E) recovered from anesthesia before 06:00 p.m. Patients in the late group (group L) recovered from anesthesia after 06:00 p.m. All patients received intravenous patient controlled analgesia (IV PCA) at the end of the operation. The VAS score of pain intensity was measured. Self-administration of bolus analgesic from the IV PCA device was also analyzed according to actual time and elapsed time. Results: VAS scores showed no difference between the two groups except 36 hours after recovery from anesthesia. On POD1, there were two peaks for self-administration of bolus analgesics in group L and one peak in the morning for group E. Two peaks each in the morning and in the afternoon were shown in both groups on POD2. Conclusions: Diurnal variance in pain should be considered for effective dosing strategies.

The Investigation and Comparison of Characteristics of Air Pollution for Cohort Study in Chungju with Industrial Cities (대조코호트 연구를 위한 충주의 대기오염현황 조사와 산단지역과의 비교)

  • Kim, Jae-Hoon;Wee, Seong-Seung;Nam, Sang-Hoon;An, Jung-Sun;Kim, Dae-Sun
    • Journal of Environmental Health Sciences
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    • v.34 no.1
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    • pp.1-11
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    • 2008
  • The purpose of this study was to investigate air quality in Chungju, Korea, using data obtained with a local air quality monitoring system. We have utilised cohort studies to investigate the relations between environmental pollution and the health of residents near large industrial complexes since 2004. This study analyzes the $O_3,\;NO_2,\;SO_2,\;CO\;and\;PM_{10}$ concentration in Chungju from 2002 to 2006. Air pollutants are closely related to the number of manufacturing facilities and cars, energy utilization and weather conditions. Generally, the diurnal concentration of air pollutants in Chungju reached the highest level in the morning (about$08:00{\sim}$) and early evening (about$19:00{\sim}$). On the other hand, the diurnal concentration of ozone as recorded gives the highest amount in late afternoon (about$16:00{\sim}$) and lowest in early morning (about$08:00{\sim}$). The concentration of air pollutants in Chungju was highest from winter to spring and lowest during the summer season. On the other hand, the monthly variation of ozone concentration was greatest in June and smallest in December. Also the, $PM_{10}$ concentration posted the highest record in April and the lowest during September. In general, this study analyzed air pollution changes in Chungju as well as in large scale industrial complex regions within Korea such as Ulsan, Pohang, Kwangyang, Sihwa Panwol and Gangneung in Korea. We compared the air quality of Chungju with those of these cites and found that air pollutants except for CO in Chungju was generally lower than large industrial complex regions.

Compliance with the Protocol Considered Emetogenic Potential for Prophylaxis of Chemotherapy Induced Nausea and Vomiting (항암화학요법의 구토유발 수준별 예방적 항구토제 프로토콜의 이행정도)

  • Choi, Ja-Yun;Oh, Hyeon-Jeong;Kang, Ji-Young;Kim, Min-Kyoung;Kim, Ji-Eun;Kim, Jin-Ha;Kim, Hee-Suk;Park, So-Ra;Byun, Jeong-Seon;An, Jeong-Hee;Cho, Min-Kyoung
    • Asian Oncology Nursing
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    • v.11 no.1
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    • pp.58-64
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    • 2011
  • Purpose: The purpose of this study was to identify the compliance with the protocol, which was developed considering the emetogenic potential for prophylaxis of chemotherapy. Methods: Data was collected from 144 patients who received chemotherapy from June 15 to August 31, 2010 in C University Hospital in Jeollanamdo, Korea. The level of chemotherapy-induced nausea and vomiting (CINV) and the compliance with the protocol for prophylaxis of CINV were measured. Results: There was statistically significant difference of CINV in morning sickness and anticipatory nausea of general and clinical characteristics. Also, the compliance with the protocol developed according to emetogenic potential of chemotherapy was statistically significant. There was no difference in CINV in regard to the compliance with the protocol. Conclusion: There was a good compliance with the protocol for prophylaxis according to emetogenic potential. But it should be recommended to use antiemetics for prophylaxis aggressively to relieve CINV for the patients who already experienced morning sickness and anticipatory nausea. In addition, the oncology nurses should respond sensitively to the complaints of nausea and vomiting no matter what the emetogenic potentials of chemotherapy regimen are.

Dynamic Response of Jointed Concrete Pavement in Test Road Due to Temperature Gradient (온도구배에 의한 시험도로 줄눈콘크리트 포장의 동적응답)

  • Yoo Tae-Seok;Jeong Jin-Hoon;Han Seung-Hwan;Sim Jong-Sung
    • International Journal of Highway Engineering
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    • v.8 no.1 s.27
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    • pp.25-32
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    • 2006
  • Behavior of concrete pavement due to temperature gradient was investigated for 48 hours at test road using Falling Weight Deflectometer. The deflections at slab center changed similarly to those of ambient temperature and temperature gradients in the slab. And rapid variations in the deflections were observed between 8 to 12 in the morning. However, dynamic modulus of subgrade reaction and joint deflections showed reverse trends to the ambient temperature and temperature gradients. The dynamic modulus of subgrade reaction was significantly affected by temperature gradient when its value got higher. Backcalculated elastic moduli were obtained using AREA method and Method of Equivalent Thickness. The trends of the backcalculated elastic modulus were similar to those of dynamic modulus of subgrade reaction. Measured load transfer efficiencies showed maximum peak in the morning due to dowel locking. However, additional effort is necessary to verify the result.

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Changes of the food Preferences and the Practices of Pica of Women in the Latter Half of Pregnancy (임신(姙娠) 후반기(後半期) 임부(姙婦)의 임신중(姙娠中) 식품기호(食品嗜好)의 변화(變化) 및 이식증(異食症)의 실행(實行))

  • Kim, Sun-Hee
    • Journal of Nutrition and Health
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    • v.9 no.4
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    • pp.28-35
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    • 1976
  • To know changes of the food preferences and the practice of pica during pregnancy, ninety two women in the latter half of pregnancy were interviewed in April, 1976 at ten medical centers in Seoul. They were average 27.1 years old, and mostly middle class. 83.7% of the total subjects felt the changes of food preferences due to pregnancy within the first trimester. 60.9% had vomiting as well as losing their appetite and 17.3% vomited three or more times daily which might induce difficulties of water and electrolytes balance in body. The preferences about foods, the taste of foods, and various dishes cooked during morning sickness were changed significantly and showed in lower scores of likes and higher scores of dislikes than those before pregnancy. Particularly, cooked rice and kimchi indicated the increase of more than 50% in dislikes. The preferences after the morning sickness were turned back to those before pregnancy. Desire for water through foods like soft drinks, juice, ice cream, and gamju and salty foods seemed to be spontaneous during pregnancy. A majority of the subjects had three meals and no snack had included more snacks instead of meals during losing appetite and thereafter, had more frequent meals and snacks. Superstitions about chicken, squid, and cuttlefish for pregnant women were prevalent. 11.9% tabooed chicken because of harm for fetus. On the contrary, intended higher inclusions of milk, meat and dried small sardines would be helpful to satisfy the increased recommended allowances of calcium and protein for them. The practice of pica was found in 5.4% and rice was the only real item mentioned. Pica such as amylophagia or geophagia often reported in the U.S. was not answered in this study.

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Atmosphere-forest Exchange of Ammoniacal Nitrogen in a Subalpine Deciduous Forest in Central Japan during a Summer Week

  • Hayashi, Kentaro;Matsuda, Kazuhide;Takahashi, Akira;Nakaya, Ko
    • Asian Journal of Atmospheric Environment
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    • v.5 no.2
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    • pp.134-143
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    • 2011
  • The present study aimed to investigate the diurnal variations in air concentrations and exchange fluxes of ammoniacal nitrogen ($NH_x$: ammonia ($NH_3$) and particulate ammonium) in a subalpine deciduous forest in central Japan during a week in summer. The $NH_3$ concentrations ($0.50\;{\mu}g\;N\;m^{-3}$ on average) showed a clear circadian variation, i.e., high and low in the daytime and nighttime, respectively. The concentration of particulate ammonium in the coarse fractions was extremely low, whereas that for the PM2.5 fraction was relatively high $0.55\;{\mu}g\;N\;m^{-3}$ on average). The main inorganic ion components of PM2.5 at the study site were ammonium and sulfate. The exchange fluxes of $NH_x$ were bidirectional. Both the maximum and minimum values occurred in the daytime, i.e., $0.39\;mg\;N\;m^{-2}\;hr^{-1}$ of downward flux and $0.11\;mg\;N\;m^{-2}\;hr^{-1}$ of upward flux for $NH_3$ and $0.25\;mg\;N\;m^{-2}\;hr^{-1}$ of downward flux and $0.13\;mg\;N\;m^{-2}\;hr^{-1}$ of upward flux for PM2.5 ammonium. The exchange fluxes of $NH_x$ at night could be considered as zero. The mean deposition velocity during the research period was almost zero for both $NH_3$ and PM2.5 ammonium. The atmosphere-forest exchange of $NH_x$ in the forest during the study period was balanced. The remarkably large deposition of $NH_x$ was attributable to meteorological events such as showers the night before that thoroughly washed the forest canopy and subsequent clear skies in the morning, which enhanced convection. The cleaning effect of rainfall and the rapid change in convection in the early morning should be monitored to evaluate and generalize the gas and particle exchange in a forest.

Analysis on Habit of Dietary Life for Effective Health-promotion (식생활 유형 분석을 통한 효율적인 건강증진 방안 연구)

  • Lee, Jei-Young;Jang, Dai-Ja
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.327-337
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    • 2020
  • This work was researched by practical methodology in-depth study of a subjectivity dimension study, in sloughing away a past habituation of functional quantity analysis on perception-effectivity and a habit of dietary life for effective health-promotion. The perception patterns be generated from this study were classified into three types in Q-method. They are as follows ; it is that divided into 'I[(n=9) : eating type in morning], II[(n=11) : type of no having a midnight meal], III[(n=9) : type of mealing after taking exercise]'. Like this, it found that is very different type all over. Finally, this paper is to examine an acceptance behavior about reception type on effectiveness and a habit of dietary life for effective health-promotion ; to make a proposal in a developmental and creative opinion about it.

Sleep/Wake Behavior of Shift Workers in the Iron and Steel Industry Using Wrist Actigraph (액티그라프를 이용한 철강업 교대근무자의 수면·각성 행태)

  • Moon, Se-Keun;Seo, Yoo-Jin;Matsumoto, Kazuya;Park, Young-Man;Ha, Tae-Young
    • Journal of Korean Institute of Industrial Engineers
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    • v.30 no.3
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    • pp.181-189
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    • 2004
  • The purpose of this study was to investigate the effects of sleep/wake behavior for shift workers in the iron and steel industry using wrist actigraph for 59 male workers on a continuous full-day three-team three-shift system of backward rotation including on-duty and off-duty periods. The wrist actigraph data were recorded for 15 days (l shift cycle) for each subject. The sleep length at home during night shift decreased significantly as compared to the morning or evening shifts. The night shift nap length increased significantly in all sections as compared to the morning or evening shifts. The nap length in the Steel Manufacturing Process and Rolling Process during night shift decreased significantly as compared to the Machine Maintenance Section, the Forwarding of Products Section, and the Field Management Section. However, the sleep length at home while off-duty period increased significantly. The percentage of nap length during night shift in the Rolling Process, Steel Manufacture Process, and the other three types of jobs was 16.0%, 20.4%, and about 50.0%, respectively. The nap length during night shift for the above 50 year olds increased significantly as compared to the below 50 year olds. Finally, we discussed the role of nap-taking during the burden on night shift workers and the increased difficulty in continuing their job.

Intake and Digestive Processes in the Rumen of Rams Fed with Digitaria decumbens Harvested at Four Stages of Grass Regrowth Age

  • Assoumaya, C.;Boval, M.;Sauvant, D.;Xande, A.;Poncet, C.;Archimede, H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.20 no.6
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    • pp.925-932
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    • 2007
  • This study was designed to measure the effect of regrowth age of Digitaria decumbens (D. decumbens) on the intake and dynamics of digesta in the rumen of rams. Six Black-belly rams (mean liveweight: 51.6 (s.d. 0.68) kg) fitted with rumen cannulae were fed twice daily a 14-, 28-, 42- and 56-day old fresh D. decumbens successively for 4 experimental periods. The daily dry matter intake decreased curvilineary from 75.2 to 48.5 (s.e. 2.0) g/kg $BW^{0.75}$ as the age of the D. decumbens grass increased from 14 to 56 days. Dry matter intake for the first 3 h after the morning meal was 863.6, 598.3, 576.4 and 401.5 (s.e. 55.6) g for the 14-, 28-, 42- and 56-day old grasses respectively. The pool of NDF in the rumen at the end of the 3-h feeding period did not vary significantly among the four diets. Twelve hours after the beginning of the morning meal, the pool of NDF increased with the forage regrowth age. Within the total pool of NDF, the pool of large particles tended to increase with the regrowth age. It was concluded that high intake was associated with fast evacuation of NDF from the rumen. Moreover, digestion (cellulolysis) rate and degree of particle reduction by rumination are highly correlated, though speed of physical degradation of forage seems to be the driving force behind intake.

Maritime Atmospheric Boundary Layer Observed By L-band Doppler radar (도플러 레이더를 이용한 해안지역의 대기경계층 분석 연구)

  • Kwon, Byung-Hyuk;Yoon, Hong-Joo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.5
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    • pp.977-984
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    • 2000
  • Atmospheric boundary layer over equatorial maritime continent was analyzed with Doppler radar. An L-band (1357.5 MHz) boundary layer radar (BLR) has been in continuous successful operation in Selpong, Indonesia(6.45, 106.7E), since November 1992. The performance of the BLR with respect to the observation height range and the wind measurement reliability has been examined on the basis of simultaneous meteorological observations. In the dry season (10-12 October 1993), we have found two types of strong echo structures appearing systematically in the equatorial planetary boundary layer with diurnal variations on clear days. The first type is the striking appearance of a strong echo layer ascending from below 300 m (in the morning) to above 3-5 km (in the afternoon), which is identified with a diurnal variation of the top of the mixing planetary boundary layer. As expected, it is higher in the Indonesian equatorial region than in midlatitudes. Another type is a layered echo appearing at 2-3 km heights from nighttime to morning, which seem to be coincident with humidity gaps. In the rainy season (20-21 February 1994), the height of the atmospheric mining was lower than that in the dry season.

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