• Title/Summary/Keyword: Physical experience

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The Study for the Effect of Breast Massage and Manual Expression of the Breast before Engagement after Delivery (산후 유방 마싸지 및 유즙압출이 충유 및 유즙분비에 미치는 영향)

  • 김원옥
    • Journal of Korean Academy of Nursing
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    • v.5 no.2
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    • pp.74-91
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    • 1975
  • A purpose of this study was to compare the breast massage and manual expression of the breast before engagement after delivery with the time of engagement, the throbbing pain in breast, the first amount of breast milk and involution of the uterus. The subjects selected for this study were 138 women (experimental group;69, control group :69) who were admitted to the Dept. of Obtest. and Gyneco. of Kyung Hee University Hospital from Jan. 5 to June 5, 1975. The results of study were as follows; 1 The average age of the women 26.9 years old in the experimental group and 27.6 years old in the control group. As to religion, the number of those who had no religion was 58.0 percent and 62.4 percent respectively. Classified according to occupation, there were 87.0 percent in house wives of the booths group. Educational background; 87.0 percent of high school graduates or above, 78.3 percent respectively. The occupation of husband 53.7 percent of company employees stood highest and 42.0 percent respectively. In according to the grade of wards, 55.1 percent and 52.2 percent of four-men room stood highest. 2. Physical condition: Body weight before this Pregnancy(T=0.4962, N.S.), the size of breast(X²df2 = 0.1728, N.S.), the shape of nipple(X²df3 =1.3804, N.S.), hemoglobin's level of the first day after delivery(T=1.2572, N.S.), the above were showed non significant between the experimental group and control group The investigator found any difference between the two groups of the health condition during the pregnancy, 3. The rate of no experience of breast massage during pregnancy was 85 percent and 75.4 percent (X²df1=2.2562, N.S.). 4. As to the meal during hospitalization after delivery: The booth of the groups in ordinary food took usually of meyer soup and milk(X²df8=2.5957, N.S.). 5. The relation between the first step of breast massage, second step of the manual expression of breast before engagement after delivery and time of engagement : average time of engagement in the experimental group (2.1 days±0.8) was shortened than the control group (3.3 days±1.2). (T=-6.9045, P< 0.005). It toot less time in the experimental group of primipara(2.2days±0.7) than in the control group (3.1day±1.2) and it also took less time in the experimental group of multipara (2.0 days±0.9) than in the control group (3.5days±1.4). (Primipara T=-3.9266, 0< 0.005. Multipara T= 5.2356, P<0.005). 6. The relationship between the first step of the massage and second step of manual expression and the throbbing pain at the time of engagement: The experimental group showed less effect than control group (X²df4= 27.3342 P<0.005). The separate study of primipara and multipara showed remarkable difference in the group of primipara)X²df4=20.7285, p<0.005) and little difference in the multipara group (X²df4=8.8351, p< 0. 10). 7. The relationship between the first step of the breast massage, second stop of the manual expression and first amount of breast milk: The average amount of breast milk increased more conspicuously in the experimental group (33.8㎖±23.4) than in the control(29.8㎖±25.3) (T=0.8262, N.S.). No remarkable difference was found in the respective groups that investigated in the groups of primipara and of multipara. (Primipara T=1.1467, N.S., Multipara T=-0.0354, N.S.). 8. The relationship between the first step of breast massage and second step of manual expression of breast and involution of uterus : Average time needed for uttering involution was sooner in the experimental group of primipasa(-3.3 F.B.±1.1), than the control group of primipara (-2.5F. B.±1.2), and it was sooner in the experimental group of muitipara (-3.0 F. B.±l..3), than the control group of multipara(-2.3 F.B±0.9). Primipara T=-2.9272, p< 0.005, Multipara T=2.5557, p< 0.01).

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A study on oral discomfort in gynecological cancer patients undergoing chemotherapy (화학요법을 받는 부인암환자의 구강불편감에 관한 연구)

  • 정재원
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.372-389
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    • 1995
  • The frequency with which administration of chemotherapy for gynecological cancer treatment is used has increased along with the use of surgery and radiotherapy Among the various side effects of chemotherapy, stomatitis causes a problem of function and sensation in the oral cavity. This oral discomfort can be categorized into two components ; perceived oral symptoms and observed oral symptoms. If the oral problem continues, it may cause infection, bleeding and nutritional deficiencies. As a result of this condition, compliance with the treatment process can be affected as well as the prognosis for the cancer patients. But as the oral discorrfort usually appears after chemotherapy, it is often not reported to the health care personnel as a patient problem. Without problem identification of the oral discomfort and ability to assess the problem, effective intervention cannot be planned. Therefore, this study was conducted to identify the pattern and the degree of oral discomfort due to cancer chemotherapy and thus to provide data for identification of the patient problem and for nursing assessment. The design of this study was a longitudinal de-scriptive study The subjects were in - patients who received chemotherapy under the diagnosis of gynecological cancer between Mar. 15, 1994 and May 15, 1994 at a general hospital in Seoul, Korea. The number of subjects was 64 and they were divided into two groups, one of 41 (A : 5FU & Neoplatin), the other of 23(B : Neoplatin, Cytoxan, Adriamycin), according to the treatment regimen. The data were collected for 24 days using self-re-port instruments. The instruments were the 「Perceived Oral Symptom Assessment Tool」 and 「Observed Oral Symptom Assessment Tool」 developed by this researcher. Data were analyzed using the SPSS-PC program, ANOVA, t-test, paired t-test and the Pearson Correlation Coefficient were applied. The results of this study are as follows : 1. In A regimen the peak time for perceived oral symptom scores was the fifth day after chemotherapy, and the tenth day for observed oral symptom scores. Both of the problems started on first day of chemotherapy and were not resolved completely until the 24th day after treatment. 2. In B regimen, the peak time for perceived oral symptom scores was on the seventh day after chemotherapy, and the eighth day for observed oral symptom scores. It was noted that perceived oral symptom scores were higher than observed oral symptom scores consistently for 24 days. Both also started on first day of chemotherapy, and were not resolved completely until the 24th day after chemotherapy. 3. There were no differences statistically in perceived oral symptom scores between A and B regimen. The loss of appetite and xerostomia caused the most severe discomfort in both of these two groups. 4. The were no differences statistically in observed oral symptom scores between the A and B regi moil. In the A regimen, the highest observed symptom scores were the lips, gingiva, tongue and buccal membrane in that order. But in the B regimen, the highest observed symptom scores were tongue, lips, buccal membrane and gingiva in that order. 5. In A regimen, the patients who had gingival edema and dentures had significantly higher perceived oral symptom scores. And those who had gingival edema and bleeding, foul odor and aphthous stomatitis had significantly higher observed oral symptom scores. 6. In B regimen, the patients who had the experience of stomatitis in the last course of chemotherapy had significantly higher perceived oral symptom scores. Those who had gingival edema had significantly higher observed oral symptom scores. 7. In the A regimen there was no correlation between lab values for lymphocytes and albumin with perceived oral symptom scores and observed oral symptom scores. In the B regimen, there was a significant negative correlation between lymphocytes and albumin with the observed oral symptom scores, but not between perceived oral symptom scores and lymphocytes and albumin values. In conclusion, the nurse should expect that the patient undergoing chemotherapy will complain severely about subjective discomfort and before objective physical change is observed. Also the patients who have chronic oral problems such as dentures, gingival edema and bleeding, foul odor, aphthous stomatitis will complain of severe oral discomfort due to chemotherapy.

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A Case of Child with Obstructive Sleep Apnea Syndrome Recurred after Adenotonsillectomy (편도 및 아데노이드 절제술 후 재발한 폐쇄성 수면 무호흡 증후군 소아 1례)

  • Kim, Cu-Rie;Kim, Dong-Soon;Seo, Hyun-Joo;Shin, Hong-Beom;Kim, Eui-Joong;Shim, Hyun-Joon;Ahn, Young-Min
    • Sleep Medicine and Psychophysiology
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    • v.15 no.2
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    • pp.94-99
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    • 2008
  • The most common cause of obstructive sleep apnea syndrome (OSAS) in childhood is adenotonsillar hypertrophy. Adenotonsillectomy improves the symptoms quite well in most cases. However, some patients could experience the OSAS again after adenotonsillectomy, who might have several risk factors such as incomplete operation, misdiagnosis, combined anatomical malformation, sinusitis or chronic allergic rhinitis, obesity, initial severe OSAS, and early onset OSAS. We report a case of 11-year-old obese boy who presented with snoring for several years. He was obese with body mass index (BMI) of $26.3kg/m^2$ and also found to have fatty liver by ultrasonogram. Initial polysomnography (PSG) showed that he met the criteria of severe OSAS with the apnea-hypopnea index (AHI) of 70.5. He underwent adenotonsillectomy and symptoms improved immediately. Four months later symptoms were relieved with AHI of 0, but 1 year after the adenotonsillectomy he started to complain snoring again and the subsequent PSG results showed that OSAS has relapsed with AHI of 43. Paranasal sinus X-ray and physical examination showed sinusitis and re-growth of adenoid. Obesity was proved not to be a contributing factor because his BMI decreased to normal range ($23.1kg/m^2$) after diet control and regular exercise. Also, liver transaminase was normalized and fatty liver was disappeared on follow-up abdominal ultrasonogram. After treatment of sinusitis, symptoms were relieved with decreased AHI (8.5). This case suggests that simple adenotonsillectomy might not be the end of OSAS treatment in childhood. Patients who had adenotonsillectomy should be followed by subsequent PSG if symptoms recur. It is also important to be aware of risk factors in the recurrent OSAS for the proper intervention according to the cause.

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A Study on Place Identity in Seo-Rae Village - Focusing on Comparison of Sense of Place between Inhabitants and Visitors - (서래마을의 장소 정체성에 대한 연구 - 프랑스인 주민과 방문자의 인식 비교를 중심으로 -)

  • Han, Sung-Mi;Im, Seung-Bin;Eom, Boong-Hoon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.4
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    • pp.32-41
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    • 2009
  • Places such as famous urban sights and foreign settlements have recently been created in Korea, which reflects the increase in social and cultural exchanges and the number of place-making and landscape-planning projects. Understanding place identity is required in environmental design and planning. This paper examined the components of the identity of place through comparison of perceptions of "placeness" between residents and visitors of Seo-Rae Village, Seoul, Korea. More than 40% of French nationals in Korea reside in the village, which many Koreans visit as an urban sightseeing place. Twenty-five French inhabitants and forty-one Korean visitors were surveyed. Insideness of Seo-Rae Village was formed by limited activities and needs of the residents, primarily children's education and food purchases. Residents mentioned that the physical environment, especially buildings, lacked theauthenticity of French style. The symbolic meaning of the French village influenced the visitors' activities. The authenticity of French style, however, did not affect the perception of visitors and outsideness of the place. Visitors' activities and cognitive meanings of the place were formed mainly by the commercial environment established by Korean investments. Commercialization of the place and related activities played an important role in establishing insideness of the place. The village shows the phenomenon of the reversal of insideness and outsideness. The "placeness" of Seo-Rae village has been shaped by visitors' tastes rather than the true experience of insideness. Mass identity formed by mass media using French characteristics influenced this phenomenon. Insideness formed by inhabitants appeared to be a pseudo-place, which was created by the French tastes of visitors and lacked French authenticity. Seo-Rae Villagerepresents a superficial cloak.

An investigation of the User Research Techniques in the User-Centered Design Framework - Focused on the on-line community services development for 13-18 Young Adults (사용자 중심 디자인 프레임워크에서 사용자 조사기법의 역할에 관한 연구 - 13-18 청소년용 온라인 커뮤니티 컨텐트 개발 프로젝트를 중심으로)

  • 이종호
    • Archives of design research
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    • v.17 no.2
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    • pp.77-86
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    • 2004
  • User-Centered Design Approach plays important role in dealing with usability issues for developing modern technology products. Yet it is still questionable whether the User-Centered approach is enough for the development of successful consumer contents since the User-Centered Design is originated from the software engineering field where meeting customers' functional requirement is the most critical aspect in developing a software. However, modern consumer market is already saturated and in order to meet ever increasing consumer requirements, the User-Centered Design approach needs to be expanded. As a way of incorporating the User-Centered Approach into the consumer product development, Jordan suggested the 'Pleasure-based Approach' in industrial design field, which usually generates multi-dimensional user requirements: 1)physical, 2)cognitive, 3)identity and 4) social. It is the current tendency that many portal and community service providers focus on fulfilling both functional and emotional needs for users when developing new items, contents and services. Previously fulfilling consumers' emotional needs solely depend on visual designer's graphical sense and capability. However, taking the customer-centered approach on withdrawing consumers' unknown needs is getting critical in the competitive market environment. This paper reviews different types of user research techniques and categorized into 6 ways based on Kano(1992)'s product quality model. Based on his theory, only performance factors, such as suability, can be identified through the user-centered design approach. The user-centered design approach has to be expanded to include factors include personality, sociability, pleasure, and so on. In order to identify performance as well as excellent factors through user research, a user-research framework was established and tested through the case study, which is ' the development of new online service for teens '. The results of the user research were summarized at the end of the paper and the pros and cons of each research techniques were analyzed.

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The Behavior and an Attitude for Weight Control of High-School Students (고등학생의 체중조절에 대한 관련 행동 및 태도)

  • Choi, Jong-Cheol;Park, Young-Soo
    • The Journal of Korean Society for School & Community Health Education
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    • v.3
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    • pp.59-78
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    • 2002
  • The purpose of this study was based on students in high school to find out how interest eating and controlling weight on normal time by sex to let them get a better sense's of view on weight controlling so they can get healthy, and healthy school life and concentrate on studying, As a result of analyzing the data collected for the subject of high school students, the conclusions were as follows; First, out of 325 students, 44.6% were male students, and 179 were female students, Compared to the BMI, normal mass were 50.8%, which were 165 students, less weighted were 39.7%, which were 129 students, and over weighted were 9.5%, which were 31 student. Also average height for male students were 173.8 cm, for female students were 161.5 cm, average weight were 67.2 kg for male students, and for female students were 53.2kg. Using BMI analysing the results and the male students had an average of 22.2%, and the female students had an average of 20.3%, so male students were a little higher than the female students. Second, the interest rate for weight control were 82.2%, that's 267 students for, 'interested' and 7.8%, which were 58 student for 'not interested', so most students were interested, in controlling weight. Interest rate were 83.6% for male students, 81.0% were female students. BMI told that group of less weighted were 82.9%, group of normal were 79.4% and group of over weighted were 93.5%. The rate were all high not relating to BMI. Third, compared to the past, more people said 'normal'(41.3%), people who said 'a little fat'(36.3%) decreased, but they still think they are fat even though they are not, also when they are less weighted they still think they are fat. Fourth, for 'weight control, and food' both male and female said they were related, and for 'weight control and exercising' they also said they were related, but more male said that they were related, However for relations between' controlling weight and school's physical education class' the answers were usually disagree. Fifth, for the 'satisfaction of their present weight', both BMI and the students answered and this results were mostly same as the past result, so most students prefer to lose weight. Also, both male and female think that the reason they have this weight now is, because of 'the amount of exercises' and 'the amount of food they eat', so they find that it's related to each other. Sixth, for the experience on weight control, both male and female had experiences, and they answered 'exercising and food treatment' is the good way to control weight. Also for 'the reason they started to control there weight', both male and female answered, 'they thought there weight were not normal'. Seventh, 'Do you pick on food to control weight?' and 'Do you feel nervous before you eat?' and for last 'control of drinking water' the answer was all different, and both male and female answered negatively. Eighth, time wasted on exercising per day, for less than 30 minute were 81.5%, the form of exercises that students did were 'not much or walking on the way to school and way to home'. Usually for their free time, male students spend on exercising however female student did not. Also both female and male students showed that they like to exercise, but majority of female student disliked to exercise. To everyone's point of view 'like'(32.9%), 'like a lot'(20.9%), so everyone agrees. The knowledge information on controlling weight, they answered, usually found from commercials, newspaper or magazines and from parents or friend. From the past many high school students wanted to control their weight, so there should had been a good education on this, however there wasn't any of those education and still it doesn't exist. Also most school's education are arranged to entrance pressure so they have a lot of knowledge and informations to it, but for real they don't have any activity or actions on it. Through this research, we felt that, we should correct students with wrong understanding on controlling weight and wrong knowledge. Also we suggest to make an activity program for this.

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Sustaining Dramatic Communication Between the Audience and Characters through a Realization : (관객과 인물의 극적소통을 위한 사실화연구 : 영화 '시'를 중심으로)

  • Kim, Dong-Hyun
    • Cartoon and Animation Studies
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    • s.24
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    • pp.173-197
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    • 2011
  • Through a story, the audience moves between fiction and reality. A story is an emotional experience that appeals to human feeling. The rational function of a story is to convey knowledge and information, and its emotional function is to touch the audience. Moreover, these aspects of a story are linked to its language, text, and imagery. This paper focuses on the emotional function of a story. In a experiential story, the audience's emotional response is a result of maximum dramatic communication between them and the characters. Through psychological and mental communion with the characters, the audience becomes immersed in the story when they emotionally identify with the characters, and dramatic communication is achieved. However, dramatic communication is mostly achieved instantaneously. The elements of a film need to be realized to sustain dramatic communication such that the audience continues to be immersed in the story. The audience can identify with the characters who are placed in real-life situations by considering the characters' external and internal aspects. External search pertains to the tangible aspects of the character such as its background, life, and conversation. Through the audience's external search, the characters communicate with the audience. Internal search deals with aspects of the characters' personality such as their self-concept, desires, and internal conflicts. Through internal search, the audience understands the inner side of the characters. In this process, a film director should ensure that the acting depicts the inner side of the characters. In other words, the director should perfectly depict the internal and external elements of a human on screen. Appropriate visualization can lead to dramatic communication with the characters and thereby create the audience's emotional response. Considering these techniques, this paper focuses on the scenes of the film "Poetry" in which dramatic communication with the characters creates the audience's emotional response. Accordingly, the audience plays a role in sustaining dramatic communication for the physical screen time of a film.

The Characteristics of Pain Coping Strategies in Patients with Chronic Pain by Using Korean Version-Coping Strategies Questionnaire(K-CSQ) (한국판 대처 전략 질문지 (K-CSQ)를 이용한 만성 통증 환자의 통증대처 특성)

  • Song, Ji-Young;Kim, Tae;Yoon, Hyun-Sang;Kim, Chung-Song;Yeom, Tae-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.110-119
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    • 2002
  • Objectives : Numbers of patients who have chronic pain seem to be increasing in the psychiatric practice. Many investigators have used models of stress and coping to help explain the differences in adjustment found among persons who experience chronic pain. Coping strategies appear to be associated with adjustment in chronic pain patients. The objectives of this study were to develop a self-report questionnaire which is the most widely used measures of pain coping strategies, Coping Strategies Questionnaire (CSQ) into Korean version and to study the different coping strategies with which chronic pain patients frequently use when their pain reaches a moderate or greater level of intensity. Methods : One hundred twenty-eight individuals with chronic pain conditions and two hundred fifty-two normal controls were administered the Korean version-Coping Strategies Questionnaire(KCSQ) to assess the frequency of use and perceived effectiveness of a variety of cognitive and behavioral pain coping strategies. We also obtained their clinical features in chronic pain patients. Reliability of the questionnaire were analyzed and evaluated differences of coping strategies between two groups. Results : Data analysis revealed that the questionnaire was internally reliable. Chronic pain patients reported frequent use of a variety of pain coping strategies, such as coping self-statements, praying and hoping, catastrophizing, and increase behavior scales which were higher compared to the normal controls. Conclusion: K-CSQ revealed to be a reliable self-report questionnaire which is useful for the assessment of coping strategies in clinical setting on chronic pain. And analysis of pain coping strategies may be helpful in understanding pain for chronic pain patients. The individual K-CSQ may have greater utility in terms of examining coping, appraisals, and pain adjustment. A consideration of pain coping strategies may allow one to design pain coping skills training interventions so as to fit the individual chronic pain patient. Further research is needed to determine whether cognitive-behavioral intervention designed to decrease maladaptive coping strategies can reduce pain and improve the physical and psycho-social functioning of chronic patients.

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The effects of stepping in place tempo and roundhouse kick types on response time in taekwondo (태권도에서 제자리딛기 템포와 돌려차기 유형이 응답시간에 미치는 영향)

  • Lee, Jong-Hwa;Song, Young-Hoon
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.870-877
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    • 2020
  • The purpose of this study is to compare and analyze the effects of stepping-in-place tempo and roundhouse kick types on response time. Fifteen males participated in this experiment. All have over ten years of experience and hold a forth dan(degree) black belt in taekwondo. The task is when the participants are doing stepping in place they respond to the light stimulus as fast as they can do roundhouse kick. Five different stepping in place tempos (100, 120, 140, 160, and 180 bpm) and four different types of roundhouse kick(front leg body roundhouse kick, front leg head roundhouse kick, back leg body roundhouse kick, and back leg head roundhouse kick) were used. Three measurements were taken for each of the different combinations of conditions for a total of 60 measurements. For data analysis, two-way ANOVA with repeated measures was used and pair-wise comparisons were performed using bonferroni statistics. The results show that there was significant difference interaction effect between stepping in place tempo and roundhouse kick type in the response time. And, there were significant difference in main effect of response time in accordance with stepping in place tempo and roundhouse kick type. The response time of roundhouse kick was the fastest at 160 bpm of stepping in place tempo, but there was no significant difference between 140 and 160 bpm. Front leg body roundhouse kick was the fastest. And, the response time was the fastest when front leg body roundhouse kicked at 140 bpm of stepping in place tempo. Stepping in place tempo between 140 and 160 bpm is the most effective to optimize the response time. And, More effective response time was front leg roundhouse kick as compared with back leg roundhouse kick and, body roundhouse kick as compared with head roundhouse kick. The findings in this study will provide useful information for performance improvement and will help with strategy for taekwondo competition.

Weed control and herbicide usage by seed potato growers in Kangwon alpine area (강원도 고냉지 씨감자 경작자들의 잡초방제 및 제초제 사용 실태)

  • Kim, Song-Mun;Hwang, Ki-Hwan;Park, Hong-Ryeol;Cho, Jun-Mo;Park, Su-Jin;Shin, Hyon-Po;Hur, Jang-Hyun;Han, Dae-Sung
    • The Korean Journal of Pesticide Science
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    • v.2 no.2
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    • pp.102-107
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    • 1998
  • The objective was to know if seed potato farmers in Kangwon alpine area control weeds effectively and use herbicides properly to control weeds. Seed potato farmers in Pyongcbang, Hoengsong, and Kangnung have noxious weeds, such as marsh pepper, lambsquarters, barnyard grass, mugwort, asiatic dayflower, hairy carbgrass, ladysthumb, common chickweed, field horsetail, and common purslain, in their farmyard. These are controlled by a combination of physical and chemical weed control methods. However, several weeds such as marsh pepper, field horsetail and, mugwort are poorly controlled by 2-fold amount of several herbicides, including paraquat, pendimethalin, and metribuzin (58% of the answered). Herbicides are not selected and used in a proper manner by seed potato farmers: most of farmers selected herbicides by their experience (51% of the answered) and dealers recommendation (34% of the answered), while only a few farmers of the answered took advantage of the Farmers Handbook for Herbicide Application. In addition, the selected herbicides, including non-registered ones such as paraquat and fluazifop-butyl, are applying three to five years in a succession. With these improper selection and usage of herbicides, sixty-seven percent of the answered farmers have experienced crop damage and seventy-five percent have poisoning. We conclude that a systemic educational program for the proper selection and use of herbicides is needed for seed potato farmers in Kangwon alpine area.

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