Amyotrophic Lateral Sclerosis(ALS) is Motor Neuron Disease(MND) that reveals muscle relaxation, bulbar palsy, extremities weakness, Pneumonia, in severe case, leads to death. Objectives : Amyotrophic Lateral Sclerosis is one of the incurable disease. In Oriental medicine, Wei symptom is similar as Amyotrophic Lateral Sclerosis, so we diagnosed it as Wei symptom and treated in Oriental medical system. Methods : The patient was treated by acupunture, moxibustion, herb medication, physical treatment. The improvement of the patient was judged by Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS), Grasping power on right arm, circumference of thigh and calf. Result : The patient had better condition for a while but the sputum irritated breathing and the day before he discharged vital sign was not stable and could not breath well. Conclusion : It is necessary to have more examination about the incurable syndromes such as Amyotrophic Lateral Sclerosis, and keep the patient's life better and expand their lives.
Much progress has been made in understanding the subcellular events of the human lung injuries after acute exposure to environmental air pollutants. Host of those events represent oxidative damages mediated by reactive oxygen species such as superoxide, hydrogen peroxide, and the hydroxy, free radical. Recently, nitric oxide (NO) was found to be endogenously produced by endothelial cells and cells of the reticulo-endothelial system as endothelialderived relaxation factor (EDRF) which is a vasoactive and neurotransmitter substance. Together with superoxide, NO can form another strong oxidant, peroxonitrite. The relative importance of exogenous sources of $N0/N0_2$ and endogenous production of NO by the EDRF producing enzymes in the oxidative stresses to the heman lung has to be elucidated. The exact events leading to chronic irreversible damage are still yet to be known. From chronic exposure to oxidant gases, progressive epithelial and interstitial damages develop. Type I epithelial cells become thicker and cover a smaller average alveolar surface area while thee II cells proliferate instead. Under acute damages, the extent of loss of the alveolar epithelial cell lining, especially type II cells appears to be a good predictor of the ensuing irreversible damage to alveolar compartment. Interstitial matrix undergo remodeling during chronic exposure with increased collagen fibers and interstitial fibroblasts. However, Inany of these changes can be reversed after cessation of exposure. Among chronic lung injuries, genetic damages and repair responses received particular attention in view of the known increased lung cancer risks from exposure to several air pollutants. Heavy metals from foundry emission, automobile traffics, and total suspended particulate, especially polycystic aromatic hydrocarbons have been positively linked with the development of lung cancer. Asbestos in another air pollutant with known risk of lung cancer and mesothelioma, but asbestos fibers are nonauthentic in most bioassays. Studies using the electron spin resonance spin trapping method show that the presence of iron in asbestos accelerates the production of the hydroxy, radical in vitro. Interactions of these reactive oxygen species with particular cellular components and disruption of cell defense mechanisms still await further studies to elucidate the carcinogenic potential of asbestos fibers of different size and chemical composition. The distribution of inhaled pollutants and the magnitude of their eventual effects on the respiratory tract are determined by pollutant-independent physical factors such as anatomy of the respiratory tract and level and pattern of breathing, as well as by pollutant-specific phyco-chemical factors such as the reactivity, solubility, and diffusivity of the foreign gas in mucus, blood and tissue. Many of these individual factors determining dose can be quantified in vitro. However, mathematical models based on these factors should be validated for its integrity by using data from intact human lungs.
Kim, Hea-Sook;Choi, Yun-Soon;Chang, Soon-Bok;Jun, Eun-Mi;Chung, Chae-Weon
모자간호학회지
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v.3
no.1
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pp.38-48
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1993
This study was done to suggest modification in the present hospital policy for Labour and Delivery which separates women in labour from their families. The design for study was a descriptive study. The number of subjects consisted of 82 postpartum women who had delivered within 12 hours and for whom there were no complications either for the mothers or for the newborns. Data collection was done with a structured questionnaire which was analyzed using frequencies and percentiles. The results of this study are as follows : 1. Most of subjects (90.2%) wanted their family to participate in the labour process. Husband were chosen as the primary participant(79.3%). The number of subjects who wanted their family to support them through the whole labour process (35.4%) was the highest, followed by, during labour(32.9%), as contrasted to, during delivery (1.2%). 2. Support from husband during pregnancy ranged from 55.6%-87.6% for all items. Primary support was from husband during the pregnancy. 3. The subjects wanted support from their families in labour by way of encouraging(84.1%), consolidating(81.7%), changing position(43.9%), maintaining relaxation(35.4%) and helping with respiration control (29.3%). The results showed higher support on the emotional level than the physical and informational level (26.8%). 4. The subjects answered that they expected that participation by their family during the labour process would have the effect of increasing security for the women in labour(79.3%), providing a better relationship between the family and the women in labour (57.3%) and the newborns(34.1%), and making for an easier labour courses (23.2%). 5. The priority of family members that the subjects wanted support from was, the husband, mother and mother-in-law in that order. It can be concluded that nurses help to maintain a management policy in the maternity setting which ignores the needs of the women in labour. If consideration is to be given to these subjects, future programs should include participation by the family in the labour process.
Background: Experience of lung cancer includes negative impacts on both physical and psychological health. Pain is one of the negative experiences of lung cancer. Cognitive behavioral therapy techniques are often recommended as treatments for lung cancer pain. The objective of this review was to synthesize the evidence on the effectiveness of cognitive behavioral therapy techniques in treating lung cancer pain. This review considered studies that included lung cancer patients who were required to 1) be at least 18 years old; 2) speak and read English or Thai; 3) have a life expectancy of at least two months; 4) experience daily cancer pain requiring an opioid medication; 5) have a positive response to opioid medication; 6) have "average or usual" pain between 4 and 7 on a scale of 0-10 for the day before the clinic visit or for a typical day; and 7) able to participate in a pain evaluation and treatment program. This review considered studies to examine interventions for use in treatment of pain in lung cancer patients, including: biofeedback, cognitive/attentional distraction, imagery, hypnosis, and meditation. Any randomized controlled trials (RCTs) that examined cognitive behavioral therapy techniques for pain specifically in lung cancer patients were included. In the absence of RCTs, quasi-experimental designs were reviewed for possible conclusion in a narrative summary. Outcome measures were pain intensity before and after cognitive behavioural therapy techniques. The search strategy aimed to find both published and unpublished literature. A three-step search was utilised by using identified keywords and text term. An initial limited search of MEDLINE and CINAHL was undertaken followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second search using all the identified keywords and index terms was then undertaken across all included databases. Thirdly, the reference list of all identified reports and articles were searched for additional studies. Searches were conducted during January 1991- March 2014 limited to English and Thai languages with no date restriction. Materials and Methods: All studies that met the inclusion criteria were assessed for methodological quality by three reviewers using a standardized critical appraisal tool from the Joanna Briggs Institute (JBI). Three reviewers extracted data independently, using a standardized data extraction tool from the Joanna Briggs Institute (JBI). Ideally for quantitative data meta-analysis was to be conducted where all results were subject to double data entry. Odds ratios (for categorical data) and weighted mean differences (for continuous data) and their 95% confidence intervals were to be calculated for analysis and heterogeneity was to be assessed using the standard Chi-square. Where statistical pooling was not possible the finding were be presented in narrative form. Results: There were no studies located that met the inclusion requirements of this review. There were also no text and opinion pieces that were specific to cognitive behavioral therapy techniques pain and lung cancer patients.Conclusions: There is currently no evidence available to determine the effectiveness of cognitive behavioural therapy techniques for pain in lung cancer patients.
Kim, So-Yeong;Kim, Da-Hyeon;Park, Eun-Jin;Byun, Ji-Yeon;Jin, Min-Gyeong;Hong, Min-Cho;Han, Eun-Kyoung
Journal of the Korean Applied Science and Technology
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v.37
no.5
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pp.1171-1179
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2020
This study is an experimental study on the single group pre-post test design for the effects of the food expression activity program on subjective memory, depression, and self-expression of the elderly. 36 elderly people attending Senior Citizen Club from two locations in S City participated. A total of six session programs were applied from January 8 to February 17, 2020. The questionnaire survey conducted subjective momory, depression, and self-expression before and after the program. The contents of the intervention consisted of physical relaxation, cognitive activities, and various food activities. In the result of this study, the food expression activity program were statistically significant differences in subjective memory(t=2.67, p=.011), depression(t=3.88, p<.001), and self-expression(t=2.09, p=.044). Therefore, it is expected that the food expression activity program can be applied as a nursing intervention to reduce depression and improve subjective memory and self-expression in the elders attending senior citizen clubs.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.4
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pp.312-318
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2016
This study examined the influence of a Mindfulness Based Compassion Meditation Program on the brain activation and stress of elderly women who experienced loss of spouse using 2 channel EEG (Electroencephalography). The total number of subjects was 60, consisting of elderly women aged from 65~75years of in Y county; 30 in the experimental group and 30 in the control group who were checked by EEG before and after the study. The study was conducted from August to November, 2015. The Mindfulness Based Compassion Meditation Program was designed for the convergence of body and mind integration with compassion meditation for the purpose of developing love, sympathy, and compassion. The treatment was conducted once a week, for 60 minutes at a time, over a period of 16 weeks. The results in the experimental group showed an increase in the Activity Quotient (ATQ) Rt(82.51/85.83, p<.013) and AntiStress Quotient (ASQ) Lt (74.711/71.17, p<.050). The Activity Quotient shows the mental function and behavior tendency in the brain, while the AntiStress Quotient shows the state of physical and mental relaxation. The Mindfulness Based Compassion Meditation Program was shown to influence the brain activation and stress of the elderly women using the practical application of neuroscience.
The purpose of this study was to survey the degree of awareness and practice concerning prenatal care among Korean women. In this study, 626women in Seoul, Sungnam City, and Yangju Kun were randomly selected to be given a questionare that was formulated by the researcher. The statistical analysis of the data was obtained by percentage scores and $X^2$ scores on each item by age, educational background, and regional areas. The general out come of the study were as follows. A. The Practice of Prenatal Care 1. Physical Activities: Concerning the hard work, about a half of the women took care of it by themselves, and the others treated it with help. Also it was found that they tried to reduce the amount of travel as much as possible during pregnancy. 2. Dietary Intake: It was revealed that no significant change were observed before and during pregnancy. 3. Drugs: It was revealed that they tried to avoid drugs as much as possible during pregnancy. 4. Emotion: About a half of the women said that the family atmosphere did not change before and during pregnancy. The others said it had improved after pregnancy. In their spare time, most pregnant women rested in bed, read books, and listened to music. 5. Husband's Support: Most of the women expressed that they needed thief-husband's support absolutely, especially with hard work. They moderated the sexual activities when they found that they were pregnant. B. Degree of awareness for Prenatal Care 1. Perception of Prenatal Care: Most women heard about prenatal care at least one time through family, friend, or mass-media. 2. Necessity of Prenatal Care: Most women recognized the necessity of prenatal care, and they thought that the relaxation of body and mind was important during pregnancy. 3. Influence of Prenatal Care: It was revealed that most women recognized the positive influence of prenatal care to the neonate. 4. Practice of Prenatal Care: It shown that the most of pregnant women took serious interest in prenatal care and they tended to be careful during pregnancy. Generally speaking, the difference in educational background seemed to affect most to the pregnant women's awareness and practice of prenatal care: the higher the educational achievement, the more cautious about the prenatal care. The difference in region seemed to affect considerably in most aspects of practice: women in urban areas preceeded the rural women in prenatal care. The age difference seemed to affect least in their prenatal care except the younger generation took more care in avoiding the use of drugs.
Despite the enforcement of minimum legal drinking age of 18 years of age since 1997, alcohol experimentation among Korean youth is believed to be greater than ever before. The use of alcohol jeopardizes physical, mental, and social development during a person's formative years, thereby endangering successful transitions from adolescent to adulthood. Even infrequent use of alcohol may result in intoxication and acute consequences, especially among youth, who may have low tolerance due to their smaller body size and may lack experience with the effects of alcohol. Using self-report questionnaire data collected from 1,697 highschool students nation-wide, the drinking behavior among Korean high school students and the relation between adolescents' alcohol expectancy and adolescent alcohol use patterns were examined. Results indicated that gender and the type of school(academic or vocational) were significant effects on the drinking behavior(drinking frequency, experience of drunkenness, the amount of alcohol consumed, experience of binge drinking and that of problems due to drinking). Male students than female students, and students of vocational schools rather than those of academic high schools reported more alcohol experimentation. Also, positive alcohol expectancy proved to have a significant relation with alcohol use among high-school students. That is, students who reported to think alcohol would have a positive effect on socializing, aggressiveness, relaxation of tensions, and enforcing sexual ability tended to drink more, to experience more binge drinking and more drinking problems. Variables of gender and the type of school also were found to have significant effects on alcohol expectancy. Males and students of vocational school held ideas of positive outcomes on drinking than others. Implications for further study on developing prevention programs are presented.
Kim, Tae-Ho;Kim, Eun-Jung;Jung, Jae-Min;Yoon, Young-Jo;Han, Jin-Tae
PNF and Movement
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v.6
no.1
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pp.33-40
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2008
Purpose : When the pliability of the Lumbar is degraded, the kinesiology function undergoes an influence and it receives an overload. Finally, it is connected with a Lumbar muscular injury. When it does the regular exercise treatment the lumbago patient the balance and function of changeover are improved. The purpose of this study is to review of effect of the PNF application for lumbago patient Methods : By using internet, we research the PubMed, Science Direct, KISS, DBpia and the article on the effect of PNF. We selected the article between 1970 and 2007. Key words were low back pain, lumbago, PNF. Results : PNF is a therapeutic exercise for central nervous system(CNS) patient and the peripheral nervous system(PNS) patient and it is widely applied from sports medicine in the last. According to research of the Jung Young Jo(2007) and Han Kou Soo(2002), PNF technique improves the pain and a condition of the lumbago patient. And the affection balanced change and dynamic balance change and spontaneous movable scope are improved. And it improved to daily life activity. According to research of Moore and Hutton(1980), Lee Kyoung Hye(1999), PNF stretching where it is one of muscular relaxation is good in lumbar muscle fascia ache solutions, and PNF stretching that muscle is relaxed and increases ROM by Reflective system of the vertebra. These researches is relation all each other. it have appeared many report of research about Pliability, muscular power, balance, mobility improve ADL movement of attendance ability and functional action improved excise therapy put effect about lumbago patient recently, it have appeared research about therapy of lumbago patient through PNF. But PNF technique is not application about lumbago patient in clinic, therefore also it is not enough for case study about this therapy. Conclusion : PNF improve combination operation of muscle, inconvenience decrease from daily life activity, ROM(range of movement) of lumbar is increase and Lumbago reduce. So we suggest that PNF will be applies on the lumbago patient and must do a many research.
Journal of the Korea institute for structural maintenance and inspection
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v.24
no.3
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pp.63-69
/
2020
The volume of construction waste material from the entire waste material volume in Korea is approximately 47.3% to take the biggest ratio, and from them, the waste concrete takes up approximately 62.8% that recycling is an urgent issue to address. Therefore, the government recommends more diverse and broader facilitation of the recycled aggregate in order to promote recycling the construction waste materials. In addition, when using concrete recycled aggregate in building, building standard such as floor area ratio and building height are being mitigation. The standard is a condition that mitigation the floor area ratio by up to 15% when using up to 25% of concrete recycled aggregate. Therefore, this study reviewed the relaxation of construction of construction standards when using concrete recycled aggregate in order to actively recommend the use of concrete recycled aggregate. And using the recycled coarse aggregate among the recycled aggregate, the appropriate mixing time in the batch plant according to the substitution rate was derived. In addition, using recycled aggregate admixture in order to improve the drying shrinkage, did comparative analysis about physical and mechanical property of concrete.
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