• Title/Summary/Keyword: ST-T change

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A Study on the Effect of the Group Counseling Program Developed by Applying Reality Therapy on the Body Image and Depression of Adolescent Women (현실요법을 적용한 집단상담프로그램이 사춘기 여성의 신체상과 우울에 미치는 효과)

  • Jung Young-Nam
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.342-358
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    • 2001
  • The purpose of the study is both to develope the group counseling program applying Reality Therapy, by which positive body image could be conceived by adolescent women, by helping them identify their bodies as what they are, and then admit their real bodies, and also find out some practical methodologies of self-esteem, and to verify the program to show how effectively this program can be applied to them. Data were collected by self-reported questionnaires(body image and depression) from 59 high school girls in Seoul who were selected by criteria of this study, from the 1st of September to 10th of November, 2000. The experimental group participated in the group counseling by applying Reality Therapy with 8 sessions for 4 weeks. Descriptive statistics, homogeneity test, hypothesis testing, reliability were performed statistically by utilizing SAS pc program, and additionally the reaction due to the change of body image by adolescent women was also analyzed. The results drawn through the present study are as follows: 1. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get higher points on body image than adolescent women who did not participated' has been adopted (t=6.73, p=.000). 2. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get lower points on depression than adolescent women who did not participated' has been adopted (t=5.28, p=.000). 3. After applying the group counseling program, the degree of depression for upper group who obtained higher preliminary points on depression has decreased rather meaningfully more than that for lower group who obtained higher preliminary points(t=5.58, p=.000). 4. Reactions associated with positive change in body image of adolescent women who participated in the group counseling program by applying Reality Therapy has been shown to be body acceptance, enhancement of self-esteem, and change of value judgment of beauty. 5. The difference in the motivation and attitude of each group has been observed, by analyzing the reactions obtained from those who show the highest change of body image and those who show the lowest change of body image through the group counseling program by applying Reality Therapy. According to the present studies, it can be concluded that the group counseling program by applying Reality Therapy has turned out as an effective strategy for nursing intervention for adolescent women, by helping them form positive body images and reducing depression.

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Evaluation of Peri-procedural Anticoagulation Drug Therapy undergoing Radiofrequency Ablation in Patients with Atrial Fibrillation (심방세동 환자의 고주파 도자절제술 전.후의 항응고약물요법 사용실태 분석)

  • Kim, Su-Hyun;An, Sung-Shim;Kim, Soon-Joo;Bang, Joon-Seok;La, Hyen-Oh
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.2
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    • pp.159-164
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    • 2010
  • Radiofrequency ablation (RA) is being used to manage atrial fibrillation (AF) with patients failed at the $1^{st}$-line anti-arrhythmic medications. Patients undergoing this procedure are at increased risk of thromboembolism after ablation, and anticoagulation management surrounding the ablation remains controversial. Although no conclusive recommendations can be made, published guidelines and data support therapeutic anticoagulation with warfarin. The purpose of this study was to analyze effectiveness of current therapy and to find factors fluctuate International Normalized Ratio (INR) values in patients undergone RA followed by anticoagulation service (ACS). Retrospective review was conducted utilizing database in a hospital. Among 110 patients under warfarin around ablation between January 2006 to September 2007, 54 patients were selected and allocated into 2 groups: Group A included 47 who discontinued warfarin after ablation, while 7 in B continued the medication. Information on demographics, amount and length of warfarin dosing, INR values and measuring frequencies, and the causing factors on INR fluctuation were abstracted. Differences were analyzed using chi-squared test, Fisher's Exact test, and unpaired Student t-test. Mean amount of warfarin before and after surgery was 4.0 mg, 4.1 mg in Group A and was 5.1 mg, 4.6 mg in Group B, respectively. Average duration of warfarin doing before ablation was 73.7 days in Group A, 129.9 days in B with no significant difference (p = 0.312). The duration time of warfarin on groups after ablation lasted several months. The number of checking INRs was 4.1 and 7.6, respectively. Inter-individual variability of INR fluctuations were $2.1{\pm}0.6$ in Group A and $2.2{\pm}0.7$ in B which were not significantly different (p = 0.062). 164 cases of decreased INR were: 'omission in taking medication, stressfulness and headache, 'increased intake of high vitamin K foods', 'lifestyle change of increased physical activities', and 'increase of food-intakes'. To the contrary, 36 cases of increased INR were: 'reduce of food-intake', 'use of non-prescription drugs', 'reduction in physical activities', and 'excessive restriction on food-intake', consecutively. In conclusion, the study validated therapeutic outcomes of RA patients who we treated with standard guideline and demonstrated 9 factors of INR fluctuations in the patient. A well-trained, pharmacist-monitored anticoagulation service could reduce the risk of adverse effects and prevent complications in patients with AF around RA operation.

The effects of GCM ankle joint therapy on Shoulder and Neck (전신조정술 발목관절치료가 어깨와 목에 미치는 영향)

  • Hyoung In-Hyouk;Ahn Mock;Bae Sung-Soo;Mun Sang-Eun;Chae Jung-Byung
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.479-487
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    • 2003
  • Tje purpose of this study is to understand body as a whole concept through examining effects of distant shoulder and neck with GCM ankle joint therapy. The twenty three subject with ankle joint therapy and comparison groups without ankle joint therapy were authorized the score of before and after therapy by correspondence T-test using pump lines and tapes as instruments. The results are as follows. 1. The test group had change of shoulder in measurement 1, 2, 3 and were regarded statistically 1st measurement on left, 2nd on right.(p<.05) 2. The test group had change of neck in measurement 1, 2, 3 and were regarded statistically 2nd on left on right.(p<.05) 3. In the comparison group the comparison of shoulder height was not regarded statistically all at 1, 2 comparison on left and regarded statistically all at 1, 2 comparison on right.(p<.05) 4. In the comparison group the comparison of neck height was not regarded statistically both left and right at 1, 2 comparison.(p<.05)

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A Study of Chronic Constrictive Pericarditis (만성 수축성 심낭염의 임상적 고찰)

  • 김현경
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.973-978
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    • 1991
  • From January, 1982, to December, 1990, 15 patients underwent pericardiectomy for chronic constrictive pericarditis on Department Of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University. There were 9 male and 6 female patients [male to female ratio was 1.5: 1] ranging from 15 years to 63 years old [mean age 35.0]. All patients underwent pericardiectomy through a median sternotomy, partial cardiopulmonary bypass was performed on two patients. There were 3 postoperative death [20%]. Six cases [40%] were tuberculous origin 5 cases [34%] were Idiopathic [nonspecific chronic inflammatory change was considered to idiopathic], 2 cases [13%] were malignant origin, 2 cases [13Yo] were pyogenic origin. Dyspnea on exertion was evident in all patients and abdominal distention, general weakness, palpitation, peripheral edema were found. Eleven patients showed low voltage of QRS wave, 7 patients showed diffuse ST-T wave change, 2 patients showed atrial fibrillation on EKG. There were 6 patient showed pericardial thickening, 5 patients showed evidence of restriction, 5 patients showed pericardial effusion, 4 patients showed low cardiac output on preoperative echocardiogram. Hemodynamic response to pericardiectomy were observed; preoperative CVP 26.8 cmH2O declined to 15.0 cmH2O. Preoperative NYHA Functional class showed class II - 1, class III - 10, class IV - 4, postoperative NYHA functional class showed class I - 7, class II - 4, class Ill - l.

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A study of the changes in the strength and microstructure of the zirconia crown surface by the glazing number (Glazing 횟수가 전장지르코니아에 미치는 굴곡강도와 표면 미세구조의 변화)

  • Oh, Seon Mi
    • Journal of Technologic Dentistry
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    • v.43 no.2
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    • pp.35-41
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    • 2021
  • Purpose: This study aimed to investigate the flexural strength and surface microstructure of the zirconia crown according to the number of glazing zirconia prostheses. Methods: The specimens were made as follows. A specimen without glazing: 1ea, first glazed specimens (group B): 10ea, second glazed specimens (group C): 10ea, third glazed specimens (group D): 10ea. Three-point measuring strength equipment and electron microscopes were used for strength measurement and microstructure observation. As for statistical analysis, one-way ANOVA and t-test (level of significance level=5%) were used to determine the difference in the change in flexural strength according to the number of glazing zirconia prostheses. Results: ANOVA analysis of groups B (1st glazing), C (2nd glazing), and D (3rd glazing) revealed that the change in strength between the groups is statistically significant (p=0.023). The Mann-Whitney test for each group revealed that the difference in flexural strength between groups B and C was not statistically significant (z=-0.302, p=0.762) while that between groups C and D was statistically significant (z=-0.257, p=0.01). Microstructure observation revealed 3 changes in the microstructure of the surface of the glaze powder were observed. Conclusion: According to the number of glazing zirconia prostheses, it was found that the difference in strength between groups was statistically significant, and changes in the microstructure were observed.

Surgical Treatment of Anomalous Connection of Left Coronary Artery to the Pulmonary Artery [ALCAPA] (주관상동맥-폐동맥 이상연결증의 외과적 수술요법)

  • 이정렬
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.228-233
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    • 1993
  • Patients with anomalous connection of the left coronary artery to the pulmonary artery are at risk for myocardial infarction, and early or sudden death. Between 1986 to 1992, a total of 4 of these patients underwent surgical intervention with various operative techniques at our institution. Age at operation ranged from 2 months to 43 years. Three infant patients had congestive heart failure, 2 of them had mitral regurgitaion, and 1 had ST-T change on elctrocardiogram. Operative techniques included direct coronary artery transfer to the aorta[n=2], intrapulmonary tunnel from the aortopulmonary window[n=1], coronary artery bypass using saphenous vein[n=1]. One deaths occured at 2 weeks after direct coronary arterial transfer due to respiratory failure caused by Respiratory Syncitial virus pneumonia. Supravalvar pulmoanry stenosis occured after intrapulmoanry tunnel. We recommend direct aortic implatation of the anomalous coronary artery at the time of diagnosis. Intrapulmonary tunnel from aortopulmonary window or subclavian-coronary anastomosis could be alternatives in whom aortic implantation is not feasible anatomically.

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Decision making for CDMA HPA Bias used Fuzzy Logic Controller (퍼지제어기를 이용한 CDMA중계기의 최적동작점 결정)

  • 김성식;홍광진;조현찬;오창헌;김두용;이규영
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2003.05a
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    • pp.283-286
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    • 2003
  • Generally, the repeater in CDMA(Code Division Multiple Access) included HPA(HI-Power Amplifier) to amplifier communication signals. Also, HPA contained PD(Predistortor) to maintain the linearization of amplifier characteristics A configuration component of PD have been used electricity nonlinear devices such that diode. But this diode takes many influences at the circumstance temperature. Consequently, st can't maintain output linearization, and drop the communication Duality. The manufacturer set bias of the circuit to the manual at the first out of ware-house low. But the Q-point changes according to the change of the high temperature or low temperature. Therefore, we designed a system to maintain the Q-point by FDM(Fuzzy Decision Maker) in this paper.

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Reverse Takotsubo cardiomyopathy with left bundle branch block after anesthesia induction in a patient with subarachnoid hemorrhage: a case report

  • Choi, Eun Kyung;Kim, Jong-Hoon;Kim, Minhyun
    • Journal of Yeungnam Medical Science
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    • v.39 no.2
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    • pp.172-177
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    • 2022
  • Takotsubo or reverse Takotsubo cardiomyopathy is a well-known cardiac complication of subarachnoid hemorrhage (SAH) that shows transient left ventricular wall motion abnormalities with electrocardiogram (ECG) changes. ST change followed by T inversion is a common ECG finding complicated with these disorders, left bundle branch block (LBBB) may be a potential ECG pattern which is seen. In this case, we describe the clinical profile and outcomes of a patient with LBBB and reverse Takotsubo cardiomyopathy after anesthetic induction, which was scheduled as an emergent external ventricular drainage after SAH. This is the first report of an LBBB pattern in reverse Takotsubo cardiomyopathy.

Microclimate and Rice Production (수도작의 미기상과 생산성)

  • Uchijima, Zenbei
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.27 no.4
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    • pp.314-339
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    • 1982
  • Fluctuating climate is still most important environmental constrain, although improved modem agricultural technology has succeeded to increase crop production in the world. To stabilize the food production under fluctuating weather conditions, it is very needed to obain the quantitative information of interactions between crops and climate. The main purpose of this paper is three hold. Using the JIBP-data, the dry matter accumulation of rice crops is studied in relation to weather indexes (\SigmaTa and \SigmaSt). Temperature dependence of the yield index of rice is analyzed as to air temperature and water temperature. \SigmaT$_{10}$ -fluctuations are studied using meteorological data at various stations. The possible shift of \SigmaT$_{10}$ -isopleths due to climate fluctuation is evaluated. The second interest is in the plant climate of rice crops. Using results of canopy photosynthesis, it is pointed that the canopy structure has most important implication in plant climate. Leaf-air, stomatal, and mesophyll resistances of rice crops are described in relation to weather conditions. The change in light condition and aerodynamical property of rice crops with the growth is illustrated. The energy partition is also studied at different growing stages. Third point is to show in more detail effective countermeasures against cold irrigation water and cool summer. Heat balance of warming pond and polyethylene tube as a heat exchanger is studied to make nomo-grams for evaluating the necessary area and necessary length. Effects of windbreak net on rice crops are illustrated by using experimental and simulation results.lts.

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Longest Follow up after Closed Mitral Commisurotomy in Korea: case report (승모판 교련절개술을 받은 한국최초의 승모판협착증 [증례 보고])

  • 유회성
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.361-364
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    • 1979
  • The first Mitral Commissurotomy was performed for tight mitral stenosis on March 1957. The patient was at that time 22-year-old male, student. The longest follow 9p for 22 years and 8 months has been obtained. During the follow up period, late deterioration due to restenosis developed 4 years after initial good result and reoperation was succeeded by transventricular Mitral Valvotomy with Tubb`s ilator on April 1964. The possible cause of restenosis was attributed to recurrent rheumatic activity. After more than 13 years long-good life following 2nd operation, Endocarditis such as episode of high fever & chill intermittently followed by mild fever and night sweat, I t. tibial artery embolization and rupture of aortic cusp. At present, patient complained of no subjective symptom, enjoying ordinary life {NYHA II]. Blood pressure has been 110/50-60 mmHg, trivial diastolic murmur at apex and moderate degree of mechanical murmur on diastole at Erb`s rea. Neither signs of RVH for mitral stenosis nor sign of LVH. ST-T change for aortic regurgitation appeared yet during last 2 yrs. The patient`s are for prevention of Rheumatic activity and development of endocarditis is important for obtaining the better long-term result.

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