• 제목/요약/키워드: Stress by Event

검색결과 210건 처리시간 0.024초

뇌졸중후우울증의 유병율 및 예측인자 (Prevalence and Risk Factors of Post-Stroke Depression)

  • 강희주;배경열;김성완;김재민;신일선;김준태;박만석;조기현;윤진상
    • 우울조울병
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    • 제9권2호
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    • pp.57-63
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    • 2011
  • Objectives : This study aimed to investigate the prevalence and risk factors of depression within two weeks after stroke. Methods : A total of 362 stroke patients were recruited. Depression (major and minor depressive disorders) was diagnosed by applying DSM-IV criteria. Data on socio-demographic characteristics (age, gender, education, marital state, living state, religion, occupation, income, life event, and social support), stroke severity (NIHSS), disability (BI), stroke hemisphere and location, vascular risk and disease, and previous history of stroke and depression were obtained. Results : Depression was present in 90 (24.9%) patients: major depression 29 (8%) and minor depression 61 (16.9%) patients. In the univariate analyses, depression was associated with older age, higher number of stressful life event, poorer social support, severe disability, anterior stroke location, previous history of stroke and depression. In the multivariate analyses, depression was independently associated with higher number of stressful life events and poorer social support. Conclusion : Depression was common and was determined by premorbid levels of stress and social support in stroke patients at acute stage. More intensive psychiatric care and intervention is needed for the high risk group.

옥외형 피난계단의 풍압에 따른 내구성 검증을 위한 유동-구조 연성해석 (Flow-structure Interaction Analysis for Durability Verification by the Wind Force of Outdoor Evacuation Stairs)

  • 이석영
    • 에너지공학
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    • 제29권3호
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    • pp.97-102
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    • 2020
  • 본 연구에서는 화재가 발생하였을 때 작동되는 옥외형 피난계단 구조물이 태풍에 따른 풍압이 작용하였을 때 내구성을 검증하기 위하여 단방향 유동-구조 연성해석을 진행하였다. 이를 위해, 피난계단 구조물 주위에 대한 유동장을 정상상태로 유동해석을 수행하였고, 이러한 해석결과를 구조해석을 위한 입력 데이터로 사용하여 구조응력, 변형량, 피로수명 등의 계산을 통해 내구성을 분석하였다. 유동해석 결과, 피난계단 구조물 형상에 따라 공기에 의한 유동 흐름이 다르게 나타났으며, 이러한 유동속도 분포는 구조물 표면에 전압력으로 작용하였다. 또한, 이러한 전압력에 의해 계산된 구조해석 결과, 최대응력값으로 계산된 안전율이 허용치 이상으로 나타났으며, 피로수명과 변형량 분석을 통해 내구성을 입증하였다.

Whole-transcriptome analyses of the Sapsaree, a Korean natural monument, before and after exercise-induced stress

  • Kim, Ji-Eun;Choe, Junkyung;Lee, Jeong Hee;Kim, Woong Bom;Cho, Whan;Ha, Ji Hong;Kwon, Ki Jin;Han, Kook Il;Jo, Sung-Hwan
    • Journal of Animal Science and Technology
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    • 제58권4호
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    • pp.17.1-17.7
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    • 2016
  • Background: The Sapsaree (Canis familiaris) is a Korean native dog that is very friendly, protective, and loyal to its owner, and is registered as a natural monument in Korea (number: 368). To investigate large-scale gene expression profiles and identify the genes related to exercise-induced stress in the Sapsaree, we performed whole-transcriptome RNA sequencing and analyzed gene expression patterns before and after exercise performance. Results: We identified 525 differentially expressed genes in ten dogs before and after exercise. Gene Ontology classification and KEGG pathway analysis revealed that the genes were mainly involved in metabolic processes, such as programmed cell death, protein metabolic process, phosphatidylinositol signaling system, and cation binding in cytoplasm. The ten Sapsarees could be divided into two groups based on the gene expression patterns before and after exercise. The two groups were significantly different in terms of their basic body type ($p{\leq}0.05$). Seven representative genes with significantly different expression patterns before and after exercise between the two groups were chosen and characterized. Conclusions: Body type had a significant effect on the patterns of differential gene expression induced by exercise. Whole-transcriptome sequencing is a useful method for investigating the biological characteristics of the Sapsaree and the large-scale genomic differences of canines in general.

강원지역 소방관에서 외상후 스트레스 증상 및 동반증상에 미치는 리질리언스의 영향 (The Effect of Resilience on Posttraumatic Stress Disorder Symptoms and Comorbid Symptoms in Firefighters)

  • 이홍의;강석훈;예병석;최종혁
    • 대한불안의학회지
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    • 제8권2호
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    • pp.86-92
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    • 2012
  • Objective : This study investigated the relationship between the resilience and posttraumatic stress symptoms, as well as comorbid symptoms in firefighters. Methods : We collected 764 firefighters, who worked at six fire department stations in Gangwon-do. We investigated the impact of event scale-revised (IES-R), the life events checklists (LEC), Connor-Davidson resilience scale (CD-RISC), Beck depression inventory (BDI), state trait anxiety inventory (STAI) and alcohol use disorder identification test (AUDIT). Full PTSD groups, partial PTSD groups and non-PTSD groups, which were classified by IES-R scores, were compared in the LEC, CD-RISC, BDI, STAI and AUDIT, ; multiple linear regression analyses were done for independent predictors of variables. Results : Of the 764 firefighters, there were significant differences in LEC (p<0.001), CD-RISC (p<0.001), BDI (p<0.001), and AUDIT (p=0.001) among the full PTSD groups, partial PTSD groups and non-PTSD groups. However, STAI did not show significant difference among three groups. In multiple regression analysis, CD-RISC (${\beta}=-0.168$, p<0.001), LEC (${\beta}=0.211$, p<0.001) and AUDIT (${\beta}=0.115$, p=0.001) were significant predictors for IES-R. Conclusion : The results of the present study suggested that resilience might be a protective factor in PTSD and comorbid symptoms of PTSD.

외상 후 스트레스 장애에 대한 옥시토신의 역할: 체계적 문헌 고찰 (Role of Oxytocin in Post-traumatic Stress Disorder: A Systematic Review)

  • 오재욱;김민수;추상희
    • Journal of Korean Biological Nursing Science
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    • 제24권1호
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    • pp.1-16
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    • 2022
  • Purpose: Recently, oxytocin has been introduced experimentally as a pharmacological treatment for post-traumatic stress disorder (PTSD). This study attempted to investigate the possibility of oxytocin as a treatment option for patients with PTSD by examining its dose, interval, and effectiveness in patients with PTSD. Methods: A systematic review was done on articles published from 1967 to 2020 using the PubMed, PsycINFO, and Cochrane databases. Our inclusion criteria were 1) subjects 18 years of age or older diagnosed with PTSD or exposed to a traumatic event that met criterion A of the Diagnostic and Statistical Manual of Mental Disorders (DSM) for PTSD, 2) oxytocin was administered at least once, 3) clinical trials, and 4) studies published in Korean or English. Two independent researchers reviewed 22 articles and recorded the contents. The risk of bias was evaluated to determine the quality of the reviewed article. Results: The parameters for evaluating the effectiveness of oxytocin were identified as socio-behavioral measures in 11 articles, neuronal imaging in 9, and biomarkers in 4. In 5 papers, oxytocin was administered multiple times. Socio-behavioral measures were improved in 3 out of 5 studies in which oxytocin was administered multiple times. In 2 studies in which prolonged exposure treatment and nasal oxytocin administration were combined for 10 weeks, patient symptoms were decreased compared to the control group. Conclusion: The possibility of oxytocin as an adjuvant treatment for PTSD psychotherapy was confirmed. Further studies are necessary to evaluate the long term effectiveness of administering oxytocin multiple times combined with psychotherapy.

PHC 말뚝의 하중전이실험을 통한 참 지지력의 산정 (Determination of True Resistance from Load Transfer Test Performed on a PHC Pile)

  • 김성렬;정성교
    • 한국지반공학회논문집
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    • 제22권11호
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    • pp.113-122
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    • 2006
  • 국내에서 말뚝 정재하 실험이 수많이 수행되고 있지만, 그 결과의 활용도가 낮아서 재하실험 방법과 분석방법 등에 대하여 재고할 필요성이 제기되고 있다. 본 연구에서는 두터운 연약지반 하부의 모래층에 PHC 말뚝 선단을 지지시킨 후 하중전이 정재하 실험을 수행하였다. 말뚝의 설치 이후에 장기간에 걸쳐 주면 마찰력을 측정하였으며, 국내에서 보편적으로 적용되고 있는 재하법과는 다른 급속재하법에 의하여 정재하실험을 실시하였다 그 실험결과를 이용하여 말뚝의 탄성계수, 잔류응력 및 참 지지력을 산정하였다. 결과적으로, 재하실험 전에 말뚝에 존재하는 잔류하중이 주면 마찰력과 선단지지력에 크게 영향을 미친다는 사실을 확인할 수 있었다. 또한, 점성토 지반에서의 장대말뚝에 대해서는 지반의 강도회복(setup) 효과가 매우 크다는 사실을 알 수 있었다.

주성분 회귀분석 및 인공신경망을 이용한 AE변수와 응력확대계수와의 상관관계 해석 (Analysis on Correlation between AE Parameters and Stress Intensity Factor using Principal Component Regression and Artificial Neural Network)

  • 김기복;윤동진;정중채;박휘립;이승석
    • 비파괴검사학회지
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    • 제21권1호
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    • pp.80-90
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    • 2001
  • AE 신호와 재료의 기계적 물성과의 관계를 정량적으로 제시할 수 있는 방법을 개발하였다. 재료의 여러 가지 기계적 성질들 중 피로균열 거동에 관련된 응력확대계수를 중심으로 AE 신호와 같은 다변량 데이터의 처리에 많이 사용되고 있는 주성분 회귀분석과 비선형적 문제 해결에 적합한 신경회로망 기법을 이용하였다. 이를 위하여 강교량 부재인 SWS490B 강에 대한 피로균열전파 실험을 수행하였으며 표준 CT 시편에 대한 피로균열진전 시 발생하는 AE 신호의 각 변수와 응력확대계수와의 관계를 고찰하였다. 통계분석 방법인 변수선택법을 적용한 결과 AE 카운트(RC), 에너지(EN), 신호지속시간(ED)의 각각에 대한 유의성이 높은 것으로 나타났으나 전반적으로 전체 AE 변수를 모두 이용할 경우 통계적 유의성이 높은 것으로 나타났다. 부재의 반복하중 시 발생하는 피로균열진전을 정량적으로 도출할 수 있는 응력확대계수 추정모델을 개발하고 평가하였다. 미지 시료에 대하여 개발된 모델의 응력확대계수 예측 성능을 분석한 결과 주성분 회귀모델과 인공신경망 모델 모두 우수한 예측성능을 나타내었으나 전반적으로 인공신경망 모델이 주성분 회귀모델보다 다소 양호한 것으로 분석되었다.

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심박변이도(HRV : Heart Rate Variability) 측정을 통한 정서 상태 및 명상의 종류별 명상 효능 평가 (Effect of Meditation According to Emotional State and Meditation Subgroup Evaluated by HRV(Heart Rate Variability))

  • 서진우;황은영;정선용;황의완;김종우
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.133-147
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    • 2009
  • Objectives : This study has the object to evaluate the effect of meditation at the clinical field and to classify the profer meditation by the emotional states of patients. Methods : Thirty volunteers have been recruited using local advertisement. They devided into two groups(patient group, normal group). Emotional states and stressors (STAI, STAXI, BDI, SCL-90-R, Stress Response inventory, Life event stress) have been evaluated. After that test HRV(Heart Rate Variability) has been tested and subjects took a 5-minute rest. After that, one of meditation has been chosed and has been demonstrated for 10 minutes by practiced trainer(Autogenic Training, Fruit Imaginary Meditation, Random assignment). After 5 minutes resting time, HRV has been measured again with meditation that had been administered. Results : 1. The higher the scale of emotional index, the more sensitively react has been occured according to the meditation. 2. The rate of HRV index that means stable state is higher in Fruit Imaginary Meditation group who thought to be administered meditation well. 3. The Fruit Imaginary Meditation is more effective immediately than Autogenic Training assessed by HRV scale and VAS scale of well-administered meditation especially in patients group. 4. Subjects of Highly suffered emotional problem have more effect in Fruit Imaginary Meditation Group compared to Autogenic Training Group. Conclusions : Suitable beginner meditation course considered patient's emotional problem needs to be programmed.

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AE파형분류에 의한 용사코팅재의 파손해석 (Fracture Analysis of Plasma Spray Coating by Classification of AE Signals)

  • 김귀식;박경석;홍용의
    • 동력기계공학회지
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    • 제6권3호
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    • pp.24-30
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    • 2002
  • The deformation and fracture behaviors of both Al2O3 and Ni 4.5wt.%Al plasma thermal spray coating were investigated by an acoustic emission method. Plasma thermal spray coating is formed by a process in which melted particles flying with high speed towards substrate, then crash and spread on the substrate surface cooled and solidified in a very short time, stacking of the particles makes coating. A tensile test is conducted on notch specimens in a stress range below the elastic limit of substrate. A bendind test is done on smooth specimens. The waveforms of AE generated from the both test coating specimens can be classified by FFT analysis into two types which low frequency(type I) and high frequency(type II). The type I waveform is considered to corresponds exfoliation of coating layers and type II waveform corresponds the plastic deformation of notch tip. The fracture of the coating layers can estimate by AE event and amplitude, because AE features increase when the deformation generates.

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하중제한이 기존건물의 옥상조경계획에 미치는 영향 (Influence of Load Limitation on the Roofspace Planning of Existing Buildings)

    • 한국조경학회지
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    • 제26권2호
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    • pp.166-180
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    • 1998
  • In a city where the greenery always lacks landscaping roofs of existing buildings offers a way to solve the problem. But the most serious problem that poses is the matter of load limit. At present most existing buildings have the loading capacity of 200 kg/$m^2$ or less on their roofs. If the natural soil is used the loading capacity is easily surpassed because it simply is too heavy. To alleviate this problem it is realized to introduce the light weight artificial soil. The specific gravity of light soil is 0.65 whereas the natural soil is 1.8 when wet. It is three times lighter than the natural soil, thus eases the burden to the roof. The next problem to be confronted is the plant species to plant. It is possible to plant trees but they soon outgrow the loading capacity by weighing 8 times heavier in 10 years. Therefore shrubs and perennials are suggested to be planted because they don't weigh much even when they reach the mature height. The last problem is the stress put on roofs by the weight of the users. By some unexpected event the crowd gathered on a weak roof can cause the structural damage or even the collapse of the roof. The avoid the possibility of collapse a plaza or big pocket should not be designed in a roof garden because they hold crowd. By following the suggested means the old roofs of existing buildings can turn into the urban oases in the sky.

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