• Journal of Korean Academic Society of Home Health Care Nursing
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• v.14 no.1
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• pp.31-41
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• 2007

Purpose: This study was designed to evaluate the effect of home care nursing intervention with parenteral hydration and IV anti-emetic therapy on distress, nutritional status, anxiety, depression and QOL in gynecologic cancer patients who were undergoing combination chemotherapy. Methods: Quasi-experimental design was used to test the intervention. Changes of result variables were measured to evaluate effects of the intervention. variables consisted of serum lab results(auto analytic equipment for lab), symptom distress Scale(McCorkle & Young, 1978; Song et al., 2000), nutritional status(body weight, circumference of upper arm, serum protein, serum albumin, oral intake per day), anxiety(Spielberger, 1972; Kim & Shin, 1978), depression(Zung, 1965; Kim, 1995) and QOL(Padilla et al., 1983; Lee & Jo, 1996). Subjects were selected among gynecologic cancer patients(EG 15 patients and CG 15 patients) by convenient sampling. Data collection was done from June to Nov. in 2000. Data were analyzed by Chi-test and Mann-whitney U test using SPSS Win 10.0. Result: Hypothesis 1, the EG receiving this intervention equals to lab test(Hb & ANC, GOT & GPT, BUN & Cr) the CG, was supported(u=69.50 p=.074; u=94.50, p= .455; u= 89.50, p= .339; u=106.50, p= .803; u=75.00, p= .119; u=97.50, p= .523). Hypothesis 2, the EG has less symptom distress than the CG, was also supported(u=43.50, p= .004). Hypothesis 3, the EG has higher nutritional status than the CG, was partially supported on daily oral intake (u=59.00, p= .025). Hypothesis 4, the EG has less anxiety than the CG, was rejected(u=86.50, p= .280). Hypothesis 5, the EG has less depression than the CG, was rejected(u=203.50, p= .228). and the last hypothesis 6, the EG has higher QOL than the CG was supported (u=51.50, p= .011). Conclusion: Home care nursing intervention undergone in this study was found to be effective to reduce patients' symptom distress and to improve their oral intake and QOL.

• The Korean Journal of Physiology
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• v.3 no.1
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• pp.19-28
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• 1969

Skin temperatures on 10 sites and rectal temperature at every 10 minutes, oxygen consumption at every 20 minutes were measured on 18 male subjects (ages between 14 and 47 years) after exposure to cold air at $15^{\circ}C$ for two hours in a climatic room. Total body fat measured by means of a skinfold method and ratio of body surface area (S) to body volume (V), S/V, were utilized as basis of observations. Surface area was calculated after DuBois equation and body volume was calculated by our original formula. In influencing on the heat loss from the body core to the cold environment, % fat showed inverse relations, whereas, S/V ratio showed direct relations. Thus these two factors acted antagonistically on the body heat loss. Local skin temperatures showed negative correlations with skinfold thickness on the same site, nemaly, on chest, r=-.567; on back, r=-.507; and on upper arm, r=-.353. The other 7 skin sites showed low correlations with % fat. Minimum mean weighted skin temperature (MWST) showed a negative correlation (r=-.443) with % fat, and showed no correlation with S/V ratio. Oxygen consumption in the cold air at $15^{\circ}C$ increased from the first measurement at 20 minutes after exposure and maintained the same increasing trend up to 120 minutes. ${\Delta}T_R$ was greater in tile lean subjects who showed a greater % change in oxygen consumption. The antagonistic actions of % fat and S/V ratio on the heat loss were manifested by observations as follows: minimum rectal temperature was higher In fat subjects (r=.600) and lower in subjects with a greater S/V ratio (=-.582), ${\Delta}T_R$ was smaller in fat subjects (r=-.738) and greater in subjects with a greater S/V ratio (r=.618). Temperature difference between body core and skin surface (minimum rectal temperature minus minimum MWST) showed a positive correlation with % fat (r=.600) and a negative correlation with S/V ratio (r=-.881). Decrease in the mean body temperature and heat debt, respectively, showed negative correlations with % fat and positive correlations with S/V ratio.

• Journal of the Korean Society of Clothing and Textiles
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• v.16 no.4 s.44
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• pp.405-416
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• 1992

This study was performed to investigate correlation between total body weight loss and local sweat rate and to find out any possible method that can estimate total body weight loss judging from local sweat rate. Twelve adult females were kept at 44 $\pm1^{\circ}C$, 50 ${\pm}5\%$ R.H. (1) Physiological responses such as total body weight loss, local sweat rate, rectal temperature, skin temperature, blood pressure and pulse, (2) micro climate inside garment and (3) subjective sensation were examined. Two types of garment such as long-sleeves with long pants (Type I) and half·sleeves with short pants (Type II) were used to observe the effect of garment types on sweating response. Both clothing weight was equal (132$\pm$3 g/$m^{2}$). The results were as follows: 1. Regardless of the different types, total body weight loss was more interrelated with the sweat rate on forehead than any other parts of the body. Except the forehead, different parts of body with different types of garment influenced on body weight loss quite differently. 2. Total body weight loss was more interrelated with the weight gain of garment than the local sweat rate. 3. Under the environment of 44$\pm1^{\circ}C,\;50{\pm}5\%$R.H., body weight loss during 1 hour of subject clothed and silted was 275.2 g/hr and weight loss per body surface area was 178.9 g/$m^{2}/hr$ Garment types have no influences on total body weight loss. 4. Local sweat rate (mg/7.07 $cm^{2}/hr$) was 208.0,191.0, 133.0, 115.0,81 0, 75.1 and 66.3 on scruff, breast, forehead, forearm, thigh, upper arm, leg respectively No evidence has been found that garment types influenced on local sweat rate (p<0.1). 5. No interrelationships between rectal temperature and total body weight loss, local skin temperature and total body weight loss, and local skin temperature and local sweat rate were found. From this study, some possible method that we can estimate total body' weight loss judging from weight loss of garment. But considering the fact that clothing design factor, the physical characteristics of fabric and environmental factor such as humidity and wind velocity should be concerned in weight loss of garment, it should be studied further whether the total body weight loss can be estimated properly from the weight loss of garment. This experiment suggest that different parts of body with different types of garment can influence on body weight loss quite differently. Therefore, in order to get more precise results, more studies under the diversity of garment types should be done in the near future.

• Journal of the Korean Society of Clothing and Textiles
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• v.16 no.2
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• pp.245-254
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• 1992

The purpose of this study was to evaluate the mechanical thermal resistances and comfort properties of ski wear made with vapor-permeable water repellent (VPWR) fabrics and thermal insulation battings. Four types of experimental clothing were made with the combination of two VPWR fabrics (Hipora-$TM^{\circledR}$, Hipora-$CR^{\circledR}$) and two thermal insulation battings ($Viwarm^{\circledR},\;Airseal^{\circledR}$). Thermal resistances of ski wear were objectly evaluated by thermal manikin experiment ($21{\pm}\;2^{\circ}C,\;50{\pm}5\%$ R.H.,0.25 m/sec air velocity) and thermographic accessment ($2{\pm}2^{\circ}C,\;0\%$ R.H.,0.25 m/sec air velocity, and emissivity level : 1). Garment wear tests of ski wear included the measurement of the microclimate (inner temp. and relative humidity) of the experimental clothing by digital thermohygrometer and subject wear sensation using McNall's thermal comfort ratings. CBo values of experimental clothing 4 (Hipora-$CR^{\circledR}+Airseal^{\circledR}$) and 1 (Hipora-$TM^{\circledR}+Viwarm^{\circledR}$) were significantly higher than those of 2 (Hipora-$TM^{\circledR}+Airseal^{\circledR}$) and 3 (Hipora-$CR^{\circledR}+Viwarm^{\circledR}$). Thermal resistances in the points of breast, back, belly, and loin was significantly higher than those of upper am, fore arm, and shank of measuring points on the thermal manikin. According to the color map of the thermogram, the experimental clothing 4 indicated higher surface temperatures than the others showing more yellowish spots on the surface of clothing. Inner temperature of experimental clothing was not significantly different among the four types of ski wear, but relative humidities of experimental clothing were significantly different. Relative humidities of experimental clothing 1 and 3 showed higher than those of 2 and 4. Relative humidity of experimantal clothing was affected largely by the thermal resis- tance of thermal insulation batting materials. The subject wear sensation of experimental clothing 2 and 4 showed lower humidity than the others. Subject wear sensation was affected more by humidity sensation than by thermal sensation.

• Korean Journal of Applied Biomechanics
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• v.17 no.1
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• pp.191-199
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• 2007

This study was conducted to examine the biomechanical characteristics of open spike in the volleyball to improve the technique of the volleyball spike. The subjects were six male college and high school athletes. The motions of volleyball spike were filmed by using two Sony VX 2000 Video Cameras. The mechanical factors were angle and angular velocity of body segments in the upper and the lower limbs. The conclusions were as follows; 1. The angle of the shoulder joint of the skilled showed larger than that of the unskilled in impacting of the volley ball spike. 2. The angle of the elbow joint of the skilled showed larger than that of the unskilled in impacting of the volley ball spike. 3. The angle of the wrist joint of the skilled showed smaller than that of the unskilled in impacting of the volley ball spike. 4. The angle of the hip joint of skilled showed larger than that of unskilled in impacting of the volley ball spike. 5. The angle of the knee joint of the skilled and the unskilled showed same in take off and impacting of the volley ball spike, and that of the skilled showed smaller than that of the unskilled in take-off touchdown and touchdown after impact of the volley ball spike. 6. The angle of the ankle joint of skilled showed larger than unskilled in take-off of the volley ball spike. 7. The angular velocity of the shoulder joint, elbow joint, wrist joint of the skilled showed faster than that of the unskilled in impacting of the volley ball spike. Taken together the result of them, I have come to conclusion that knee joint angle in touchdown of the take off should be decreased and knee joint angle in take off should be increased, and then stability of the take off should be made and, and that extension of the elbow joint should be made and wrist joint angle decreased and shoulder and hip joint angle increased, and then C.O.G of the arm and hand should be positioned ahead C.O.G of the body in impacting for effective impact of the spike, and that the transfer of the angular velocity of body segments for effective impact of the spike make from the proximal segment to the distal segment at spike in volleyball.

• The Korean Journal of Pain
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• v.22 no.2
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• pp.158-162
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• 2009

Background: The loss of resistance (LOR) method is most commonly used to identify the epidural space. This method is thought to rely on the penetration of the ligamentum flavum. Unfortunately the exact morphology of the ligamentum flavum is variable at different vertebral levels. Especially, it has been pointed out that the lower cervical ligamentum flavum may be discontinuous in the midline in up to 50% of patients. Thus, the LOR method may be inaccurate to confirm the cervical epidural space. The aim of this study is to determine which method is the safest and most exact for confirming the cervical epidural space. Methods: 100 adult, chronic renal failure patients who were undergoing an arteriovenous bridge graft for hemodialysis at the upper arm under cervical epidural anesthesia were recruited for this study. During the cervical epidural puncture, we identified the cervical epidural space by subjectively feeling the resistance with using a finger just through the ligamentum flavum, and we also used the drip infusion method, the loss of resistance method using air, and the hanging drop method. By using 5 grades, we classified the extent of whether or not the techniques were effective. Results: Using the drip infusion method, we identify the epidural space in all the patients as ＋/＋＋ grade. The catheter insertion method was also successful in identifying those epidural spaces over a ${\pm}$ grade. The pseudo LOR was over ${\pm}$ grade in 47 patients. Conclusions: The combined LOR/hanging drop with drip infusion method is useful for confirming the cervical epidural space.

• The Journal of the Korean bone and joint tumor society
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• v.8 no.1
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• pp.12-19
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• 2002

Purpose : Giant cell tumors(GCT) sometimes undergo malignant transformation after the radiotherapy, but very rarely do without radiotherapy. We reviewed the clinical experiences of the malignant transformation of GCT to suggest the guidelines for diagnosis and treatment of them. Materials and Methods : We examined four patients of pathologically proven malignant transformation of GCT, which occurred after the operative treatment alone without radiation, from September 1985 to January 2001. The mean follow-up period after the malignant transformation was 2.4 years(range, 1.3~4 years). Results : The mean time-interval from the initial diagnosis to the malignant transformation was 6.9 years(range, 2.2~13.5 years). The locations of tumors were soft tissues of proximal upper arm, proximal femur, distal femur and proximal tibia. The histology of malignant GCT was osteosarcoma in 3 cases and malignant fibrous histiocytoma in 1 case. Local recurrence developed in 1 patient and the pulmonary metastasis developed in 3 patients which transformed to osteosarcoma. Conclusion : Thorough sampling of the surgical specimen appears to be a very important factor for diagnosing the malignant transformation of GCT. In case of suspicion of malignancy in radiographs, the incisional biopsy should be followed by definite treatment rather than the improper resection.

• Journal of the Korean Institute of Intelligent Systems
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• v.21 no.1
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• pp.80-85
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• 2011

This paper presents the design of the power-assisted controller for the in-wheel type smart wheelchair by using torque estimation that is predicted by relationship between input voltage and output wheel angular velocity. Nowadays, interest of the moving assistant aids is increased according to the increase in population of the elderly and the handicapped person. However some of the moving assistant aids have problems. For example, manual wheelchair has difficulty moving at the slope, because users lack the muscular strength of their arm. In electric wheelchair case, users should be weak by being decreased muscles of upper body. To overcome these problems, power-assisted electric wheelchair are proposed. Most of the power-assisted electric wheelchair have the special rims that can measure the user's power. In here, the rims have to be designed to install the sensors to measure user's power. In this paper, we don't design the rim to measure the man power. To predict the man power, we propose a control algorithm of the in-wheeled electric wheelchair by using torque estimation from the wheel. First, we measure the wheel velocity and voltage at the in-wheel electric wheelchair. And then we extract driving will forces by using proposed mathematical model. Also they are applied at the controller as the control input, we verify to be able to control in-wheel type smart wheelchair by using simulation.

• Journal of the Korean Society of Food Science and Nutrition
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• v.24 no.4
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• pp.510-516
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• 1995

A multidisciplinary weight control program was conducted for obese women. The major components of the program included low calorie diet therapy, exercise, behavior modification and nutritional education and counseling. Sixteen healthy volunteers in excess of body fat, above 30%, were enrolled in the group support program. But 5 person were dropped out in the 2nd week of treatment. During the 1st week of group orientation, individual cause of obesity was assessed through a computer program including survey of dietary intake, activity, eating habits and life styles. During the 5 weeks of treatment, 4.8kg of average weight loss was accomplished using a following program ; low calorie diet(1200kcal/day with all essential nutrients), low impact aerobic exercise(50~60% of $VO_{2max}$, 1 hour/day in a group, 3~5 days/week), behavior modification of individual life styles and eating habits causing obesity and nutritional education concerning nutrition, role of exercise such as brisk walking, importance of slow eating in regular meal pattern and internal motivation for weight reduction, health risk of obesity and rapid weight loss, weight recycling and yo-yo syndrome, etc. Nutritional conseling was conducted 3 times per week with checking self-records of foods, activity, emotional state and tiredness. Before and immediately after 5 weeks of treatment, blood pressure, fasting blood glucose, cholesterol and triglyceride were measured and comparied with paired t-test. After 5 weeks of treatment, body weight, body mass index, body fat and circumferences of waist, upper arm and hip were significantly decreased. Also LDL-cholesterol was significantly decreased after obesity treatment.

• Journal of the Korean Child Neurology Society
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• v.26 no.4
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• pp.288-291
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• 2018

Hemiplegic migraine (HM) is a rare subtype of migraine with aura and is accompanied by a fully reversible motor aura. HM can occur in two forms: familial or sporadic. Currently, three genes are related to familial HM. Typically, HM occurs in the first or second decade of life and involves gradually progressing aura symptoms in succession, accompanied by headaches. The aura includes visual, sensory, motor, aphasic and often basilar-type symptoms. Motor aura (weakness) is related to the regions where the sensory aura is involved, and it usually starts at the hand before spreading to the arm and face. Aphasia is a common form of speech aura, but does not typically present as a difficulty in understanding. In this case report, the sensory-motor aura started at the right face and then gradually progressed to the right leg without any symptoms in the ipsilateral upper extremity. To the best of my knowledge, there has been no previous case report for the presentation of a hemiplegic migraine, as in this case report. As there is a possibility of misdiagnosis of Bell's palsy at the early stage of this case, this case report suggests that a physician should consider the rare possibility of stroke or HM when a patient presents with unilateral facial palsy.