• Title/Summary/Keyword: controlled-stress

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Development and Effects of a Simulation-Based Convergence Practicum Education Program for Nursing Seniors (간호대학생 대상 시뮬레이션 기반 융합실습교육프로그램 개발 및 효과)

  • An, Minjeong;Cho, Hang Nan;Dordunoo, Dzifa;Hwang, Yoon Young
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.16-27
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    • 2019
  • The purpose of this study was to develop and evaluate the effects of a simulation-based convergence practicum education program among senior nursing students. A repeated measure experimental design was used. A total of 77 senior nursing students were recruited from a university located in G city. Data was collected at baseline, program completion, and 2 month following completion of the practicum. Repeated measure ANOVA was used to evaluate the effects of the program. There were statistically significant improvements between baseline and program completion and between the baseline and 2 month follow-up. However, there was no significant differences between the program completion and 2 month follow-up. The study demonstrated that simulation-based convergence practicum education was an effective strategy to increase study outcomes and reduce clinical practice stress among senior nursing students. Further studies are needed to evaluate the effects of the program using randomized controlled trials.

Effects of Electrical Conductivity on the Soil Microbial Community in a Controled Horticultural Land for Strawberry Cultivation (시설딸기재배지 토양에서 염류농도가 미생물 생태에 미치는 영향)

  • Lee, Young-Han;Ahn, Byung-Koo;Sonn, Yeon-Kyu
    • Korean Journal of Soil Science and Fertilizer
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    • v.44 no.5
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    • pp.830-835
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    • 2011
  • Total soil microbial activities have great impact to soil management for organic farming. This study was evaluated in the soil microbial community by fatty acid methyl ester (FAME) in a controlled horticultural field for strawberry organic farm. Experimental plots were prepared with a high level of soil electrical conductivity (EC) and a optimum level of soil EC. Soil microbial biomasses and communities of total bacteria, Gram-negative bacteria, Gram-positive bacteria, actinomycetes, fungi, and arbuscular mycorrhizal fungi in the high level of soil EC were significantly larger than those in the optimum level of soil EC. Lower ratios of cy17:0 to 16:$1{\omega}7c$ and cy19:0 to 18:$1{\omega}7c$ were found in the optimum level of soil EC than those in the high level of soil EC, indicating that microbial stress decreased.

Growth and Yield Responses of Corn (Zea mays L.) as Affected by Growth Period and Irrigation Intensity

  • Nam, Hyo-Hoon;Seo, Myung-Chul;Cho, Hyun-Suk;Lee, Yun-Ho;Seo, Young-Jin
    • Korean Journal of Soil Science and Fertilizer
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    • v.50 no.6
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    • pp.674-683
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    • 2017
  • The frequency and intensity of soil moisture stress associated with climate change has increasing, and the stability of field crop cultivation has decreasing. This experiment was conducted to investigate the effect of soil moisture management method on growth and yield of corn. Soil moisture was managed at the grade of WSM (wet soil moisture, 34.0~42.9%), OSM (optimum soil moisture, 27.8~34.0%), DSM (dry soil moisture, 20.3~27.8%), and ESM (extreme dry moisture, 16.6~20.3%) during V8 (8th leaf stage)-VT (tasseling stage). After VT, irrigation was limited. The treated amount of irrigation was 54.1, 47.7, 44.0 and 34.5% of total water requirement, respectively. The potential evapotranspiration during the growing period was $3.29mm\;day^{-1}$, and upward movement of soil water was estimated by the AFKAE 0.5 model in the order of ESM, DSM, OSM, and WSM. We could confirm this phenomenon from actual observations. There was no significant difference in leaf characteristics, dry matter, and primary productivity depending on the level of soil moisture, but leaf development was delayed and dry weight decreased in DSM. However, dry weight and individual productivity of DSM increased after irrigation withdrawal compared to that of OSM. In DSM, ear yield and number of kernels per ear decreased, but water use efficiency and harvest index were higher than other treatments. Therefore, it is considered that the soil moisture is concentratedly managed before the V8 period, the V8-VT period is controlled within the range of 100 to 500 kPa (20.3~27.8%), and no additional irrigation is required after the VT.

Assessing the Validity of the Preclinical Objective Structured Clinical Examination Using Messick's Validity Framework (Messick의 타당도 틀을 활용한 임상실습 전 실기시험의 타당도 평가)

  • Lee, Hye-Yoon;Yune, So-Jung;Lee, Sang-Yeoup;Im, Sunju
    • Korean Medical Education Review
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    • v.23 no.3
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    • pp.185-193
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    • 2021
  • Students must be familiar with clinical skills before starting clinical practice to ensure patients' safety and enable efficient learning. However, performance is mainly tested in the third or fourth years of medical school, and studies using the validity framework have not been reported in Korea. We analyzed the validity of a performance test conducted among second-year students classified into content, response process, internal structure, relationships with other variables, and consequences according to Messick's framework. As results of the analysis, content validity was secured by developing cases according to a pre-determined blueprint. The quality of the response process was controlled by training and calibrating raters. The internal structure showed that (1) reliability by generalizability theory was acceptable (coefficients of 0.724 and 0.786, respectively, for day 1 and day 2), and (2) the relevant domains had proper correlations, while the clinical performance examination (CPX) and objective structured clinical examination (OSCE) showed weaker relationships. OSCE/CPX scores were correlated with other variables, especially grade point average and oral structured exam scores. The consequences of this assessment were (1) making students learn clinical skills and study themselves, while causing too much stress for students due to lack of motivation; (2) reminding educators of the need to apply practical teaching methods and to give feedback on the test results; and (3) providing an opportunity for faculty to consider developing support programs. It is necessary to develop the blueprint more precisely according to students' level and to verify the validity of the response process with statistical methods.

Failure pattern of large-scale goaf collapse and a controlled roof caving method used in gypsum mine

  • Chen, Lu;Zhou, Zilong;Zang, Chuanwei;Zeng, Ling;Zhao, Yuan
    • Geomechanics and Engineering
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    • v.18 no.4
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    • pp.449-457
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    • 2019
  • Physical model tests were first performed to investigate the failure pattern of multiple pillar-roof support system. It was observed in the physical model tests, pillars were design with the same mechanical parameters in model #1, cracking occurred simultaneously in panel pillars and the roof above barrier pillars. When pillars 2 to 5 lost bearing capacity, collapse of the roof supported by those pillars occurred. Physical model #2 was design with a relatively weaker pillar (pillar 3) among six pillars. It was found that the whole pillar-roof system was divided into two independent systems by a roof crack, and two pillars collapse and roof subsidence events occurred during the loading process, the first failure event was induced by the pillars failure, and the second was caused by the roof crack. Then, for a multiple pillar-roof support system, three types of failure patterns were analysed based on the condition of pillar and roof. It can be concluded that any failure of a bearing component would cause a subsidence event. However, the barrier pillar could bear the transferred load during the stress redistribution process, mitigating the propagation of collapse or cutting the roof to insulate the collapse area. Importantly, some effective methods were suggested to decrease the risk of catastrophic collapse, and the deep-hole-blasting was employed to improve the stability of the pillar and roof support system in a room and pillar mine.

Developing a Model for Estimating Leaf Temperature of Cnidium officinale Makino Based on Black Globe Temperature (흑구온도를 이용한 천궁 엽온 예측 모델 개발)

  • Seo, Young Jin;Nam, Hyo Hoon;Jang, Won Cheol;Lee, Bu Yong
    • Korean Journal of Medicinal Crop Science
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    • v.26 no.6
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    • pp.447-454
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    • 2018
  • Background: The leaf temperature ($T_{LEAF}$) is one of the most important physical parameters governing water and carbon flux, including evapotranspiration, photosynthesis and respiration. Cnidium officinale is one of the important folk medicines for counteracting a variety of diseases, and is particularly used as a traditional medicinal crop in the treatment of female genital inflammatory diseases. In this study, we developed a model to estimate $T_{Leaf}$ of Cnidium officinale Makino based on black globe temperature ($T_{BGT}$). Methods and Results: This study was performed from April to July 2018 in field characterized by a valley and alluvial fan topography. Databases of $T_{LEAF}$ were curated by infrared thermometry, along with meteorological instruments, including a thermometer, a pyranometer, and an anemometer. Linear regression analysis and Student's t-test were performed to evaluate the performance of the model and significance of the parameters. The correlation coefficient between observed $T_{LEAF}$ and calculated $T_{BGT}$ obtained using an equation, developed to predict $T_{LEAF}$ based on $T_{BGT}$ was very high ($r^2=0.9500$, p < 0.0001). There was a positive relationship between $T_{BGT}$ and solar radiation ($r^2=0.8556$, p < 0.0001), but a negative relationship between $T_{BGT}$ and wind speed ($r^2=0.9707$, p < 0.0001). These results imply that heat exchange in leaves seems to be mainly controlled by solar radiation and wind speed. The correlation coefficient between actual and estimated $T_{BGT}$ was 0.9710 (p < 0.0001). Conclusions: The developed model can be used to accurately estimate the $T_{Leaf}$ of Cnidium officinale Makino and has the potential to become a practical alternative to assessing cold and heat stress.

Meditation for Alzheimer's Disease: Systematic Review and Meta-Analysis

  • Lee, Go eun;Kim, Sang ho;Jung, In chul;Kang, Hyung won
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.237-249
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    • 2019
  • Objectives: Interest in the use of complementary and alternative treatments to treat dementia. Meditation is used to treat various symptoms of physical and psychological diseases. Some studies suggest that meditation might have positive effects on cognitive functions, especially attention, in the elderly. However, how meditation affects Alzheimer's disease (AD) patients remains unclear. In this review, we assessed the effectiveness of practicing meditation in combination with standard care in AD. Methods: We searched the CCRCT, MEDLINE, EMBASE, AMED and CINAHL databases on 30 May 2017. We included randomized controlled trials (RCTs) that used meditation in adult patients diagnosed with AD. We allocated patients to a meditation combined with standard care or a standard care-only group. Results: The two RCTs met the inclusion criteria. A total of 98 patients were included in the meditation with standard care and standard care-only groups in this review. All meditation programs in the included trials were based on practicing mindfulness. The results of our meta-analysis indicatedthat adjunctive mindfulness meditation programs exerted favourable but non-significant effects on cognitive function on the Mini Mental State Examination (MMSE) (MD=4.68, 95% CI -0.11 to 9.46; Z=1.92, p=0.06). Only one study assessed depression, anxiety, quality of life and stress. No adverse events related to meditation were reported in the included studies. Conclusions: Insufficient data iscurrently available to determine the effectiveness of practicing meditation on patients diagnosed with AD. Hence, further RCTs with high methodological quality and larger sample sizes are needed to effectively estimate the effects of meditation on AD.

A Review of the Domestic Study Trends on Obstetrics & Gynecological Diseases with Chuna Manual Therapy (한방여성의학에서 추나요법을 활용한 국내 연구 동향 분석)

  • Lee, Jin-Wook;Hwang, Young-Sik;Kim, Gyu-Tae;Park, Seung-Hyeok;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bok;Hwang, Deok-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.2
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    • pp.87-99
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    • 2019
  • Objectives: The aim of this study was to analyse the domestic trends of Chuna manual therapy on Obstetrics and Gynecological Diseases in Korean literature. Methods: We searched for papers which had Chuna manual therapy through 2 related journals and 5 Korean web databases. All relevant papers were selected and extracted to be analyzed according to their study designs, academic journals, and target disease. Results: Nine papers belonged to four types of study designs, systematic review, randomized or non-randomized controlled trial and case report. And they were published in four kinds of academic journals. There were four papers about postpartum pain, two low back pain during pregnancy, and a stress urinary incontinence. The exact Chuna techniques were explained in only seven papers. All of papers have been shown that Chuna manual therapy is useful for obstetrics and gynecological diseases. Conclusions: It has been identified that Chuna manual therapy could be a good treatment for obstetrics and gynecological diseases. However, more clinical and well-designed studies with Chuna manual therapy will be needed.

The Effects of Oral Cryotherapy on Oral Mucositis, Reactive Oxygen Series, Inflammatory Cytokines, and Oral Comfort in Gynecologic Cancer Patients Undergoing Chemotherapy: A Randomized Controlled Trial (구강 냉요법이 항암화학요법을 받는 부인암환자의 구내염, 활성산소, 염증성 사이토카인, 구강 안위감에 미치는 효과: 무작위대조군실험설계)

  • Shin, Nayeon;Kang, Younhee
    • Journal of Korean Academy of Nursing
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    • v.49 no.2
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    • pp.149-160
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    • 2019
  • Purpose: The purpose of this study was to examine the effects of oral cryotherapy on oral mucositis, reactive oxygen series, inflammatory cytokines, and oral comfort in patients undergoing chemotherapy for gynecologic cancers. Methods: Participants were randomly assigned to the experimental group (n=25, receiving oral cryotherapy during chemotherapy) and the control group (n=25, receiving the usual care consisting of 0.9% normal saline gargles three times before meals). Oral mucositis was assessed using the oral assessment guide, while oral comfort was assessed using the oral perception guide. Reactive oxygen series was measured as total oxidant stress, and the level of two inflammatory markers, interleukin-6 (IL-6) and tumor necrosis factor-alpha ($TNF-{\alpha}$), were examined. The data were analyzed using t-test, chi-square test, Fisher's exact test, Mann-Whitney U-test, and repeated measures analysis of variance. Results: There was a significant difference in the oral mucositis score, reactive oxygen series score, $TNF-{\alpha}$ level, and oral comfort score between the two groups, and there were significant changes over time and in the group-by-time interactions. There was a significant difference in the IL-6 score between the two groups, but there were no significant changes over time or in the group-by-time interactions. Conclusion: The study results revealed that oral cryotherapy was more effective than the usual care regime of normal saline gargles for reducing oral mucositis, reactive oxygen series, and inflammatory cytokines and for improving oral comfort in gynecologic cancer patients undergoing chemotherapy.

Effect of Laser Processing Patterns on the Bonding Interface Quality during Laser Sintering of Magnesium Alloys with Zirconia (마그네슘 합금 표면의 지르코니아 분말 레이저 소결과정에서 조사 패턴이 접합 계면 품질에 미치는 영향)

  • Yoon, Sangwoo;Kim, Joohan
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.20 no.2
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    • pp.51-57
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    • 2021
  • The quality of the ceramic sintered coating on a metal surface through laser surface treatment is affected by the laser irradiation pattern. Depending on the laser irradiation pattern, the amount of residual stress and heat applied or accumulated on the surface increases or decreases, affecting the thickness attained in the ceramic sintering area. When the heat energy accumulated in the sintering area is high, the ceramic and the metal alloy melt and sufficiently mix to form a homogeneous and thick bonding interface. In this study, the thermal energy accumulation in the region sintered with zirconia was controlled using four types of laser processing patterns. The thickness of the diffusion region is analyzed by laser-induced breakdown spectroscopy of Mg-ZrO2 generated by laser sintering zirconia powder on the magnesium alloy surface. On the basis of the analysis of the Mg and Zr present in the sintered region through LIBS, the effect of the irradiation pattern on the sintering quality is confirmed by comparing and analyzing the heat and mass transfer tendency of the diffusion layer and the degree of diffusion according to the irradiation pattern. The derived diffusion coefficients differed by up to 9.8 times for each laser scanning pattern.