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The effect of oral glucose tolerance testing on changes in arterial stiffness and blood pressure in elderly women with hypertension and relationships between the stage of diabetes and physical fitness levels

  • Lee, Jaesong;Park, Wonil;Sung, Eunsook;Kim, Bokbeom;Kim, Nahyun;Park, Saejong;Shin, Chulho;Park, Jonghoon
    • Korean Journal of Exercise Nutrition
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    • v.24 no.4
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    • pp.34-43
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    • 2020
  • [Purpose] The purpose of this study was to assess changes in blood glucose level, blood pressure, and arterial stiffness after a 75 g oral glucose tolerance test (OGTT) in elderly women aged over 65 years with hypertension and either normal glycemic control, impaired fasting glucose tolerance, or diabetes mellitus. We also wished to investigate the relationship between stages of diabetes and physical fitness. [Methods] A total of 24 elderly women with hypertension were assigned to a control group (CON; n=7), impaired fasting glucose group (IFG; n=9), and diabetes mellitus group (DM; n=8). In each group, blood glucose level, brachial ankle pulse wave velocity (PWV), and blood pressure were measured at baseline as well as 60 and 120 minutes after a 75 g OGTT. Physical fitness factors such as hand grip strength, balance test, 4 m gait speed test, chair stand test, short physical performance battery, and 6-minute walking test were subsequently assessed. [Results] In all three groups, blood glucose levels were significantly increased at 60 and 120 minutes after a 75 g OGTT. In the DM group, blood glucose levels were significantly higher before and after a 75 g OGTT than in the CON group. In the CON group, PWV was significantly increased at 60 minutes after a 75 g OGTT; however, there were no changes in other groups after glucose ingestion. In the CON group, systolic and diastolic blood pressures were significantly decreased at 60 and 120 minutes after a 75 g OGTT compared to baseline. However, there was no change in blood pressure after ingestion in the DM group. The IFG group had greater grip strength than the CON group; however, there were no differences in other variables between the groups. [Conclusion] After a 75 g OGTT, elderly women with hypertension and diabetes maintain higher blood glucose levels compared to those with hypertension alone. Unlike elderly women with hypertension alone, those with hypertension and diabetes did not show changes in arterial stiffness and blood pressure after a 75 g OGTT. Therefore, elderly women with hypertension and diabetes may not be able to control their blood vessels following a 75 g OGTT due to impaired vascular endothelial function. Moreover, there was no association between diabetes stage and physical fitness in elderly women with hypertension.

Effects of Postural Control Exercise on the Delayed Heart Rate Increase in Heart Transplant Patients -A Case Study- (자세 조절 운동이 심장이식환자의 심박수 상승지연에 미치는 영향 -단일사례연구-)

  • Choi, Su-Hong;Lee, Sang-Yeol
    • PNF and Movement
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    • v.16 no.2
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    • pp.161-168
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    • 2018
  • Purpose: This study aimed to investigate the effects of postural control exercise on the delayed heart rate increase in heart transplant patients. Methods: The subject was a female heart transplant recipient who had a delayed increase in heart rate during exercise. The intensity of exercise was performed at MBorg level 4. The A-B-A' and A-B-A'-B' designs were used to identify the changes in heart rate during active-assisted exercise, lower limb postural control exercise, and upper limb postural control exercise. Experiments were performed for four weeks. The heart rates at pre- and post-exercise were compared, and the time to reach MBorg 4 was measured. Results: In the active-assisted exercise, the average heart rates at pre- and post-exercise and after 10 min of exercise were 88, 89, and 87.7 bpm, respectively. In the repetitive comparison of pre- and post-exercise in the lower limb postural control exercise, the difference in the mean heart rate was 3.5 and 3 bpm in stable support and 14 and 14.5 bpm in unstable support, respectively. In the repetitive comparison of pre- and post-exercise in the upper limb postural control exercise, the difference in the mean heart rate was 6 and 4 bpm in stable support and 4 and 4.5 bpm in unstable support. The time required to reach MBorg 4 was short when both the upper and lower postural control exercises were performed in an unstable state. Conclusion: We suggest that combining proper postural control exercise with strength exercise and aerobic exercise, among others, may be effective in rehabilitating patients in the recovery stage after a heart transplant.

Analysis of Debris Flow of Chun-cheon Landslide Area using Numerical Methods (수치해석을 통한 춘천 산사태지역 토석류 거동 분석)

  • Choi, Junghae
    • The Journal of Engineering Geology
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    • v.27 no.1
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    • pp.59-66
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    • 2017
  • The characteristic of recent rainfall pattern in Korea is concentrated in summer season and it is very different compare with former characteristic. In 2011, there was heavy rainfall in Chuncheon city of northern part of Korea. Because of rainfall in short time, many landslides were occurred in narrow area and many people were killed by these landslides at that time. The purpose of this study is to calculate run-out distance of debris flow and analyze the movement properties of debris flow according to the elapsed time using numerical analysis method at that time. The debris 2D program, which is developed by prof. Liu in National Taiwan University, was used in this study. Run-out distance of debris flow was calculated under different yield strength conditions which were controlled by rainfall amount. The results reveal that absolute maximum velocity of the debris flow is about 8.1 m/s and maximum depth of debris flow is about 7 m when debris flow was occurred. The run-out distance after 500 sec is about 300 m from end of the valley. It is very well similar with actual debris flow run-out distance. From these results, we can presume the maximum velocity and depth of debris flow at that time.

Thermal Conducting Behavior of Composites of Conjugated Short Fibrous-SiC Web with Different Filler Fraction (짧은 섬유상간의 접합을 가진 Silicon Carbide Web 복합재료의 분율별 열전도 거동)

  • Kim, Tae-Eon;Bae, Jin Chul;Cho, Kwang Yeon;Lee, Dong Jin;Shul, Yong-Gun
    • Journal of the Korean Ceramic Society
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    • v.49 no.6
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    • pp.549-555
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    • 2012
  • Silicon carbide(SiC) exhibits many unique properties, such as high strength, corrosion resistance, and high temperature stability. In this study, a SiC-fiber web was prepared from polycarbosilane(PCS) solution by employing the electrospinning process. Then, the SiC-fiber web was pyrolyzed at $1800^{\circ}C$ in argon atmosphere after it was subjected to a thermal curing. The SiC-fiber web (ground web)/phenolic resin (resol) composite was fabricated by hot pressing after mixing the SiC-fiber web and the phenolic resin. The SiC-fiber web composition was controlled by changing the fraction of filler (filler/binder = 9:1, 8:2, 7:3, 6:4, 5:5). Thermal conductivity measurement indicates that at the filler content of 60%, the thermal conductivity was highest, at 6.6 W/mK, due to the resulting structure formed by the filler and binder being closed-packed. Finally, the microstructure of the composites of SiC-fiber web/resin was investigated by FE-SEM, EDS, and XRD.

Remote digital monitoring during the retention phase of orthodontic treatment: A prospective feasibility study

  • Sangalli, Linda;Savoldi, Fabio;Dalessandri, Domenico;Visconti, Luca;Massetti, Francesca;Bonetti, Stefano
    • The korean journal of orthodontics
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    • v.52 no.2
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    • pp.123-130
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    • 2022
  • Objective: To evaluate if a remote digital monitoring system added at the end of orthodontic treatment could positively influence the retention phase by reducing the occurrence of misfit of removable appliances, number of emergency appointments (EA), and orthodontic relapse. Methods: Twenty-seven patients who completed active orthodontic treatment were divided into the study and control groups. In addition to the standard chairside follow-up appointments at month 1 (T1), month 3 (T2), month 6 (T3), the study group patients were monitored using Dental Monitoring® with monthly intra-oral scans. Occurrence of misfit of removable retainers, number of EAs, and intercanine width change were recorded for both groups. Differences in EAs and retainer fit were assessed using the chi-square test. Intra-group and inter-group differences in the intercanine width were assessed with Friedman test and Mann-Whitney U test, respectively (α = 0.05). Results: The study group showed a significantly lower occurrence of misfit of removable retainers (p = 0.027) compared to the control group. No significant inter- and intra-group difference was found in the EAs and intercanine width change at each time-point. Conclusions: Integrating remote monitoring systems, such as Dental Monitoring®, to the retention phase of the orthodontic treatment may lower the occurrence of misfit of removable retainers. However, a small sample size and a short observation period limit the strength of this evidence. These preliminary results tentatively suggest that remote monitoring technologies may be beneficial, especially during the COVID-19 pandemic, when the regularity of in-office visits might be disrupted.

Regional Development And Dam Construction in Korea (한국의 지역개발과 댐건설)

  • 안경모
    • Water for future
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    • v.9 no.1
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    • pp.38-42
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    • 1976
  • Because of differences in thoughts and ideology, our country, Korea has been deprived of national unity for some thirty years of time and tide. To achieve peaceful unification, the cultivation of national strength is of paramount importance. This national strength is also essential if Korea is to take rightful place in the international societies and to have the confidence of these societies. However, national strength can never be achieved in a short time. The fundamental elements in economic development that are directly conducive to the cultivation of national strength can be said to lie in -a stable political system, -exertion of powerful leadership, -cultivation of a spirit of diligence, self-help and cooperation, -modernization of human brain power, and -establishment of a scientific and well planned economic policy and strong enforcement of this policy. Our country, Korea, has attained brilliant economic development in the past 15 years under the strong leadership of president Park Chung Hee. However, there are still many problems to be solved. A few of them are: -housing and home problems, -increasing demand for employment, -increasing demand for staple food and -the need to improve international balance of payment. Solution of the above mentioned problems requires step by step scientific development of each sector and region of our contry. As a spearhead project in regional development, the Saemaul Campaign or new village movement can be cited. The campaign is now spreading throughout the country like a grass fire. However, such campaigns need considerable encouragement and support and the means for the desired development must be provided if the regional and sectoral development program is to sucdceed. The construction of large multipurpose dams in major river basin plays significant role in all aspects of national, regional and sectoral development. It ensures that the water resource, for which there is no substitute, is retained and utilized for irrigation of agricultural areas, production of power for industry, provision of water for domestic and industrial uses and control of river water. Water is the very essence of life and we must conserve and utilize what we have for the betterment of our peoples and their heir. The regional and social impact of construction of a large dam is enormous. It is intended to, and does, dras tically improve the "without-project" socio-economic conditions. A good example of this is the Soyanggang multipurpose dam. This project will significantly contribute to our national strength by utilizing the stored water for the benefit of human life and relief of flood and drought damages. Annual average precipitation in Korea is 1160mm, a comparatively abundant amount. The catchment areas of the Han River, Keum River, and Youngsan River are $62,755\textrm{km}^2$, accounting for 64% of the national total. Approximately 62% of the national population inhabits in this area, and 67% of the national gross product comes from the area. The annual population growth rate of the country is currently estimated at 1.7%, and every year the population growth in urban area increases at a rising rate. The population of Seoul, Pusan, and Taegu, the three major cities in Korea, is equal to one third of our national total. According to the census conducted on October 1, 1975, the population in the urban areas has increased by 384,000, whereas that in rural areas has decreased by 59,000,000 in the past five years. The composition of population between urban and rural areas varied from 41%~59% in 1959 to 48%~52% in 1975. To mitigate this treand towards concentration of population in urban areas, employment opportunities must be provided in regional and rural areas. However, heavy and chemical industries, which mitigate production and employment problems at the same time, must have abundant water and energy. Also increase in staple food production cannot be attained without water. At this point in time, when water demand is rapidly growing, it is essential for the country to provide as much a reservoir capacity as possible to capture the monsoon rainfall, which concentarated in the rainy seaon from June to Septesmber, and conserve the water for year round use. The floods, which at one time we called "the devil" have now become a source of immense benefit to Korea. Let me explain the topographic condition in Korea. In northern and eastern areas we have high mountains and rugged country. Our rivers originate in these mountains and flow in a general southerly or westerly direction throught ancient plains. These plains were formed by progressive deposition of sediments from the mountains and provide our country with large areas of fertile land, emminently suited to settlement and irrigated agricultural development. It is, therefore, quite natural that these areas should become the polar point for our regional development program. Hower, we are fortunate in that we have an additional area or areas, which can be used for agricultural production and settlement of our peoples, particularly those peoples who may be displaced by the formation of our reservoirs. I am speaking of the tidelands along the western and southern coasts. The other day the Ministry of Agriculture and Fishery informed the public of a tideland reclamation of which 400,000 hectares will be used for growing rice as part of our national food self-sufficiency programme. Now, again, we arrive at the need for water, as without it we cannot realize this ambitious programme. And again we need those dams to provide it. As I mentioned before, dams not only provide us with essential water for agriculture, domestic and industrial use, but provide us with electrical energy, as it is generally extremely economical to use the water being release for the former purposes to drive turbines and generators. At the present time we have 13 hydro-electric power plants with an installed capacity of 711,000 kilowatts equal to 16% of our national total. There are about 110 potential dams ites in the country, which could yield about 2,300,000 kilowatts of hydro-electric power. There are about 54 sites suitable for pumped storage which could produce a further 38,600,000 kilowatts of power. All available if we carefully develop our water resources. To summarize, water resource development is essential to the regional development program and the welfare of our people, it must proceed hand-in-hand with other aspects of regional development such as land impovement, high way extension, development of our forests, erosion control, and develop ment of heavy and chemical industries. Through the successful implementation of such an integrated regional development program, we can look forward to a period of national strength, and due recognition of our country by the worlds societies.

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Sterilization of Yakju(Rice Wine) Using a Batch-type High Voltage Pulsed Electric Field System (고전장펄스를 이용한 약주의 회분식 살균)

  • Kim, Su-Yeon;Park, Young-Seo;Mok, Chul-Kyoon
    • Korean Journal of Food Science and Technology
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    • v.31 no.5
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    • pp.1247-1253
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    • 1999
  • Yakju(rice wine) was sterilized with high-voltage pulses of short time on a batch pulsed electric field(PEF) system. The initial microbial counts of Yakju were 7.52 X $10^4\;CFU/mL$ for total aerobes, 2.20 X $10^4\;CFU/mL$ for lactic acid bacteria and 7.08 X $10^4\;CFU/mL$ for yeasts. The pH, acidity and electric conductivity of Yakju were 3.36, 0.462% and 1.24 mS/cm, respectively. Yakju was treated with 2-250 of pulses exponential-wave formed electric pulses under the field strength of 12.5-25 kV/cm. The critical strengths of the electrical field for the sterilization of Yakju were 7.5 kV/cm for total aerobes, 8.5 kV/cm for lactic acid bacteria and 6.5 kV/cm for yeasts. Logarithmic survival rates decreased linearly at low pulse number, but curvilinearly at high pulse number. The PEF sterilization kinetics of Yakju could be analysed by In s = In A-k In (n) and the sterilization rate constant increased with electric field strength and the size of target microorganisms. No changed in pH, acidity, and the growth of microorganisms were found in the PEF treated Yakju during the storage for 6 weeks at both $4^{\circ}C$ And $30^{\circ}C$.

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Study of the welding monitor and characteristics according to a change in Gas mixture by FCAW (FCAW의 혼합가스 변화에 따른 용접 모니터링과 특성에 관한 연구)

  • Lim, Byung-Chul;Kang, Chul-Soon;Park, Sang-Heup
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.5933-5938
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    • 2014
  • In this study, the effect of varying the mixture gas during FCA welding was studied for an Atos 60 test piece. To examine the characteristics of welding, the weldability of the material was checked before welding and online monitoring was performed to examine the mechanical properties after welding. The mixture Ar 80% + $CO_2$ 20% at low speed gave very elegant beads with very little spatter. 100% $CO_2$ gave rise to high spatter generation. For Ar 80% + $CO_2$ 20%, the low current region due to the normal short circuits created spatter, which was more than double for 100% $CO_2$. This peak distribution occurred due to the instability of the arc. The tensile test result for Ar 80% + $CO_2$ 20%, Ar 90%+ $CO_2$ 10% and $CO_2$ 100% at 511MPa, 507MPa, and 469MPa showed that the yield strength was improved by 8.1 and 8.9% for 80%+ $CO_2$ 20% and Ar 90%+ $CO_2$ 10%, respectively, compared to 100% $CO_2$. The tensile test result at 622MPa, 609MPa, and 581MPa showed that the yield strength was improved by 7.0% for both the mixture gas compared to 100% $CO_2$.

Effect of Nutrient Solution Strength and Duration of Nutrient Starvation on Growth and Flowering of Two Strawberry Cultivars (양액 강도와 공급 중단 시기에 따른 삽목번식한 2품종 딸기의 생장과 개화 반응)

  • Kang, Dong Il;Jeong, Hai Kyoung;Park, Yoo Gyeong;Hwang, Seung Jae;Jeong, Byoung Ryong
    • Journal of agriculture & life science
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    • v.53 no.4
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    • pp.19-28
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    • 2019
  • This study was conducted to investigate the effect of nutrient solution strength and duration of nutrient starvation on the growth and development of strawberry (Fragaria x ananassa Duch.) 'Maehyang' and 'Sulhyang' at the flowering stage. Cuttings of runner plants were stuck on November 23th, 2017 and were covered with a layer of black plastic film to block light from penetrating and keep the relative humidity high. The black plastic film was removed after 16 days and rooted plants were cultivated for one month with irrigation of water. The Yamazaki nutrient solution with an electrical conductivity (EC) of 1.85 or 3.71 dS·m-1 (1x or 2x ionic strength, respectively) and pH 5.55 was fed to plants after either 0 (control), 1, 3 or 5 weeks of nutrient starvation to the end of experiment. Plant height in both cultivars decreased gradually with the increase in duration of nutritional starvation. The earlier the nutritional starvation started, the smaller the shoot fresh weight of 'Maehyang'. Hence the greatest shoot fresh weight was obtained in the control which was supplied with the nutrient solution continuously. Shoot fresh weight of 'Sulhyang' was the greatest in 1x ionic strength and one week of nutrient starvation before planting. Although number of flowers on the first flower cluster of 'Maehyang' and 'Sulhyang' showed no significant differences, 'Maehyang' had the greatest number of flowers in the 2x ionic strength solution and one week of nutrient starvation before planting, while 'Sulhyang' had that in the 1x ionic strength treatment. These results suggest that it is considered effective to supply a nutrient solution at a low concentration for a short period of time for increasing the number of flower differentiated on the first flower cluster in both cultivars.

Laboratory Test and Evaluation to Characterize the Cracking Resistance of Asphalt Mixtures (아스팔트 혼합물의 균열 저항성 평가 연구)

  • Kim, Boo-Il
    • International Journal of Highway Engineering
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    • v.6 no.3 s.21
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    • pp.9-15
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    • 2004
  • The cracking resistance of asphalt mixtures is generally evaluated by measuring a single parameter (i.e., Tensile strength, Stiffness). However, the use of a single parameter has been questioned in the evaluation of asphalt mixture cracking performance. The focus of this study was to clearly identify the key properties and characteristics associated with the cracking resistance of asphalt mixtures. Results of fracture, creep, and strength tests at multiple loading rates performed on the modified and unmodified mixtures showed that the mixture cracking resistance was primarily affected by the rate of micro-damage accumulation. This was reflected in the m-value, without affecting the fracture energy limit. It was also observed that the short loading time (elastic) stiffness alone could not differentiate the mixture cracking resistance of the mixtures. It was concluded that the key to characterize the cracking resistance of asphalt mixture is in the evaluation of the combined effects of creep and failure limits. It was also found that a residual dissipated energy parameter measured from Superpave IDT strength test gave the quick and useful way to distinguish the difference of cracking resistance of asphalt mixtures. Failure strain in the longer-term creep test appeared to be a useful parameter for evaluating the combined effects of creep and failure limits of asphalt mixtures.

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