• 제목/요약/키워드: stress domain

검색결과 711건 처리시간 0.021초

구조화된 재활교육이 뇌졸중환자 가족의 스트레스에 미치는 영향 (A Study of the Effect of Structured Rehabilitation Education on the Stress of the Family with Stroke Patients)

  • 김병은;이정민;이향련
    • 동서간호학연구지
    • /
    • 제1권1호
    • /
    • pp.22-39
    • /
    • 1997
  • Purpose: The purpose of this study is to evaluate the effect of rehabilitation education on the reduction of the stress of family members who have patients suffering from stroke and to find a new way to nurse the patients and their family. Subjects & Methods: The subjects were sixty-one family members with the patients who had been hospotalized in K hospital of oriental medicine from september the 9th, 1996 to september the fourteen, 1996. This study was performed by simulated control group pretest-posttest design; pretest was done on the control group through a questionnaire, counselling and observation while posttest was done on the experimental group 1-2 days after systemic rehabilitation education. To teach the patients and their family, the amended version of a book written by Lee Hae-jin was used as a tool for systemic rehabilitation education. As a method to estimate ADL score, modified Kang's method was applied and ADL score was measured by well-trained technician. As for the tool to estimate the degree of family stress, Choi's method adjusted to this study was applied. In the analysis of the data, social property of the patient and the characteristic of the disease were surveyed in $X^2$ examination to confirm the consistency between the experimental group and the control group. The diffrence in the degree of the stress, which is a dependent factor, was examined by t-test. The difference in ADL score between the experimental group and the control group was examined by t-test. The difference in the degree of the stress according to the general feature of the family with stroke patient, social property of the patients and the characteristic of the disease were surveyed by F examination. The difference in family stress according to the degree of ADL was surveyed by F examination. RESULTS: 1. After hypothetically-examined systemic rehabilitation education, the total of the score of family stress surveyed in 34 items of three domains was compared between the experimental group and the control group. There was no statistically significant difference between two groups; mean score of experimental group=2.28, that of control group=2.93(t=.17, df=59, p=. 66). 2. In the survey on family stress in 34 items, the items over mean score 3.0 were firstly the anxiety of possible disability and relapse of the disease and secondly to watch the patient's suffering without doing anything in the domain of the change of the disease and the difficulty in caring. And the items of the lowest stress with less than mean 2.0 score were little chance to meet the relative and friends, inconsistent treatment and attitude of the medical workers and the change of the attitude of the relative due to the patient orderly in the domain of social and personal relation and the responsibility as the family. The items which showed the difference between two groups were aggravation of neighboring patient(t=3.36, df= 59, p=.001) and the possibility of patient's death(t=2.19, df=58.38, p=.033) in the domain of the change of the disease and the difficulty in caring. 3. In the study on the stress difference according to general features of the family with the stroke patient, the score of family stress with the occupation was higher with mean 2.49 than that of the family stress without occupation with mean 2.16, but there was no significant difference. (F=5.21, df=1/59, p=.026). 4. In the study on the stress difference according to social property of the patient and the characteristic of the disease, there was significant difference in the age of the patients (F=2.98, df=3/57, p=.039). These results show that even if there is no statistically significant difference between two groups, sixteen of the experimental group are less than 3.0 in ADL score(standard 6 score)while eight of the control group are less than 3.0 and that ten of the experimental group are in the year range of 39-49 while four of the control group are in the year range of 39-49 which showed significant difference in family stress. These imply that there is a possibility that the experimental group have serious and fundamental stress resulting in high pretest stress compared with the control group. It might be due to the characteristic of simulated control group pretest-posttest design that the psychologic-supportive effect by the education was not observed. On the basis of these results, the followings are suggested. 1) A study on the nursing-mediated method to reduce the stress in the items which are not resolved by rehabilitation education, a study on nursing according to the patient's age and a study on the supportive nursing toward the family with occupation are required. 2) More than two times consecutive nursing-mediated rehabilitation education to measure the family stress is required. 3) Comprehensive and multilateral systemic education program including the instruction on western-eastern medicine, physical therapy, exercise and diet through collaboration of the experts in each field is required. 4) Family stress at home as well as in the hospital needs to be estimated and home rehabilitation and home-nursing needs to be continued.

  • PDF

현사시나무에서 Dormancy-associated protein 1 (DRM1) 유전자의 분리와 발현특성 구명 (Isolation and Expression of Dormancy-associated protein 1 (DRM1) in Poplar (Populus alba × P. glandulosa))

  • 윤서경;배은경;최현모;최영임;이효신
    • Journal of Plant Biotechnology
    • /
    • 제44권1호
    • /
    • pp.69-75
    • /
    • 2017
  • Dormancy-associated protein (DRM)은 식물의 휴면생리에 관여하는 대표적인 단백질로 거의 모든 식물에 보존되어 있다. 최근 DRM 유전자가 비생물적 스트레스 반응에 관여하는 것으로 알려지면서 이 유전자의 특성구명 연구가 여러 식물에서 이루어지고 있다. 그러나 아직까지 나무에서는 DRM 유전자에 대한 연구가 거의 없는 실정이다. 따라서 본 연구에서는 DRM 유전자를 현사시나무(Populus alba ${\times}$ P. glandulosa)에서 분리하여 이를 PagDRM1이라 명명하고, 유전자의 구조와 발현특성을 조사하였다. PagDRM1 유전자는 123개의 아미노산으로 구성된 단백질을 암호화하며, 2개의 영역(Domain I과 Domain II)이 잘 보존되어 있다. PagDRM1은 현사시나무의 염색체에 1 ~ 2 copy가 존재하며, 줄기에서 가장 높게 발현하였고 성숙 잎, 뿌리 및 꽃에서도 높은 발현 수준을 나타내었다. 현탁배양세포의 생장주기에서는 늦은 지수생장기부터 정지기까지 높게 발현하였다. 또한 PagDRM1은 건조와 염 스트레스에 반응하여 발현이 증가하는 것으로 나타났다. 식물호르몬 처리에 의해서는 ABA와 GA 처리에 의한 발현 증가를 나타내었다. 따라서 PagDRM1은 식물의 휴면유도 과정에서 중요한 역할을 할 뿐만 아니라 환경 스트레스 내성에도 기여하는 것으로 생각된다.

내염성 cyanobacteria로 부터 danK heat shock protein 유전자의 cloning 및 특성 해명 (Cloning and Characterization of dnaK Heat Shock Protein Gene in a Halotolerant Cyanobacterium)

  • 원성혜;윤병욱;김학윤;;이병현
    • 생명과학회지
    • /
    • 제11권5호
    • /
    • pp.464-469
    • /
    • 2001
  • 내염성의 광합성 cyanobateria 인 Aphanothece halophytica로 부터 molecular chaperone으로 가능하는 HSP70 homolog인 dnaK2 유전자를 cloning 하였다. 이 danK2 유전자는 616개의 아미노산으로 구성되었으며 추정되는 분자량 68 kDa 의 단백질을 code하고 있었다. 아미노산 서열로부터 추정되는 DnaK2 단백질의 구조를 분석하여 본 결과, 다른 원핵생물의 DanK2 단백질들이 공통적으로 갖는 특성인 N-terminal ATPase domain과 C-terminal의 peptide-binding domain이 잘 보존되어 있었으며, 다른 HSP70/DanK 단백질들과의 높은은 상동성을 나타내었다. 한편 danK2 유전자는 생장온도인 28$^{\circ}C$에서 낮은 수준으로 구성적으로 발현하였으며 heat stress에 의해 그 발현량이 급격히 증가하였다. 또한 A. halophytica를 고농도의 염 스트레스로 처리한 결과, heat stress가 없음에도 불구하고 그 발현량이 급격히 증가하였다. 이러한 결과들은 DnaK 단백질의 고온 또는 염 스트레스에 따른 세포의 손상을 보호하기 위하여 중요한 기능을 담당하고 있기 때문에 추정된다.

  • PDF

학습자의 교감/부교감 반응 분석에 의한 학습 선호도 분석에 관한 연구 (Analysis of learning preferenece using student's sympathetic-parasympathetic response)

  • 김보연;차재혁
    • 디지털콘텐츠학회 논문지
    • /
    • 제8권3호
    • /
    • pp.355-363
    • /
    • 2007
  • 학습자의 성격유형에 따른 학습 선호도는 학습 성취의 주요 인자 중의 하나이다. 따라서 학습자는 자신의 성격 유형과 다른 콘텐츠로 학습을 하게 되면 스트레스가 증가하여 혈압이나 심박동수에 변화가 나타나게 된다. 본 연구에서는 학습자의 비선호도를 측정하기 위해서 스트레스 량 측정에 사용되는 주파수 영역 정보를 이용하였다. 먼저, 13명의 유치원 아동들을 MBTI 성격유형의 감각/직관의 두 유형으로 파악하고 이들에게 동일한 학습 콘텐츠를 10분간 제시한 후, 이를 학습하는 동안 측정된 심전도 신호를 심박변동신호(heart rate variability: HRV) 신호로 재구성하였다. 이 HRV 신호를 주파수로 변환한 후에 저주파(LF: low frequency), 중간 주파(MF: middle frequency), 그리고 고주파(HF: high frequency) 영역으로 분할하고, 각 주파수 영역비를 비교하여 학습자의 성격 유형에 따라 학습 콘텐츠에 대한 선호도가 달라지는 지 여부를 알아보았다. 실험 결과는 아동들은 자신의 성격 유형에 따라 각기 다른 학습 콘텐츠를 선호한다는 사실을 보여준다.

  • PDF

인공 신경망을 이용한 광대역 과정의 피로 손상 모델 개발 (Development of a Fatigue Damage Model of Wideband Process using an Artificial Neural Network)

  • 김호성;안인규;김유일
    • 대한조선학회논문집
    • /
    • 제52권1호
    • /
    • pp.88-95
    • /
    • 2015
  • For the frequency-domain spectral fatigue analysis, the probability density function of stress range needs to be estimated based on the stress spectrum only, which is a frequency domain representation of the response. The probability distribution of the stress range of the narrow-band spectrum is known to follow the Rayleigh distribution, however the PDF of wide-band spectrum is difficult to define with clarity due to the complicated fluctuation pattern of spectrum. In this paper, efforts have been made to figure out the links between the probability density function of stress range to the structural response of wide-band Gaussian random process. An artificial neural network scheme, known as one of the most powerful system identification methods, was used to identify the multivariate functional relationship between the idealized wide-band spectrums and resulting probability density functions. To achieve this, the spectrums were idealized as a superposition of two triangles with arbitrary location, height and width, targeting to comprise wide-band spectrum, and the probability density functions were represented by the linear combination of equally spaced Gaussian basis functions. To train the network under supervision, varieties of different wide-band spectrums were assumed and the converged probability density function of the stress range was derived using the rainflow counting method and all these data sets were fed into the three layer perceptron model. This nonlinear least square problem was solved using Levenberg-Marquardt algorithm with regularization term included. It was proven that the network trained using the given data set could reproduce the probability density function of arbitrary wide-band spectrum of two triangles with great success.

난임 부부의 섭생 지도 항목과 중요도에 대한 한의사 대상 설문조사 (A Survey of Korean Medical Doctors on the Items and Importance of Lifestyle Management for Infertile Couple)

  • 정유경;김동일;윤영진;박장경
    • 대한한방부인과학회지
    • /
    • 제36권3호
    • /
    • pp.114-128
    • /
    • 2023
  • Objectives: This study was conducted to reflect Korean Medicine doctors (KMD)' perception of lifestyle management in the process of developing a Korean Medicine (KM) Clinical Practice Guidelines (CPG) of female infertility. Methods: We sent four e-mails containing links to online questionnaires to 25,286 KMD belonging to the Association of Korean Medicine. The questionnaire consisted of sexual intercourse, weight, diet, exercise, drinking, smoking, caffeine intake, stress etc. KMD responded to self-administered questionnaires, and we analyzed 786 responds. Results: KMD put stress first among the infertile women's lifestyle management items, weight and sexual intercourse were next. Also KMD put stress first among the spouses' lifestyle management items, drinking and sexual intercourse were next. In relation to sexual intercourse, 'Recognizing the Fertile Window' was the most important. In relation to stress in the emotional domain, 'Depression' and 'Anxiety' were the most important, and in relation to stress in the relationship domain, 'Deteriorating of marital relationship' was the most important. Conclusions: We surveyed the status of KMD' awareness of infertility lifestyle management for patient education, and reflected it in the modification of the CPG for female infertility.

온도 및 잔류응력을 고려한 플라스틱 부품의 점탄성 해석 (Thermal Viscoelastic Analysis of Plastic Part Considering Residual Stress)

  • 문형일;김헌영;최철우;정갑식
    • 소성∙가공
    • /
    • 제17권7호
    • /
    • pp.496-500
    • /
    • 2008
  • Plastics is commonly used in consumer electronics because of it is high strength per unit mass and good productivity. But plastic parts are usually distorted after injection molding due to the residual stress after filling, packing, cooling process, and etc. And plastic material is to be deteriorated according to various temperature conditions and operating time, which can be characterized by stress relaxation and creep. The viscoelastic behavior of plastic materials in time domain can be expressed by the Prony series of the commercial code, ABAQUS. In the paper, the process to predict the post deformation under cyclic thermal loadings was suggested. The process was applied to the real panel, and the deformation predicted by the analysis was compared with that of real test, which showed the possibility of applying the suggested process to predict the post deformation of plastic product under thermal loadings.

진화 구조 최적화 기법을 이용한 개구부의 형상 최적화에 관한 연구 (A Study on the Shape Optimization of a Cutout Using Evolutionary Structural Optimization Method)

  • 류충현;이영신
    • 한국정밀공학회:학술대회논문집
    • /
    • 한국정밀공학회 2000년도 추계학술대회 논문집
    • /
    • pp.369-372
    • /
    • 2000
  • ESO(Evolutionary Structural Optimization) method is known that elements involved low stress value are removed from the previous model or that elements are added around elements involved high stress level on it and then the optimized model is obtained with required weight. Rejection ratio/addition ratio and evolutionary ratio are predefined and elements having lower/higher stress than reference stress, which average Mises stress on edge elements times rejection ratio, are deleted/added. In this study, when the plate having a cutout is subjected various in-plane load, a cutout shape is optimized using ESO method. ANSYS is used to analyse a finite element model and optimization procedure is made by APDL (ANSYS Parametric Design Language). ESO method is useful in rather than a complex structure optimization as well as a cutout shape optimization.

  • PDF

PZT 세라믹스의 강도에 미치는 내부응력의 영향 (Effect of internal Stress on the Strength of PZT Cermics)

  • 태원필;윤여범;김송희
    • 한국세라믹학회지
    • /
    • 제33권1호
    • /
    • pp.49-55
    • /
    • 1996
  • The aim of this study is to investigate the change of bending strength and fatigue strength in the unpoled and poled Pb(Zr, Ti)O3 ferroelectrics of tetragonal morphotropic phase boundary (MPM) and rhombohedral com-position in terms of internal stress which is measured by XRD method. Before poling treatment the highest bending strength was found in rhombohedral composition. After poling treatment the bending strength decreas-ed in all compositions but it decreased most remarkably in tetragonal composition. The most prominent de-crease of bending strength after poling treatment in tetragonal was attributed to the occurrence of microcracks due to highanisotropic internal stress around grain boundary which was induced of bending strength after poling in MPB and rhombohedral composition was not due to the occurrence of microcracks but to the increase in tensile internal stress perpendicular to the direction of crack propagation by domain alignment. Fatigue strength was higher before poling treatment than after poling treatment for various compositions.

  • PDF

알루미나 세라믹과 구리의 브레이징 접합물에 대한 열응력의 유한요소법 해석에 관한 연구 (A Study on Thermal Stress Analysis of Alumina Ceramics to Copper Brazement by Finite Element Method)

  • 전창훈;양영수;나석주
    • 대한기계학회논문집
    • /
    • 제14권3호
    • /
    • pp.547-553
    • /
    • 1990
  • 본 연구에서는 알루미나 세라믹(Al$_{2}$O$_{3}$)재료와 순수구리를 티타늄 용자재로써 접합한 브레이징 접합물내의 냉각후 잔류응력을 유한요소법으로 사용하여 해석하였다.