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The effect of supportive nursing care on the quality of life and self-esteem of persons with rheumatoid arthritis (지지간호가 만성질환자의 삶의 질과 자존감에 미치는 효과 -류마티스양 관절염을 중심으로-)

  • 김명자;송경애
    • Journal of Korean Academy of Nursing
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    • v.21 no.3
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    • pp.323-338
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    • 1991
  • This study investigated the effect of supportive nursing care including modified guided imagery on the discomfort, self- esteem, erythrocyte semdimentation rate(ESR) and quality of life(Q. L.) in persons with rheumatoid arthritis (R. A.). The purpose was to contribute to the development of theoretical nursing care to enhance the Q. L. of persons with chronic illness. From Nov. 22, 1990 to May 2, 1991, 49 patients registered at a rheumatic clinic at one general hospital in Seoul, were accepted according to the research criteria as subjects for this study. Among these, 26 were selected for an experimental group to he treated with an interpersonal interview and modified guided imagery, the other 23 became the control group not treated for the purpose of measuring and comparing the effect of the treatment. Statistical analysis was done by a SAS program for X$^2$-test, unpaired t -test, Pearson correlation coefficients and factor analysis. The results were as follows : 1. The pre-experimental discomfort level of the total subject group averaged 25.42(S. D. =8.77), and the difference between the pre /post experimental discomfort levels of the two groups was not statistically significant. 2. The pre - experimental self- esteem scores of the total subject group averaged 27.48(S. D. =3.95), and the difference between the pre /post experimental self -esteem scores of the two groups was not statistically significant. 3. The pre - experimental Q. L. scores of the total subject group averaged 28.70(S. D. =5.99), and the difference between the pre /post experimental Q. L. score of the two groups was statistically significant (t=2.1748, df=47, p= .0347), 4. The pre - experimental mean of the ESR of the total subject group was 34.48(S. D. =19.50) mm, and the difference between the pre /post expeimental ESR scores of the two groups was not statistically significant. 5. The Family support scores of the total subject group averaged 41.28(S. D. =10.27). 6. The total subject group 0.L. score was correlated with self-exteem score (r= .3984, p= .0046). In this study, supportive nursing care including modified guided imagery increased the quality of life scores for this group of persons with R. A. significantly. So the concept of supportive nursing care of this study may be effective in enhancing the quality of life persons with chronic illness. Further investigations related to the methodology and with other groups of clients was recommended.

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Clinical Findings of Phenylketonuria Patients in Korea (페닐케톤뇨증의 임상적 고찰)

  • Shin, Ik Soon;Lee, Dong Hwan
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.12 no.1
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    • pp.14-22
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    • 2012
  • Objectives: This study was performed to review clinical manifestations of hyperphenylalaninemia patients in Korean. Methods: 178 cases of hyperphenyalaninemia were diagnosed at department of pediatrics, Soonchunhyang University Hospital from January, 1983 to August. We reviewed DNA analysis, MR imaging, EEG, radiography of the left hand and wrist, bone densitometry (BMD), IQ test of hyperphenyalaninemia patients. Results: Out of 178 cases, 161 cases were diagnosed classic phenylketonuria and 17 cases were diagnosed BH4 deficiency. 122 cases performed DNA analysis. R243Q (10.3%), Y204C (9.9%), and IVS4-1G>A (8.1%) mutations were predominant. 22 cases underwent MR imaging. Varying degrees of symmetrical high signal intensity were noted on T2-weighted sequences in the periventricular deep white matter of 15 cases. 23 cases were performed EEG. 12 cases (52.3%) showed abnormal pattern. EEG abnormalities showed in 11 cases. On lumbar BMD four of 11 cases (36%) showed reduced bone density of more than 1 S.D. in four of 11 cases, bone age was less than chronological age by at least one year. 18 cases were performed IQ test. Mean IQ scores was $84{\pm}21.6$. Among older than 15 years (9 cases), Mean IQ scores was $72{\pm}21.2$. PTPS deficiency was 14 cases, DHPR deficiency was 2 cases, and GTPCH deficiency was 1 case. Conclusion: We confirmed there were varieties of DNA mutations. And MR imaging and EEG were nonspecific in PKU patients. Older children showed lower IQ score. Low phenylalanine diet prevents brain damage in PKU patient. Not only first few years of life but also lifetime, Keeping low phenylalanine diet is important.

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Effect of Water Temperature and Body Weight on Oxygen Consumption Rate of Starry Flounder Platichthys stellatus (강도다리 Platichthys stellatus의 산소 소비율에 미치는 수온과 체중의 영향)

  • Oh, Sung-Yong;Jang, Yo-Soon;Noh, Choong Hwan;Choi, Hee Jung;Myoung, Jung-Goo;Kim, Chong-Kwan
    • Korean Journal of Ichthyology
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    • v.21 no.1
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    • pp.7-14
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    • 2009
  • The effect of water temperature (T) and body weight (W) on oxygen consumption of fasted starry flounder Platichthys stellatus was investigated in order to assess the metabolic response of this species at given conditions. The oxygen consumption rate (OCR) was measured under six different water temperatures (4, 7, 10, 13, 16 and $19^{\circ}C$) and at two different body weights (mean weight of fry group : 1.5 g; fingerling group : 37.4 g) at an interval of 5 minutes for 24 hours using a continuous flow-through respirometer. In each treatment three replicates were set up and a total 540 fish in fry groups and 90 fish in fingerling groups were used. The OCRs increased with increase of water temperature in both groups (p<0.001). Mean OCRs at 4, 7, 10, 13, 16 and $19^{\circ}C$ were 1386.0, 1601.7, 1741.0, 1799.2, 2239.1 and $2520.3mg\;O_2\;kg\;fish^{-1}\;h^{-1}$ in fry groups, and 83.8, 111.4, 126.3, 147.1, 187.7 and $221.3mg\;O_2\;kg\;fish^{-1}\;h^{-1}$ in fingerling groups, respectively. The OCRs decreased with increasing body weights at six different water temperatures (p<0.001). The relationship between water temperature and body weight is described by the following equation : OCR=1520.91+40.85T-49.22W ($r^2=0.95$, p<0.001). The energy loss by metabolic response increased with an increase in water temperature and a decrease in body weight (p<0.001). Mean energy loss rates by oxygen consumption at 4, 7, 10, 13, 16 and $19^{\circ}C$ were 907.9, 1046.5, 1141.6, 1177.0, 1467.3 and $1650.1kJ\;kg\;fish^{-1}\;d^{-1}$ in fry groups and 54.8, 73.0, 82.9, 96.2, 122.9 and $144.6kJ\;kg\;fish^{-1}\;d^{-1}$ in fingerling groups, respectively. The $Q_{10}$ values of fingerling groups were higher than those of fry groups at given temperature ranges. The $Q_{10}$ values at $4{\sim}7^{\circ}C$, $7{\sim}10^{\circ}C$, $10{\sim}13^{\circ}C$, $13{\sim}16^{\circ}C$ and $16{\sim}19^{\circ}C$ were 1.62, 1.32, 1.12, 2.07 and 1.48 in fry groups, and 2.59, 1.52, 1.67, 2.25 and 1.73 in fingerling groups, respectively.

Plant Diversity, Tree Regeneration, Biomass Production and Carbon Storage in Different Oak Forests on Ridge Tops of Garhwal Himalaya

  • Sharma, Chandra Mohan;Tiwari, Om Prakash;Rana, Yashwant Singh;Krishan, Ram;Mishra, Ashish Kumar
    • Journal of Forest and Environmental Science
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    • v.32 no.4
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    • pp.329-343
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    • 2016
  • The present study was conducted on ridge tops of moist temperate Oak forests in Garhwal Himalaya to assess the plant diversity, regeneration, biomass production and carbon assimilation in different Oak forests. For this purpose, three Oak forest types viz., (a) Quercus leucotrichophora or Banj Oak (FT1; between 1,428-2,578 m asl), (b) Quercus floribunda or Moru Oak (FT2; between 2,430-2,697 m asl) and (c) Quercus semecarpifolia or Kharsu Oak (FT3; between 2,418-3,540 m asl) were selected on different ridge tops in Bhagirathi catchment area of Garhwal Himalaya. A total of 91 plant species including 23 trees (8 gymnosperms and 15 angiosperms), 21 shrubs and 47 herbs species belonging to 46 families were recorded from all the ridge top Oak forests. The highest mean tree density ($607{\pm}33.60trees\;ha^{-1}$) was observed in Q. floribunda forest with lower mean total basal cover (TBC) value ($48.02{\pm}3.67m^2ha^{-1}$), whereas highest TBC value ($80.16{\pm}3.30m^2ha^{-1}$) was recorded for Q. semecarpifolia forest, with lowest mean stem density ($594{\pm}23.43stems\;ha^{-1}$). The total biomass density (TBD) across three Oak forests ranged between $497.32{\pm}83.70$ (FT1) and $663.16{\pm}93.85t\;ha^{-1}$ (FT3), while the total carbon density (TCD) values ranged between $228.75{\pm}22.27$ (FT1) and $304.31{\pm}18.12t\;ha^{-1}$ (FT3). Most of the tree species were found with good regeneration (GR) status (average 45%) in all the forest types whereas, few species were found not regenerating (NR) (average 17%) however, few new recruitments were also recorded. ANOVA (Post-Hoc Tukey's test at 5% significance level) indicated significant forest-wise differences in TBC, TBD and TCD (in tree layer); family and evenness (in shrub layer only) values, while insignificant differences were noticed in density values of tree, seedling and herb layer.

Relationship Between Body Image and Self-esteem in Patients with Chronic Renal Failure (만성신부전증 환자의 신체상과 자아존중감의 관계)

  • Sohn Sue-Kyung;Lee Myung-Hwa;Song Myung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.2
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    • pp.160-171
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    • 2001
  • Purpose: The purpose of study was to identify the relationship between body image and self-esteem in patients with chronic renal failure. Method The subjects of study were 97 patients with chronic renal failure who were outpatients at K medical center. B hospital, H hospital in Busan. Data were collected from Nov 15th to Dec. 17th, 1999. The instruments used for study were the Body Cathexis Scale and Rogenberg's Self-esteem Scale. Collected data were analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, and Pearson's correlation coefficients. Result: 1 The mean score for body image was $137.46{\pm}22.21$, the mean mark $2.92{\pm}0.47$, and the mean score of self-esteem was $30.80{\pm}8.76$, the mean mark $3.08{\pm}0.87$. 2. There was a significant difference in the score for body image according to educational level (F=5.189, P=.002) and type of residence (F=6.095. P=.001). 3. There was a significant difference in the score for self-esteem according to age (F=3.615, P=.009), educational level (F= 4.772, P=.004), marital status (F=3.498 P=.019) and presence of children (F=2.511, P=.014). 4. Body image in patients with chronic renal failure patients showed significant correlation with self-esteem (r=.519, P=.000). Conclusion: From this study, a relationship between body image and self-esteem in patients with chronic renal failure was identified. Therefore, nursing interventions are needed to promote body image and self esteem in patients with chronic renal patients.

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A Study on the Thermal Sensation Vote of the Log House in Winter Season (통나무집의 동절기 실내 온열감 평가에 관한 연구)

  • Min, Byeong-Cheol;Jeon, Ji-Hyeon;Shin, Yong-Gyu;Kang, Sang-Woo;Kook, Chan
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.297-300
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    • 2006
  • Various buildings constructed by environmentally friendly resources are being built in KOREA. Especially the building made by the wood, which has environmental characteristics that the reinforced concrete and brick doesn't have, are acknowledged with its superiority. Then, studies on indoor thermal control capability of the wooden building and influence of its indoor environment to sensory environment of occupants are not enough proceed. Thus, there were proceeded 24 hours measurements for indoor and outdoor thermal environmental elements of Log Cabins and the hourly subjective tests to evaluate indoor amenity of occupants in this study. The results of the study are following: 1) Upon evaluation on thermal environment elements, indoor and outdoor dry bulb temp were 22.0$^{\circ}C$ and -2.9$^{\circ}C$, and Indoor and outdoor average relative humidity were 25.8%and 52.7%. Differences of indoor and outdoor temperature and humidity were 24.9$^{\circ}C$ and 26.9%. 2) Upon contrastive analysis between the results of subjective tests, warm and cold sensation vote, and PMV (Predicted Mean Vote) and PPD (Predicted Percent Dissatisfaction), values of subjective tests W.9

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Studies on the Engineering Characteristics of Alluvial Clayey Deposits in the Bay Area of Asan (II) (아산만지역 충적점토의 토질특성에 관한 연구(II))

  • 유능환;유연택
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.30 no.2
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    • pp.55-66
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    • 1988
  • This study was conducted to investigate the various engineering properties and correlationshops among the soil constants of alluvial clayey deposits distributed in the bay of Asan and their results are summarized as follows : 1. Grain size distribution of soil was consisted of 12 % of clay, 46-73 % of silt, 2-23 % of sand, and as for the consistency characteristics, 26-36 % of liquid limit, 18-21 % of plastic limit and 6-16 % of plastic index, and so the soil belonging to as a lower plastic nonorganic clay, it's specific gravity was 2,66-2.70, and the location on the plastic chart was approximately above the A-line. Z The natural moisture content and unit weight were 30-43 % and 1.76-1.87 g I cm$_3$, respectively, and according to increment of natural moisture content, the unit weight was decreased, and the initial void ratio and degree of saturation were shown of 0,87-1119 and 92- 100 %, most of saturated. 3. Cone resistance value which was shown 2.4 - 6.5 kg / $cm^2$ was a little lower and it was increased with the depth of layer and shown the formular $q_c=0.7_z+1.32$. 4. Unconfined compression strength was about 0.18-0.43kg /$cm^2$, cu, 0.1-0.22kg / $\psi$, $2-6^{\circ}$ under uu-test condition of triaxial, and CCU, 0.08-0.3 kg/cm , $\psi$, $12-18^{\circ}$ under the condition of cu-test. 5. Pre-consolidation load of characteristics of consolidation was 0.4-0.8 kg / $cm^2$, compression index, about 0.17-0.33. 6. Liquid limit and plastic index were incresased with the increment of clay content but most of alluvial clay was appeared as a normal through non-activity clay soil shown more natural moisture content than liquid limit, and their relationship as follows : LL=0.38( cy+54.8), PI=0.836(LL -17.8), PI =0.468(LL -0.48) 7. The initial void ratio presented correlationship of positive among clay content, natural moisture content and liquid limit, and that of reverse with unit weight, and their results as follws : $e_o=0.024(w_n+0.2)$, $e_o=e_o=0.0003c_y+0.0005 LL+0.0151 W_n+\frac{3.58}{r-t}-1.52$ 8. It was shown that the compression index has correlationship of postive among the clay content, liquid limit, plastic index, natural moisture content and initial void ratio, and their relationships as follows ; $c_c=0.44(e_o-0.47)$, $c_c=0.001$

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Effects of Keratinase on Performance, Nutrient Utilization, Intestinal Morphology, Intestinal Ecology and Inflammatory Response of Weaned Piglets Fed Diets with Different Levels of Crude Protein

  • Wang, D.;Piao, X.S.;Zeng, Z.K.;Lu, T.;Zhang, Q.;Li, P.F.;Xue, L.F.;Kim, S.W.
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.12
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    • pp.1718-1728
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    • 2011
  • Two experiments were conducted to investigate the in vitro ability of keratinase to hydrolyze soybean glycinin and ${\beta}$-conglycinin and to evaluate the in vivo effects of keratinase when included in corn-soybean diets with different levels of crude protein and fed to nursery pigs. In experiment 1, a saturated keratinase solution (1 ml) was added to two blank controls of either glycinin or ${\beta}$-conglycinin resulting in the hydrolysis of 94.74% glycinin and 88.89% ${\beta}$-conglycinin. In experiment 2, 190 pigs (8.3${\pm}$0.63 kg BW) were allotted to one of four treatments in a 2${\times}$2 factorial arrangement on the basis of body weight, and sex was balanced among the pens. The effects of crude protein (19 vs. 22%) and keratinase (0 vs. 0.05%) were studied. Each treatment was applied to six pens with seven (two pens) or eight pigs per pen. Pigs were fed the experimental diets for 21 d. Weight gain and feed conversion ratio were improved (p<0.05) with keratinase supplementation while feed intake was reduced (p<0.05). Keratinase supplementation increased (p<0.05) the apparent total tract digestibility of dry matter, energy, crude protein and phosphorus. Keratinase supplementation also increased n-butyric acid in the cecum and colon, lactobacilli and total anaerobe counts in the colon as well as the ratio of villus height to crypt depth in the ileum. Additionally, fecal score, ammonia nitrogen and branch chain volatile fatty acids in the colon, E. coli and total aerobe counts in the colon, crypt depth in the jejunum and ileum as well as serum interleukin-1 and interleukin-6 concentrations were also decreased (p<0.05) by keratinase supplementation. A reduction in dietary crude protein decreased (p<0.05) colon ammonia nitrogen concentration and cecal propionic acid and branch chain volatile fatty acid concentrations. In addition, cecal E. coli counts, colon total anaerobe counts, ileal crypt depth, and serum interleukin-1 and interleukin-6 concentrations were also decreased (p<0.05) with the reduction of dietary crude protein. With the exception of fecal scores, there were no significant interactions between crude protein and keratinase. This study provides evidence that dietary keratinase supplementation improved nursery pig performance by improving intestinal morphology and ecology, thus improving nutrient digestibility and alleviating the inflammatory response.

Inbreeding and Genetic Diversity in Three Imported Swine Breeds in China Using Pedigree Data

  • Tang, G.Q.;Xue, J.;Lian, M.J.;Yang, R.F.;Liu, T.F.;Zeng, Z.Y.;Jiang, A.A.;Jiang, Y.Z.;Zhu, L.;Bai, L.;Wang, Z.;Li, X.W.
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.6
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    • pp.755-765
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    • 2013
  • The accumulation of inbreeding and the loss of genetic diversity is a potential problem in the modern swine breeds in China. Therefore, the purpose of this study was to analyze the pedigrees of Chinese Duroc (CD), Landrace (CL) and Yorkshire (CY) swine to estimate the past and current rates of inbreeding, and to identify the main causes of genetic diversity loss. Pedigree files from CD, CL and CY containing, 4529, 16,776 and 22,600 records, respectively, were analyzed. Pedigree completeness indexes of the three breeds, accounting for one generation back, were 83.72, 93.93 and 93.59%, respectively. The estimated average annual inbreeding rates for CD, CL and CY in recent three years were 0.21, 0.19 and 0.13%, respectively. The estimated average percentage of genetic diversity loss within each breed in recent three years was about 8.92, 2.19, and 3.36%, respectively. The average relative proportion of genetic diversity loss due to unequal contributions of founders in CD, CL and CY was 69.09, 57.95 and 60.57%, and due to random genetic drift was 30.91, 42.05 and 39.43%, respectively. The estimated current effective population size for CD, CL and CY was 76, 117 and 202, respectively. Therefore, CD has been found to have lost considerable genetic diversity, demanding priority for optimizing the selection and mating to control future coancestry and inbreeding. Unequal contribution of founders was a major cause of genetic diversity loss in Chinese swine breeds and random genetic drift also showed substantial impact on the loss of diversity.

Screening Test for Heart Diseases in the First Grade Elementary School Children in Busan (부산 지역 초등학교 1학년 학생들의 심장질환의 집단검진에 관한 연구)

  • Oh, Jae Min;Park, Hee Ju
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.490-494
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    • 2003
  • Purpose : We'd like to determine the incidence of congenital heart disease and arrhythmia in elementary school children in Busan, and to provide adequate prevention and treatment. Methods : A total of 23,802(male 12,909, female 10,893) 1st grade elementary school children living in Busan were studied. All children were 7-8 years old. We obtained their medical history by questionnaire and checked elecrocardiography(ECG). Subsequent screening tests including a 2nd ECG, chest X-ray, phonocardiogram and CBC for the students who had abnormal findings at the first screening test. The third screening test was done for students who had cardiac murmurs or abnormal ECG findings in the second screening test by echocardiogram, treadmill test and 24-hour Holter monitoring. Results : Among 23,802 children participants, 605(2.54%) had abnormal ECG findings at the first screening test. Q wave abnormality(0.58%) was observed most frequently, and complete right bundle branch block(RBBB)(0.26%), sinus tachycardia(0.24%), right axis deviation(0.22%) and ventricular premature contraction(VPC)(0.21%) followed in order. Four hundred and twenty four children participated in the second ECG screening test. Two hundred and two children(47.6%) had an abnormality such as sinus tachycardia(18.8%), VPC(17.8%), or complete RBBB(17.3%). After completing the third examination including echocardiogram, we couldn't find the students with ventricular tachycardia (VT) or SVT at the third arrhythmia screening test. Conclusion : A high incidence of arrhythmia was found in the 1st grade elementary school children in Busan despite their healthy appearances, although fatal heart diseases were not noted. Early diagnosis, adequate preventative measures and treatment will prevent and decrease the frequency of emergent situations like syncope and sudden death.