• Title/Summary/Keyword: technical intervention

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Technical and clinical aspects of cortisol as a biochemical marker of chronic stress

  • Lee, Do Yup;Kim, Eosu;Choi, Man Ho
    • BMB Reports
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    • v.48 no.4
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    • pp.209-216
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    • 2015
  • Stress is now recognized as a universal premorbid factor associated with many risk factors of various chronic diseases. Acute stress may induce an individual's adaptive response to environmental demands. However, chronic, excessive stress causes cumulative negative impacts on health outcomes through "allostatic load". Thus, monitoring the quantified levels of long-term stress mediators would provide a timely opportunity for prevention or earlier intervention of stressrelated chronic illnesses. Although either acute or chronic stress could be quantified through measurement of changes in physiological parameters such as heart rate, blood pressure, and levels of various metabolic hormones, it is still elusive to interpret whether the changes in circulating levels of stress mediators such as cortisol can reflect the acute, chronic, or diurnal variations. Both serum and salivary cortisol levels reveal acute changes at a single point in time, but the overall long-term systemic cortisol exposure is difficult to evaluate due to circadian variations and its protein-binding capacity. Scalp hair has a fairy predictable growth rate of approximately 1 cm/month, and the most 1 cm segment approximates the last month's cortisol production as the mean value. The analysis of cortisol in hair is a highly promising technique for the retrospective assessment of chronic stress. [BMB Reports 2015; 48(4): 209-216]

Business Empowerment Program and Household Economic Welfare: Lesson from Indonesia

  • PURWANTI, Pudji;SUSILO, Edi;INDRAYANI, Erlinda
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.1
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    • pp.313-320
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    • 2020
  • This study aims to analyze the household economic behavior of salt farmers participants in Salt Business Empowerment Program (Pugar) including of salt production, work flow, household revenue, the behavior of consumption of food and non-food items and the welfare level. This research followed a survey method by engaging 32 household farmers as participants. The findings revealed that the empowerment program was carried out through the technical assistance of salting production and the assistance of equipment and technology from Thread of Screw Filter and geoisolators to improve the quality of salt. The problems come when the marketing of salt is still limited to the collectors of salt which led to the price of salt level, manufacturers have not remained stable. Household revenue sources for some salt farmers also come from non-salt pond business activities. Farmer household revenue can be used to meet staple food consumption and non-food staple consumption. Based on the indicators of family welfare, households participating in the empowerment program were group into the category of prosperous families. In order to stabilize the price of salt at the producer level, government intervention in the people's salt trading system is needed.

A Study on the Nurses' Appreciation and Use of Humor (간호사의 유머 인지 및 사용에 관한 연구)

  • Jun, Jum-Yi;Kim, Myo-Sung
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.366-377
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    • 2004
  • Purpose: This study is a descriptive research study to develop the Nurse's Humor Questionnaire, and then analyze humor's appreciation and use by Korean nurses. Method: The three stages used to develop the questionnaire were to make a conceptual framework, make an open questionnaire through the 2nd preliminary inquiry, and make a structured questionnaire based on collected statements through the developed open questionnaire. The subjects that carried out completely a structured questionnaire were 337 nurses. Result: 1) The final developed questionnaire consists of 6 domains and 67 items. The reliability of 'When feeling humor's expression'(${\alpha}=0.7079$), 'The barrier factors of humor's use'(${\alpha}=0.7895$), and 'Humor's values' (${\alpha}=0.8336$) was high. 2) The results related to Humor's values of nurses that showed significant differences were as follow: (1) age, marital status, and current position (2) a negative correlation between stress and humor's values (3) humor's sources: daily life and conversation (4) frequency of used humor (5) types of used humor: word humor, imitation, adequate situation and technical terms, and (6) when using humor's expression: tense atmosphere, awkward atmosphere and adequate situation. Conclusion: The developed tool can be used for understanding nurse's humor. This will help to develop the humor program as a nursing intervention for health promotion.

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The Study Related to Perceived Stress, Stress Coping Method, Self-Care Behavior and Hemoglobin $A_1c$ of Elderly Diabetic Mellitus Patients (노인 당뇨병환자의 스트레스 지각, 스트레스 대처방식, 자가간호행위 및 당화혈색소와의 관계)

  • Park, Mi-Yon;Kim, Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.2
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    • pp.186-194
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    • 2008
  • Purpose: The purpose of this studγ is to understand relations among perceived stress, stress coping method, self-rare behavior and Hemoglobin $A_1c$ of elderly diabetic mellitus patients. Method: Participants were 128 patients who were under medical treatment in outpatient department at C university hospital. The collected data were analyzed using technical statistics, frequency, percentage, T-test, ANOVA and person's correlation coefficient by SPSS 12.0. Result: There were positive correlation between self-care behavior and coping method based on emotions under the lower category of stress coping method. Hemoglobin $A_1c$ of patients had a negative correlation with physical exorcise of self coping method under the lower category. Perceived stress had also a negative correlation with emotions as coping method in the lower category and medication of self-care behavior. Conclusion: It was noted that elderly diabetic mellitus patients didn't much use a coping method based mainly problems and another method based emotions in case of perceived stress. The findings of this study will be useful for developing an nursing intervention program focused on elderly diabetic mellitus patients.

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Implementation of Automation System for the Fluid Analysis of Axial Fan Using Supercomputer (슈퍼컴퓨터 활용 축류팬 유동해석 자동화 시스템 개발)

  • Kim, Myung-Il;Lee, Seung-Min;Lee, Sang-Min
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.288-291
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    • 2008
  • Recently, the importance and necessity of engineering analysis has shown a steady growth. However, researchers working in small and medium enterprises know little about the usefulness of engineering analysis and suffer from lack of technical knowledge. Axial fan is air fluid machinery in various fields of industry such as automobile, electric appliance, and heavy machinery. It is also a time and budget consuming equipment to develop the axial fan through physical experiments. In order to overcome this problem, we have designed and developed a web-base automated simulator for axial fan's fluid analysis using supercomputer. Automated simulator means that all of processes for engineering analysis including pre-process, solving, and post-process can be performed automatically without user intervention after transferring fan model(CAD files) made by user. After executing the simulator with some parameters, user can receive the report including pressure P and flow rate Q. In this paper, we introduce the architecture of our easy and efficient automated engineering analysis simulator, related techniques and result of development.

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Pulmonary Artery Banding for Ventricular Septal Defect: Report of 2 Cases (심실중격결손의 Pulmonary Banding: 2 치험례)

  • 조범구
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.29-34
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    • 1972
  • Interventricular Septal Defect is probably the most common congenital cardiac lesion. Despite rapid technical advances and increasing surgical experience the risk of surgical intervention for correction of Ventricular Septal Defect in infants with pulmonary hypertension remains formidable. Since Sirak et al [1959] reported a succesful case of two stage approach to their surgical correction, it has led to a policy of primary palliation,followed by complete correction as a secondary procedure, after age 3 to 4 years. Most surgeon prefer to perform complete correction of Ventricular Septal Defect when body weight exceeds 30 Lbs. and before development of so-called Eisenmengers complex, for the good postoperative results. Authors report 2 cases of Ventricular Septal Defect with pulmonary hupertenslon, who was underwent pulmonary artery banding as a palliative procedure in the Department of Surgery,Severance Hospital Yonsei University. Case 1:4 year old male, initially a complete correction of Ventricular Septal Defect was attempted by the help of mild hypothermia and extracorporeal circulation. During the procedure of a construction of an extracorporeal by- pass, a sudden cardiac arrest developed. After resuscitation of the heart,pulmonary artery banding was performed as a palliation. On the first postoperative day the patient developed generalized tonic convulsion, cyanosis, vomiting and eventually shock. Patient discharged home after a full recovery. Case 2.: 9 month old female, the pulmonary artery constricted with Teflon patch successfully. After the patients first postoperative day several cyanotic spells developed followed by 3 cardiac arrests. This repeated until when she expired with respiratory failure.

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Does Entrepreneurial Leadership Matter for Micro-Enterprise Development?: Lesson from West Java in Indonesia

  • RUSLIATI, Ellen;MULYANINGRUM, Mulyaningrum;WIBOWO, Agus;NARMADITYA, Bagus Shandy
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.8
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    • pp.445-450
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    • 2020
  • This research investigates the role of entrepreneurial leadership in micro-enterprise development in the district of Majalengka in West Java, Indonesia. This study applied a qualitative content analysis method to understand the phenomenon of micro-enterprises comprehensively. The data of this research was collected using surveys, interviews, and a group discussion. The findings indicated that technological information adaptation plays a crucial role in the development of micro-enterprise development. Since the group of millennials dominated the leadership, it has provided more creativity by implementing technological information instead of the previous generation that faced difficulties in adopting the technology. This study noted that inadequate technology adaptation makes micro-business gradually lose customers, and the business was threatened to close. Meanwhile, the role of leadership drives the business development, sales have risen, the number of products has been increasingly diverse, and business capital and number of employees have grown. The establishment of an entrepreneur group could facilitate peer-to-peer contact, knowledge transfer, training, and intervention to enhance leadership and business development. This finding pointed out that the leadership will successfully influence business development when supported by several characteristics such as manage the business, capture opportunities, confidence, firmness, personal integrity, communication, and social and technical expertise.

Central Decompressive Laminoplasty for Treatment of Lumbar Spinal Stenosis : Technique and Early Surgical Results

  • Kwon, Young-Joon
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.206-210
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    • 2014
  • Objective : Lumbar spinal stenosis is a common degenerative spine disease that requires surgical intervention. Currently, there is interest in minimally invasive surgery and various technical modifications of decompressive lumbar laminectomy without fusion. The purpose of this study was to present the author's surgical technique and results for decompression of spinal stenosis. Methods : The author performed surgery in 57 patients with lumbar spinal stenosis between 2006 and 2010. Data were gathered retrospectively via outpatient interviews and telephone questionnaires. The operation used in this study was named central decompressive laminoplasty (CDL), which allows thorough decompression of the lumbar spinal canal and proximal two foraminal nerve roots by undercutting the lamina and facet joint. Kyphotic prone positioning on elevated curvature of the frame or occasional use of an interlaminar spreader enables sufficient interlaminar working space. Pain was measured with a visual analogue scale (VAS). Surgical outcome was analyzed with the Oswestry Disability Index (ODI). Data were analyzed preoperatively and six months postoperatively. Results : The interlaminar window provided by this technique allowed for unhindered access to the central canal, lateral recess, and upper/lower foraminal zone, with near-total sparing of the facet joint. The VAS scores and ODI were significantly improved at six-month follow-up compared to preoperative levels (p<0.001, respectively). Excellent pain relief (>75% of initial VAS score) of back/buttock and leg was observed in 75.0% and 76.2% of patients, respectively. Conclusion : CDL is easily applied, allows good field visualization and decompression, maintains stability by sparing ligament and bony structures, and shows excellent early surgical results.

International Trends of Digital Health and It's Political Implication for Health Technology Assessment (디지털헬스 정책환경의 국제 동향과 의료기술평가에 대한 시사점)

  • Choi, Solji;Cha, Sunmi;Yoo, Keunjoo;Hong, Seokwon;Park, Chong Yon
    • The Journal of Health Technology Assessment
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    • v.6 no.2
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    • pp.95-99
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    • 2018
  • As technologies develop, the digital health sector is gradually expanding. Internationally, the global summit for Digital Health named Global Digital Health Partnership (GDHP) was launched in 2018. Many countries are participating in GDHP and share their policy experiences on digital health and find the ways to cooperate with participating countries (13 countries, including South Korea, and Hong Kong). This article reviewed the international trends in digital health policy environment and evidence assessment focusing on GDHP activities, and derived implications for health technology assessment of digital health. Consequently, to assess the intervention effects of digital health is very complex and the assessment should be considered multidimensional aspects (social, clinical, and technical). In addition the patient experience should be assessed qualitatively. Health technology assessment (HTA) should assess the effect of digital health policies to changes in health care systems resulting from the application of advanced technologies related to the 4th Industrial Revolution. Digital health is also related to new HTA, HTA of existing technologies, and R&D on the promising health technology. Therefore, it is necessary to review the trends of the technology's management policy consistently through the HTA of digital health.

Sparse DTMNs routihg protocol for the M2M environment (Sparse M2M 환경을 위한 DTMNs 라우팅 프로토콜)

  • Wang, Jong Soo;Seo, Doo Ok
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.10 no.4
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    • pp.11-18
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    • 2014
  • Recently, ICT technology has been evolving towards an M2M (Machine to Machine) environment that allows communication between machine and machine from the communication between person and person, and now the IoT (Internet of Things) technology that connects all things without human intervention is receiving great attention. In such a network environment, the communication network between object and object as well as between person and person, and person and object is available which leads to the sharing of information between all objects, which is the essential technical element for us to move forward to the information service society of the era of future ubiquitous computing. On this paper, the protocol related to DTMNs in a Sparse M2M environment was applied and the improved routing protocol was applied by using the azimuth and density of the moving node in order to support a more efficient network environment to deliver the message between nodes in an M2M environment. This paper intends to verify the continuity of the study related to efficient routing protocols to provide an efficient network environment in the IoT and IoE (Internet of Everything) environment which is as of recently in the spotlight.