• Asian Oncology Nursing
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• v.12 no.1
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• pp.27-34
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• 2012

Purpose: This study was conducted to identify the impact of fatigue, pain, anxiety and depression on the quality of life (QOL) among breast cancer patients. Methods: This study was conducted from July 12th to July 20th, 2010. One hundred and fifty breast cancer patients were recruited from D city in Korea. The instruments used in this study were the fatigue, pain, anxiety, depression and the quality of life scales for patients with breast cancer. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with the SPSS/WIN 12.0 program. Results: The quality of life for cancer patients showed a significant relationship with fatigue, pain, anxiety and depression. The significant factors influencing quality of life were fatigue, pain, anxiety and depression that explained 65.6% of the variance. Conclusion: Patients with breast cancer experienced fatigue, pain, anxiety and depression which led to a negative effect on quality of life. The results suggest that intervention programs to reduce fatigue, pain, anxiety and depression could improve the quality of life for breast cancer patients.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.447-458
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• 2007

Purpose: This exploratory study was to identify the use of complementary and alternative medicine(CAM) in women with breast cancer and to analyze which factor influence CAM use. Methods: 114 patients with breast cancer were identified and approached. The instrument used to gather data were the common types, main reasons and effects as well as stress, mood states and fatigue. Results: 42.7% of all participants reported the use of CAM. The most common types of CAM used were Phellinus linteus, elm tree, and vitamin C. The main reasons for CAM use were to boost the immune system and to prevent recurrence. Prayer, massage, Shitake mushroom, and Ganoderma lucidum were, identified as being more effective than others. 93.6% of the respondents informed their physicians of their use of CAM. Logistic regression analysis determined that stress, mood states, and duration after diagnosis were factors significantly associated with CAM use. Conclusion: CAM use is increasing among patients with breast cancer. Health care professionals are in the main position to identify what treatments patients are using and implement CAM therapies that can be helpful to relieve patient symptoms related to treatment and psychological distress.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.8 no.4
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• pp.69-75
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• 2009

Recently developed automotive components are getting lighter providing a higher fuel efficiency and performance. Following the current trend, this study proposes a structural optimization method for the lower control arm installed at the front side of a Vehicle. Lightweight design of lower control arm can be achieved through design and material technology. In this research, the shape of lower control arm was determined by applying the optimization technology and aluminum was selected as a steel-substitute material. Strength performance is the most important design requirement in the structural design of a control arm. This study considers the static strength in the optimization process. For the optimum design, the durability analysis is performed to predict its fatigue life. In this study, the kriging interpolation method is adopted to obtain the minimum weight satisfying the strength constraint. Optimum designs are obtained by the in-house program, EXCEL-Kriging. Also, based on the optimum model obtained for the static strength, the optimization of Index of Fatigue Durability is carried out to get th optimum fatigue performance.

• Transactions of the Korean Society of Automotive Engineers
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• v.13 no.1
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• pp.119-125
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• 2005

The current automotive is seeking the improvement of performance, the prevention of environmental pollution and the saving of energy resources according to miniaturization and lightweight of the components. And the variance analysis on the basis of structure analysis and DOE is applied to the lower control am. We have proposed a statistical design model to evaluate the effect of structural modification by performing the practical multi-objective optimization considering weight, stress and fatigue lift. The lower control arm is performed the fatigue analysis using the load history of real road test. The design model is determined using the optimization of acquired load history with the fatigue characteristic. The characteristic function is made use of the optimization according to fatigue characteristics to consider constrained function in the optimization of DOE. The structure optimization of a lower control arm according to fatigue characteristics is performed. And the optimized design variable is D=47 m, T=36mm, W=12 mm. In the real engineering problem of considering many objective functions, the multi-objective optimization process using the mathematical programming and the characteristic function is derived an useful design solution.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.3
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• pp.1260-1269
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• 2011

The purpose of this study was to determine postoperative quality of life(QoL), thyroid specific symptoms(TSSs), self care compliance, anxiety and depression in patients with papillary thyroid cancer and to identify factors influencing their postoperative QoL. 154 patients were surveyed using structured questionnaires and data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression with SPSS/WIN 18.0 program. The mean score of postoperative QoL in the subjects was 2.72 and the postoperative QoL score of social/family well being subscale showed the lowest score. Most of the subjects suffered from TSSs such as fatigue, cold intolerance, and mood swings. The most frequent activity for self care compliance was taking thyroid hormone(100%) and OPD follow up was the second activity(99.4%). Anxiety score was 45.3 indicating a medium level however 63% of the subjects were evaluated as depression status. Postoperative QoL in thyroid papillary cancer patients showed significantly negative correlations to TSSs, anxiety, and depression (r=-.573, p<.001; r=-.739, p<.001; r=-.742, p<.001). The factors influencing postoperative QoL were TSSs, anxiety, and depression, which explained about 64.9% of the variance. Thus to improve postoperative QoL in patients with papillary thyroid cancer, health care providers should relieve negative emotions related to long term cancer management, develop the support system and provide practical information to apply patients' physical, and psychological symptoms control.

• Journal of Korean Traditional Oncology
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• v.18 no.1
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• pp.23-31
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• 2013

Objectives : The purpose of this case study is to demonstrate the effectiveness of Traditional Korean Medicine as an adjunctive management for breast cancer treatment. Methods : A 56 year-old female patient diagnosed with stage IA(pT1cN0M0) of breast cancer was admitted our hospital. The patient had surgical resection followed by radiation therapy, and conducted adjuvant therapy with aromatase inhibitor. The patient's chief complaints were dry cough, thirst and fatigue, all of which were caused by radiation therapy. Traditional Korean herbal medicine was prescribed for symptom management. The patient's subjective symptoms such as cough, thirst and fatigue were evaluated by NRS. Results : Fatigue was significantly improved within a week. The severity of dry cough and thirst also was decreased after a few courses of herbal medicine treatment. Conclusion : This case study suggests that Tradition Korean Medicine would be beneficial for the patients who are suffering from adverse effects of the standard treatment of cancer.

• Journal of Korean Tunnelling and Underground Space Association
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• v.12 no.5
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• pp.399-405
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• 2010

The accumulated displacements and fatigues of rock are increased by the stress-hysteresis, induced from repeated frost-thawing. Also the shear strength is decreased by them continuously. The stress-hysteresis is affected by the atmospheric temperature changes, whose behavior is visco-elasticity, usually. Therefore, to do ideal body analysis, Kelvin model could be used to analyze the frost-thawing behavior in winter. In general, rock slope failure occurs by the deterioration of rocks, which is caused by the repetition of freezing-thawing process. In order to keep the safety of such rock mass structures the deterioration process of rock needs to be described quantitatively using some meaningful parameters. In this work, the deterioration process in freezing-thawing cycle of tuff, which is a famous soft porous rock, is investigated through laboratory tests and successfully described as a differential equation for the change of porosity. And then, the deterioration of the mechanical properties of rock, such as Young's modulus and uniaxial compressive strength, are quantitatively described as a function of the porosity.

• Journal of Hospice and Palliative Care
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• v.16 no.3
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• pp.139-144
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• 2013

Advanced cancer patients tend to present multiple concurrent symptoms which are often moderate or severe in intensity. To date, the majority of studies have focused on either a single symptom, such as pain, fatigue, or depression or associated symptoms. While this approach has advanced understanding of some symptoms, it has offered clinicians not much guidance for treating several multiple concurrent symptoms in cancer patients. So in recent years, a few symptom management studies attempted a new approach of focusing on symptom clusters instead of individual symptoms. A symptom cluster is defined as two or more concurrent symptoms that are related to each other. If we better understand symptom clusters, interrelations of symptoms, and their common mechanisms in advanced cancer patients, clinicians can more effectively control multiple, concurrent symptoms and reduce drug side effects. And clinicians can also predict any other symptoms, functional performance, and the relationship between symptom clusters and survival in advanced cancer patients. At present, there is inconsistency in symptom clusters due to many unexplained mechanisms and various means to assess and analyze symptoms. Still, with further study, the approach to symptom clusters rather than individual symptoms could more effectively control symptoms and improve patients' quality of life.

• The Korean Ginseng Research and Industry
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• v.6 no.2
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• pp.2-21
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• 2012

현대과학에 의하여 밝혀진 고려인삼의 약리효능을 보면 뇌 기능 개선, 통증감소, 암 예방 및 항암작용, 면역기능 항진, 간 기능 개선, 항당뇨, 혈압 조절기능, 항피로, 항 스트레스, 여성 갱년기장애 개선, 남성 발기부전 개선, 항 산화, 항 노화 등에 관한 효능을 들 수가 있으며, 고려인삼의 효능성분으로서는 ginsenosides(인삼사포닌), 페놀화합물, 폴리아세틸렌화합물, 다당체 특히 산성다당체, 펩타이드 등이 주류를 이루고 있다. 효능성분 중에는 특히 ginsenosides에 관한 연구가 많이 수행되었는 바, 고려인삼이 타국삼에 비하여 다양한 종류의 ginsenosides가 함유되어 있다는 것이 판명되었다.

• Transactions of the Korean Society of Automotive Engineers
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• v.6 no.3
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• pp.18-25
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• 1998

This paper performed stress analysis and bench test for the LOWER ARM of H' type which was improved on LOWER ARM with the section of H type. And we investigated the safety of the section of H' type. The results of this study are as follows ; The section of H' type satisfied the required safety factor and has the highest stress value on the B part of the LOWER ARM. And the magnitude is similar to the fatigue strength of the GCD45(300㎫). Hence, the H' type has an advantage to reduce the cost of production.