• Title/Summary/Keyword: Common stress

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Stress Reduction Protocol for Proper Local Anesthesia of Advanced Infected Teeth in Medically Compromised Patients -Review of Literature & Report of Cases- (전신질환자에서 과도한 감염치아부 국소마취시 스트레스 감소법 : 문헌적 고찰 및 증례보고)

  • Yoo, Jae-Ha;Choi, Byung-Ho;Sul, Sung-Han;Kim, Ha-Rang;Mo, Dong-Yub
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.8 no.1
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    • pp.1-9
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    • 2008
  • Common dental procedures (local anesthesia and dental treatment) are potentially stress-inducing in many patients, especially medically compromised patients. The body response to dental stress involves the cardiovascular system (an increase in cardiovascular workload), the respiratory organ and the endocrine system (change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment: do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given. This protocol is predicated on the belief that the prevention of or reduction of stress ought to begin before the start of an appointment, continue throughout treatment, and, if indicated, into the postoperative period. The authors used the stress reduction protocol in the care of local anesthesia infected teeth in medically compromised patients. The final prognosis was comfortable without any complications.

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Analysis of Sarcopenia Using an Integrated Evaluation Tool : Targeting the elderly over 65 years of age in Korea (통합적 평가 도구를 활용한 근감소증 분석 : 국내 65세 이상 노인을 대상으로)

  • Chae-Rim Park;Hae-In Kim;Myung-Chul Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.31-41
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    • 2023
  • Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.

Factors affecting the health-related quality of life of children with cerebral palsy in Indonesia: a cross-sectional study

  • Ade Febrina Lestari;Mei Neni Sitaresmi;Retno Sutomo;Firda Ridhayani
    • Child Health Nursing Research
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    • v.30 no.1
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    • pp.7-16
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    • 2024
  • Purpose: Children with cerebral palsy (CP) and their parents experience various problems that can affect their quality of life. This study examined factors affecting the quality of life of children with CP. Methods: A cross-sectional study was conducted in Yogyakarta, Indonesia, from January to August 2019. The participants were consecutively recruited children with CP aged 2 to 18 years and their parents. Ninety-eight children with CP and their parents, specifically their mothers, were recruited. Children's health-related quality of life (HRQoL) was measured using the Pediatrics Quality of Life Cerebral Palsy. Parental HRQoL and stress were measured using the WHOQOL-BREF and Parenting Stress Index (PSI). Results: Functional level V was the most common category for both Gross Motor Function Classification System (GMFCS) and Bimanual Fine Motor Function (BFMF) (35% and 28%, respectively). Children's mean HRQoL was medium (49.81±20.35). The mean total PSI score was high (94.93±17.02), and 64% of parents experienced severe stress. Bivariate analysis showed that GMFCS, BFMF, number of comorbidities, presence of pain, and parental stress were significantly correlated with the total score for children's HRQoL (p<.05). Multiple linear regression analysis (p<.05) demonstrated that more severe GMFCS and parental stress were associated with lower mean HRQoL scores in children. Conclusion: Factors including the level of GMFCS and parental stress affected the HRQoL of children with CP. Parental stress management should be included in the comprehensive management of these children.

Antidepressant-like Effects of Schisandra chinensis Baillon Water Extract on Animal Model Induced by Chronic Mild Stress (만성스트레스로 유발된 우울증 동물모델에서 오미자 물 추출물의 항우울 효과)

  • Kang, Min Gu;Kim, Young Hwa;Im, A Rang;Nam, Byung Soo;Chae, Sung Wook;Lee, Mi Young
    • Korean Journal of Medicinal Crop Science
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    • v.22 no.3
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    • pp.196-202
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    • 2014
  • Depression is one of the most common neuropsychiatric disorders and has been associated with the neuroendocrine system and alterations in behavior. Schisandra chinensis Baillon is one of major medicinal plants used as a Korea medicine and food sources, and has been processed in the fields of various food products and medicinal herbs. The chronic mild stress (CMS) protocol is widely used to evoke depressive-like behaviors in laboratory mice or rat. The CMS procedure induced some behavioral changes that are compatible with the common expectations, i.e. 'anhedonic' behavior and can affect corticosterone level. The present study, Schisandra chinensis extract administration by daily gavage from the 3 weeks exhibited an antidepressant-like effect on CMS-induced depression in mice. Schisandra chinensis extract administration at dose of 200mg/kg significantly increased the sucrose consumption, and decreased the immobility durations in forced swim test and tail suspension test. Furthermore the corticosterone level decreased than control group. In conclusion, Schisandra chinensis extract showed antidepressant-like effects on sucrose preference test, forced swimming test and tail suspension test based on CMS model.

Combining In Silico Mapping and Arraying: an Approach to Identifying Common Candidate Genes for Submergence Tolerance and Resistance to Bacterial Leaf Blight in Rice

  • Kottapalli, Kameswara Rao;Satoh, Kouji;Rakwal, Randeep;Shibato, Junko;Doi, Koji;Nagata, Toshifumi;Kikuchi, Shoshi
    • Molecules and Cells
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    • v.24 no.3
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    • pp.394-408
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    • 2007
  • Several genes/QTLs governing resistance/tolerance to abiotic and biotic stresses have been reported and mapped in rice. A QTL for submergence tolerance was found to be co-located with a major QTL for broad-spectrum bacterial leaf blight (bs-blb) resistance on the long arm of chromosome 5 in indica cultivars FR13A and IET8585. Using the Nipponbare (japonica) and 93-11 (indica) genome sequences, we identified, in silico, candidate genes in the chromosomal region [Kottapalli et al. (2006)]. Transcriptional profiling of FR13A and IET8585 using a rice 22K oligo array validated the above findings. Based on in silico analysis and arraying we observed that both cultivars respond to the above stresses through a common signaling system involving protein kinases, adenosine mono phosphate kinase, leucine rich repeat, PDZ/DHR/GLGF, and response regulator receiver protein. The combined approaches suggest that transcription factor EREBP on long arm of chromosome 5 regulates both submergence tolerance and blb resistance. Pyruvate decarboxylase and alcohol dehydrogenase, co-located in the same region, are candidate downstream genes for submergence tolerance at the seedling stage, and t-snare for bs-blb resistance. We also detected up-regulation of novel defense/stress-related genes including those encoding fumaryl aceto acetate (FAA) hydrolase, scramblase, and galactose oxidase, in response to the imposed stresses.

Durability Evaluation by Strength due to Load Direction of Press in Common Use (상용 프레스의 하중 방향에 따른 강도에 의한 내구성 평가)

  • Cho, Jae-Ung;Han, Moon-Sik
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.6
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    • pp.52-59
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    • 2013
  • In this study, strength and durability are investigated using structural and vibration analyses on models 1 and 2 of a press in common use. Model 1 has a structure in which a punch is applied from the upper part to the lower part; however, model 2 a structure in which a punch is applied from the lower part to the upper part. Maximum displacements of models 1 and 2 are 0.018184 mm and 0.025498 mm, respectively. Maximum equivalent stresses of models 1 and 2 are 14.144 MPa and 18.58 MPa respectively. Maximum displacements are shown for the punches of both models; model 1 has less deformation than model 2. Model 1 has more durability than model 2, as determined by an investigation of the structural strength. Using natural frequency analysis, model 1 was found to have maximum deformation in the upper part of punch. Mode1 2 has its maximum deformation in the column part of the body and the upper part of the fixed pin. Using harmonic stress analysis, the maximum deformations were found on the punch part and column part of the body in the cases of models 1 and 2, respectively. As the maximum total deformation and equivalent stress in the case of model 2 are shown to become 40 times those values of model 1, the vibration durability of model 2 can be seen to be weaker than that of model 1.

The Defensive Effect of Keuibi-tang on the Gastric Mucous Membrane of Mouse Injured by Stress and Ethanol (스트레스와 에탄올로 유발된 mouse의 위점막 손상에 대한 귀비탕의 예방효과)

  • 김학재;최준혁;임성우
    • The Journal of Korean Medicine
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    • v.24 no.1
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    • pp.155-168
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    • 2003
  • This study was carried out to investigate the effect of Keuibi-tang (KBT) on the injury of gastric mucous membrane by stress and ethanol in mice. The normal group was non-inflammation elicited mice. The two control groups were mice with gastro-inflammation elicited by stress and ethanol. The two sample groups were mice administered KBT before gastro-inflammation elicitation. In the common morphology and histochemical change, the two control groups were observed with various injuries such as hemorrhagic erosion and ulcer, while the sample group was the same as the normal group. In the immunohistochemical change, the distributions of PNA and COX-1 treated with KBT noticeably increased over the control group (P<0.05). The distributions of $NF-{\kappa}B$ p50, COX-2 and TUNEL in the group treated with KBT were noticeably lower than in the control group (P<0.05). The distribution of KBT was the same as the normal group. According to the above results, it is supposed that KBT is applicable to gastritis and gastric ulcer due to stress and alcoholic drinks.

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Fyn Kinase: A Potential Therapeutic Target in Acute Kidney Injury

  • Uddin, Md Jamal;Dorotea, Debra;Pak, Eun Seon;Ha, Hunjoo
    • Biomolecules & Therapeutics
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    • v.28 no.3
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    • pp.213-221
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    • 2020
  • Acute kidney injury (AKI) is a common disease with a complex pathophysiology which significantly contributes to the development of chronic kidney disease and end stage kidney failure. Preventing AKI can consequently reduce mortality, morbidity, and healthcare burden. However, there are no effective drugs in use for either prevention or treatment of AKI. Developing therapeutic agents with pleiotropic effects covering multiple pathophysiological pathways are likely to be more effective in attenuating AKI. Fyn, a non-receptor tyrosine kinase, has been acknowledged to integrate multiple injurious stimuli in the kidney. Limited studies have shown increased Fyn transcription level and activation under experimental AKI. Activated Fyn kinase propagates various downstream signaling pathways associated to the progression of AKI, such as oxidative stress, inflammation, endoplasmic reticulum stress, as well as autophagy dysfunction. The versatility of Fyn kinase in mediating various pathophysiological pathways suggests that its inhibition can be a potential strategy in attenuating AKI.

A New Tangent Stiffness for Anisotropic Elasto-Viscoplastic Analysis of Polycrystalline Deformations (다결정재 소성변형의 탄소성 해석을 위한 접선강성 개발)

  • Yoon, J.H.;Huh, H.;Lee, Y.S.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2006.05a
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    • pp.349-352
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    • 2006
  • The plastic deformation of polycrystalline materials is induced by changes of the microstructure when the loading is beyond the critical state of stress. Constitutive models for the crystal plasticity have the common objective which relates microscopic single crystals in the crystallographic texture to the macroscopic continuum point. In this paper, a new consistent tangent stiffness for the anisotropic elasto-viscoplastic analysis of polycrystalline deformation is developed, which can be used in the finite element analysis for the slip-dominated large deformation of polycrystalline materials. In order to calculate the consistent tangent stiffness, the state function is defined based on the consistency condition between the elastic and plastic stress. The rate of shearing increment($\Delta{\gamma}^{\alpha}$) is calculated with satisfying the consistency condition. The consistency condition becomes zero when the trial resolved shear stress($\tau^{{\alpha}^*}$) becomes resolved shear stress($\tau^{\alpha}$) at every step. Iterative method is utilized to calculate the rate of shearing increment based on the implicit backward Euler method. The consistent tangent stiffness can be formulated by differentiating the rate of shearing increment with total strain increment after the instant rate of shearing increment converges. The proposed tangent stiffness is applied to the ABAQUS/Standard by implementing in the ABAQUS/UMAT.

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Experimental Evaluation on the Thermal Stress Due to Ice Plugging of Tubes in Nuclear Power Plant (배관의 Ice Plugging에 의하여 유발되는 열응력의 실험적 규명)

  • Park, Young-Don;Lee, Min-Woo;Ku, Tae-Wan;Kim, Kui-Soon;Kang, Beom-Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.23 no.7 s.166
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    • pp.1094-1103
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    • 1999
  • Ice-plugging of tube in nuclear power plant has been widely used for the purpose of preventing flow of the tube temporarily like a valve. Most common plugging method employs Liquid Nitrogen Gas of $-196^{\circ}C$. According to the change of tube materials and its dimension, the thermal stress caused from the application of the frozen gas can be varied. In this research, a series of experiments have been carried out to inspect the effect of tube geometry on thermal stresses induced due to ice-plugging. Two typical dimension of stainless and mild steels of 3 and 6 inch diameters were used for the experiments. Each critical spots were checked using strain rosette gages. Another inspection was made on the pressure and temperature of the fluid. It is shown that significant thermal stress level which can cause plastic deformation of failure has not been noticed in this series of experiments.