• 대한간호학회지
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• 제34권1호
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• pp.111-122
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• 2004

Purpose: This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home. Method: Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003. Result: Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ADL 1(Independence)’ 9.87, ‘ADL 2(Partial independence)’ 12.78, ‘ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘meals on wheels’ 40.7%, ‘home helper’ 38.2%, ‘visiting of social welfare worker’ 21.0%, ‘physical therapy’ 19.6%, ‘day care center’ 12.3%, ‘volunteer's service’ 9.9%, ‘home visiting care’ 3.7%, ‘occupational therapy’ 3.7%, and ‘speech therapy’ 2.5%. Conclusion: The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.

• International Journal of Automotive Technology
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• 제7권1호
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• pp.109-114
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• 2006

Half-beads of multi-layer-steel cylinder head gaskets take charge of sealing of lubrication oil and coolant between the cylinder head and the block. Since the head lifts off periodically due to the combustion gas pressure, both the dynamic sealing performance and the fatigue durability are essential for the gasket. A finite element model of the halfbead has been developed and verified with experimental data. The half-bead forming process was included in the model to consider the residual stress effects. The model is employed to assess the dependence of the sealing performance and the fatigue durability on the design parameters of half-bead such as the width and height of bead and the flat region length. The assessment results show that the sealing performance can be enhanced without significant deterioration of the fatigue durability in a certain range of the half-bead width. In the other cases the improvement of sealing performance is accompanied by the loss of the fatigue durability. Among three parameters, the bead width has the strongest influence.

• Journal of Magnetics
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• 제21권4호
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• pp.516-523
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• 2016

In this paper, coupling factors are calculated based on numerical analysis in order to assess various non-uniform low-frequency magnetic field exposure situations. Two types of non-uniform magnetic field sources are considered; circular coil and parallel wires with balanced currents. For each magnetic field source, source current values are determined so that reference magnetic field magnitude can be measured at the specified point on the human model. Various exposure situations are investigated by changing parameters such as the distance between source and human model, radius of circular coil, and the gap between parallel wires. For equivalent human models, prolate spheroid model and simplified human model from IEC 62311 standard are used. The calculated coupling factor values are compared with those obtained by 2D uniform disk human model, and the dependence of coupling factor on the choice of equivalent human model is analyzed.

• PNF and Movement
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• 제18권1호
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• pp.133-141
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• 2020

Purpose: The purpose of this study was to conduct balance training through vision control to improve the balance, postural control, and balance confidence and to decrease the visual and sensory dependence of stroke patients. Methods: Twenty-eight chronic stroke patients volunteered to participate in the study. They were randomly assigned to the eyes-closed and the eyes-open training groups. Three times a week for four weeks each group performed an unstable-support session and a balance training session for thirty minutes per set. Their balance, postural control, and balance confidence were assessed using BIO Rescue (BR), the postural assessment scale for stroke (PASS), and the Korean activity-specific balance confidence scale (K-ABC), respectively. All data were analyzed using SPSS version 22.0. Statistical methods before and after working around the average value of each dataset were independent T-test. The significance level for statistical analyses was set at 0.05. Results: Comparison between the groups showed statistically significant effects on all variables before and after the intervention (p < 0.05). Conclusion: This study reflected that balance-training programs involving vision control improve the balance, postural control, and balance confidence of chronic stroke patients. Thus, stroke patients should undergo training programs that increase the use of their other senses with vision control in clinical practice.

• Tuberculosis and Respiratory Diseases
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• 제82권1호
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• pp.1-5
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• 2019

Quitting smoking helps smokers maintain their health and extend their lifespan by 10 or more years. Treatment strategies for smoking cessation should be tailored to individual smokers with special needs based on their specific circumstances. It is recommended that pregnant women adopt smoking cessation through counseling and behavioral interventions because the safety of medications has yet to be established. Counseling is the main strategy for smoking cessation in adolescents and nicotine replacement therapy can be used with caution in individuals with serious nicotine dependence. It is important for smokers with psychiatric diseases to quit smoking following accurate assessment of their depression status. Nicotine replacement therapy, varenicline, and bupropion can be used for smoking cessation in smokers with psychiatric disorders. The incidence of cardiovascular disease decreased according to the smoking status and the duration of smoking cessation. In smokers with chronic obstructive pulmonary disease (COPD) who used a combination of counseling and pharmacotherapy the quitting rate was more than twice as high as subjects who used behavioral interventions alone. Varenicline can be used as the most effective anti-smoking drug by most smokers including those with psychiatric disorders, cardiovascular disease, and COPD.

• Nuclear Engineering and Technology
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• 제54권4호
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• pp.1288-1294
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• 2022

Hydrogen as an environmentally friendly energy carrier has received special attention to solving uncertainty about the presence of renewable energy and its dependence on time and weather conditions. This material can be prepared from different sources and in various ways. In previous studies, fossil fuels have been used in hydrogen production, but due to several limitations, especially the limitation of the access to this material in the not-too-distant future and the great problem of greenhouse gas emissions during hydrogen production methods. New methods based on renewable and green energy sources as energy drivers of hydrogen production have been considered. In these methods, water or biomass materials are used as the raw material for hydrogen production. In this article, after a brief review of different hydrogen production methods concerning the required raw material, these methods are examined and ranked from different aspects of economic, social, environmental, and energy and exergy analysis sustainability. In the following, the current position of hydrogen production is discussed. Finally, according to the introduced methods, their advantages, and disadvantages, solar electrolysis as a method of hydrogen production on a small scale and hydrogen production by thermochemical method on a large scale are introduced as the preferred methods.

• Nuclear Engineering and Technology
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• 제54권5호
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• pp.1616-1622
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• 2022

Selenium has been identified as an element of interest for the safety assessment of a deep geological repository (DGR) for used nuclear fuel. In Canada, groundwaters at DGR depths in sedimentary rocks have been observed to have a high ionic strength. This paper examines the sorption behavior of Se(-II) onto illite, MX-80 bentonite, Queenston shale, and argillaceous limestone in Na-Ca-Cl solutions of varying ionic strength (0.1-6 mol/kgw (m)) and across a pH range of 4-9. Little ionic strength dependence for Se(-II) sorption onto all solids was observed except that sorption at high ionic strength (6 m) was generally slightly lower than sorption at low ionic strength (0.1 m). Illite and MX-80 exhibited the expected results for anion sorption, while shale and limestone exhibited more constant sorption across the pH range tested. A non-electrostatic surface complexation model successfully predicted sorption of Se(-II) onto illite and MX-80 using the formation of an inner-sphere surface complex and an outer-sphere surface complex. Optimized values for the formation reactions of these surface species were proposed.

• Geomechanics and Engineering
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• 제31권3호
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• pp.305-318
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• 2022

Permeable reactive barriers used for groundwater treatment require proper estimation of the reactive material behavior regarding the emplacement method. This study evaluates the dry emplacement of zeolite (clinoptilolite) to be used as a reactive material in the barrier by carrying out several geotechnical laboratory tests. Dry zeolite samples, exhibited higher wetting-induced compression strains at the higher vertical stresses, up to 12% at 400 kN/m². The swelling potential was observed to be limited with a 3.5 swell index and less than 1% free swelling strain. Direct shear tests revealed that inundation reduces the shear strength of a dry zeolite column by a maximum of 10%. Falling head permeability tests indicate decreasing permeability values with increasing the vertical effective stress. Regarding self-loading and inundation, the porosity along the zeolite column was calculated using a proposed 1D numerical model to predict the permeability with depth considering the laboratory tests. The calculated discharge efficiency was significantly decreased with depth and less than 2% relative to the top for barrier depths deeper than 20 m. Finally, the importance of directional dependence in the permeability of the zeolite medium for calibrating 2D finite element flow analysis was highlighted by bench-scale tests performed under 2D flow conditions.

• 정신신체의학
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• 제11권2호
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• pp.196-204
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• 2003

연구목적: 알코올의존 환자의 수면 장애에 대한 치료에 있어서 기존의 진정수면제 등의 약물은 교차 내성을 일으키고, 수면의 질을 악화시키기도 한다. 광치료는 일주기리듬장애, jet-lag, 순환제교대근무에서 나타나는 수면장애와 노화와 관련된 수면 장애의 치료에 효과적인 비약물적 치료중재이다. 따라서 저자들은 이미 여러 질환의 수면장애에 시도되고 있던 광치료의 회복기 알코올의존환자의 수면장애에 대한 치료적 효과를 알아보고자 하였다. 연구방법: 알코올 금단 증상을 보이지 않는 13명의 알코올의존 환자들을 대상으로 하여 2500Lux의 광상자로 하루에 오전 1시간 씩 3일에 걸쳐 광치료를 시행하였다. 총수면시간, 실제수면시간, 수면잠복기, 수면효율, 각성빈도 등을 수면기록지를 통해 평가하였으며, visual-analogue scale을 통해 주관적인 수면의 만족도를 평가하였다. 오전 8시, 오후 2시, 오후 8시 3차례에 걸쳐 연구대상자의 졸림 정도를 스탠포드졸림척도를 통해 평가하였으며, visual-analogue scale을 통해 불안, 우울 기분 및 피로감을 평가하였다. 수면상태를 반영하는 수행 능력의 평가를 위하여 기초단계와 연구 4일째에 기호잇기검사(trail making test)A, B 및 기호바꿔쓰기검사(digit symbol substitution test)를 시행하였다. 각 측정값은 반복측정분산분석법을 이용하여 비교하였으며 수행능력의 평가는 사전사후차이검증을 이용하였다. 결 과: 수면기록지로 평가된 수면잠복기, 수면효율은 광치료의 효과를 확인할 수 있었으며 기초 단계에 비해 연구 1일째부터 유의한 차이를 보였다. 수면에 대한 만족도도 광치료에 따라 유의하게 증가하였으며 연구 1일째부터 유의한 차이를 나타내었다. 오후 2시에 평가된 졸림은 광치료의 효과를 확인할 수 없었지만 오전 8시에는 광치료에 따라 졸림이 유의하게 감소하였고 오후 8시에는 유의하게 증가하였다. 기호잇기검사와 기호바꿔쓰기검사에서 환자들은 광치료 전후 수행 시간이 유의하게 감소하였다. Visual analogue scale에 의한 피로감의 평가에서 오후 2시와 오후 8시에 광치료에 따라 유의하게 피로감의 감소가 나타났으며 우울기분과 불안은 광치료의 효과를 확인할 수 없었다. 결 론: 본 연구에서는 금단 증상에서 회복된 후에도 지속적으로 수면장애를 호소하는 알코올의존 환자들에 있어 비록 제한적이지만 광치료의 효과를 확인할 수 있었고, 임상 실제에서 알코올중독 환자들의 수면장애에 단기간의 광치료가 효과적인 치료도구가 될 수 있음을 제시하고 있다. 추후 보다 객관적인 수면 평가 도구를 이용한 장기간의 대조군 연구가 필요할 것으로 생각된다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.4409-4413
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• 2013

Background: Cigarette smoking is a well-established risk factor of pancreatic cancer (PC). Although an association between nicotine dependence phenotype, namely time to first cigarette (TTFC) after waking, and the risk of several smoking-related cancers has been reported, an association between TTFC and PC risk has not been reported. We assessed the impact of smoking behavior, particularly TTFC, on PC risk in a Japanese population. Materials and Methods: We conducted a case-control study using 341 PC and 1,705 non-cancer patients who visited Aichi Cancer Center in Nagoya, Japan. Exposure to risk factors, including smoking behavior, was assessed from the results of a self-administered questionnaire. The impact of smoking on PC risk was assessed with multivariate logistic regression analysis adjusted for potential confounders to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results: Cigarettes per day (CPD) and/or smoking duration were significantly associated with PC risk, consistent with previous studies. For TTFC and PC risk, we found only a suggestive association: compared with a TTFC of more than 60 minutes, ORs were 1.15 (95%CI, 0.65-2.04) for a TTFC of 30-60 minutes and 1.35 (95%CI, 0.85-2.15) for that of 0-30 minutes (p trend=0.139). After adjustment for CPD or smoking duration, no association was observed between TTFC and PC. Conclusions: In this study, we found no statistically significant association between TTFC and PC risk. Further studies concerning TTFC and PC risk are warranted.