• Journal of Korean Medicine for Obesity Research
• /
• v.20 no.1
• /
• pp.40-51
• /
• 2020

Objectives: We aimed to compare the quality of sleep, tongue diagnosis, oral microbiology differences in insomnia of Liver qi stagnation (LQS) and Non-Liver qi stagnation (NLQS). Methods: 56 patients were classified as LQS or NLSQ type insomnia through the insomnia differentiation questionnaire. The depression scores between the groups were compared through beck depression inventory (BDI), and the sleep quality was compared through Pittsburgh sleep quality index (PSQI) and Insomnia Severity Index (ISI). We analyzed the sleep efficiency, total sleep time, total awake frequency, total and average awake time through actigraph. For the tongue diagnosis, the distribution of tongue coating in six areas were measured through Winkel tongue coating index (WTCI). Linear discriminant analysis was performed to observe the differences in composition of microbial strains between the groups. Results: The scores of BDI, ISI and PSQI were significantly higher in LQS group. The total sleep time in LQS group was significantly less than that of NLQS group. Among the areas of tongue, according to the WTCI, the amount of tongue coating in zones A and C was significantly small. In oral microbial analysis, there was no significant difference between the groups at the phylum level. At the genus level, Prevotella, Veillonella, and Streptococcus were predominant in LQS group, whereas Prevotella, Neisseria, and Streptococcus in NLQS group. Conclusions: It was meaningful that insomnia was more likely in LQS group than in NLQS group, and the composition of oral microorganisms was significantly different, which could lead to the diseases caused by stress.

• Tuberculosis and Respiratory Diseases
• /
• v.47 no.6
• /
• pp.824-835
• /
• 1999

Background: Sleep-related breathing disorders are commonly found in patients with chronic renal failure and particularly, sleep apnea may have an influence on the long-term mortality rates in these patients. Maintenance hemodialysis is the mainstay of medical measures for correcting the metabolic derangements of chronic renal failure but it is uncertain whether it may alleviate sleep disorders including sleep apnea. Methods: Forty seven patients on maintenance hemodialysis were surveyed with the sleep questionnaire about their clinical symptoms related to sleep disorders. Among them, 15 patients underwent the polysomnography and their blood levels of urea nitrogen, creatinine, electrolytes and the arterial blood gases in the nights before and following hemodialysis were measured. Results: Forty(85.1%) of the 47 patients complained of the symptoms associated with sleep-wake cycle disturbances, 55.3% experienced snoring and 27.7% reported witnessed apneas. The duration of REM sleep increased significantly in the nights after hemodialysis compared to the nights without hemodialysis(p<0.05) and the percentage of total sleep time comprising NREM sleep decreased significantly in the nights following hemodialysis compared to the nights before hemodialysis(p<0.05). The percentage of total sleep time consisting of the stage 1 and 2 NREM sleep showed the trend for a decrease in the nights after hemodialysis(p=0.051), while the percentage of total sleep time comprising the stage 3 and 4 NREM sleep did not change between nights. The obstructive sleep apnea was more predominant type than the central one in both nights and there were no differences in the apnea index and the apnea-hypopnea index between the nights. The decrease in the blood level of urea nitrogen, creatinine, potassium and phosphorus was observed after hemodialysis(p<0.05), but the differences of parameters measured during polysomnography between the nights did not correlate with the changes of biochemical factors obtained on the two nights. Arterial blood gas analysis showed that pH was significantly greater in the nights after hemodialysis than in the nights before hemodialysis(p<0.05), but there were no correlations between the parameters examined during polysomnography and the parameters of arterial blood gas analysis(p<0.05). Conclusion: These results suggest that chronic renal failure is an important systemic disorder which is strongly associated with sleep disorders. Maintenance hemodialysis, although it is a widely accepted measure to treat chronic renal failure, did not significantly modulate the sleep architecture and the severity of sleep apnea. Thus, taking the patients with chronic renal failure into account, it is advisable to try not only to find a substantial way for correcting metabolic derangements but also to consider the institution of more effective treatments for sleep disorders.

• Journal of the Korean Society of Radiology
• /
• v.5 no.4
• /
• pp.179-187
• /
• 2011

This study statistically analyzed the difference of the stability of maintaining a respiratory period shown according to position and use of a device to search the tendency and usefulness of a device. The supine position showed better maintaining respiratory cycles than the prone position. The 85% of subjects who showed bad maintenance pattern of a respiratory cycle were significantly different pattern with using belly board. It could be said that there was a significant correlation between the maintenance of a respiratory cycle and relative index of respirational stability(p=0.044, kappa=0.607). The movement due to respiration was one of important considerations in the radiation therapy on chest, abdomen, and even pelvis. This study could contribute to the high quality radiation therapy by statistic analysis of respiratory signals and its application.

• Journal of Korean Academy of Nursing
• /
• v.30 no.5
• /
• pp.1333-1346
• /
• 2000

This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's $\alpha$ was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's $\alpha$ coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.40 no.1
• /
• pp.13-24
• /
• 2020

A systematic approach to assess the safety of corrugated steel plate structures has not been established yet. Therefore, an improved safety assessment procedure was proposed in this study by considering the characteristics of corrugated steel plate structures in which the dead load of backfill soil is dominant and the live load effect is minimized. The proposed procedure can consider the combined effect of axial force and bending moment on the safety, based on the Soil-Culvert Interaction (SCI) method, and can differentiate the maintenance scheme according to the calculated plasticity index. There is also an advantage in enhancing the accuracy of assessment, utilizing the measured displacements. Furthermore, improved methods were proposed by discussing various ways for reasonably improving the proposed assessment procedure. The safety of an actual structure and a full-scale test specimen was assessed by applying the proposed procedure. The conventional assessment procedure significantly overestimated the load-carrying capacity, whereas the proposed procedure resulted in a reasonable level of safety. Therefore, the procedure proposed in this study is expected to contribute to the establishment of proper maintenance plan such as the quantitative condition assessment and strengthening of corrugated steel plate structure.

• Journal of the Korea Computer Industry Society
• /
• v.4 no.4
• /
• pp.533-546
• /
• 2003

for the low information goods which will be traded through Internet is impossible to manage with previously existed payment system. The reason is that it's not economic because the management cost is bigger than the benefit of the information goods trade. Therefore, recently, there have been micropaymentresearches such as "Milicent", "PayWord", "MicroMint", and "iKP", etc. Though these methods don't have any problem with the low cost of the mechanism and the satisfaction of adequate security, they have big problem with the use of the unnecessary account and the aggregation of payment bill. The PayHash system which has been developed in this study simplifies the system's mechanism with "one-way hash function" which is used in generation, payment, and verification of the bill. And the system removed the generation and use of unnecessary account by making one customer have one account. The system solve the problem of the payment aggregation by using the last payment hash value and its index. And the system improves its performance by reducing the use of "digital signature" drastically, as well. As the result of this study, the PayHash system made it possible for the participants of the Internet Commerce to trade the lowest cost goods through efficient maintenance.o trade the lowest cost goods through efficient maintenance.

• International Journal of Highway Engineering
• /
• v.20 no.2
• /
• pp.35-44
• /
• 2018

PURPOSES : The purpose of this research is to analyze the characteristics of panels that affect the evaluating results of riding quality and to evaluate the appropriateness of roughness management criteria based on ride comfort satisfaction. METHODS : In order to analyze the influence of panel characteristics of riding quality, 33 panels, consisting of civilians and experts, were selected. Also, considering the roughness distribution of the expressway, 35 sections with MRI ranging from 1.17 m/km to 4.65 m/km were selected. Each panel boarded a passenger car and evaluated the riding quality with grades from 0 to 10, and assessed whether it was satisfied or not. After removing outlier results using a box plot technique, 964 results were analyzed. An ANOVA was conducted to evaluate the effects of panel expertise, age, driving experience, vehicle ownership, and gender on the evaluation results. In addition, by using the receiver operating characteristics (ROC) curve, the MRI value, which can most accurately evaluate the satisfaction with riding quality, was derived. Then, the compatibility of MRI was evaluated using AUC as a criterion to assess whether the riding quality was satisfactory. RESULTS : Only the age of the panel participants were found to have an effect on the riding quality satisfaction. It was found that satisfaction with riding quality and MRI are strongly correlated. The satisfaction rate of roughness management criteria on new (MRI 1.6 m/km) and maintenance (MRI 3.0 m/km) expressways were 95% and 53%, respectively. As a result of evaluating the roughness management criteria by using the ROC curve, it was found that the accuracy of satisfaction was the highest at MRI 3.1-3.2 m/km. In addition, the AUC of the MRI was about 0.8, indicating that the MRI was an appropriate index for evaluating the riding quality satisfaction. CONCLUSIONS : Based on the results, the distribution of the panels' age should be considered when panel rating is conducted. From the results of the ROC curve, MRI of 3.0 m/km, which is a criterion of roughness management on maintenance expressways, is considered as appropriate.

• Journal of Periodontal and Implant Science
• /
• v.50 no.5
• /
• pp.340-354
• /
• 2020

Purpose: This pilot study was conducted to evaluate the cleaning efficacy of an angled implant brush for home oral hygiene of full-arch fixed-implant prostheses. Methods: Forty-one patients treated with a full-arch implant rehabilitation in the maxilla or mandible (164 implants) for at least 4 months were enrolled. The screw-retained fixed prostheses were removed and baseline (T0) parameters were recorded, including plaque index (PI), probing depth (PD), and bleeding on probing (BOP). All patients completed a 5-item questionnaire on hygiene maintenance and received an implant brush for home hygiene. After 1 month (T1) PI, PD, and BOP were recorded again and patients completed a 7-item questionnaire to evaluate their satisfaction with the implant brush. One-way repeated-measures analysis of variance was conducted to evaluate the significance of changes in PI, PD, and BOP. A P value <0.05 was considered to indicate statistical significance. Results: A statistically significant reduction of BOP (0.62±0.6 at T0 vs. 0.5±0.5 at T1; P=0.032) was found, while no statistically significant changes in PD (1.74±0.5 mm at T0 vs. 1.77±0.5 mm at T1; P=0.050) or PI (1.9±0.7 at T0 vs. 1.7±0.7 at T1; P=0.280) occurred. According to the 7-item questionnaire, patients reported no difficulty in using the angled brush (63.4%) and deemed it highly (46.3%) or very highly (4.8%) effective in improving their home oral hygiene. Conclusions: Within the limits of the present pilot study, the patients experienced a reduction of BOP 1 month after being instructed to use the angled implant brush. The angled implant brush appeared to be a well-accepted device for home-care hygiene of full-arch fixed-implant rehabilitations.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.21 no.4
• /
• pp.1-12
• /
• 2017

This paper concerns the structural behavior of high-strength concrete beams with compressive strength of 80 MPa subjected to flexure. Main test variables were nominal yielding strength of longitudinal rebar including normal strength rebar(SD 400) and high strength rebar(SD 600), reinforcement ratio from 0.98 to 1.58% and beam section size with $200{\times}250$, $200{\times}300mm$. The nine beams were cast and tested under flexure. The study investigated ultimate flexural strength, load-deflection relationship, crack patterns, failure patterns and ductility of the test beams. Test results indicate that when rebar ratio increased flexural strength increased and ductility decreased. In addition, the number of cracks increased and the crack width decreased as the reinforcement ratio increased. The yield strength of rebar did not affect significantly load-crack width relationship. Nonlinear analysis of test beams was performed and then test results and analytical results of ultimate load were compared. Analytical results of high-strength concrete beams overall underestimated flexural strength of test beams.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.14 no.4
• /
• pp.55-61
• /
• 2010

This paper is concerned with an experimental research to random vibration control caused by external loads specially in bridges which tend to be structurally flexible. Experimenting on a reduced structure modelled on Seohae Grand Bridge, we inflicted a reduced form of El-centro wave on the model structure to a proper proportion. On the center of its middle span, we placed a shear type MR damper which was to control its vibration and also acquire its structural responses such as displacement and acceleration at the same site. The experiments concerning controlling vibration were performed according to a variety of theories including un-control, passive on/off control, and Lyapunov stability theory. Its control performance was evaluated in terms of the peak absolute displacements, the peak absolute accelerations and the total power required to control the bridge which differ from each different experiment method. Among all the methods applied in this paper, case of Lyapunov control method turned out to be the most effective to reduces of displacement and acceleration. Also, this method could to decrease consuming of external power for vibration control. Finally, it was noteworthy that Lyapunov control method was specially effective in the vibration control employing a semi-active damper such MR damper.