Purpose: Women have been often underdiagnosed and undertreated when they have as high mortality as men of ischemic heart disease, such as angina. One of the reasons of women's under treatment is associated with either vague, non-traditional symptoms or longer delay in seeking professional help when they experience ischemic heart disease. This study was conducted to investigate the characteristics of women's anginal pain induced by the treadmill test and to explore the potential relationship(s) between anginal pain and other psycho-physiologic factors. Methods: Of 22 female patients referred to treadmill test, 7 with positive finding participated in this study. Anginal pain in the past was analyzed by Rose questionnaire, whereas anginal pain induced by the treadmill test was identified by McGill pain scale, visual analogue scale and present pain index. Results: Women expressed more heaviness than sharp pain, and complained splitting more often than subjects in previous study that included both men and women. Pain intensity by VAS $3.64{\pm}3.94$, Pain rating index was $5.14{\pm}7.29$, present pain index was $1.57{\pm}1.81$, duration of pain was $5.14{\pm}4.8$ min. Exercise intensity was $6.0{\pm}4.63$ METs, exercise duration was $364.29{\pm}141.39$ sec, ST change was -2.0mm and rate of perceived exertion was $16.29{\pm}2.06$. The relationships between pain intensity and pain duration, ST segment changes were significant. Correlation among pain measures was significant. Conclusion: Generalization of these pilot findings may be inappropriate, and therefore, further larger study is needed.
Seismic design practices and seismic response analyses of civil structures and nuclear power plants (NPPs) have conventionally used the peak ground acceleration (PGA) or spectral acceleration (Sa) as an intensity measure (IM) of an earthquake. However, there are many other earthquake IMs that were proposed by various researchers. The aim of this study is to investigate the correlation between seismic responses of NPP components and 23 earthquake IMs and identify the best IMs for correlating with damage of NPP structures. Particularly, low- and high-frequency ground motion records are separately accounted in correlation analyses. An advanced power reactor NPP in Korea, APR1400, is selected for numerical analyses where containment and auxiliary buildings are modeled using SAP2000. Floor displacements and accelerations are monitored for the non- and base-isolated NPP structures while shear deformations of the base isolator are additionally monitored for the base-isolated NPP. A series of Pearson's correlation coefficients are calculated to recognize the correlation between each of the 23 earthquake IMs and responses of NPP structures. The numerical results demonstrate that there is a significant difference in the correlation between earthquake IMs and seismic responses of non-isolated NPP structures considering low- and high-frequency ground motion groups. Meanwhile, a trivial discrepancy of the correlation is observed in the case of the base-isolated NPP subjected to the two groups of ground motions. Moreover, a selection of PGA or Sa for seismic response analyses of NPP structures in the high-frequency seismic regions may not be the best option. Additionally, a set of fragility curves are thereafter developed for the base-isolated NPP based on the shear deformation of lead rubber bearing (LRB) with respect to the strongly correlated IMs. The results reveal that the probability of damage to the structure is higher for low-frequency earthquakes compared with that of high-frequency ground motions.
Tameh, Fatemeh Izadi;Asadollahfardi, Gholamreza;Darban, Ahmad Khodadadi
Advances in environmental research
/
v.6
no.1
/
pp.67-81
/
2017
Mining activities play a significant role in environmental pollution by producing large amounts of tailings which comprise heavy metals. The impressive increase in mining activities in recent decades, due to their high influence on the industry of developing countries, duplicates the need for a substantial effort to develop and apply efficient measures of pollution control, mitigation, and abatement. In this study, our objective was to investigate the effect of simulation of the leachate, pH and inflow intensity of transport of $Pb^{2+}$, $Zn^{2+}$, and $Cd^{2+}$ through Lakan lead and zinc plant tailings, in Iran, and to evaluate the modeling efficiency by comparing the modeling results and the results obtained from previous column studies. We used the HP1 model and the PHREEQC database to simulate metals transport through a saturated soil column during a 15 day time period. The simulations assumed local equilibrium. As expected, a lower pH and inflow intensity increased metal transport. The retardation of heavy metals followed the order $Zn^{2+}$ > $Pb^{2+}$ > $Cd^{2+}$ and the removal concentrations of Cd, Pb, and Zn at the inflow intensity critical scenario, and Cd and Pb at inflow acidity critical scenario exceeded the allowable EPA and Iranian's 1053 standard thresholds. However, although the simulation results generally agreed well with the results of the column study, improvements are expected by using multi-dimensional models and a kinetic modeling approach for the reactions involved. The results of such investigations will be highly useful for designing preventative strategies to control reactive transport of hazardous metals and minimize their environmental effects.
The Journal of Korean Academic Society of Nursing Education
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v.29
no.1
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pp.60-71
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2023
Purpose: The purpose of this study was to identify changes in the experience rate and level of symptoms of visual display terminal syndrome in college students attending online classes during the COVID-19 pandemic. Methods: Data were collected from February 22 to June 8, 2021 at three measurement points. A total of 117 college students were administered a visual display terminal syndrome survey just before online classes (T1), one month after the start of online classes (T2), and three months after the start of online classes (T3). The collected data were analyzed by frequency and percentage, paired t-test, McNemar test, and repeated measures analysis of variance using the IBM SPSS 25.0 program. Results: The intensity of college students' visual display terminal syndrome during online classes increased at T2 and T3 compared to T1. The rate of experiencing back discomfort or pain increased abruptly at T2 compared to T1. The intensity of college students' eye related symptoms and skin related symptoms increased at T2 and T3 compared to T1, while the intensity of college students' psychological symptoms, general body discomfort, and musculoskeletal symptoms increased at T3 compared to T1. Conclusion: The results of this study suggest that self-care programs are needed to prevent visual display terminal syndrome in college students who are in long-term online classes.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.33
no.4
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pp.447-454
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2023
Objective: This study aims to investigate the impact of changes in working conditions on job-related stress and musculoskeletal disorders using the results of seven surveys conducted at a single workplace from 2004 to 2022 regarding factors hazardous to the musculoskeletal system. Additionally, the study aims to propose alternative methods of investigating factors hazardous to the musculoskeletal system. Methods: A car parts manufacturing plant where the same survey was taken seven times from 2004 to 2022 was selected and the survey data was analyzed. The main contents of the survey were weekly working hours, Borg's scale, work intensity, job-related stress, and the prevalence of musculoskeletal symptoms. The statistical analysis was performed using SAS (version 9.4). Results: The results of this study are as follows. Firstly, changes in working conditions have an impact on job-related stress. Secondly, changes in working conditions have an impact on work intensity indicators. Thirdly, changes in working conditions have an impact on the prevalence of musculoskeletal symptoms. Fourthly, even with an increase in age and length of service, job-related stress and musculoskeletal symptoms were alleviated when working conditions were improved. Conclusions: In order for measures to reduce musculoskeletal disorders to be successful, working conditions must not deteriorate, and it is necessary to demand revisions to regulations, etc. to reflect these points in the investigation of hazardous factors to the musculoskeletal system.
Kim, Seong-Tae;Jeong, Go-Eun;Kim, Sang-Yoon;Choi, Seung-Ho;Lim, Gil-Chai;Han, Ju-Hee;Nam, Soon-Yuhl
Phonetics and Speech Sciences
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v.1
no.2
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pp.43-49
/
2009
Vocal polyps are benign phonotraumatic lesions which are traditionally treated using phonomicrosurgical techniques. In the case of hyperfunctional voice use, voice therapy is effective and results in voice improvement. However, the utility of voice therapy about vocal polyp is in great demand. The purpose of this study was to evaluate the effects of voice therapy in patients with vocal polyps. The authors reviewed the medical records of 193 patients with vocal nodules or vocal polyps, and 64 patients (31 nodules and 33 polyps) were enrolled. All of the subjects had received explanation of problems, vocal hygiene education, and been treated by the $SKMVTT^{(R)}$ (Seong-Tae Kim's multiple voice therapy technique) ranging from 4 to 16 sessions (mean: 8.6 sessions). All subjects were examined by perceptual assessment, acoustic and aerodynamic measures, and VRP (voice range profile). In perceptual assessment, patients with vocal nodules had more breathy and strained voices than the vocal polyp group. Both groups significantly reduced rough, breathy voice after voice therapy. Patients with vocal polyps had worse voice quality than patients with nodules in acoustic measures. Both groups showed reduced jitter and shimmer after voice therapy. In aerodynamic measures, MPT and Psub were increased, and MFR was reduced (p<.05). Participants' frequency range and intensity range were increased after voice therapy, but only frequency range resulted in a significant difference (p<.05). In conclusion, the therapeutic effect of voice therapy in patients with vocal nodules and polyps was demonstrated perceptually and acoustically. We can suggest that voice therapy, including advice, vocal hygiene, and $SKMVTT^{(R)}$ is a useful as an initial choice of treatment for patients with vocal polyps before considering a surgical approach.
In order to protect the lives and property of citizens, the central and local governments are responding by enacting municipal ordinances and regulations as the frequency of extreme weather conditions due to climate change increases and intensity increases gradually. Accordingly, the basic contents and strategies of domestic and foreign policies to cope with cold and heat waves were reviewed, referring to measures suitable for application to the Daegu metropolitan area. In addition, it is intended to provide a policy alternative to Daegu metropolitan area to minimize damage from extreme weather by identifying the current status, characteristics, and future prospects of extreme weather in Daegu metropolitan area. Since the damage caused by the cold wave in Daegu area is not as great as that of other regions, it is urgent to come up with cold wave measures for the health and transportation sectors, and to come up with measures against the heat wave as the damage caused by the heat wave is the most serious in the country. Also we will identify spatial characteristics so that the districts and counties with high vulnerability to extreme weather can be identified and implemented first, and present civic life-oriented facilities and civic action guidelines to overcome cold and heat waves.
Objective: The purpose of this study was to determine how exercise intensity affects muscle activity and kinematic variables during squat. Method: Fifteen trainers with >5 years of experience were recruited. For the electromyography (EMG) measurements, four surface electrodes were attached to both sides of the lower extremity to monitor the rectus femoris (RF) and biceps femoris. Three digital camcorders were used to obtain three-dimensional kinematics of the body. Each subject performed a squat in different conditions (40% one-repetition maximum [40%1RM], 60%1RM, and 80%1RM). For each trial being analyzed, three critical instants and two phases were identified from the video recording. For each dependent variable, one-way analysis of variance with repeated measures was used to determine whether there were significant differences among the three different conditions (p<.05). When a significant difference was found, post hoc analyses were performed using the contrast procedure. Results: The results showed that the average integrated EMG values of the RF were significantly greater in 80%1RM than in 40%1RM during the extension phase. The temporal parameter was significantly longer in 80%1RM than in 40%1RM and 60%1RM during the extension phase. The joint angle of the knee was significantly greater in 80%1RM than in 40%1RM at flexion. The range of motion of the knee was significantly less in 80%1RM than in 40%1RM and 60%1RM during the flexion phase and the extension phase. The angular velocity was significantly less in 80%1RM than in 40%1RM and 60%1RM during the extension phase. Conclusion: Generally, the increase of muscle strength decreases the pace of motion based on the relation between the strength and speed of muscle. In this study, we also found that the increase of exercise intensity may contribute to the increase of the muscle activity of the RF and the running time in the extension phase during squat motion. We observed that increased exercise intensity may hinder the regulation of the range of motion and joint angle. It is suitable to perform consistent movements while controlling the proper range of motion to maximize the benefit of resistance training.
Kim, Bu-Young;Yun, Young-Ju;Shin, Yong-Beom;Kim, Soo-Yeon;Oh, Tae-Young
Journal of the Korean Society of Physical Medicine
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v.13
no.1
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pp.27-38
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2018
PURPOSE: The purpose of this study was to find out the treatment patterns of Children with cerebral palsy, and to analyze the effect of physical function level and treatment intensity on improvement of physical function in children with cerebral palsy for six months. METHODS: Participants were 126 children (boys 83, girls 43) diagnosed cerebral palsy that the mean age was at 33months, ranged from 8 months to 77 months. We collected data related on demography and disable characteristic, treatment pattern using by questionnaire constructed ourselves for six months on caregivers. The treatment pattern includes, type, frequency, and institute of treatment. We performed the evaluation of Gross Motor Function Measurement (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) between pre and post for six months in order to find out improvement of physical function. We analyzed the effect of physical functional level measured by Gross Motor Functional Classification system, age, treatment intensity on physical function using by repeated measures ANOVA for SPSS PC ver. 22.0. RESULTS: The average of treatment frequency for physical therapy was 5.74 times per week, occupational therapy was 3.96 times, speech therapy was 2.96 times, treatment for accompanying disability was 3.12 times. Physical function level and age was significantly factors affecting improvement of physical function, there was no significant difference according to treatment intensity. CONCLUSION: We suggest that physical function and age might be important factors on improvement of physical function and professional rehabilitation team must consider the appropriate treatment type customized to each children.
Korean Journal of Agricultural and Forest Meteorology
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v.6
no.4
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pp.211-217
/
2004
The instrument used in this study consists of a lkg capacity loadcell and a Imm tipping bucket rain gauge. There are two signals: one is the weight of the water in the tipping bucket and the other is the pulse from the reversing mechanism of the tipping bucket. The loadcell measures the weight of water with a 0.0lmm resolution up to 1mm rainfall and the bucket reverses beyond 1mm. From this point, a pulse signal generates and the loadcell starts measuring the weight again. A field test was carried out with the range of rainfall intensity from 42mm/h to 250mm/h. The result shows an error range from -2.2% to + 2.6% in 12 measurement cases with a rainfall of l00mm or more. This result satisfies the WMO recommendation for rainfall intensity instrumentation which allows a 5% range. In a field experiment during 17 to 19 August, 2004, more than 100mm/h rainfall intensity was observed by this instrument, confirming that our instrument has a sufficient capacity of rainfall intensity measurement under extreme conditions like Jangma (Bai-u season). Compared with existing commercial models which employ a water drop measurement method, our method can give a practical solution for diagnostic check of remote rain gauges using two independent signals.
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