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Study on the Adolescent Patient′s Stress during Hospitalization (청년기환자의 입원생활에 따르는 긴장에 관한 연구)

  • 백영주
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.72-79
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    • 1976
  • Contemper nursing literature place much importance on human- centered and individualized care. Nursing research has related stress during hospitalization of adolescent patients to adaptation to a new environment, isolation from friends, limitation due to illness, over protection of parents and communication with member of the medical team. The investigator conducted this study in the hope that an understanding of adolescents responses to hospitalization, their perceptions, the kinds and levels of stress, and the relationships between stressors and individual characteristics would contribute to the improvement of adolescent patient care. The objective of the study was to obtain informations related to the adolescents psychological stress experience during hospitalization, specifically stress from interpersonal relationships and communication, isolation from the family, social or economic problems, illness and from the treatment environment and nursing care. An interview schedule adopted from Holmes and Rahe's Social Readjustment Rating Scale and selected items from Voicer's instrument on stress-producing events was used with 120 adolescent inpatients aged 13 to 18 years three general hospitals in Seoul during Aug. 10, to Sep. 30, 1975. 1. The sample consisted of 66 male and 54 female patients. Sixty-six percent were late adolescents, aged 16 to 18 years: 4% were early adolescents, aged 13 to 15 years. The primary cause for hospitalization was for orthopedic problems (35.8%). More than half of these (54.4%) were due to injury or accident. 2. Stress eclated to illness revealed the highest score (4.97), followed by stress related to treatment environment and nursing care (4.34) , isolation from family and social or economic problems (4.01) and interpersonal relationships and communication (3.96). 3. The perceived indifference of doctors and nurses was a serious cause of stress (mean=4.83). Fellow patients and visitors caused least stress (mean=2.06). 4. Discontinuation of education or unemployment were major stressful events (mean=4.71). Least stressful was isolation from the family (mean=3.47). 5. More than 94% of the respondents expressed fears related to body image (mean=4.97) 6. Within the category of treatment environment and nursing care, items related to restrictions because of treatment, discomfort because of treatment, inadequate explanation from nurses about procedures were rated as severe stress events (mean=4.6). Items related to the ward environment and to having a relative stay with them were seen by the group as less serious events (mean=3.7). 7. Stress related to interpersonal relationships and communication was correlated positively with female patients and those preferring passive activities. (P〈0.05) 8. Stress related to family problems was positively related to female and early adolescent patients (P< 0.05). Stress related to social problems was positively , elated to students and those preferring active pursuits (P< 0.05). 9. There were no correlation between the high stress related to disease and any of the characteristic items. (P> 0.05) 10. Stress related to treatment environment and nursing care was positively related of early adolescent and female and student patients. (P< 0.05) This group of hospitalized adolescents reported high level of stress related to treatment environment and nursing care, due to lack of consideration of normal growth and development and individual characteristics. The findings have important implications for the planning of effective, individualized, comprehensive nursing care of adolescents during hospitalization.

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Dietary Aloe Vera Gel Powder and Extract Inhibit Azoxymethane-induced Colorectal Aberrant Crypt Foci in Mice Fed a High-fat Diet

  • Chihara, Takeshi;Shimpo, Kan;Kaneko, Takaaki;Beppu, Hidehiko;Higashiguchi, Takashi;Sonoda, Shigeru;Tanaka, Miyuki;Yamada, Muneo;Abe, Fumiaki
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.683-687
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    • 2015
  • Aloe vera gel exhibits protective effects against insulin resistance as well as lipid-lowering and anti-diabetic effects. The anti-diabetic compounds in this gel were identified as Aloe-sterols. Aloe vera gel extract (AVGE) containing Aloe-sterols has recently been produced using a new procedure. We previously reported that AVGE reduced large-sized intestinal polyps in Apc-deficient Min mice fed a high fat diet (HFD), suggesting that Aloe vera gel may protect against colorectal cancer. In the present study, we examined the effects of Aloe vera gel powder (AVGP) and AVGE on azoxymethane-induced colorectal preneoplastic aberrant crypt foci (ACF) in mice fed a HFD. Male C57BL/6J mice were given a normal diet (ND), HFD, HFD containing 0.5% carboxymethyl cellulose solution, which was used as a solvent for AVGE (HFDC), HFD containing 3% or 1% AVGP, and HFDC containing 0.0125% (H-) or 0.00375% (L-) AVGE. The number of ACF was significantly lower in mice given 3% AVGP and H-AVGE than in those given HFD or HFDC alone. Moreover, 3% AVGP, H-AVGE and L-AVGE significantly decreased the mean Ki-67 labeling index, assessed as a measure of cell proliferation in the colonic mucosa. In addition, hepatic phase II enzyme glutathione S-transferase mRNA levels were higher in the H-AVGE group than in the HFDC group. These results suggest that both AVGP and AVGE may have chemopreventive effects on colorectal carcinogenesis under the HFD condition. Furthermore, the concentration of Aloe-sterols was similar between 3% AVGP and H-AVGE, suggesting that Aloe-sterols were the main active ingredients in this experiment.

Photodynamic effect of Photofrin and Radachlorin against Staphylococcus aureus and Staphylococcus epidermidis (황색포도알균과 표피포도알균에 대한 포토프린과 라다클로린의 광역학 효과)

  • Seo, Choong-Won;Ryu, Jae-Gi;Kwon, Pil-Seung
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.407-414
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    • 2014
  • The aim of this study was to evaluate the photodynamic therapy effects against staphylococci using Photofrin and Radachlorin with Light emitting diode(LED). Experimental methods, The bacterial suspensions containing Staphylococcus aureus and Staphylococcus epidermidis at $1{\times}10^5$ were prepared and diluted to different concentrations of photosensitizer, Photofrin or Radachlorin, on 1.25, 2. 5,5 and $10{\mu}g/ml$. The bacterial suspensions were exposed to 630 and 670 nm LED light at the energy density of 14.4 and $19.8J/cm^2$, respectively. The CFU results of S. aureus and S. epidermidis were showed 33 and 50 colony forming at $5{\mu}g/ml$ of Photofrin, respectively and both of them perfectely were dead at $5{\mu}g/ml$ of Radachlorin. The fluorescent intensity by flow cytometry was showed the increase in the dead cells than the normal cells. In the TEM photograph, the damage of bacterial membrane and the distortion of cell morphology were observed. These results suggest that photodynamic therapy combine with Photofrin and Radachlorin can be applied a new modality for antibacterial therapy.

A preliminary study of Oxalis corniculata L. as a new banker plant: Control efficacy against Panonychus citri (McGregor) and feeding ability of two natural enemies on Tetranychina harti (Ewing) (천적유지식물로써 괭이밥에 대한 기초연구: 괭이밥의 귤응애 밀도억제효과와 천적 2종의 괭이밥응애 포식력)

  • Oh, Chang Hak;Jin, Hye Young;Ahn, Tai Hyeon;Song, Yu Jin;Jun, Hye Jeong;Lee, Jun Seok;Ham, Eun Hye
    • Korean journal of applied entomology
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    • v.56 no.3
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    • pp.267-273
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    • 2017
  • To protect plants from damage caused by Panonychus citri (McGregor), practical methods for the use banker plants have been developed to provide a habitat and augment natural enemies of several agricultural pests. The average population density of predatory mites on an Oxalis corniculata (creeping sorrel) sod culture was significantly higher (three times) than that on normal sod culture. Furthemore, the average population density of spider mites on creeping sorrel sod culture was significantly lower (3.7 times) than when weed control was practiced. Average consumption of the eggs and females of Tetranychina harti (Ewing) by Neoseiulus californicus (McGregor) females was approximately 1.96 eggs and 1.93 females per day, respectively. Phytoseiulus persimilis AthiasHenriot females never consumed T. harti. However, total development time of T. harti from egg to adult on O. corniculata was 17.4 days, and hatchability and survival rate were 77.5% and 84.8%, respectively.

Performance Evaluation of Steel Moment Frame and Connection including Inclined Column (경사기둥을 포함한 철골모멘트 골조 및 접합부의 성능평가)

  • Kim, Yong-Wan;Kim, Taejin;Kim, Jongho
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.26 no.3
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    • pp.173-182
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    • 2013
  • The building design projects which are being proceeded nowadays pursue a complex and various shape of structures, escaping from the traditional and regular shape of buildings. In this new trend of the architecture, there rises a demand of the research in the structural engineering for the effective realization of such complex-shaped buildings which disassembles the orthogonality of frames. As a distinguished characteristics of the buildings in a complex-shape, there frequently are inclined columns included in the structural frame. The inclined column causes extra axial force and bending moment at the beam-column connection so it is necessary to assess those effects on the structural behavior of the frame and the connection by experiment or analysis. However, with comparing to the studies on the normal beam-column connections, the inclined column connections have not been studied sufficiently. Therefore, this study evaluated the beam-column connections having an inclined column using nonlinear and finite element analysis method. In this paper, steel moment frames having inclined columns were analyzed by the nonlinear pushover analysis to check the global behavior and beam-column connection models were analyzed by the finite element analysis to check the buckling behavior and the fracture potentials.

Image Based Quality Assurance of Range Compensator for Proton Beam Therapy (양성자치료용 보상체의 영상기반 정도 관리 기반 프로그램 개발)

  • Kim, Jin-Sung;Yoon, Myong-Geun;Kim, Dong-Wook;Lim, Young-Kyung;Kwak, Jung-Won;Park, So-Ah;Shin, Dong-Ho;Shin, Jung-Wook;Lee, Se-Byeong;Park, Sung-Yong;Cho, Kwan-Ho
    • Progress in Medical Physics
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    • v.19 no.1
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    • pp.35-41
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    • 2008
  • The main benefit of proton therapy over photon beam radiotherapy is the absence of exit dose, which offers the opportunity for highly conformal dose distributions to target volume while simultaneously irradiating less normal tissue. For proton beam therapy two patient specific beam modifying devices are used. The aperture is used to shape the transverse extension of the proton beam to the shape of the tumor target and a patient-specific compensator attached to the block aperture when required and used to modify the beam range as required by the treatment plan for the patient. A block of range shifting material, shaped on one face in such a way that the distal end of the proton field in the patient takes the shape of the distal end of the target volume. The mechanical quality assurance of range compensator is an essential procedure to confirm the 3 dimensional patient-specific dose distributions. We proposed a new quality assurance method for range compensator based on image processing using X-ray tube of proton therapy treatment room. The depth information, boundaries of each depth of plan compensatorfile and x-ray image of compensator were analyzed and presented over 80% matching results with proposed QA program.

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Earthquake Wave Propagation Using Staggered-grid Finite-difference Method in the Model of the Antarctic Region (엇격자 유한차분법을 이용한 극지해역 지진파 모델링)

  • Oh, Ju-Won;Min, Dong-Joo;Lee, Ho-Yong;Park, Min-Kyu
    • Journal of the Korean earth science society
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    • v.32 no.6
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    • pp.640-653
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    • 2011
  • We simulate the propagation of earthquake waves in the continental margin of Antarctica using the elastic wave modeling algorithm, which is modified to be suitable for acoustic-elastic coupled media and earthquake source. To simulate the various types of earthquake source, the staggered-grid finite-difference method, which is composed of velocity-stress formulae, can be more appropriate to use than the conventional, displacement-based, finite-difference method. We simulate the elastic wave propagation generated by earthquakes combining 3D staggered-grid finite-difference algorithm composed of displacement-velocity-stress formulae with double couple mechanisms for earthquake source. Through numerical tests for left-lateral strike-slip fault, normal fault and reverse fault, we could confirm that the first arrival of P waves at the surface is in a good agreement with the theoretically-predicted results based on the focal mechanism of an earthquake. Numerical results for a model made after the subduction zone in the continental margin of Antarctica showed that earthquake waves, generated by the reverse fault and propagating through the continental crust, the oceanic crust and the ocean, are accurately described.

A GoP-based Dynamic Transmission Scheduling for supporting Fast Scan Functions with m-times playback rate in Video-On-Demand (주문형 비디오에서 m배속 고속 재생을 위한 GoP 기반 동적 전송 스케줄 작성)

    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.24 no.9B
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    • pp.1643-1651
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    • 1999
  • Video-On-Demand (VOD) is expected to provide the user with interactive operations such as VCR functions. In particular, fast scan functions like “Fast Forward” of “Fast Backward” for a certain speedup playback are required. Since they require a significant amount of system resources, schemes to reduce bandwidth requirements for the network or disk are needed. In MPEG standard, Group-of-Pictures (GoP) is a random access unit which can be decoded independently. Since storing and transmitting a video stream based on GoP is efficient, it is practical to support fast scan functions based on GoP. In this paper, we present a dynamic transmission scheduling scheme to support fast scan functions with m-times normal playback rate for a stored video. The proposed scheme writes a transmission schedule whenever user requests a fast scan function. That is, the scheme constructs the data set to be smoothed by skipping GoPs according to a given speedup factor, and then writes the transmission schedule by applying a bandwidth smoothing. Finally, the scheme restarts the transmission of video data to a client according to the new schedule. The proposed scheme results in speeding up the playback rate by utilizing “GoP skipping”, and then reduces the computational overhead by applying a bandwidth smoothing based on GoP.

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Residual Stress and Elastic Modulus of Y2O3 Coating Deposited by EB-PVD and its Effects on Surface Crack Formation

  • Kim, Dae-Min;Han, Yoon-Soo;Kim, Seongwon;Oh, Yoon-Suk;Lim, Dae-Soon;Kim, Hyung-Tae;Lee, Sung-Min
    • Journal of the Korean Ceramic Society
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    • v.52 no.6
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    • pp.410-416
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    • 2015
  • Recently, a new $Y_2O_3$ coating deposited using the EB-PVD method has been developed for erosion resistant applications in fluorocarbon plasma environments. In this study, surface crack formation in the $Y_2O_3$ coating has been analyzed in terms of residual stress and elastic modulus. The coating, deposited on silicon substrate at temperatures higher than $600^{\circ}C$, showed itself to be sound, without surface cracks. When the residual stress of the coating was measured using the Stoney formula, it was found to be considerably lower than the value calculated using the elastic modulus and thermal expansion coefficient of bulk $Y_2O_3$. In addition, amorphous $SiO_2$ and crystalline $Al_2O_3$ coatings were similarly prepared and their residual stresses were compared to the calculated values. From nano-indentation measurement, the elastic modulus of the $Y_2O_3$ coating in the direction parallel to the coating surface was found to be lower than that in the normal direction. The lower modulus in the parallel direction was confirmed independently using the load-deflection curves of a micro-cantilever made of $Y_2O_3$ coating and from the average residual stress-temperature curve of the coated sample. The elastic modulus in these experiments was around 33 ~ 35 GPa, which is much lower than that of a sintered bulk sample. Thus, this low elastic modulus, which may come from the columnar feather-like structure of the coating, contributed to decreasing the average residual tensile stress. Finally, in terms of toughness and thermal cycling stability, the implications of the lowered elastic modulus are discussed.

Control of Jujube Witches'-Broom by Post-Harvest Trunk Injection of Oxytetracycline (옥시테트라싸이클린의 수확후수간주입(收穫後樹幹注入)에 의(依)한 대추나무 빗자루병(病) 방제(防除))

  • Bak, Won Chull;La, Yong Joon
    • Journal of Korean Society of Forest Science
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    • v.82 no.1
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    • pp.12-16
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    • 1993
  • Post-harvest trunk injection of oxytetracycline-HCl(OTC) was attempted for the control of jujube witches'-broom. Diseased jujube(Zizyphus jujuba) trees with 9 to 16cm trunk diameters were treated with OTC ranged from 2g to 6g according to the size of trunk diameter. OTC dissolved in 0.51 or 1.01 of water was transfused into diseased trees by gravity flow injection during September and October. All these OTC concentrations prevented symptom development for two growing seasons and restored previously severely diseased trees to normal conditions. There was no differences in control effect between 0.51 and 1.01 OTC solutions. With these high OTC concentrations, no phytotoxicity was observed in the new leaves of the following year. Mycoplasma -like organism (MLO)-specific fluorescence was absent in the phloem of recovered tissue when examined by fluorescence microscopy using DAPI(4'-6-diamidino-2-phenylindole.2HCl) staining, indicating the disappearance of MLO by the action of OTC.

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