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Factors Influencing Sleep Disturbances among Older Adults Living within a Community (재가노인의 수면 관련요인)

  • Jeon, Bo Min;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.235-245
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    • 2017
  • Purpose: Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles. Methods: 137 participants over 65 years old were recruited from a senior welfare center. Their mean age was $74.07{\pm}5.18years$ old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep. Results: Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph. Conclusion: Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

Some Results from a Sample Survey on the Use of Moxibustion Therapeutics in Korea (국내 뜸요법 사용실태에 관한 표본조사 결과)

  • Kim, Sun-Woong;Hong, Sung-Joon;Park, So-Hyung;Jung, Chan-Yung;Yoon, Eun-Hye;Lee, Seung-Deok
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.115-121
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    • 2010
  • Objectives : Based on a national sample survey, we present an analysis of the current situation in the use of moxibustion therapeutics by qualified medical practitioners in Korea. Methods : The survey population of 11,737 hospitals is stratified by administrative regions, and 331 of them are randomly selected from the list of hospitals. The same number of Korean medical doctors is interviewed under the computer-assisted telephone interviewing(CATI) system. The bound on the error of estimation is ${\pm}\;5.0%$ point. Results : Of the 331 Korean medical doctors surveyed, 69% have used moxibustion therapy for remedial treatment. About half of those doctors have employed the therapy for their patients over 30%. The average number of acupuncture points per treatment using the therapy mostly ranges 1 between 5. The percent of practitioners, who have the number of average minutes less than 20 in treatment, is 74%. The number of practitioners who primarily use modified moxibustion is 4 times as many as that of those using traditional moxibustion. Conclusions : Considering the survey results, if the laser heater, alternative to conventional moxibustion, which not only gives high thermal effect but also reduces both the users inconvenience and side effects, are developed, it may benefit more patients as well as Korean medical doctors.

The Quantitative Determination of Reversible and Irreversible Oxidative Damages Induced by Smoking Cessation and Supplementation of Antioxidative Vitamins in Korean Male Smokers (한국 남자 흡연자의 금연과 항산화제 보충에 따른 체내 가역적.비가역적인 산화 손상도 변화의 정량적 측정 연구)

  • 김미경
    • Journal of Nutrition and Health
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    • v.33 no.2
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    • pp.167-178
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    • 2000
  • The effect of oral vitamin e (800IU/day) and C (500mg/day) supplementation for 10 days and/or smoking cessation for 5 days on oxidative damage to the red blood cells (RBC) of male smokers (22.2$\pm$0.2 years old) was studied. RBC were tested for their ability to protect against smoking-induced oxidative damage by measuring heme proteins (carboxyhemoglobin, hemoglobin, methemoglobin, oxyhemoglobin), hemolysis and thiobarbiturinc acid reactive substances (TBARS). Plasma levels of vitamin c, A, E, $\beta$-catotene, total cholesterol, glutamic pyruvic transaminase(GPT) and glutamic oxaloacetic transaminase(GOT) were also analyzed. In experiment one, a comparison was made of heme proteins and lipid damage to RBC, plasma antioxidant status (indexed by plasma levels of vitamin C, E, A and $\beta$-carotene) between smokers(n=56) and non-smokers (n=16). No differences were found in plasma antioxidant status, heme protein damage and TBARS concentration of RBC. In experiment two, 46 fasting male smokers from experiment one were divided into 4 groups. The groups were smoking with placebo group(SP, n=14), smoking cessation with vitamins supplementatin group (SV, n=13), smoking cessation with placebo group (NSP, n=9) and smoking cessation with vitamins supplementation group (NSV, n=10). After supplementing antioxidant vitamins, significant increases were seen in plasma vitamins supplementation group (NSV, n=10). After supplementing antioxidant vitamins, significant increases were seen plasma vitamin C (p<0.05) and vitamin E levels (p<0.05). The plasma vitamin E level was highest in the NSV group. Vitmain E and C supplementation provided some protection against heme proteins and lipid damage by lowering methemoglobin, hemolysis and TBARS concentration of RBC. Smoking cessation significantly decreased TBARS of RBC and plasma total cholesterol concentration. Supplementing vitamin E and C with smoking cessation considerably lowered plasma total cholesterol. These results point to a special association among smoking, oxidative damage and plasma antioxidant vitamin status. They indicate that increases in plasma antioxidant status can be detected after the supplementation of vitamin C and E and that smoking cessation had an additional effect on plasma vitamin E level. The present data suggest that improved antioxidant status induced by antioxidant supplementation or smoking cessation may help prevent oxidative damage in smokers.

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A Ringing Surge Clamper Type Active Auxiliary Edge-Resonant DC Link Snubber-Assisted Three-Phase Soft-Switching Inverter using IGBT-IPM for AC Servo Driver

  • Yoshitsugu, Junji;Yoshida, Masanobu;Hiraki, Eiji;Inoue, Kenji;Ahmed, Tarek;Nakaoka, Mutsuo
    • KIEE International Transaction on Electrical Machinery and Energy Conversion Systems
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    • v.2B no.3
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    • pp.115-124
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    • 2002
  • This paper presents an active auxiliary edge-resonant DC link snubber with a ringing surge damper and a three-phase voltage source type zero voltage soft-switching inverter with the resonat snubber treated here for the AC servo motor driver applications. The operation of the active auxiliary edge-resonant DC link snubber circuit with PWM voltage is described, together with the practical design method to select its circuit parameters. The three-phase voltage source type soft-switching inverter with a single edge-resonant DC link snubber treated here is evaluated and discussed for the small-scale permanent magnet (PM) type-AC servo motor driver from an experimental point of view. In addition to these, the AC motor stator current and its motor speed response for the proposed three-phase soft-switching inverter employing Intelligent Power Module(IPM) based on IGBTS are compared with those of the conventional three-phase hard-switching inverter using IPM. The practical effectiveness of the three-phase soft-switching inverter-fed permanent magnet type AC motor speed tracking servo driver is proven on the basis of the common mode current in a novel type three-phase soft-switching inverter-fed AC motor side and the conductive noise on the mains terminal interface voltage as compared with those of the conventional three-phase hard-switching inverter-fed permanent magnet type AC servo motor driver for the speed tracking applications.

Quality Characteristics of Cholesterol Free UHT Pasteurized Milk (Cholesterol Free 우유의 품질특성)

  • Jeon, Jeong-Ki
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.4
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    • pp.524-528
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    • 2005
  • The purpose of this study is to investigate the quality characteristic of cholesterol free milk helping the reduction of serum cholesterol. Cholesterol free milk stored at $10\pm1^{\circ}C$ was evaluated with general analysis, stability, cholesterol, microorganism, aflatoxin $M_1$, antibiotic, antibacterial agent, color, and sensory evaluation. Animal fat contents were significant (p<0.05), but normal values. Quality characteristics of alcohol test, freezing point, and somatic cell count were general milk data with stability. Cholesterol content, microorganism, and aflatoxin MI were not detected. Also antibiotic and antibacterial agent residues were not detected by Parallux, Charm II, TTC II, and Eclipse method. Color of CFM1 was significant, while CFM2 was similar with conventional milk. Compared to control milk made by conventional way, QDA scores of color and mouthfeel in CFM1 were significantly different, whereas CFM2 did not show any significant. These Quality characteristic results suggested that health-oriented cholesterol free milk would be made by food additive.

The Evaluation of Image Quality According to the Change of Reconstruction Algorithm of CT Images (재구성 알고리즘 변화에 따른 CT 영상의 화질 평가)

  • Han, Dong-Kyoon;Park, Kun-Jin;Ko, Shin-Kwan
    • Korean Journal of Digital Imaging in Medicine
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    • v.12 no.2
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    • pp.127-132
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    • 2010
  • In this study, the correlation among the changes of Modulation Transfer Function(MTF) in the noise and high-contrast resolution and the change of Contrast to noise ratio(CNR) in the low-contrast resolution will be examined to investigate the estimation of image quality according to the type of algorithms. The image data obtained by scanning American Association of Physicists in Medicine(AAPM) phantom was applied to each algorithm and the exposure condition of 120 kVp, 250 mAs, and then the CT number and noise were measured. The MTF curved line of the high-contrast resolution was calculated with Point Spread Function(PSF) by using the analysis program by Philips, resulting in 0.5 MTF, 0.1 MTF and 0.02 MTF respectively. The low-contrast resolution was calculated with CNR and the uniformity was measured to each algorithm. Since the measurement value for the uniformity of the equipment was below ${\pm}$ 5 HU, which is the criterion figure, it was found to belong to the normal range. As the algorithm got closer from soft to edge, the standard deviation of CT number increased, which indicates that the noise increased as well. As for MTF, 0.5 MTF, 0.1 MTF and 0.02 MTF were all sharp algorithms, and as the algorithm got closer from soft to edge, it was possible to distinguish more clearly with the naked eye. On the other hand, CNR gradually decreased, because the difference between the contrast hole CT number and the acrylic CT number was the same while the noise of hole increased.

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Study on the Solid and Laminated Wood Bending of Platanus occidentalis L.(I) - Solid Wood-bending Properties by Steaming - (양버즘나무의 소재(素材) 및 집성곡목제조(集成曲木製造)에 관(關)한 연구(硏究)(I) - 증자(蒸煮)에 의한 소재(素材)휨가공성(加工性) -)

  • So, Won-Tek;Jung, Hee-Suk
    • Journal of the Korean Wood Science and Technology
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    • v.18 no.4
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    • pp.26-40
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    • 1990
  • The plane trees(Platanus occidentalis L.) have been grown in Korea very widely as ornamental garden or street trees but they have not been used as manufacturing materials The proportion of imported wood has been now over 85% of raw materials needed in the wood industry, and therefore, many of studies on the substitution of domestic wood for imported wood and on the increasing the utilization rate of domestic species have been attempted and considered as very important projects to solve. From a this point of view, this study was carried out to investigate solid wood bending properties of plane trees and then to develop their end-uses, and the size of specimens tested was $15\times15\times350mm$ for steaming treatment and they were dried to $15\pm1%$ before bending. The results obtained were as follows: 1. The optimum conditions for solid wood bending processing of Platanus occidentalis are showed in Table 7. 2. The minimum solid-bending radii of Platanus occidentalis were 40mm in steaming treatment. 3. The effect of knots, diagonal grain and decay on the degradation of bending processing properties were very severe. 4. The bending stress was setted successfully through $80^{\circ}C$-15hrs drying after bending and the spring back for 24hr-exposing time was only about 1%.

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Immediate Partial Breast Reconstruction with Endoscopic Latissimus Dorsi Muscle Flap Harvest

  • Yang, Chae Eun;Roh, Tai Suk;Yun, In Sik;Kim, Young Seok;Lew, Dae Hyun
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.513-519
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    • 2014
  • Background Currently, breast conservation therapy is commonly performed for the treatment of early breast cancer. Depending on the volume excised, patients may require volume replacement, even in cases of partial mastectomy. The use of the latissimus dorsi muscle is the standard method, but this procedure leaves an unfavorable scar on the donor site. We used an endoscope for latissimus dorsi harvesting to minimize the incision, thus reducing postoperative scars. Methods Ten patients who underwent partial mastectomy and immediate partial breast reconstruction with endoscopic latissimus dorsi muscle flap harvest were reviewed retrospectively. The total operation time, hospital stay, and complications were reviewed. Postoperative scarring, overall shape of the reconstructed breast, and donor site deformity were assessed using a 10-point scale. Results In the mean follow-up of 11 weeks, no tumor recurrence was reported. The mean operation time was 294.5 (${\pm}38.2$) minutes. The postoperative hospital stay was 11.4 days. Donor site seroma was reported in four cases and managed by office aspiration and compressive dressing. Postoperative scarring, donor site deformity, and the overall shape of the neobreast were acceptable, scoring above 7. Conclusions Replacement of 20% to 40% of breast volume in the upper and the lower outer quadrants with a latissimus dorsi muscle flap by using endoscopic harvesting is a good alternative reconstruction technique after partial mastectomy. Short incision benefits from a very acceptable postoperative scar, less pain, and early upper extremity movement.

Prediction of Sensory Characteristics from Leaf Chemical Compounds in Oriental Tobacco (오리엔트종 잎담배의 화학성분에 의한 관능 특성 예측)

  • Jeong, Kee-Taeg;Cho, Soo-Heon;Kim, Si-Mong;Park, Seong-Weon;Lee, Chul-Hee
    • Journal of the Korean Society of Tobacco Science
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    • v.29 no.2
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    • pp.85-89
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    • 2007
  • This study was conducted to evaluate the prediction of sensory characteristics of smoke from the leaf chemical compounds and characterize leaf chemical components for the best tobacco taste's leaves in oriental tobacco. For analytical and sensory evaluations, seventy two grades were used. Sensory evaluation of tobacco smoke for six attributes were scored on fifteen-point scale by $10{\sim}14$ expert panels trained to estimate smoking quality quantitatively. The major leaf chemical compounds to predict the sensory characteristics of smoke were ether extract for tobacco-like, nicotine for impact and total nitrogen/nicotine ratio for irritation, and total sugar for off taste & odor. Within ${\pm}20%$ range of difference, the predictable probabilities of sensory characteristics of smoke from the leaf chemical compounds were 87.5 % for off taste & odor and $94.4{\sim}98.6\;%$ for tobacco-like, impact and irritation. As a result of K-means cluster analysis on the basis of tobacco taste, the desirable leaf chemical compound contents were $5.9{\sim}8.3\;%$ in ether extract, $1.35{\sim}2.27\;%$ in nicotine and $1.17{\sim}2.24$ in total nitrogen/nicotine ratio. This study suggest that the some regression equations may be useful to predict the sensory characteristics of tobacco smoke with a few selected leaf chemical compounds in oriental tobacco and to select the oriental tobacco leaves by means of enhancing the tobacco taste of cigarette.

A Status and Associated Factors of Mental Health on Girls' High School Students (여고생의 정신건강 실태와 관련요인)

  • Lee, Young-Eun;Choi, Eun-Joung
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.103-114
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    • 2010
  • Purpose: The aim of this study was to describe the status and associated factors of mental health on girls' high school students. Methods: The participants were 446 academic girls' high school students and 240 vocational girls' high school students of the 1st graders in Busan. The data were collected from April 28, 2009 to May 30, 2009. Survey was developed in the form of self-report five-point likert scale(1-5) using Lees Instrument of mental health(1986) that revised from Derogatis et al's Symptom Check List-90(1976). The higher score of this scale means worse status of mental health. Result: The score of mental health of subjects was low and the mean was $1.69{\pm}.50.$ The depression mean was the highest among mental health sub-variables. The mental health of the vocational girls' high school students was worse than the academics. As for subjects in mental health by their various characteristics, there are significant by school type(p<0.001), economic status(p<0.001), father's job(p<0.001), parent's marrital status(p<0.001), cognitive health status(p<0.001), record(p<0.05), character(p<0.001), satisfaction of life(p<0.001), needs for help on mental health(p<0.001). Conclusion: The intervention program needs to improve mental health of vocational high school girls' students as well as academic high school girls' students, and need to establish depression relieving nursing intervention program for girls' high school students.

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