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A Study of the Effect of Structured Rehabilitation Education on the Stress of the Family with Stroke Patients (구조화된 재활교육이 뇌졸중환자 가족의 스트레스에 미치는 영향)

  • Kim, Byung-Eun;Lee, Jung-Min;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
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    • v.1 no.1
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    • pp.22-39
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    • 1997
  • Purpose: The purpose of this study is to evaluate the effect of rehabilitation education on the reduction of the stress of family members who have patients suffering from stroke and to find a new way to nurse the patients and their family. Subjects & Methods: The subjects were sixty-one family members with the patients who had been hospotalized in K hospital of oriental medicine from september the 9th, 1996 to september the fourteen, 1996. This study was performed by simulated control group pretest-posttest design; pretest was done on the control group through a questionnaire, counselling and observation while posttest was done on the experimental group 1-2 days after systemic rehabilitation education. To teach the patients and their family, the amended version of a book written by Lee Hae-jin was used as a tool for systemic rehabilitation education. As a method to estimate ADL score, modified Kang's method was applied and ADL score was measured by well-trained technician. As for the tool to estimate the degree of family stress, Choi's method adjusted to this study was applied. In the analysis of the data, social property of the patient and the characteristic of the disease were surveyed in $X^2$ examination to confirm the consistency between the experimental group and the control group. The diffrence in the degree of the stress, which is a dependent factor, was examined by t-test. The difference in ADL score between the experimental group and the control group was examined by t-test. The difference in the degree of the stress according to the general feature of the family with stroke patient, social property of the patients and the characteristic of the disease were surveyed by F examination. The difference in family stress according to the degree of ADL was surveyed by F examination. RESULTS: 1. After hypothetically-examined systemic rehabilitation education, the total of the score of family stress surveyed in 34 items of three domains was compared between the experimental group and the control group. There was no statistically significant difference between two groups; mean score of experimental group=2.28, that of control group=2.93(t=.17, df=59, p=. 66). 2. In the survey on family stress in 34 items, the items over mean score 3.0 were firstly the anxiety of possible disability and relapse of the disease and secondly to watch the patient's suffering without doing anything in the domain of the change of the disease and the difficulty in caring. And the items of the lowest stress with less than mean 2.0 score were little chance to meet the relative and friends, inconsistent treatment and attitude of the medical workers and the change of the attitude of the relative due to the patient orderly in the domain of social and personal relation and the responsibility as the family. The items which showed the difference between two groups were aggravation of neighboring patient(t=3.36, df= 59, p=.001) and the possibility of patient's death(t=2.19, df=58.38, p=.033) in the domain of the change of the disease and the difficulty in caring. 3. In the study on the stress difference according to general features of the family with the stroke patient, the score of family stress with the occupation was higher with mean 2.49 than that of the family stress without occupation with mean 2.16, but there was no significant difference. (F=5.21, df=1/59, p=.026). 4. In the study on the stress difference according to social property of the patient and the characteristic of the disease, there was significant difference in the age of the patients (F=2.98, df=3/57, p=.039). These results show that even if there is no statistically significant difference between two groups, sixteen of the experimental group are less than 3.0 in ADL score(standard 6 score)while eight of the control group are less than 3.0 and that ten of the experimental group are in the year range of 39-49 while four of the control group are in the year range of 39-49 which showed significant difference in family stress. These imply that there is a possibility that the experimental group have serious and fundamental stress resulting in high pretest stress compared with the control group. It might be due to the characteristic of simulated control group pretest-posttest design that the psychologic-supportive effect by the education was not observed. On the basis of these results, the followings are suggested. 1) A study on the nursing-mediated method to reduce the stress in the items which are not resolved by rehabilitation education, a study on nursing according to the patient's age and a study on the supportive nursing toward the family with occupation are required. 2) More than two times consecutive nursing-mediated rehabilitation education to measure the family stress is required. 3) Comprehensive and multilateral systemic education program including the instruction on western-eastern medicine, physical therapy, exercise and diet through collaboration of the experts in each field is required. 4) Family stress at home as well as in the hospital needs to be estimated and home rehabilitation and home-nursing needs to be continued.

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Communication with Family Members about Positive BRCA1/2 Genetic Test Results in Korean Hereditary Breast Cancer Families (한국인 유전성 유방암 가계에서 BRCA1/2 유전자 돌연변이 사실에 대한 가족과의 의사소통 실태)

  • Kang, Eun-Young;Park, Sue-K.;Kim, Ku-Sang;Choi, Doo-Ho;Nam, Seok-Jin;Paik, Nam-Sun;Lee, Jong-Won;Lee, Min-Hyuk;Kim, Sung-Won
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.105-112
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    • 2011
  • Purpose: Sharing genetic information with family members is important for cancer awareness and prevention. The purpose of this study is to examine disclosure patterns of positive BRCA genetic test results to patients' relatives. Materials and Methods: A total of 106 probands who had positive BRCA genetic test results from the Korean Hereditary Breast Cancer Study participated in our study. Subjects were asked whether they had disclosed their genetic test results to first-, second-, and third-degree relatives. Univariate and multivariate analyses were used to identify factors associated with positive result sharing with close and distant relatives. Results: In total, 99 respondents (93.4%) informed at least one at-risk relative of the test result, and they all reported that they had disclosed their genetic test result to a first-degree relative. Communication of test results to other relatives occurred significantly less often, with only 31 of 99 subjects (31.3%) sharing their results with second- or third-degree relatives. In the results of univariate analyses, disclosure of genetic test results to more distant relatives was associated with marital status and months since post-test counseling. The reasons for communication were to provide information about the BRCArelated cancer risk and to recommend the genetic test. Conclusion: Most individuals with the BRCA mutation share their test results with first-degree family members; however, these results reach more distant relatives significantly less often. Therefore, it is necessary to encourage patients' communication with extended family members through systematic genetic counseling.

Changes in Physiological Characteristics of Barley Genotypes under Drought Stress (한발저항성 정도가 다른 보리 품종들의 한발처리에 따른 생리적 특성변화)

  • 이변우;부금동;백남천;김정곤
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.48 no.6
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    • pp.506-515
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    • 2003
  • Six barley varieties that showed different degree of drought tolerance were grown with and without drought stress treatment (control), and investigated for the temporal changes in growth and several physiological traits after drought treatment. Soil water potential was -0.05 ㎫ at the initial stage of drought treatment and dropped to -0.29 ㎫ at 19 days after withholding irrigation. Soil water potential (SWP) maintained at -0.05 ㎫ in the control. The dry weight (DW) under the drought treatment were reduced compared to the control as follows: Dicktoo-S (short awn), 69% ; Dicktoo-L (long awn), 70%; Dicktoo-T (tetra), 86%; Dongbori-1, 69%; Suwonssalbori-365, 55% and Tapgolbori, ,37%. Dicktoo lines and Dongbori-1 were more tolerant than Suwonssalbori-365 and Tapgolbori. Leaf relative water contents (RWC) and leaf water potential (LWP) decreased obviously under the drought condition, the decrease being greater especially in the less drought-tolerant barley genotypes. Dongbori-1 and Dicktoo-L in drought treatment showed net photosynthesis of 38% and 17% compared to the control, respectively, and the other four genotypes much lower photosynthesis of 1.1% to 7.0%. Stomatal conductance, mesophyll conductance, and the photochemical efficiency (Fv/Fm) of PS II were reduced by drought treatment, the reduction being greater in drought-sensitive genotypes. The drought-tolerant genotypes had greater osmotic adjustment (OA) capacity under water stress. Thus, the decrease of RWC and LWP was lower and the turgor pressure conservation capacity was higher under water stress in drought-tolerant genotypes. Drought-tolerant genotypes showed less decrease of photosynthesis because stomatal conductance, mesophyll conductance and the ratio (Fv/Fm) of the variable to maximal fluorescence of drought-resistant genotype was decreased less in the drought stress condition. In conclusion, the drought-tolerant genotypes had better water conservation capacity through efficient OA, and this led to the lower decrease of photosynthesis and growth in water stress condition.

Criterion Suggestion on Relative Disparity, Viewing Distance and Viewing Angle to Minimize 3D Visual Fatigue for Pattern-Retarded Type 3D Display (편광식 3D 디스플레이를 위한 상대적 시차, 시청 거리, 시청 방위에서의 시각피로 최소화 기준 제안)

  • Park, Jong-Jin;Kim, Shinwoo;Li, Hyung-Chul O.
    • Science of Emotion and Sensibility
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    • v.19 no.1
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    • pp.61-70
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    • 2016
  • 3D visual fatigue is known as one of the most important factors that interfere the commercial success of 3D contents. Vergence-accommodation conflict, which is known to occur when an observer watches an image containing binocular disparity presented on a 3D display, has been suggested as a major cause of 3D visual fatigue. This implies that any image incorporating binocular disparity might cause 3D visual fatigue. In order to reduce 3D visual fatigue, it would be necessary to consider indirect ways of reducing 3D visual fatigue as well as eliminating the direct causes of 3D visual fatigue. We have examined the effect of the variables that are expected to affect subjective 3D visual fatigue and these variables included the relative disparity contained in an image, viewing distance and viewing angle. We have also figured out the proper levels of the variables required to minimize 3D visual fatigue. The results indicate that observers began to report significant 3D visual fatigue when the crossed disparity contained in an image exceeded 7.22' and the vertical viewing angle was larger than 15 degree.

A Computational Mineralogy Study of the Crystal Structure and Stability of Aluminum Silicate (Al2SiO5) Minerals (알루미늄 규산염(Al2SiO5) 광물의 결정구조와 안정성에 대한 계산광물학 연구)

  • Kim, Juhyeok;Son, Sangbo;Kwon, Kideok D.
    • Journal of the Mineralogical Society of Korea
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    • v.31 no.1
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    • pp.13-22
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    • 2018
  • Aluminum silicates ($Al_2SiO_5$) undergo phase transitions among kyanite, andalusite, and sillimanite depending on temperature and pressure conditions. The minerals are often used as an important indicator of the degree of metamorphism for certain metamorphic rocks. In this study, we have applied classical molecular dynamics (MD) simulations and density functional theory (DFT) to the aluminum silicates. We examined the crystal structures as a function of applied pressure and the corresponding stabilities based on calculated enthalpies at each pressure. In terms of the lattice parameters, both methods showed that the volume decreases as the pressure increases as observed in the experiment. In particular, DFT results differed from experimental results by much less than 1%. As to the relative stability, however, both methods showed different levels of accuracy. In the MD simulations, a transition pressure at which the relative stability between two minerals reverse could not be determined because the enthalpies were insensitive to the applied pressure. On the other hand, in DFT calculations, the relative stability relation among the three minerals was consistent with experiment, although the transition pressure was strongly dependent on the choice of the electronic exchange-correlation functional.

Relative Effectiveness of BHA and Ascorbic Acid in Retarding the Rancidity Development of Potato Chips Stored in Various Conditions (여러 조건하(條件下)에서 저장(貯藏)된 감자튀김의 산패(酸敗)에 있어서 BHA와 Ascorbic Acid의 상대적(相對的) 억제효과(抑制效果)에 대(對)하여)

  • Kim, Hong-Lyour;Kim, Dong-Hoon
    • Korean Journal of Food Science and Technology
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    • v.4 no.4
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    • pp.245-251
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    • 1972
  • In the present study, the relative effectiveness of BHA, ascorbic acid, and BHA+ascorbic acid on the rancidity development of potato chips in various conditions were examined. BHA, ascorbic acid, and their mixture (BHA 0.05%, As. A 0.1%, and BHA 0.05%+As. A 0.1% relative to the weight of the potato chips) were dissolved respectively in 95% ethyl alcohol and incorporated to potato chips in the form of atomized mist. When the potato chips were stored in a dark place at $33.0{\pm}0.5^{\circ}C$, BHA was very effective in retarding the rancidity development of the potato chips. Ascorbic acid showed some antioxidant activity, but it was less effective than BHA. When BHA and ascorbic acid were used together, the antioxidant activity of the mixture appeared to be primarily due to BHA. Irradiation of direct sunlight to the potato chips, which were covered with coloress transparent polypropylene films, reduced the antioxidant activity of BHA incorporated to them. Ascorbic acid appeared to lose its antioxidant activity completely under the same condition. BHA retained a considerable degree of antioxidant activity when yellow transparent polypropylene films were used to cover the potato chips. Ascorbic acid, however, kept little antioxidant activity even in this condition.

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Drying Characteristics of Osmotically Pre-treated Carrots (삼투처리한 당근의 건조 특성)

  • Youn, Kwang-Sup;Choi, Yong-Hee
    • Korean Journal of Food Science and Technology
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    • v.28 no.6
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    • pp.1126-1134
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    • 1996
  • The physical characteristics changes of carrots during drying were studied to minimize the quality degradation by applying improved drying process and pretreatment method. Physico-chemical properties of the product were analyzed, and then, drying mechanisms were explained by diffusion coefficients and drying models. In hot air drying process, the drying and rehydration efficiencies were high at low relative humidity and high temperature. Browning degree and specific volume also showed similar trend to drying efficiency. Diffusion coefficient, which describes moisture transfer, was also high at low relative humidity and at high temperature. It was verified using. Arrhenius equation that drying process was influenced by temperature. It was also observed during experiment that temperature changes were more effective in drying than relative humidity changes. Quadratic model was the most fittable in explaining the process. As a result of analyzing the experimental data with respect to the drying time, the contents of carotene and moisture could be modeled as a polynomial. As the air velocity increased, drying performance and rehydration efficiency increased.

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The Method for Evaluating Unsaturated Hydraulic Conductivity of the Bentonite-buffer Using Relative Humidity (상대습도를 이용한 벤토나이트 완충재의 불포화 수리전도도 평가방안)

  • Lee, Hang-Bok;Kim, Jin-Seop;Choi, Young-Chul;Choi, Heui-Joo;Kim, Kyungsu
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.12 no.1
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    • pp.69-77
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    • 2014
  • Unsaturated hydraulic conductivity of the bentonite-buffer was evaluated using the relative humidity data. The method for calculating unsaturated hydraulic conductivity was deduced from the general analytical equation representing the movement of water in unsaturated media, which was applied to the experimental results of water infiltration tests for identifying the behavior of unsaturated hydraulic conductivity according to the water saturation. Unlike the saturated condition, the hydraulic gradient and water flux were irregularly changed, and the unsaturated hydraulic conductivity was increased with increasing the experimental time. Swelling of bentonite grains due to the water absorption increased the volume and size of pore within bentonite, resulting in the increase of water velocity and unsaturated hydraulic conductivity. This result suggested the necessity of further investigation on the correlation between the swelling degree of bentonite-buffer and unsaturated hydraulic conductivity. The method used in this study can be useful technique for evaluating long-term hydraulic performance of bentonite-buffer in the radioactive waste disposal system.

Properties of PA 6,6/Elastomer Blends with Various Elastomer Content (탄성중합체 함유량 변화에 따른 폴리아미드-6,6/탄성중합체 블랜드물의 특성)

  • Lee, Yoong;Lee, Chang-Woo;Cho, Yoon-Ho;Hahm, Yeong-Min
    • Elastomers and Composites
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    • v.34 no.1
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    • pp.20-30
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    • 1999
  • In this study, binary polyamide 6,6(PA 6,6)/ethylene-propylene rubber(EPM) or EPM-g-maleic anhydride(EPM-g-MA) blends and ternary PA 6,6/EPM/EPM-g-MA blends with various elastomer content were prepared in order to investigate the degree of influence of elastomer content and average particle size, morphology, and distribution of dispersed elastomer on mechanical and thermal properties of blends. According to the results, notched Izod impact strength and relative crystallinity of binary blends modified with EPM-g-MA as well as average particle size and distribution of dispersed elastomer in such blends were more improved than those of binary blends modified with EPM. Notched Izod impact strength of blend whose composition ratio(wt % ) was 70:30(PA 6,6 : EPM-g-MA) was the highest among the binary PA 6,6/EPM-g-MA blends. The impact strength was increased by 25 times and its relative crystallinity was increased by 7 times when compared with those of polyamide 6,6. In the case of ternary PA 6,6/EPM/EPM-g-MA blend of which composition ratio was 70:15:15(PA 6,6:EPM:EPM-g-MA), the elastomer was finely distributed with the average particle size of $0.56{\mu}m$. The Izod impact strength of this blend was the highest of all blends prepared with different elastomer content.

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The Relative Importance and Priority of the Health Evaluation Indicators of Old-growth and Giant Trees (노거수의 건강 위험도 평가 요소간 상대적 중요도 및 우선순위)

  • Xia, Tian-Tian;Zhang, Zhong-Feng;Kang, Tai-Ho
    • Journal of the Korean Institute of Landscape Architecture
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    • v.45 no.6
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    • pp.149-159
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    • 2017
  • There are many studies on the health and protection of Old-growth and Giant Trees, concentrating on empirical judgment and basic protection measures. The problem this study addresses is the relative importance and priority of the health evaluation indicators of Old-growth and Giant Trees. Firstly, this study exports the evaluation indicators of Old-growth and Giant Trees. The evaluation system for the degree of danger of Old-growth and Giant Trees are composed of two layers: 5 fields and 46 indicators. Secondly, using the AHP and PCA method can determine the weight of each field and each index factor. The process of AHP establishes the relative importance judgment matrix of each field and fully proves that the main cause of danger is individual aging. The PCA method suggested that trunk rot status, light conditions, tree surgeries, bacterial diseases, and soil moisture level are the most important factors in each field. These aspects should be given priority in the management and protection of Old-growth and Giant Trees. Weight values obtained in this study seemed to be useful in the evaluation of Old-growth and Giant Trees.