• Title/Summary/Keyword: cause of stress

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The Clinical Summary of the Coronary Bypass Surgery (심장 관상동맥 외과)

  • 정황규
    • Journal of Chest Surgery
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    • v.13 no.3
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    • pp.174-185
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    • 1980
  • It was my great nohour that I can be exposed to such plenty materials of the coronary bypass surgery. Here, I am summarizing the xoronary bypass surgery, clinically. The material is serial 101 patients who underwent coronary bypass surgery between July 17, 1979 to November 30, 1979 in Shadyside Hospital, University of Pittsburgh. 1. Incidence of the Atherosclerosis is frequent in white, male, fiftieth who are living in industrialized country. It has been told the etiologic factor of the atherosclerosis is hereditary, hyperlipidemia, hypertension, smoking, drinking, diabetes, obesity, stress, etc. 2. The main and most frequent complication of the coronary atherosclerosis is angina pectoris. Angina pectoris is the chief cause of coronary bypass surgery and the other causes of coronary bypass surgery are obstruction of the left main coronary artery, unstable angina, papillary muscle disruption or malfunction and ventricular aneurysm complicated by coronary artery disease. 3. The preoperative clinical laboratory examination shows abnormal elevation of plasma lipid in 82 patint, plasma glucose in 40 patient, total CPK-MB in 24 patient stotal LDH in 22 patient out of 101 patient. 4. Abnormal ECG findings in preoperative examine were 29.1% myocardial infarction, 25.8% ischemia and injury, 14.6T conduction defect. 5. Also we had done Echocardiography, Tread Mill Test, Myocardial Scanning, Vectorcardiography and Lung function test to get adjunctive benefit in prediction of prognosis and accurate diagnosis. 6. The frequency of coronary atherosclerosis in main coronary arteries were LAD, RCA and Circumflex in that order. 7. The patients' main complaints which were became as etiologic factor undergoing coronary bypass surgery were angina, dyspnea, diaphoresis, dizziness, nausea and etc. 8. For the coronary bypass surgery, we used cardiopulmonary bypass machine, non-blood, diluting prime, cold cardioplegic solution and moderate cooling for the myocardial protection. 9. We got the grafted veins from Saphenous and Cephalic vein. Reversed and anastomosed between aorta and distal coronary A. using 5-0 and 7-0 prolene continuous suture. Occasionally we used internal mammary A. as an arterial blood source and anastomosed to the distal coronary A. and to side fashion. 10. The average cardiopulmonary bypass time for every graft was 43.9 min. and aortic clamp time was 23 minute. We could Rt. coronary A. bypass surgery only by stand by the cardiopulmonary machine and in the state of pumping heart. 11. Rates by the noumbers of graft were as follow : 21.8% single, 33.7% double, 26.7% triple, 13.9% quadruple, 3% quintuple and 1% was sixtuple graft. 12. combined procedures with coronary bypass surgery were 6% aneurysmectomy, 3% AVR, 1% MVR, 13% pacer implantation and 1% intraaortic ballon setting. 13. We could see the complete abolition of anginal pain after operation in 68% of patient, improvement 25.8%, no change in 3.1%, and there was unknown in 3%. 14. There were 4% immediate postoperative deaths, 13.5% some kinds of heart complication, 51.3% lung complications 33.3% pleural complications as prognosis.

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Analysis of Cavity Pressure for Packing Conditions in Injection Molding of a Deep Depth Product (깊이가 깊은 제품의 사출성형에서 보압조건에 따른 캐비티 내압의 분석)

  • Kim, Dong Woo;Kang, Mina;Kim, Hyeok;Lyu, Min-Young
    • Polymer(Korea)
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    • v.36 no.6
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    • pp.685-692
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    • 2012
  • Injection molding operation consists of phases of filling, packing, and cooling. The highest cavity pressure is involved in the packing phase among the operation phases. Thus the cavity pressure largely depends upon velocity to pressure (v/p) switchover timing and magnitude of packing pressure. Developed cavity pressure is directly related to stress concentration in the cavity of mold and it may cause a crack in the mold. Consequently control of cavity pressure is considered very important. In this study, cavity pressure was analyzed in terms of v/p switchover timing and packing pressure through computer simulation and experiment. Cavity pressure was increased as the v/p switchover timing was delayed. Residual pressure after cooling phase was observed when the v/p switchover timing was late, which was due to increased pressurizing time for long filling phase. Cavity pressure was increased proportionally with the packing pressure. Residual pressure after cooling phase was also observed, and it was increased with increasing packing pressure. High cavity pressure and residual pressure have been observed at late v/p switchover and high packing pressure. Compared with simulation and experimental results, the profiles of pressures were very similar however simulation could not predict residual pressure. Packing condition was important for the control of cavity pressure and the optimum condition could be set up using CAE analysis.

Effect of Stocking Density on the Feather Condition, Egg Quality, Blood Parameters and Corticosterone Concentration of Laying Hens in Conventional Cage (케이지 사육시 사육밀도가 산란계의 깃털손상도, 계란품질, 혈액성상 및 스트레스 호르몬 농도에 미치는 영향)

  • Son, Ji Seon;Kim, Chan Ho;Kang, Hwan Ku;Kim, Hyun Soo;Jeon, Jin Joo;Hong, Eui Chul;Kang, Bo Seok
    • Korean Journal of Poultry Science
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    • v.47 no.2
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    • pp.83-93
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    • 2020
  • The purpose of this study was to evaluate the effects of stocking density on feather condition, egg quality, blood parameters, and corticosterone levels of laying hens reared in conventional cages. A total of 500, 28 weeks-old Hy-Line Brown laying hens were evenly assigned to two stocking densities (750 and 500 ㎠/bird). There were 50 replicates of each treatment, each consisting of 750 ㎠/birds (n=6) or 500 ㎠/bird (n=4) birds in a cage, respectively. We observed an increase in the laying period of, the group that was assigned 500 ㎠/bird, however, this group experienced significant feather damage when compared with the group allotted 750 ㎠ bird. There was no effect of stocking densities on egg quality. These results suggest that the 500 ㎠/bird stocking density in the conventional cage can negatively affect feather condition and cause the birds to experience more stress than the group allotted 750 ㎠/bird.

A Study on Women's Health Status for Setting up Women's Health Nursing Center and Developing Health Program (일부지역 여성건강간호센터 설립 및 여성건강관리 프로그램을 위한 기초조사)

  • Lee, Eun-Hee;Choi, Sang-Soon;So, Ae-Young
    • Women's Health Nursing
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    • v.5 no.1
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    • pp.146-165
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    • 1999
  • The purpose of this paper was to identify the performance of health promoting lifestyles and health perception over 18 years old women living Wonju city so that the results will be based for setting up women's health nursing center. The subjects were 1080 women selected by stratified and purposive sampling. The data were collected by self reporting questionnaire and interview from May to June, 1998. Data were analyzed by SPSS win program. The results were as follows : 1. The range of age was 18-84 years, The proportion according to women's lifecycle was premarital group 20.0%, delivery and rearing group 49.9%, over middle aged-elderly group 29.8%. 2. The mean menarchial age was 15.2 and menopausal age was 48. Mean frequenices of pregnancy is 2.4 and artificical abortion rate is 36.4%. Primary cause of abortion was unwanted babies 42.8%. The practice rate of family planning was 79.4% and permanent sterilization rate was 37.6%. 3. Fatigue was predominated problem in target population. Depression and headache was predominated in premarital group, headache and nervous felling in delivery and rearing group, arthritis and loss of memory in over middle aged-elderly group. 4. Only 13.7% of the target population make some efforts for their health in compare to 85.9% have attention for their health. Perception of unhealthy rate was 9.1% in premarital group, 24.8% in delivery and rearing group, 30.1% in middle aged-elderly group. 5. The average score of the HPLP(Health Promoting Lifestyle Profile) was 2.41. The variable with the highest degree of performance was interpersonal relationship, whereas the one with the lowest degree was the professional health maintenance. The significant difference was found in HPLP according to age, residential area, marital status, educational level, income level. 6. Majority(95.1%) of the target population agreed on necessity for women's health nursing center. Proper location area was presented to women's center and public health center. The priority for health education program was proper diet, family health, stress management, and exercise. In conclusion, we should prepare the education program for women's health according to women's lifecycle, because health perception, HPLP, and education program needed was differentiated in women's lifecycle. Also we suggest that women's health nursing center based community was needed for proper management of women's health.

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The Survey of Actual Using Conditions of Farm-Made Liquid Fertilizers for Cultivating Environment-friendly Agricultural Products (친환경 농산물 재배를 위한 농가 자가제조 액비 사용실태)

  • An, Nan-Hee;Jo, Young-Sang;Jo, Jeong-Rae;Kim, Yong-Ki;Lee, Yeon;Jee, Hyeong-Jin;Lee, Sang-Min;Park, Kwang-Lai;Lee, Byung-Mo
    • Korean Journal of Organic Agriculture
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    • v.20 no.3
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    • pp.345-356
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    • 2012
  • We conducted a survey of actual using conditions of farm-made liquid fertilizers by investigating their formulation types, materials, making processes, using methods and various beneficial effects on 29 farms certified by National Agricultural Products Quality Management Service to produce environment-friendly agricultural products in 2009. Most of the materials used to make liquid fertilizers are those that can be easily obtained around the farms. Molasses or black sugar are added as an energy source of microorganism. And leaf mold, bacterial cultures supplied by agricultural extension centers of local governments, and cultures of native microorganisms were used as microbial sources for fermenting effective microorganisms. Types of the farm-made liquid fertilizers were fermented liquid fertilizers, fermented plant juices, amino acid liquid fertilizers, calcium-liquid fertilizers, and phosphoric acid liquid fertilizers. Effects of liquid fertilizers used by the farms were found to promote plant growth by supplying nutrition, to accelerate blooming and flower bud formation, to enhance the quality of agricultural products such as increase of sugar contents and improvement of storing conditions, to induce resistance against diseases and insect pests, and to cause endurance to high temperature stress. Chemical properties of the liquid fertilizers collected were analyzed. As a result, pH and EC range showed differences according to kinds of the liquid fertilizers. Amount of macro-nutrients, such as nitrogen and phosphoric acid, in most of the collected liquid fertilizers, was found to be low. Even though the liquid fertilizers were made from same materials, their contents was found to be different depending on the making process.

Analysis of electrical resistivity characteristics according to the mixing ratio of coarse fillings in artificial rock joint (인공 암반절리의 조립토 충진물 혼합비에 따른 전기비저항 특성 분석)

  • Haeju Do;Tae-Min Oh;Hangbok Lee
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.25 no.2
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    • pp.141-155
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    • 2023
  • Monitoring technology based on electrical resistivity is widely used for non-destructive data collection and health analysis of underground structures and tunnels. Vulnerable sections such as fault zone generates many problems during construction of the tunnel. These problems cause displacement and stress changes of the ground. Therefore, it is necessary to predict the state of the fault zone section to ensure the mechanical stability of the underground structure. Monitoring the size of joints and the porosity of the fillings is essential for rocks. Previous studies have not considered the variety of fillings in rock joints. In this study, electrical resistivity tests were conducted according to the particle mixing state of the sandy fillings. When the size of fillings is decreased at the constant porosity, the electrical resistivity tends to increase. The results of this study are expected to be useful as basic electrical resistivity data for predicting the ground conditions and evaluation of the ground behavior that is containing sandy fillings in the rock joint for tunnels.

POLYMERIZATION SHRINKAGE OF COMPOSITE RESIN USING DOUBLE CURING UNIT SYSTEM (Double curing unit system을 이용한 복합 레진의 광중합 수축에 관한 연구)

  • Han, Mi-Ran;Kim, Jong-Soo;Yoo, Seung-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.2
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    • pp.189-198
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    • 2009
  • As a part of an effort to minimize the polymerization shrinkage which is considered to be a major cause of failed bonds to tooth, newly designed 'Double LED system' was tested in the present study. Analyses were performed on the pattern of micro-leakage and the changes of strain which have occurred during the polymerization process. The results can be summarized as follows: 1. In the strain change, dramatic increase was observed with initiation of polymerization which was followed by subsequent gradual decrease with elapse of time in both the single LED system and double LED system. 2. The single LED system were shown to develop and maintain the maximum stress more than double LED system(p<0.05). 3. Less micro-leakage was found in the double LED system than in the single LED system(p<0.05). From the above-mentioned results, the double LED system can be a very useful tool in a sense of reducing polymerization shrinkage when compared to the single LED system. However, practical problems such as size of curing unit and its application method with its light intensity should be solved before its clinical application.

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Clinicopathological Significance of p53 and HSP27 in Gastric-cancer Patients (위암 환자에서 p53과 HSP27의 임상병리학적 의의)

  • Lee, Ha-Gyoon;Kwon, Sung-Joon;Baek, Seung-Sam
    • Journal of Gastric Cancer
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    • v.4 no.3
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    • pp.169-175
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    • 2004
  • Purpose: The tumor suppressor gene p53 has been shown to be a factor in the carcinogenesis or progression of gastric cancer. The mutant p53 has been reported to cause a higher risk of lymph-node metastasis. Futhermore, mutation of the p53 has been linked to a poor prognosis for gastric cancer. The heat shock protein-27 (HSP27), a stress protein, has also been reported to be a poor prognostic factor in ovarian and breast cancers. However, in gastric-cancer patients, controversies exist as to its influence on the prognosis. In the present study, we used an immunohistochemical stain to observe the effects of p53 and HSP27 on the clinicopathological factors and on the prognosis for gastric-cancer patients. Materials and Methods: To evaluate the significance of p53 and HSP27 in gastric cancer patients, we analyzed 212 cases of gastric cancer (stage I.IV). Tissue samples of 212 patients were stained immunohistochemically for the mutant p53 protein and for HSP27. The correlations between protein expression and the clinicopathological factors were investigated. Results: The overall expression rates for p53 and HSP27 were $36.9\%\;and\;27.8\%$, respectively. p53 and HSP27 were correlated to each other because the HSP27 expression rate was higher in the p53-positive group (P=0.046). Statistically, the p53 and the HSP27 expression rates were significantly increased in the case of tumor invasiveness, lymphatic metastasis and vessel involvement. Therefore, they play a role in cancer progression. The 5-year survival rates of the p53-positive and the p53-negative groups were $62.8\%\;and\;60.1\%$, respectively (P=0.793) while the 5-year survival rates for the HSP27-positive and HSP27-negative groups were $54.2\%\;and\;63.1\%$, respectively (P=0.090). Conclusion: p53 and HSP27 were correlated to each other in our immunohistochemical study of gastric carcinomas and they were not independent prognostic factors in gastric- cancer patients. However, further studies are needed to determine their prognostic values for gastric-cancer patients.

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Estimation of Overflow-Induced Pressure and Velocity on a Mound-Type Sea Dike (월류 시 마운드형태 방조제에 작용하는 압력과 유속 산정)

  • Kim, Taehyung;Yeh, Harry;Kim, Sungwoung;Choi, Myoungho
    • Journal of the Korean GEO-environmental Society
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    • v.16 no.3
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    • pp.5-13
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    • 2015
  • Wave overflow can cause a failure of sea dike structure. Based on the results of the field surveys on mound-type sea dike, the failure of vicinity of crown and the scouring of toe at the landward was revealed as the most representative failure example. One of the main factors related to this failure pattern is overflow-induced pressure and velocity. Thus, in this study the analytical equations which can determine the pressure and the velocity induced by overflow in sea dike were proposed and verified. To accomplish this, assumed that the flow is quasi-steady and irrotational, and concentric circular streamlines around the vicinity of crown and toe of the sea dike. Flow was assumed as critical state and Bernoulli equation was used to develop the equations that can determine the pressure and velocity at the vicinity of crown and toe of the sea dike. Using these equations, the pressure and the velocity were calculated in condition of various overflow depths and radiuses of circular streamline. Based on the calculation results, while a negative pressure was occurred at the vicinity of crown, a significant amount of positive pressure occurred at the toe. The existence of flow-induced shear stresses was also confirmed. In addition, the limitation of the proposed equations was discussed.

The examination of application possibility and development of new welding joint shape for aluminum alloy (Al어선 선체용접부의 신형상 개발 및 적용 가능성 검토)

  • Jong-Myung Kim;Chong-In Oh;Han-Sur Bang
    • Journal of the Society of Naval Architects of Korea
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    • v.38 no.1
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    • pp.99-107
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    • 2001
  • Manufacture of fishing vessel is needed the effective material for light, strength, fire and corrosion of water in order to improve durability by high-speed and fishing. These fishing vessel can be divided into FRP and AI alloys fishing vessel. FRP fishing vessel is light and effective for strength but highly ignited and susceptible to heat during the manufacturing ship by-produce noxious component for human. In the case of a scrapped ship, it cause environmental pollution. On the other hand, aluminum is a material in return for FRP and has merit of high-strength and lightness. It's more heat proof and durable than FRP and superior to prevent from corrosion. Al alloys fishing vessel development is rising as an urgent matter. But, al alloy has some defect of bad weldability, welding transformation, cracks and overcost of construction. Therefore this study is to develop the new welding joint shape solving aluminum defects and mechanical behavior. First of all, strength was compared and reviewed by analysis of plate, stiffen plate, new model simplified by using plate theory. On the base of this result, plate and new model of temperature distribution, weld residual stress and strength of tensile, compressive force were compared and reviewed by finite element computer program has been developed to deal with heat conduction and thermal elasto plastic problem. Also, new model is proved application possibility and excellent mechanic by strength comparison is established to tensile testing result.

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