• Title/Summary/Keyword: exertion

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A study on characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients (협심증이 의심되는 환자에서 운동부하검사로 유발되는 흉통의 양상과 생리적 변인에 관한 연구)

  • Cho, Mi-Kyoung;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.2 no.2
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    • pp.1-19
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    • 2000
  • The purpose of this study was to identify the characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients. The subjects of this study consisted of 28 inpatients and outpatients aged between 40 and 75 who underwent treadmill test at exercise testing laboratory of S-University from January 2000 to June 2000. Subjects were interviewed with questionnaire regarding sociodemography, the past health history and history related to chest pain before the exercise test. Subjects were interviewed with questionnaire concerning quality, intensity, duration of chest pain induced by walking on the treadmill(Marquette, U.S.A. 1992) according to Bruce protocol following exercise test. Systolic and diastolic blood pressure were measured before, during and after the test, heart rate was determined by ECG. The results of this study were as follows ; 1) Quality of chest pain induced by exercise test were feeling stiffness 19(67.9%), heavy 10(36.0%), exploded 9(32.1%), crushing, suffocating, tight 8(28.6%), stuffy, prickly 7(25.0%), burning 6(21.4%), clasp 5(17.9%), cleaved, tensed, piercing 3(10.7%), perfectly fitting, sore 2(7.1%), tearing, tingling, ticklish, heartburn 1(3.6%). 2) Mean score of VAS(intensity of pain) following exercise test was $5.79{\pm}2.27$ and mean duration of chest pain after the test was $7.83{\pm}5.31$ minutes. 3) Sites of chest-pain induced by exercise test were middle site 11(39.3%), left-chest 10(35.6%), right-chest 6(21.5%). Radiation site of chest-pain was neck(18.0%), right flank site 1(3.6%), left shoulder & arm 2(7.1%) and back 1(3.6%). 4) Symptoms other than chest-pain induced by exercise test were dyspnea 21(75.6%), perspiration 14(50.4%), fatigue 12(43.2%), leg-pain 11(39.6%), dizziness 7(25.2%) anxiety toward chest-pain 3(10.8%), thirst 2(7.1%), and palpation, headache and tingling sensation of hand and leg 1(3.6%). 5) Mean MET(intensity of exercise) during the exercise test was $7.64{\pm}2.57$ and mean RPE(rating of perceived exertion) was $15.89{\pm}2.36$. Mean duration of exercise was $6.79{\pm}2.88$. 6) correlation coefficients between RPE and VAS was 0.500(p=0.003), those between MET and VAS was 0.287(p=0.069) and those between either depression or elevation of ST segment and VAS was 0.236(p=0.114). 7) There was a significant difference in mean systolic pressure between before and after the test as $146.29{\pm}28.18mmHg$ and $177.96{\pm}28.82mmHg$(t=-5.640, p=0.000), a significant difference in mean diastolic blood pressure between before and after the test as $84.85{\pm}15.07mmHg$ and $88.89{\pm}13.72mmHg$(t=-2.082, p=0.047), and there was a significant difference in mean heart-rate between before and after the test as $81.89{\pm}12.22/min$ and $160.68{\pm}21.77/min$(t=-21.255, p=0.000).

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Flowering Periods, Genetic Characteristics, and Cross-Pollination Rate of Zoysia spp. in Natural Open-Pollination (자연 방임수분 상태에서 한국잔디류의 개화기간, 유전특성 및 타가수분율)

  • Choi, Dong-Keun;Yang, Geun-Mo;Choi, Joon-Soo
    • Asian Journal of Turfgrass Science
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    • v.22 no.1
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    • pp.13-24
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    • 2008
  • This study was carried out to provide basic information for the breeding of zoysiagrass synthetic varieties. For estimation of flowering periods, genetic characteristics, and cross-pollination rate, 5 combinations of zoysiagrass breeding lines were compared. Days to stigma emergence and anther exertion were observed in the field to calculate overlapping dates for cross-fertilization. Harvested seed from cross breeding combinations were planted to compare genetic characteristics using morphological traits of progenies. These data were used for determination of 7 phenotypic inheritance types with 8 morphological traits. Cross-pollination rates in 3 combinations of zoysiagrasses were estimated by using lower part color of grass shoots. Cross-pollination rates of zoysiagrass ranged from 11.3$\sim$48.9%, which indicated that zoysiagrass is an allogamous plant. When zoysiagrass breeding lines are properly combined, they may result in valuable synthetic cultivars.

A Case of Lymphangioleiomyomatosis Presenting as a Lung Mass (폐종괴로 나타난 폐의 림프관평활근종증 1례)

  • Park, Seon Cheol;Park, Byung Hoon;Shin, Sang Yun;Jeon, Han Ho;Chung, Kyung Soo;Park, Jun Chul;Jeong, Jaeheon;Kwon, Ji Eun;Park, Moo Suk;Kim, Se Kyu;Chang, Joon;Kim, Sung Kyu;Kim, Young Sam
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.3
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    • pp.289-293
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    • 2007
  • Lymphangioleiomyomatosis (LAM) is a rare disease that affects females of reproductive age. It is characterized by the abnormal proliferation of smooth muscle cells in the lung and along the axial lymphatics. We report a case of lymphangioleiomyomatosis presenting as a lung mass. The patient visited the emergency room because of dyspnea upon exertion. The chest X-ray showed a lung mass in the right lower lung field and a pneumothorax in the left lung. Chest computed tomography revealed a $5{\times}3cm$ sized mass in the right lower lobe and multiple thin-walled small cysts scattered in both lungs. Transbronchial biopsy of the lung mass was performed. The biopsy specimen showed atypical smooth muscle cell proliferation and cystic dilatation of the terminal bronchioles, which confirmed the diagnosis of lymphangioleiomyomatosis. To the best of our knowledge, this is the first case of lymphangioleiomyomatosis presenting as a lung mass.

Effects of Low-intensity Exercise on Functional Ability in Hospitalized Elderly (저강도 운동프로그램이 입원노인의 일상활동 기능회복에 미치는 영향)

  • ;;;;Beverly L. Roberts
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.807-819
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    • 1997
  • The purpose of the study was to identify the effects of a 12-week low-intensity exercise program on muscle strength, flexibility, balance, and cognitive characteristics related to the performance of activity of daily living(ADL). A total of 16 patients who were admitted to the medical unit of a general hospital in ChoongChung province were recruited, eight for the exercise group and eight for the comparison group. Four levels of low-intensity exercise from 'ROM on bed' to 'exercise while walking' were then applied to the exercise group according to their physical condition. During hospitalization, patients in the exercise group performed each level of the prescribed exercise with the researchers until they felt comfortable doing it independently. The researchers also visited the patients' homes after discharge to make sure they could perform the exercise with Theraband in their living environment. The exercise group was contacted by phone once a week to assess the frequency and intensity in which they performed the exercise as well as their physical condition. The subjects in the comparison group participated in measurements for the study without performing the exercise and were contacted by phone after discharge, in a matched time frame with the exercise group, to assess physical condition. Muscle strength, flexibility, balance, cognitive characteristics, and performance of ADL for the two groups were compared at the pretest and the posttest after the low-intensity exercise program by utilizing SPSSWIN and the results are as follows : 1) At the postest, measurements of muscle strengths showed that the strength of the dorsal flexor in the exercise group was significantly higher than in the comparison group. 2) Objective balance for the exercise group was significantly better than for the comparison group as measured by 'standing on one foot' and Tinetti gait and balance control. 3) The exercise group showed significantly higher task self-efficacy than the comparison group. 4) Perceived exertion for ADL for the exercise group was significantly lower than for the comparison group. 5) Improvement of performance of ADL without assistance was significantly higher for the exercise group than the comparison group. The findings suggest that a low-intensity exercise program would be useful for the elderly who show decline in their physical functioning due to hospitalization by partly improving physical strength, task self-efficacy, and performance of ADL. Directions for further research on issues of motivating people to exercise as well as of standardizing various types of exercise were discussed.

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Caplan's Syndrome Presenting as Multiple Pulmonary Nodules (다발성 폐결절로 발견된 카플란증후군 1예)

  • Lee, Sang-Kook;Lee, Sang-Hoon;Kim, Song-Yee;Lee, Woo-Kyung;Shin, Dong-Ho;Bang, Woo-Dae;Noh, Song-Mi;Shim, Hyo-Sup;Park, Byung-Hoon;Lee, Kyung-Jong;Park, Moo-Suk;Kim, Young-Sam;Chang, Joon;Kim, Se-Kyu;Kang, Young-Ae
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.2
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    • pp.150-154
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    • 2011
  • We report a case of Caplan's Syndrome, which presented as multiple pulmonary nodules. A 58-year-old male was admitted to hospital due to multiple pulmonary nodules. In addition, the patient presented with multiple arthritis, and dyspnea on exertion. Rheumatoid arthritis had been diagnosed 35 years ago. The patient had worked as a stonemason for 20 years. Computed Tomography (CT) revealed numerous well-defined tiny nodules scattered in both lungs, which was suspicious of miliary tuberculosis or malignancy. The patient was started on antituberculous medications and referred to our hospital. First, a transbronchial lung biopsy was performed, which showed no evidence of granuloma. It was our opinion that the biopsy was insufficient, and a follow-up video-associated thoracoscopy was performed. The pathological report determined necrotizing granulomatous inflammation and silicosis on background. According to imaging studies, pathologic reports, and clinical symptoms, we concluded that the patient had Caplan's syndrome. We controlled his rheumatic medications, and instructed him to avoid exposure to hazardous dust.

Distribution of Soil and Water Temperatures and their Relation to Rice Growth in a Cold Water Irrigated Paddy Land (냉수(冷水) 관개답(灌漑畓)에서의 수온 및 지온 분포(分布)와 수도(水稻) 생육(生育) 및 수량 반응)

  • Kim, Lee-Yul;Im, Jeong-Nam;Yea, Jong-Doo;Kim, Dong-Jin
    • Korean Journal of Soil Science and Fertilizer
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    • v.15 no.4
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    • pp.221-225
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    • 1982
  • Soil and water temperature were measured at different distances from the irrigation inlet of a Paddy land supplied with $16^{\circ}C$ water. The rice growth and yields of Nongbaek variety (Japonica) and Milyang 23 variety (Indica${\times}$Japonica)were interrelated with average soil and water temperature from tillering to heading stage. Water temperature was asymtotically increased to $21^{\circ}C$ as cold water forwarded, while the distribution of soil temperature showed linear shape with distance overall, water temperature was 1 to $2^{\circ}C$ higher than soil temperature. Cold soil and water temperature shorterned culm length and panicle exertion and retarded heading date resulting in yield reduction, Response of rice growth and yield to water temperature was apparently different between two varieties. Nongbaek variety produced no grains below $17^{\circ}C$, but it's reproductive growth was possible from 17 to $20^{\circ}C$. A normal yield could be obtained at $21^{\circ}C$. Comparatively, no reproductive growth of Milyang 23 variety was Possible even at $19^{\circ}C$.

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A retrospective clinical study of isolated patent ductus arteriosus (동맥관 개존증의 임상적 고찰)

  • 곽영태
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.593-606
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    • 1984
  • With the ligation of patent ductus arteriosus by Gross in 1938, surgeons first entered the field of congenital heart disease. Interruption of a ductus is one of the most satisfactory and curative operations in the field of surgery for congenital heart disease. 27 cases of isolated patent ductus arteriosus were operated from Jan. 1978 to July 1984 at the Department of Thoracic & Cardiovascular Surgery in Kyung-Hee University Hospital. Retrospective clinical analysis of these patients were: 1. Sex ratio, female: male, was 2:1. 2. Mean age at operation was 9.85\ulcorner.58 years. The youngest patient was a 23 month-old girl and the oldest one was a 24 year-old male. 3. More than half of the patients had less than 50 percentile of growth retardation. 4. Chief complaints of the patients were frequent URI [52%], dyspnea on exertion [33%], generalized weakness [22%], palpitation [7%], but 7 patients [26%] had no subjective symptoms. 5. Continuous machinery murmur could be heard at the 2nd or 3rd intercostal space on the left sternal border in 22 patients [81%]. The other S patients made systolic murmur with accentuation of the second heart sound and those were associated with pulmonary hypertension. 6. Radiologic findings of Chest P-A were cardiac enlargement in 15 patients [55%], enlargement of pulmonary conus and/or increasing density of pulmonary vascularity in 20 patients [74%]. 7. Electrocardiographic findings of the patients were within normal limit in 13 patients [48%], LVH in 4 patients [15%], biventricular hypertrophy in 3 patients [11%]. 8; echocardiogram was obtained from 11 patients. Ductus was directly visualized in 7 patients. Left atrial enlargement is the secondary change of left to right shunt, 10 patients had LA/Ao ratio more than 1.2. 9. Cardiac catheterization performed in 25 patients. The mean value of the results were:SO2[PA-RV]= 14.72\ulcorner6.01%, Qp/Qs=2.22\ulcorner.80, peak systolic pulmonary arterial pressure=48.28\ulcorner1.60 mmHg. 10. 26 patients were operated through the left posterolateral thoracotomy: closure of ductus by double ligation in 14 cases, triple ligation in 5 cases, and division with suture in 8 cases. One patient suffer from aneurysmal rupture of main pulmonary artery, endocarditis, hemopericardium was treated with cardiopulmonary bypass via median sternotomy and closure of ductus through the ruptured main pulmonary artery. 11.There was no death associated with the operation, but 3 cases were experienced with intraoperative rupture around the ductus resulting in massive bleeding. The other complications were transient hoarseness in one patient, atelectasis in left lower lobe in 3 patients, and postoperative systemic hypertension in 4 patients with unknown etiology. 12. Pulse pressure was reduced, 11.47+5.92 mmHg, postoperatively, as compare to preoperative status. 13. Intraoperative wedge lung biopsy from lingular segment for the evaluation of the pulmonary vascular disease was taken in S patients with severe pulmonary hypertension. The result was Heath-Edward grade I in one case, grade II in two cases, and grade III in two cases.

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The Problems of Dokdo's Development Policy and an Alternative for Future Development (정부의 독도개발정책 문제점과 미래대안 모색)

  • Lee, Jaeha
    • Journal of the Korean association of regional geographers
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    • v.19 no.2
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    • pp.282-300
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    • 2013
  • This study regards that a cause of intensifying sovereignty disputes between Korea and Japan over the Dokdo island has resulted from the fallacy of Dokdo's development policy directly related to exertion and consolidation of Korean government's sovereignty on Dokdo, which has been under Korea's effective control since 1953. From this internal view, this study critically reviews the Korean government's development policy for Dokdo from the 1950s to the end of July 2012 and suggests an ideal alternative for future development of Dokdo on the basis of the discussion of the problems of Dokdo's development policy and its different future development directions proposed in Korean society. The Korean government implemented quite passively the development policy for the inhabited island which is required for the consolidation of sovereignty over Dokdo not to hinder the friendly diplomatic relationship between Korea and Japan. Dokdo is currently not acknowledged as the Korea's Dokdo island in international society, but mostly called Liancourt Rocks. It may be due to the fact that Korea did not positively develop Dokdo as a valuable island which a number of Koreans can inhabit. Consequently this paper proposes 'Dokdo eco-village' as an alternative development plan from the perspective of sustainable development which the UN has adopted. It is a small scale village that contains economic function of eco-friendly fishing, eco-tourism and East Sea research. The hope is that Dokdo eco-village draft plan will be a clue to the discussion and establishment of new Dokdo's development policy to strengthen the Korea's sovereignty and effective control over Dokdo in the future.

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EFFECTS OF ELASTIC OPEN ACTIVATOR IN CLASS II MALOCCLUSION (Elastic Open Activator를 이용한 II급 부정 교합의 치료효과)

  • Chung, Kyu-Rhim;Park, Young-Guk;Lee, Hyun-Kyung
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.511-523
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    • 1995
  • The elastic open activator is one of the modified myodynamic activator. The reduced size of the appliance mass motivates the patients' comfort and longer time of wearing. Its peculiarities in loose fitting and the lack of appliance stabilization in the mouth draws the tongue and the surrounding functional matrices on close interaction with the appliance, consigns the physiologic exertion to target structures, and eventually makes it feasible to the inland of non-extraction treatment In the context of the sagittal malocclusion, the orthodontic trench is dependent upon the growth of basal structure aimed, therefore, it is contemplated to grabble the effects of Elastic Open Activator upon the class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine Class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine class II division 1 and five division 2 patients were evaluated and analyzed, and the following observations were drawn, 1. The maxilla maintained a normal growth pattern in both groups. 2. The mandible grew anteroinferiorly in both groups. 3. The upper incisors tipped ligually in Class II division 1 and tipped labially in Class II division 2 and anterior vertical alveolar growth was interrupted in both groups. 4. The lower incisors tipped labially. 5. There was an arch expansion in both groups and increase of available space in Class II division 2

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A Study on the Bearing Characteristics of No-grouted and End-compressed Micropile Adopting Wedge Horizontal Force (쐐기수평력을 도입한 무그라우팅 선단압축 마이크로파일의 지지력 특성에 관한 연구)

  • Hwang, Gyu-Cheol;Ahn, U-Jong;Lee, Jeong-Seob;Ha, Ik-Soo
    • Journal of the Korean Geotechnical Society
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    • v.34 no.3
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    • pp.67-75
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    • 2018
  • In this study, we developed a micropile equipped with ground fixing wedge device which is able to ensure the bearing capacity early before grouting by expanding the tip and exerting the tip surface friction while compressing and expanding the tip of the micropile during loading. The purpose of this study is to verify the applicability of the developed micropile to the ground with various kinds of strength and to compare its characteristics with those of the simple tip expansion micropile. A new test system including a model soil box which can measure the tip resistance and the tip skin friction separately was devised. The loading test was carried out according to the changes of the ground strength and the tip cross section using the devised test systems. As a result of the test, it was found that the developed micropile increased the tip skin friction due to the wedge horizontal force as the soil strength increased and could be applied more effectively to the ground with the strength not lower than the strength of the weathered rock. In addition, it was found that additional bearing capacity could be obtained due to the tip cross section expansion and the wedge horizontal force exertion even in the ground with the strength below the weathered rock strength.