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A Study of Anxiety Scale Applied to Patients with Anxiety Disorder (불안 환자에 대한 불안척도의 연구)

  • Lee, Jung-Hoon;Park, Byung-Tak
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.156-166
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    • 1992
  • The authors studied anxiety, using Zung's self-rating anxiety scale(SAS), in the subjects of 127 male and 38 female patients with anxiety disorder. The authors investigated 165 patients in Yeungnam university hospital from January, 1987 to June, 1991. In order to analyze the data on anxiety scores Pearson's product moment coefficient correlation method and factor analysis were carried out by SPSS/PC+ program. The results were as follows : There was significant difference in the mean averages of total anxiety scores among patients with anxiety, disorder and male and female college freshmen: patients with anxiety disorder scored $42.40{\pm}7.74$, male students scored $32.91{\pm}5.70$, female students scored $34.48{\pm}6.00$. The anxiety scores relating to the items of body aches & pains, fatigue, anxiousness, panic, and urinary frequency were relatively high in patients with anxiety disorder. The anxiety scores on the items of restlessness, apprehension, dyspnea, sweating, and insomnia were relatively low in patients with anxiety disorder. Twenty-nine anxiety disorder group(17.5%) showed significantly high anxiety scores of 50 or over. The inter-rater reliability of Zung's self-rating anxiety scale was 0.71.

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Ways to Reduce Clinical Practice Stress of Students in the Department of Radiology (방사선학과 학생들의 임상실습 스트레스 감소 방안)

  • Shin, Seong-Gyu;Lee, Hyo-Yeong
    • The Journal of the Korea Contents Association
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    • v.13 no.8
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    • pp.266-274
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    • 2013
  • This study was developed to provide the basis for efficient bedside training by discovering and analyzing ways to reduce stress when students are in clinical practice. The present study was conducted using a 3-part questionnaire format and was based on 253 participants who were students completing clinical practice. The results showed that environmental factors were the most stressful for students in the department of radiology. According to the questionnaire, the highest factor relating to stress was 'standing for long durations' with a value of $3.27{\pm}1.04$, and values were respectively high in the sections on' disregard when students have a lack of knowledge' and 'repetition in simple tasks'. Students who had a good training atmosphere, good relationships with clinical radiological technologists and other students, and students who had high self-esteem showed low stress levels. The effect on BEPSI scale increased as interpersonal relationships and performance declined. Therefore, training institutions should consider relaxation areas for students, radiological technologists should not ignore the reality that students do not have substantial knowledge in clinical practice and comparisons made between students should not exist. In addition, there is the need to make an effort to reduce stress experienced by students in clinical practice through the use of positive communication and encouragement by assigning various training opportunities, providing areas to sit and initiating relaxation periods for students to reduce fatigue, as well as challenging students rather than restricting them to the simple and repetitive routines they encounter in clinical practice.

The Experience of Parents Whose Child is Dying with Cancer (암 환아 부모의 경험에 대한 질적 연구)

  • ;;Ida Martinson
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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Acceleration Test Method for Failure Prediction of the End Cap Contact Region of Sodium Cooled Fast Reactor Fuel Rod (소듐냉각 고속로 연료봉단의 접촉부 손상예측을 위한 가속시험 방법)

  • Kim, Hyung-Kyu;Lee, Young-Ho;Lee, Hyun-Seung;Lee, Kang-Hee
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.5
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    • pp.375-380
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    • 2017
  • This paper reports the results of an acceleration test to predict the contact-induced failure that could occur at the cylinder-to-hole joint for the fuel rod of a sodium-cooled fast reactor (SFR). To incorporate the fuel life of the SFR currently under development at KAERI (around 35,000 h), the acceleration test method of reliability engineering was adopted in this work. A finite element method was used to evaluate the flow-induced vibration frequency and amplitude for the test parameter values. Five specimens were tested. The failure criterion during the life of the SFR fuel was applied. The S-N curve of the HT-9, the material of concern, was used to obtain the acceleration factor. As a result, a test time of 16.5 h was obtained for each specimen. It was concluded that the $B_{0.004}$ life would be guaranteed for the SFR fuel rods with 99% confidence if no failure was observed at any of the contact surfaces of the five specimens.

Dietary Behavior, Health Status, and Perceived Stress of University Students (대학생의 식행동과 건강 상태 및 스트레스에 관한 연구)

  • Cho, Jee-Ye;Song, Jae-Chul
    • The Korean Journal of Food And Nutrition
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    • v.20 no.4
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    • pp.476-486
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    • 2007
  • This study was performed to investigate the dietary behaviors, perceived stress, and health-related factors along with their correlations in University students. The number of subjects was 150(64 males and 86 females), and the results of the study were as follows: Stress was felt by over 80% of the male and female students. The male students were more stressed than the females for economic value, gender difference, professor and drinking-related stress factors, and there was a significant difference between the genders. The female students had more clinical symptoms from stress than the male students in terms of dizziness, indigestion and constipation(p<0.01, p<0.001). The amount of food intake under stress was significantly different by gender. The female students preferred sweet tasting items, whereas the male students preferred hot tasting item when under stress. Also the intake of candy and chocolate when under stress in the male and female students was $2.00{\pm}0.74$ and $2.41{\pm}0.75$, respectively. The female students consumed candy and chocolate more than the male(p<0.01). Furthermore, 62.5% of the male students and 30.2% of the female students exercised to get rid of stress: the use of ball games as exercise in male and female students was $1.59{\pm}0.83$, $1.01{\pm}0.11$, respectively. Many students drank alcohol and smoked while under stress. In particular, the male students smoked more than normal as compared to the females, and there was a significant gender difference(p<0.001). The clinical symptoms positively correlated with the life stress level were degree of nervousness, sweaty, achy neck and shoulders, sore back, dizziness, eye fatigue, headache and indigestion. The amount of food intake under stress was positively correlated to the clinical symptom of headache. These results indicate the effects of life stress on dietary behaviors, food choice, and health status. Stress not only changed dietary behaviors, but was also related to health status. Therefore, education with regard to nutrition is necessary if college students are to practice food eating habits to correctly manage life stresses.

Effects of Phytoncide Aroma Inhalation on Mood State and Health Related Quality of Life among Menopausal Women (피톤치드흡입이 폐경기 여성의 기분상태 및 건강 관련 삶의 질에 미치는 영향)

  • Lee, Young-Jo;Kim, Su-Young
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.224-231
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    • 2020
  • The purpose of this study was to analyze the change in phytoncide intake in mood state and health-related quality of life menopausal women through an 8-week experiment. For the study, 41 subjects under 2 years after menopause in D and N districts in Seoul were targeted. consisting of three study points: pre-measurement (0week), intermediate (4week), and post-measurement (8week). Was used As a dependent variable of this study, mood status and health-related quality of life were set, and data were collected through three questionnaires: pre-measurement, intermediate measurement, and post-measurement. As for the analysis method, one-way ANOVA and post verification were performed. Derived result First, the phytoncide inhalation group of postmenopausal women showed statistically significant effects of reducing tension, depression, fatigue, chaos, and increasing vitality among the sub-factors of mood status compared to the control group. Second, the phytoncide inhalation group of postmenopausal women showed statistically significant increase in competence, mental well-being, stability, and vitality among the sub-factors of health-related quality of life compared to the control group.

A Fundamental Study on the Fracture Mechanism of Steel Plates under Completely Alternating Load (완전교번하중하(完全交番荷重下)에서의 강판(鋼板)의 파괴기구(破壞機構)에 관한 기차적(基磋的) 연구(研究))

  • Chang, Dong Il;Chung, Yeong Wha
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.2 no.3
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    • pp.1-13
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    • 1982
  • Transition process of plastic region. displacements, stresses and strains ahead the flaw tips were analysed by the finite element method on the steel plate with the circular hole and the one with the elliptical hole under completely alternating load (repetition of tensile loading, unloading and compressive loading). As the results, the followings were obtained. Transition process of elastic failure (yielding) region was estimated. From this the tendency was confirmed that the fracture would be initiated from ahead the flaw tip, and propagated along the $45^{\circ}$ direction. The fundamental data available in estimating the stress intensity factor that was considered as the core in analysing the fracture mechanism of steel plates were obtained. It was indicated that when unloading after tension the effect of compressive loading, and even the compressive reyield, was occured ahead the flaw tip. Similarly it was indicated that when unloading after compression the effect of tensile loading, and even the tensile reyield, was occured ahead the flaw tip. It was considered that these phenomena were occured because the unloading effect was constrained by the residual strains when unloading. It was considered that the fatigue phenomenon was occured ahead, the flaw tip by repetition of tensile yield, the above compressive reyield, compressive yeild and the above tensile reyield. In addition, the tendency was confirmed that the fracture ahead the flaw tip was occured as the flaw was changed from the circular hole to the elliptical hole and became to be the crack lastly.

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Clinical Studies on Thalamic Hemorrhage (시상출혈(視床出血)의 임상적(臨床的) 관찰(觀察))

  • Park, Chang-Gook
    • The Journal of Korean Medicine
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    • v.15 no.2 s.28
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    • pp.28-39
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    • 1994
  • Clinical studies were made on 79 cases with thalamic hemorrhage diagnosed by computed tomographic scan and only localized on the thalamic area, were admitted to the Kyung San University Taegu Oriental Medical Hospital from August 1990 to March 1994. The age and sex distribution, sites of hematoma, recurrence rate, incidence of hypertension, inducing factor, prodromal syndroms, symptoms and neurologic signs on admission, relationship between the hospital course and many factors affecting the prognosis such as age, side of hematoma, level of consciousness, volume of the hematoma. ventricular hemorrhage were analysed. The results were summarized as follows; 1. The most prevalent age group was above 60 years of age with 50-59 years, 70-79 years, 40-49 years and 80-89 years of age in the order of frequency. Male to female ratio was 1:1.55. 2. The ratio of left hematoma to the right was 1.32:1. The recurrence rate of cerebrovascular accident was 17.7% 3. The incidence of hypertension was 69.6% and inducing factors of thalamic hemorrhage in the order of frequency were physical work(29.1%), drinking or eating(13.9%), walking(12.7%) and rest(12.7%), The prodromal syndroms were numbness of extremities(5.1%), headache(2.5%), fatigue(2.5%), dizziness(1.3%), insomnia(1.3%), but prodromal syndrom was not found in 89.9% of thalamic hemorrhage. 4. The symptoms and neurologic signs on admission in the order of frequency were motor disturbance(98.7%), dysarthria(82.3%), positive Babinski sign(78.5%), headache(69.6%), dizziness(62.0%). hemisensory deficit(48.1%). nausea or vomiting(39.2%), absent or sluggish light reflex(35.4%), changes of consciousness (35.4%), dysphagia (20.3%), voiding difficulty.(13.9%), facial palsy(6.3%), aphasia(3.8%), seizure(38%), 6th N. palsy(3.8%) and small pupil(1.3%). 5. The rate of improvement was found almost equally in the 4th, 5th and 6th decades, but it was shown with dramatic decrease in the over 7th decades. The hospital course had no relationship with the side of hematoma but the level of consciousness had influence upon the prognosis. 6, The small hematoma had better outcome than large in the volume of hematoma under 15cc, but volume of the hematoma had no influence upon the prognosis because the rate of improvement was 75.0% in the volume of hematoma over 15cc. The hospital course had no relationship with ventricular hemorrhage.

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Effects of Formula (JR-22) Maybe Containing Traditional Herbs on Maximal Exercise Performance and Antioxidant Meterials in Murine Model (생약조성물 투여가 지구력 향상과 항산화 물질에 미치는 영향)

  • 홍성길;양동식;강봉주;이홍석;윤유식
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.7
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    • pp.1076-1081
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    • 2003
  • The effects of dietary supplementation of JR-22, formula containing distilled extracts of traditional herbs on maximal exercise performance and endurance were evaluated in mouse and rat model. In acute forced swimming test with 4%∼8% of the body weight attached to the tail, it was shown that dietary JR-22 supplementation increased endurance in exercise performance. There was no change of blood lactic acid, ammonia, inorganic phosphorous ion and creatine kinase activity, however ATP concentration in muscle was increased by JR-22 supplementation. Also, insulin-like growth factor-l (IGF-1) concentration in blood was significantly increased by JR-22 supplementation. In addition, the oxidative damage induced by exercise was reduced by JR-22 supplementation. In these results, we suggested that JR-22 supplementation enhanced maximal endurance exercise performance by the mechanism of increasing ATP and IGF-1 concentration and reducing oxidative damage.

Research on Subjective Symptoms of Cancer Patients Using Questionnaire - Based on the 48 Patients Who Have Participated in Clinical Trial about Korean Red Ginseng - (설문지를 이용한 암환자의 동반 자각 증상에 관한 연구 - 홍삼투여 인체적용시험에 참여한 48명 환자를 중심으로 -)

  • Kim, Eun Jung;Jung, Chan Yung;Kim, Kap Sung;Lee, Seung Deok
    • The Journal of Korean Medicine
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    • v.33 no.3
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    • pp.1-9
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    • 2012
  • Objectives: This research was aimed 1) to find out various subjective symptoms cancer patients had, 2) to find out the quantitative difference of symptoms occurring according to the area of cancer, current treatment methods, and relapse of the cancer and 3) to analyze the relationship between the occurrence of symptoms. Methods: This study was a survey about the various subjective symptoms cancer patients had. The subjects were 48 cancer patients in a double-blinded randomized controlled trial about the effectiveness of Korean Red Ginseng (KRG) treatments. Surveys were examined before Korean Red Ginseng (KRG) treatments. The questionnaire consisted of demographic research, patient history and accompanying symptoms. The symptoms part consisted of 4 questions on general symptoms (vertigo, hot flush, rash, insomnia), 2 questions on digestion symptoms (anorexia, dyspepsia), 2 questions on excretions (diarrhea, constipation), and 5 questions on symptoms in different body parts (headache, dryness of lips, chest pain, aphthous ulcer, nose bleeding). The questionnaire was used to research presence of symptoms and relationships between the occurrence of symptoms. Results: A total of 48 patients took part in this survey. Dizziness was the most frequent subjective symptom patients had (64.58%), followed by dry mouth (43.75%), headache (43.75%), insomnia (41.67%), anorexia (37.5%) and chest discomfort (37.5%). The presence of these subjective symptoms was partially related to the patient's history details - type of cancer, method of cancer treatment (chemotherapy, radiotherapy), termination of treatment, presence of pain, fatigue and recurrence, etc. Factor analysis was conducted to analyze the relationship between the occurrence of symptoms. It suggested 5 factors as a result, but there was a limitation that only a low level of correlation was shown among them. Conclusions: We were able to analyze the occurrences and the relationships among them for accompanying subjective symptoms in cancer patients. However the results of the study are limited in that only 48 patients participated. The symptoms in cancer patients showed a tendency for clustering, occurring simultaneously or continuously rather than occurring alone. The study of these symptom clusters is worth further study, for it is similar to the Symptom Differentiation System in Traditional Korean Medicine. For effective approach to the treatment of cancer in Traditional Korean Medicine, further research on the Korean traditional view of cancer patients should be done based on this research, regarding various symptoms and those relationships on a larger scale.