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Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients (이혈요법이 혈액투석 환자의 소양증과 피로에 미치는 효과)

  • Chun, Youngmi;Park, Sangyoun
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.436-446
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    • 2016
  • Purpose: The purpose of this study was to identify the effect of auricular acupressure on pruritus and fatigue in hemodialysis patients. Methods: The study design was a randomized control group pre-post test. Initially, forty-four patients were randomly assigned to one of two groups. There was a loss of three participants assigned to the treatment group. The period of data collection was from December 2014 to March 2015. Both groups completed a pre-test. The treatment group received auricular acupressure once a week for ten weeks. Data were collected from the treatment group at two time periods: five weeks and ten weeks following initiation of the treatment protocol. Data were collected from the control group at week 5 and week 10. Data analysis was performed using IBM SPSS Statistics 21.0 program, specifically with the independent t-test and the Repeated Measures of ANOVA. Results: Auricular acupressure was effective in reducing pruritus (F=13.93, p<.001) and fatigue (F=18.33, p<.001). Conclusion: Auricular acupressure is a non-invasive simple method that can be used for the relief of symptoms reported by hemodialysis patients. This treatment modality could be used in several clinical areas.

A Study on the Measurement of Delivery Flow Ripple Generated by Hydraulic Axial Piston Pumps (유압용 액셜 피스톤 펌프의 유량맥동 계측에 관한 연구)

  • 이상기
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.8 no.2
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    • pp.35-43
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    • 1999
  • The paper describes an approach for measuring delivery flow ripple generated by oil hydraulic axial piston pumps. In order to reduce pressure ripple which cause to undesirable noise. vibration and fatigue in hydraulic systems it is indispensible measure a delivery flow ripple from pumps. Since the flow ripple measurement of flow pumps is independent of the dynamic characteristics of the connected hydraulic circuit the measurement of flow ripple is most suitable for pump fluid-borne noise rating. The measurement of flow ripple with high frequencies from axial piston pumps is made by applying the remote instantaneous flow rate measurement method which is based on the dynamic characteristics between pressure and flow rate in hydraulic pipeline. The measured flow ripple waveforms are influenced by the configuration of V-shaped triangular relief groove in the valve plate. It can be seen that the appropriate relief groove in valve plate reduces the pressure and flow ripple amplitude and frequency spectrum for high harmonics.

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Prediction Model of Fatigue in Women with Rheumatoid Arthritis (여성 류마티스 관절염 환자의 피로 예측 모형)

  • Lee, Kyung-Sook;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.8 no.1
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    • pp.27-50
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    • 2001
  • Rheumatoid arthritis is a chronic systemic autoimmune disease. Although the joints are the major loci of the disease activity, fatigue is a common extraarticular symptom that exists in all gradations of rheumatoid arthritis. Fatigue is defined as a subjective sense of generalized tiredness or exhaustion and has multiple dimensions. Therefore fatigue is a common and frequent problem for those with rheumatoid arthritis. In fact, 88-100% of individuals with rheumatoid arthritis experience fatigue. Especially the degree of fatigue is higher in women than men with rheumatoid arthritis. Despite the importance of fatigue among the patients with rheumatoid arthritis, the mechanism that leads to fatigue in rheumatoid arthritis is not completely understood. This study was intended to test and validate a model to predict fatigue in women with rheumatoid arthritis. Especially it was intended to identify the direct and indirect effects of the variables of pain, disability, depression, sleep disturbance, morning stiffness, and symptom duration to fatigue. Data were collected by questionnaires including Multidimensional Assesment of Fatigue(Tack, 1991), numeric scale of pain, graphic scale of joints, Ritchie Articular Index, Korean Health Assessment Questionnaire(Bae, et al., 1998), Inventory of Function Status(Tulman, et al., 1991), Center for Epidemiologic Studies-Depression, and Korean Sleep Scale(Oh, et al 1998). The sample consisted of 345 women with a mean duration of rheumatoid arthritis for 10.06 years and a mean age of 49.64 years. SPSS win and Win LISREL were used for the data analysis. Structural equation modeling revealed the overall fit of the model. Pain predicted fatigue directly and indirectly through disability, depression, and sleep disturbance. Disability, sleep disturbance predicted fatigue only directly, while depression only indirectly through disability and sleep disturbance. Also morning stiffness and symptom duration predicted fatigue through disability and depression. All predictors accounted for 65% of the variance of fatigue. Depression, pain, and disability predicted sleep disturbance. Depression had reciprocal relationship with disability and they both were predicted by pain directly and indirectly. In summary, pain, depression, disability, sleep disturbance, morning stiffness, and symptom duration contributed to the fatigue of patients with rheumatoid arthritis. The best predictor of fatigue was pain. This finding indicates that the modification of pain, depression, disability, sleep disturbance, morning stiffness could be nursing intervention for relief or prevention of fatigue.

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Structural Equation Model for the Subjective Happiness of Adolescents : Focused on Perceived Stress, Activities and Practices (청소년의 주관적 행복감 구조모형 : 스트레스 인지와 의도적 활동중심으로)

  • Wi, Ok-Youn;Lee, Ji-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.585-596
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    • 2016
  • This study was designed to examine the relationships among the levels of perceived stress, dietary behaviors, physical exercise, drinking, smoking, and relief from fatigue through sleep which affect the subjective happiness in adolescents. Based on the study findings, this paper proposes the basic data required for offering practical solutions to improve the subjective happiness of adolescents. IBM SPSS 20 and AMOS 23 were used to conduct frequency and descriptive analyses, in conjunction with Pearson's correlation coefficients, the AMOS bootstrapping method and phantom variables, for the raw data obtained from the 9,599 participants included in the 11th Korea Youth Risk Behavior Web-based Survey. Those factors having a direct effect on the subjective happiness of the adolescents were the level of perceived stress, relief from fatigue through sleep, physical exercise, dietary behavior and smoking. Perceived stress had an indirect effect on subjective happiness, and the analysis of the indirect effect and significance level of multiple mediators by means of phantom variables showed that, as well as perceived stress, relief from fatigue through sleep, physical exercise, dietary behaviors, and smoking also had indirect effects on subjective happiness. Consequently, a multidisciplinary approach is needed to optimize the subjective happiness in adolescents and financial support for environmental improvements is particularly necessary.

Tensile response of steel/CFRP adhesive bonds for the rehabilitation of civil structures

  • Matta, F.;Karbhari, Vistasp M.;Vitaliani, Renato
    • Structural Engineering and Mechanics
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    • v.20 no.5
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    • pp.589-608
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    • 2005
  • There is a growing need for the development and implementation of new methods for the rapid and cost-effective rehabilitation of deteriorating steel structural components to offset the drawbacks related to welding and/or bolting in the field. Carbon fiber reinforced polymer (CFRP) composites provide a potential alternative as externally bonded patches for strengthening and repair of metallic structural members for building and bridge systems. This paper describes results of an investigation of tensile and fatigue response of steel/CFRP joints simulating scenarios of strengthening and crack-patching. It is shown that appropriately designed schemes, even when fabricated with levels of inaccuracy as could be expected in the field, can provide significant strain relief and load transfer capability. A simplified elasto-plastic closed form solution for stress analysis is presented, and validated experimentally. It is shown that the bond development length remains constant in the linear range, whereas it increases as the adhesive is deformed plastically. Fatigue resistance is shown to be at least comparable with the requirements for welded cover plates without attendant decreases in stiffness and strength.

Estimation of Contact Fatigue Life of a Girth Gear Based on Pinwheel (핀 휠 기반 거스 기어의 접촉 피로수명 평가)

  • Kwon, Soon-man;Shin, Heung Chul
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.25 no.4
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    • pp.245-252
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    • 2016
  • Girth gears are applied in the mining, cement, and mineral processing industries and used in various types of horizontal mills, rotary dryers and kilns, and other heavy-gear ring applications. The large ring gears are normally fitted outside mills or kilns to provide the primary rotational drive. Recently, an external pinwheel gear set (e-PGS) was introduced to overcome manufacturing problems associated with girth gears. e-PGS is also suitable for low-speed, heavy-duty mechanical transmission and dusty and poor-lubrication conditions. This paper first presents a new profile modification of root relief for the e-PGS cam pinion. We then investigate load-stress factors to estimate the surface fatigue life by varying the shape design parameters. The results show that the contact fatigue life of an e-PGS can be extended significantly by increasing the profile shift coefficient. However, support bearing life of the pinwheel depends more on the contact force distribution than the profile shift coefficient.

The Effect of a Kinesio Taping on Muscle power and Muscular fatigue in Quadriceps Femoris (대퇴네갈래근에 테이핑요법 적용이 근력과 근피로에 미치는 영향)

  • Choi, Jung-Hyun;Lee, Jae-Kap;Ahn, Ho-Jung
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.19-26
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    • 2008
  • Background: This study examines the changes in muscular strength and muscle fatigue substances when taping treatment is applied in squat exercise and treadmill exercise, in which quadriceps femoris muscles are used frequently so as to clarify the effects of taping as an aid of exercise ability improvement. Methods: 20 healthy male adults in their 20's participated in the study, in which tapes were put on their quadriceps femoris muscles, and various variables as the indicator of muscular strength and muscle fatigue substances were measured by means of the measuring tool before and after exercises. Results: the following conclusion was drawn up: 1. In exercise using muscular strength of the right knee extension, the reduction of muscular strength after exercise of the taping group showed significant statistical difference from that of the non-taping group. 2. In exercise using muscular strength of the lower limbs, the reduction of blood Glaucos after exercise of the taping group showed significant statistical difference from that of the non-taping group. 3. In exercise using muscular strength of the lower limbs, the value of lactic acid after exercise of the taping group showed significant statistical difference from that of the non-taping group. Conclusion: Therefore, the results of this study demonstrate that the application of taping treatment in sports activity or daily life where quadriceps femoris muscles are used a lot can have positive effects on the improvement of muscular strength and relief of muscle fatigue.

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The Effect of Fatigue of Patients with Chronic Obstructive Pulmonary Disease on Depression and The Health-Related Quality of Life (만성폐쇄성폐질환환자의 피로도가 우울정도와 건강관련 삶의 질에 미치는 영향)

  • Kang, Jeong-Il;Jeong, Dae-Keun;Choi, Hyun
    • The Journal of Korean Physical Therapy
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    • v.26 no.4
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    • pp.262-268
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    • 2014
  • Purpose: This study was conducted in order to measure fatigue as an objective index, depression and health-related quality of life of patients with COPD in daily life, to understand the correlation between them, and to present reasons for using the results clinically. Methods: This study is intended to evaluate and compare depression, the health-related quality of life of each group after measuring lactic acid levels of 39 male patients with COPD, and dividing those with measurement values than the normal value into the experimental group, and those with normal values into the control group. Results: When comparing depression between the experimental group and the control group, it was measured at 10.38 in the experimental group, and at 7.00 in the control group (p<0.05). Health-related quality of life between the experimental group and the control group was measured at 51.8 in the experimental group, and at 48.67 in the control group (p>0.05). Conclusion: According to the results described above, it appears that patients with COPD have adapted to their disease in some degree for a long period of time, and they are physically and psychologically adjusting to the fatigue they experience, in their own ways of adapting. These results imply that improving physical activity is associated with relief of fatigue and improvement of the quality of life. Thus, there is a need for developing and researching an exercise program and a physical therapy intervention for enhancement of physical activity.

In-vitro Hertzian Fatigue Behavior of Zirconia/Alumina Composites (지르코니아/알루미나 복합체의 In-vitro Hertzian 피로거동)

  • Lee, Deuk-Yong;Park, Il-Seok;Kim, Dae-Joon;Lee, Se-Jong
    • Journal of the Korean Ceramic Society
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    • v.41 no.1
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    • pp.69-75
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    • 2004
  • The degree of the indentation damage and strength degradation for 3Y-TZP ceramics and (Y,Nb)-TZP/$Al_2O_3$ dental implant composites was investigated under the Hertzian cyclic fatigue. Fatigue tests were conducted at contact loads of 500 to 3000 N and up to $10^6$ cycles in exact in vitro environments. At 500 N, no strength degradation and crack generation was observed up to $5{\times}10^5$ contact cycles. Fatigue properties of 3Y-TZP ceramics was superior to (Y,Nb)-TZP/ㅍ composites due to stress relief caused by the phase transformation from tettagonal to monoclinic phase. As contact load increased, the drastic reduction in strength was found when the damage transition from ring to radial crack occurred. The extent of strength degradation was more pronounced in vitro environments probably due to chemical corrosion of artificial saliva through cracks introduced during large numbers of contacts.

A descriptive survey study of stress, depression, fatigue & sleep quality in gestational diabetes mellitus and normal pregnancy (임신성 당뇨병 임부와 정상 임부의 스트레스, 우울, 피로 및 수면의 질에 관한 서술적 조사연구)

  • Hwang, In-Myung;Hur, Myung-Haeng
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.369-379
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    • 2021
  • This study was a descriptive survey study to compare the stress, depression, fatigue, and sleep quality between pregnant women with gestational diabetes mellitus (GDM) and normal pregnant women. The study subjects were 49 gestational diabetes mellitus women and 51 normal pregnant women who were matching with gestational diabetes mellitus women by age, gestational age and number of births. The data collection was measured using structured questionnaires, numerical scales, and Canopy9 RSA(IEMBIO, Gangwondo, Korea) equipment. As a result of the study, pregnant women with gestational diabetes had higher pre-pregnancy weight(t=3.698, p<.001) and higher stress(t=4.505, p<.001), depression(t=4.564, p<.001), and fatigue(t=3.709, p<.001) during pregnancy, so weight management is important before pregnancy, and stress, fatigue, and depression relief nursing