• 제목/요약/키워드: Agitated Behavior

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Multi-Sensory Environment and Agitated Behavior in Ageing Residents with Dementia

  • Lee, Sook-Young;Morelli, Agneta
    • Architectural research
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    • 제12권1호
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    • pp.1-8
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    • 2010
  • This research paper explores selected behavioral outcomes of a multi-sensory environment. An experimental study was conducted at a specialized facility for the ageing in Sweden. The objective was to explore the effects of agitated behaviors of ageing residents with dementia and to identify any short-term effects. Appointed nursing staff was instructed to record physically and verbally agitated behaviors on three occasions; pre-session, mid-session, and post-session. Over seven months, nine participants received sixty-one sessions in the multi-sensory room. ANOVA and Post hoc multiple comparisons were performed to identify the differences in mean between each session. Generally irritated/frustrated behavior and eating/drinking non foods revealed statistically significant differences, while there were no significant results in verbally agitated behavior. One short-term effect was observed in one agitated category; a reduction of generally irritated/frustrated behavior. These results suggest that the multi-sensory environment can have positive effects on some manifestations of agitated behavior. This study proposes that a multi-sensory environment may be recommended as an alternative intervention for physically agitated behavior among this category of residents. However, more research is needed to understand the specific effects and the best use of the multi-sensory environment for this population.

진동교반조에서의 액자유표면의 거동에 관한 연구 (A Study on the Behavior of Liquid Free Surface in a Shaking Vessel)

  • 이영세;김문갑
    • 한국산업융합학회 논문집
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    • 제3권3호
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    • pp.209-217
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    • 2000
  • An attempt has been made to examine the highest liquid surface by means of measuring the movement of liquid free surface wave in the agitated vessel wall. Also, Relationship has been investigated between transition frequency, $N_z$ for behavior of liquid free surface and transition frequency for behavior of mass transfer coefficient in the agitated vessel wall. A surface wave is occured within agitated vessel, the highest height of wetted vessel wall, $h_w$ is coincided with the highest liquid surface, h. However the lowest height of wetted vessel, $h^*{_w}$ is not descended to lowest liquid free surface, $h^*$. The proposed model has been tested sucessfully for the behavior of liquid free surface.

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스노잘렌 공간이 치매노인 동요행동에 미치는 영향 (Effects of Snoezelen Room on Agitated Behavior of People with Dementia)

  • 이숙영;디라니알란
    • 한국주거학회논문집
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    • 제19권4호
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    • pp.79-87
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    • 2008
  • Snoezelen, multi-sensory stimulation, provides stimulation through the visual, aural, tactile, olfactory, gustatory and proprioceptive senses. Its aim is to be a relaxing, feeling of safety, novelty and stimulation with no expectations for performance. Agitated behavior of people with dementia causes significant problems and distress for cares. The objective of this research study was to test the effects of Snoezelen room on physical and verbal agitated behaviors of people with dementia. Four patients participated five sessions in Snoezelen room of 'F' dementia care facility in Sweden. Assessment instrument was basically used Cohen-Mansfield Agitation Inventory-Short Form to be rated by caregivers on a 5-point frequency scale. Pre-trial and post-trial assessments were carried out during $27^{th}$ Aug.-$27^{th}$ Sept. 2007. Result shows that Snoezelen room has some short-term positive effect on agitated behavior even though there was a considerable variation individuals responded. This result adds to the increasing evidence that Snoezelen could be a therapeutic environment for the elderly with dementia. Further research study, with larger number of participation, and a control group is required to establish more scientific evidence of Snoezelen effects on health outcome.

중환자실 환자의 우발적인 기관튜브이탈 관련요인 연구 (A Study on the Influencing Factor of Unplanned Endotracheal Extubation in ICUs)

  • 최윤경;김금순
    • 한국의료질향상학회지
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    • 제9권1호
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    • pp.74-89
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    • 2002
  • Background : The purpose of this study was to investigate the incidence of unplanned endotracheal extubation and to identify the influencing factor of unplanned extubation in ICUs for providing baseline data in developing prevention strategies and administrative standards. the medical records and hospital information system. In order to analyze factors related to unplanned extubation, the subjects of this study were divided by unplanned extubation group and planned extubation group and were matched by its sex, age, and disease groups in a ratio of one to two. The data were analyzed by descriptive statistics, ${\chi}^2$- test, t-test, Fisher's exact test, and logistic regression analysis with SPSSWIN 10.0 program. Result : 1) Forty-seven(4.99%) of 942 intubated patients experienced unplanned extubation 65 times during the twelve-month period. Thirtyfour( 72.34%) of 47 unplanned extubated patients required reintubation, whereas thirteen patients(27.66%) did not. 2) About half of unplanned extubation(46.8%) occurred during the night shift. 3) As for the nursing activity, respiratory nursing activity score(P=.0.06) and total nursing activity score(P=.011) showed statistically significant differences between unplanned extubation group and planned extubation group. 4) As for the patient status, unplanned extubation group showed more lower consciousness level(P=.000), more irritable or agitated behavior(P=.000), and had more applied physical restraints(P=.000) than planned extubation group. 5) As for the intubation related variables, unplanned extubation group revealed more intubated with respiratory failure(P=.000), more dependent on mechanical ventilation(P=.015) than planned extubation group. 6) Factors affecting unplanned extubations in intensive care unit patients were irritable or agitated behavior(odds ratio=13.757), night shift(odds ratio=7.166), and mechanical ventilation(odds ratio=6.257) from conditional logistic regression analysis. Conclusion : The most affecting factor of unplanned extubation was agitated or irritable behavior. Therefore the results of this study could be helpful to ICU nurses for meticulous care, decision making, timely intervention, and development of intervention strategies for preventing unplanned extubation.

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쵸크랄스키 Silicon 단결정의 Large Pit과 Flow Pattern defect의 열적 거동과 Large Pit의 소자 수율에의 영향 (Thermal Behavior of Flow Pattern Defect and Large Pit in Czochralski Silicon Crystals and Effects of Large Pit upon Device Yield)

  • 송영민;문영희;김종오;조기현
    • 한국재료학회지
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    • 제11권9호
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    • pp.781-785
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    • 2001
  • The thermal behavior of Flow Pattern Defect (FPD) and Large Pit (LP) in Czochralski Silicon crystal was investigated by applying high temperature annealing ($\geq$$1100^{\circ}C$) and non-agitated Secco etching. For evaluation of the effect of LP upon device performance/yield, commercial DRAM and ASIC devices were fabricated. The results indicated that high temperature annealing generates LPs whereas it decreases FPD density drastically. However, the origins of FPD and LP seemed to be quite different by not showing any correspondence to their density and the location of LP generation and FPD extinction. By not showing any difference between the performance/yield of devices whose design rule is larger than 0.35 $\mu\textrm{m}$, LP seemed not to have detrimental effects on the performance/yield.

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임펠러 교반에 의한 경량금속 스크랩 용해로에서의 혼합 및 탈 가스 거동 (Mixing and Gas Removal Behavior in Scrap Remelt of Light Metal by Impeller Agitation)

  • 한정환;이주한;김석범;변지영;심재동
    • 자원리싸이클링
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    • 제7권3호
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    • pp.42-51
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    • 1998
  • 알루미늄이나 마그네슘과 같은 경량금속은 스크랩 용해과정에서 수분과의 반응으로 수소농도가 증가하게 되며, 재활용을 위해서는 추가적인 합금성분의 첨가 및 탈 수소 공정이 필요하다. 본 연구에서는 경량금속 스크랩 용해공정에 사용되는 정련로에 대하여 배플의 유무 및 임펠러를 사용한 기계적 교반이 탈 가스 거동에 미치는 영향에 대하여 조사하였다. 수 모델 실험을 통해 유동현상의 관찰, 균일 혼합시간 및 탈 가스 속도를 측정하였고, 반응용기 내 난류 유동장에 대한 수치해석을 통해 기계적 교반을 실시하는 정련로에 대한 혼합 및 탈가스 거동을 정량화 하였다.

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119 구급대원 폭행피해에 대한 법적고찰 및 대응방안에 관한 연구 : 신체보호대를 중심으로 (A study on the violence victimization of the 119 EMT: Focusing on the physical restraints)

  • 박시은;신동민
    • 한국응급구조학회지
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    • 제23권1호
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    • pp.35-48
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    • 2019
  • Purpose: This study aimed to explore the rationality for and countermeasures against the use of prehospital patient restraint (PPR) techniques in efforts to limit violent behavior toward 119 emergency medical technicians (EMTs). Methods: Previous countermeasures to limit violent behavior toward 119 EMTs and medical personnel were focused on strict reactive and passive proactive responses. However, those in support of the countermeasures do not believe that violent and criminal behavior can be limited or extinguished by strengthening the punishment unconditionally. Results: When it comes to the far-reaching effects of stigmatization on people who engage in violent and criminal behavior, it is possible that unconditional punishment leads to more crime, increases the costs of imprisonment, and consequently, adds to the financial burden of the government. Conclusion: Thus, we are faced with an urgent need to prepare legal grounds for the use of PPR techniques by 119 EMTs for agitated or combative patients only, with direct medical oversight. Moreover, the legal foundation for the use of PPR techniques also needs to be established for emergency medical personnel. The use of PPR techniques not only ensures the safety of emergency medical services personnel, but also protects patients from injuring themselves and others.

Psychosocial Reaction Patterns to Alopecia in Female Patients with Gynecological Cancer undergoing Chemotherapy

  • Ishida, Kazuko;Ishida, Junko;Kiyoko, Kanda
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1225-1233
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    • 2015
  • This study aims to clarify the psychosocial reactions of female patients with gynecological cancer undergoing chemotherapy and in the process of suffering from alopecia and to examine their nursing support. The target group comprised female patients who had received two or more cycles of chemotherapy, were suffering from alopecia, and were aged 30-65. Data were collected from semi-structured interviews, conducted from the time the patients were informed by their doctors that they might experience alopecia due to chemotherapy to the time they actually experienced alopecia and until they were able to accept the change. Inductive qualitative analysis was employed to close in on the subjective experiences of the cancer patients. The results showed the existence of six phases in the psychosocial reactions in the process of alopecia: phase one was the reaction after the doctor's explanation; phase two was the reaction when the hair starts to fall out; phase three was the reaction when the hair starts to intensely fall out; phase four was the reaction when the hair has completely fallen out; phase five was the reaction to behavior for coping with alopecia; and phase six was the reaction to change in interpersonal human relationships. The results also made it clear that there are five types of reaction patterns as follows: 1) treatment priority interpersonal relationship maintenance type; 2) alopecia agitated interpersonal relationship maintenance type; 3) alopecia agitated interpersonal relationship reduction type; 4) alopecia denial interpersonal relationship reduction type; and 5) alopecia denial treatment interruption type. It is important to find out which of the five types the patients belong to early during treatment and provide support so that nursing intervention that suits each individual can be practiced. The purpose of this study is to make clear the process in which patients receiving chemotherapy come to accept alopecia and to examine evidence-based nursing care on patients with strong mental distress from alopecia.

내충격성 폴리스티렌의 고무상 입자경 예측 (Average Particle Size Prediction of Rubber Dispersed Phase in High Impact Polystyrene)

  • 이성재;정경호
    • Elastomers and Composites
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    • 제31권5호
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    • pp.327-334
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    • 1996
  • A correlative analysis has been carried out to predict the average particle size of rubber dispersed phase In high impact polystyrene manufactured by bulk polymerization. To do the correlation, a mechanistic model suggested previously by the author was used for describing the size of stabilizing particles agitated under the turbulent viscous shear subranges in a prepolymerization reactor, where the rubber particles were assumed to be formed at the time of phase inversion in the reactor. Viscosities required for the model were postulated to describe the overall behavior of butadiene rubber and polystyrene mixture along the wide range of conversion. The good agreement between the model and the experimental data from a plant was quite satisfactory for the prediction of the average rubber particle size of high impact polystyrene.

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메탄/공기 예혼합화염의 동역학적 거동과 정상초음파의 교반 (Agitation Effects of an Ultrasonic Standing Wave on the Dynamic Behavior of Methane/Air Premixed Flame)

  • 서항석;이상신;김정수
    • 한국추진공학회지
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    • 제16권3호
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    • pp.16-23
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    • 2012
  • 정상초음파의 교반이 메탄/공기 예혼합화염의 동역학적 거동에 미치는 영향을 규명하는 실험 결과를 본 연구에서 제시한다. 슐리렌 기법을 이용하여 전파하는 화염을 가시화하였고, 이미지 후처리를 통해 정상초음파 유무에 따른 화염선단의 전파속도를 상세히 관찰하였다. 전파속도는 이론당량비에서 정상 초음파가 교반하는 경우에 크게 증가하였으며, 당량비가 연소 상한계 혹은 연소 하한계로 벗어남에 따라 교반의 효과는 감소하였다. 정상초음파장은 화염 구조의 왜곡을 동반하고, 그 변이 형상은 교반하는 초음파장의 특성에 전적으로 종속하였다.