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The Effect of Supportive Nursing Care on Depression, Mood and Satisfaction in Military Patients with Low Back Pain (지지간호가 군 요통환자의 우울ㆍ기분ㆍ만족에 미치는 영향)

  • 김정아
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.324-340
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    • 1990
  • Support has always been considered an important nursing concept. However, there is no agreement among nurse researchers as to a conceptual definition of supportive nursing or meaningful supportive behaviors. Clarification of the concept, support in nursing, is necessary to promote communication among nurses on nursing behaviors that are effective in providing support and on understanding the relevant properties and charcteristics of the concept, supportive nursing care. The objectives of the study were : 1. to analyse the concept, support in nursing, in order to provide a definition of supportive nursing care, and 2. to operationalize the definition of supportive nursing care and use it as an experimental nursing intervention for patients with low back pain. The first part of the study used the concept analysis approach developed by Walker and Avant(1983) to define the concept of supportive nursing care. The properties of supportive nursing care, defined by this analysis, included perception of supportive need, reciprocal interaction(Transaction), listening, providing empathy and information related to health, and confirmation of the patient's verbal and non - verbal response. The second part, the experimental part of the study, was done using King's(1970) Interpersonal Theory for Nursing. The concept, supportive nursing care, as defined in the concept analysis was operationalized and used as the experimental intervention. The experiment tested the effectiveness of the independent variable, supportive nursing care on the dependent variables, depression, mood and patient satisfaction, in the patients with low back pain in army hospitals. The instruments used to measure the dependent variables were Zung's(1965) Self- Rating Depression Scale, Ryman and Colleagues'(1974) Mood Questionnaire and LaMonica and Colleagues'(1986) Patient Satisfaction Scale. The experimental design used for this study was a Solomon 4 group experimental design. This design has the strength of allowing for observation of the main effects of supportive nursing care and pretesting, and for observation of the interaction effects of pretesting and supportive nursing care. The design includes one experimental group and three control groups. The Subjects of this study were 150 young male patients with low back pain on Neuro - Surgical Wards in three general army hospitals. There were 35 in the experimental group, 39 in the pre - posttest control group, 36 in the treatment - posttest control group and 40 in the posttest only control group. Supportive nursing care, as operationalized by the researcher according to the concept analysis, was given to the patients in the experimental group and the treatment -posttest control group, individually for 30 minute sessions, every other day for 5 days. Data collection was done using a questionnaire. The data were collected in a pretest one week before the supportive nursing care sessions, a posttest immediately after the sessions and follow- up test one week later. Hypotheses testing was done using 2×2 factorial analysis of variance and Meta analysis(Stouffer's Z method). The results of this study are summarized as follows : 1. Hypothesis Ⅰ, “There will be a difference on depression level between the patients with low back pain who receive supportive nursing care and those who do not receive supportive nursing care”, was supported (F=8.49, p<.05). 2. Hypothesis Ⅱ, “There will be a difference on mood level between the patients with low back pain who receive supportive nursing care and those who to not receive supportive nursing care”, was supported (Z meta=2.17, p<.05). 3. Hypothesis Ⅲ, “There will be a difference on satisfaction level between the patients with low back pain who receive supportive nursing care and those who do not receive supportive nursing care”, was supported (F=13.67, p<.05). 4. ANOVA, done to examine the interaction effect of history and maturation, showed no significant difference on the dependent variables between the observations of the pretest scores of the experimental group, the pretest scores of the pre- posttest control group and the posttest score of the posttest only control group. 5. To test for continuing effect of supportive nursing care, paired t-test was done to compare the scores for the dependent variables at the posttest and at the one week later follow-up test. No significant difference on the scores for the dependent variables was found between the posttest scores and the follow-up test scores for the two groups that received supportive nursing care, the experimental group and the treatment-posttest control group. In conclusion, it was found that in the case of young soldiers with low back pain in army hospitals, their depression level was decreased, their mood state was changed positively and their satisfaction level was increased by receiving supportive nursing care. Further, the effectiveness of the supportive nursing care lasted for at least one week in this study. The significance of this study to nursing is in the analysis of the concept of supportive nursing care and the demonstration of the effectiveness of supportive nursing care as an intervention within the limits of the study.

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Application of MicroPACS Using the Open Source (Open Source를 이용한 MicroPACS의 구성과 활용)

  • You, Yeon-Wook;Kim, Yong-Keun;Kim, Yeong-Seok;Won, Woo-Jae;Kim, Tae-Sung;Kim, Seok-Ki
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.1
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    • pp.51-56
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    • 2009
  • Purpose: Recently, most hospitals are introducing the PACS system and use of the system continues to expand. But small-scaled PACS called MicroPACS has already been in use through open source programs. The aim of this study is to prove utility of operating a MicroPACS, as a substitute back-up device for conventional storage media like CDs and DVDs, in addition to the full-PACS already in use. This study contains the way of setting up a MicroPACS with open source programs and assessment of its storage capability, stability, compatibility and performance of operations such as "retrieve", "query". Materials and Methods: 1. To start with, we searched open source software to correspond with the following standards to establish MicroPACS, (1) It must be available in Windows Operating System. (2) It must be free ware. (3) It must be compatible with PET/CT scanner. (4) It must be easy to use. (5) It must not be limited of storage capacity. (6) It must have DICOM supporting. 2. (1) To evaluate availability of data storage, we compared the time spent to back up data in the open source software with the optical discs (CDs and DVD-RAMs), and we also compared the time needed to retrieve data with the system and with optical discs respectively. (2) To estimate work efficiency, we measured the time spent to find data in CDs, DVD-RAMs and MicroPACS. 7 technologists participated in this study. 3. In order to evaluate stability of the software, we examined whether there is a data loss during the system is maintained for a year. Comparison object; How many errors occurred in randomly selected data of 500 CDs. Result: 1. We chose the Conquest DICOM Server among 11 open source software used MySQL as a database management system. 2. (1) Comparison of back up and retrieval time (min) showed the result of the following: DVD-RAM (5.13,2.26)/Conquest DICOM Server (1.49,1.19) by GE DSTE (p<0.001), CD (6.12,3.61)/Conquest (0.82,2.23) by GE DLS (p<0.001), CD (5.88,3.25)/Conquest (1.05,2.06) by SIEMENS. (2) The wasted time (sec) to find some data is as follows: CD ($156{\pm}46$), DVD-RAM ($115{\pm}21$) and Conquest DICOM Server ($13{\pm}6$). 3. There was no data loss (0%) for a year and it was stored 12741 PET/CT studies in 1.81 TB memory. In case of CDs, On the other hand, 14 errors among 500 CDs (2.8%) is generated. Conclusions: We found that MicroPACS could be set up with the open source software and its performance was excellent. The system built with open source proved more efficient and more robust than back-up process using CDs or DVD-RAMs. We believe that the operation of the MicroPACS would be effective data storage device as long as its operators develop and systematize it.

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Intake Valve Temperature Effect on the Mixture Preparation in a SI Engine During Warm-up

  • 신영기
    • Transactions of the Korean Society of Automotive Engineers
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    • v.5 no.5
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    • pp.51-66
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    • 1997
  • A heat transfer model of the intake valve in a spark ignition engine is presented, which is calibrated with a number of the valve temperature profiles measured during engine warm-up for the gaseous fuel(propane). The valve is divided into four identical elements for which the assumption of lumped thermal mass is applied. The calibration is made so that the difference between the measued and simulated valve temperatures becomes minimal. Then the model is applied to the cases of the liquid fuel(indolene) to estimate the amount of the liquid fuel vaporized from the intake valve by assuming that fuel evaporation accounts for the deficit of the heat balance budget. The results of the model show quantitative contribution of each heat transfer source to the heat balance. The behavior of the calculated mass fraction of the fuel vaporized from the intake valve explains how the liquid fuel evaporate during engine warm-up. The mass fraction at warmed-up condition is closely related with the fraction directly targeted on the valve back by the fuel spray geometry.

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The Development of Single Phase Dual Function Power Compensator(DFPC) with Source Condition (전원상태에 따른 단상 이중기능 전력보상기의 개발)

  • Park, Ga-Woo;Kim, Mal-Soo;Choi, Chang-Ho
    • Proceedings of the KIEE Conference
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    • 2001.04a
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    • pp.222-226
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    • 2001
  • 본 논문에서는 단상 H-bridge 구조의 VSC (Voltage Source Converter)를 이용하여 계통전원을 사용하는 부하의 고조파 전류 보상기능과 전원 Back-up 기능을 갖는 부하전력보상기를 보여준다. 이 두 제어 기능은 전원전압의 유무에 따라 APF의 컨버터 동작과 UPS의 인버터로 동작하게 함으로써 기존 UPS에 부하 전류의 고조파 보상이라는 부가적인 이득을 갖는 이중전력보상기(Dual Function Power Compensator)라 할 수 있다. 컨버터 제어는 Battery 충전 동작과 APF 동작을 동시에 수행하며, 인버터 제어는 정전시 부하에 전원을 공급하는 UPS로서의 동작을 수행하게 된다. 두가지 동작이 성공적으로 수행되기 위해서는 1. 전원전압의 신속한 검출과 판단, 2. 컨버터의 Battery 충전, 3. APF동작을 위한 부하전류의 고조파 전류계산, 4. 전원전압의 동기추종 등이 각각의 동작모드별로 순조롭게 연계동작 되어 야 한다. 본 논문에서는 DFPC의 발생배경과 제안된 DFPC 제어모드의 구분을 결정하는 전원전압의 검출방법에 대하여 소개한다. 그리고 제안된 DFPC의 실제 시스템을 제작하여 각각의 동작상황과 성능을 시험하여 그 결과를 보여준다.

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PCB Integrated Spiral Pattern Pick-up Coil Current Measurement Scheme with High Sensitivity for WBG Devices (WBG 소자를 위한 높은 측정 감도를 가지는 PCB 내장형 Spiral 패턴 Pick-up Coil 전류 측정 기법)

  • Kim, Kyeong-Mo;Cha, Hwa-Rang;Kim, Rae-Young
    • The Transactions of the Korean Institute of Power Electronics
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    • v.25 no.3
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    • pp.162-170
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    • 2020
  • In this paper, we report our study of the current measuring technique by implementing a pick-up coil in the PCB pattern instead of the current measuring sensor in a power converter using a WBG device. The proposed PCB pattern coil structure has a higher mutual inductance value than the conventional pattern by constructing the coil using the multi layer board. It has high sensitivity and is configured without additional process outside the PCB. In the current measurement, the integrator is measured by integrating the coil at the back end and the current waveform measured using proposed pick-up coil is confirmed by comparing it with the original current waveform through DPT simulation.

Cu Plating Thickness Optimization by Bottom-up Gap-fill Mechanism in Dual Damascene Process (Dual Damascene 공정에서 Bottom-up Gap-fill 메커니즘을 이용한 Cu Plating 두께 최적화)

  • Yoo, Hae-Young;Kim, Nam-Hoon;Kim, Sang-Yong;Chang, Eui-Goo
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2005.07a
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    • pp.93-94
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    • 2005
  • Cu metallization using electrochemical plating(ECP) has played an important role in back end of line(BEOL) interconnect formation. In this work, we studied the optimized copper thickness using Bottom-up Gap-fill in Cu ECP, which is closely related with the pattern dependencies in Cu ECP and Cu dual damascene process at 0.13 ${\mu}m$ technology node. In order to select an optimized Cu ECP thickness, we examined Cu ECP bulge, Cu CMP dishing and electrical properties of via hole and line trench over dual damascene patterned wafers split into different ECP Cu thickness.

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A Study on the Start-up Control for HDD Spindle Motors (HDD 스핀들 모터의 초기 구동 제어에 관한 연구)

  • Jeong, Jun
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2008.04a
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    • pp.869-873
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    • 2008
  • Optimization method for the open loop commutation time intervals in HDD spindle start-up control is presented in this paper. A hard disk drive(HDD) uses a sensorless brushless DC motor(BLDC) for the platter rotation. Because there is no direct sensor for the rotor position, open loop commutations after sensing the rotor position at a standstill using inductive sensing method are performed to speed up the rotor up to a certain speed where the zero crossings of the back electromotive force(EMF) are measurable. Therefore successful open loop commutations are necessary for the stable start-up control of the spindle motors. Random neighborhood search(RNS) algorithm is introduced as a optimization technic in this paper. Rotor speed and its standard deviation are used as a cost function and commutation intervals obtained from the spindle motion equation are used as initial parameter values for the RNS. With the help of the proposed method optimized open loop commutation time intervals for the very low start-up current are acquired and tested. The experimental results shows that the proposed method can decrease the start-up failure rate of a HDD spindle motor.

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A Study on the Measurement of Break-up Length for the Diesel Sprays (디젤분무의 분열길이 측정에 관한 연구)

  • Jang, S.H.;Ra, J.H.
    • Journal of Power System Engineering
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    • v.3 no.3
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    • pp.22-28
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    • 1999
  • The injected liquid does not break-up instantly after injection for diesel engine. There is some unbroken portion, which is the liquid core(The length of liquid core is called the break-up length) in the spray. If the liquid core is longer than the depth of the bowl in the small DI diesel engine, the liquid core impinges on the surface of the piston. Once the liquid core impinges on the surface, it cannot ignite or burn rapidly and thus prolongs burning time with a degradation in thermal efficiency. The break-up length of a diesel spray in a compressure vessel was measured by an electric resistance method, A voltage was applied between the nozzle and screen, bar, needle electrode inserted at various axial and radial positions into atomizing sprays. As a result, a current flows not only in the region of liquid core but also through the droplets of the spray. It is found that the break-up length measured with screen electrode is overestimated. The break-up length of the spray is found to be proportional to the square root of the density ratio of fuel and surrounding gas. The break-up length of the spray decreases as the injection pressure and the back pressure increase.

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The Effects of Swiss Ball Lumbar Stabilization Exercise on the Strength and Flexibility, Balance (스위스 볼을 이용한 요부안정화 운동이 근력과 유연성 및 균형에 미치는 영향)

  • Lee, Dong-Geol;Ahn, Sang-Hyun;Oh, Jin-Kyu;Cho, Nam-Jung
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.7 no.1
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    • pp.35-42
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    • 2009
  • Purpose : The purpose of this study was to investigate the effects of Swiss ball lumbar stabilization exercise on the strength and flexibility, balance for the subjects. 30 university students who aged an average $23.21{\pm}4.41$ years. Methods : The exercise program lasted for 4 weeks with a frequency of 3 times per week within 12 to RPE. The result was analyzed by case study were measured by sit-up for strength, and back muscle strength, and trunk flexion test and trunk extension lifting for flexibility, and also measured by balance test before and during, and after the Swiss ball exercise program. Statistical analysis was performed using SPSS/Win(15.0) version and t-test. Results : By the result of this study, we found that the number of performing sit-up strength was increased, and back muscle strength was increase, and trunk flexion test and trunk extension lifting was increased after the 4 weeks Swiss ball exercise program. Conclusion : These finding indicate that Swiss ball lumbar stabilization exercise using Swiss ball could be beneficial to the subjects. The effect of increasing strength and flexibility, balance was flexibility.

A Study on the Slacks Blocks for the Menopausal Women (폐경기 여성을 위한 슬랙스 패턴에 관한 연구)

  • Park, Hyun-Sook;Kim, Yeo-Sook
    • The Korean Journal of Community Living Science
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    • v.19 no.1
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    • pp.145-155
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    • 2008
  • From the menopause, women's aging progress is accelerated. Changes of lower body somatotype are accentuated in abnormal of body index and proportion. The purpose of this study is making more functional, more beautiful and more comfortable slacks for the postmenopausal women who actively participate in social activities. The results of this study are as follows: As the characteristics of this study pattern, hip circumference was replaced with maximum lower body circumference, the crotch length was defined as H/4, front crotch extension was H/16 and back crotch extension was defined as H/8. The center backline was set up with half of crotch level line. As characteristics of style, waist line is lowered 2cm at the center front, 1cm at the center back with a little bent waistband. Knee line was set up heightened 6cm from crotch level to the ancle, and widened the width of the knee and ancle, and made in semi bell bottom. 6 women who put on slacks designed from their body size evaluated that their experimental slacks were superior than ready to wear.

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