• Title/Summary/Keyword: Center of Pressure

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Performance of Comprehensive Nursing Care Service in an Acute Care Hospital: Focusing on Accidental Falls and Pressure Injuries (급성기병원에서의 간호 · 간병통합서비스 운영 전후 낙상 및 욕창 발생 변화)

  • Nam, Seung Nam;Ryu, Hye Ran;Kim, Se Hyun;Seo, Su Ryang;Oh, Yoon Hee;Choi, Sun Mi;Chung, Eun Jin
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.56-66
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    • 2023
  • Purpose: This study aimed to investigate whether the comprehensive nursing care service positively affected accidental falls and pressure injuries. Methods: This study was a retrospective study that analyzed the accidental falls and pressure injuries cases in an acute care hospital located in Seoul and compared the rates of accidental falls and pressure injuries before and after the comprehensive nursing care service was operated. Results: Comparing the accidental fall incidence rates per 100 person-months between a comprehensive nursing care ward and a general ward, it showed fewer accidental falls by 0.44 in comprehensive nursing care wards, but the result was not statistically significant. In the case of pressure ulcers, the incident rate per 100 person-month was 6.17 in general wards and 4.77 in comprehensive nursing care wards, which showed that the number of pressure ulcer patients was lower in comprehensive nursing care wards, however it was also not statistically significant. Conclusion: It is not confirmed that the operation of the comprehensive nursing care service contributes to the reduction of accidental hospital falls or pressure injuries. Follow-up studies are recommended to determine the effectiveness of comprehensive nursing services in quality indicators.

Accuracy Comparison of Blood Pressure among the Direct Measurement Method and Two Automatic Indirect Measurement Methods in the Patients with Various Blood Pressure (다양한 혈압상태에서 직접혈압을 기준으로 HP 자동혈압기와 국산자동혈압기의 정확도 비교)

  • Song Hyo-Sook;Jun Tae-Gook;Choi Eun-Jung;Kim Mi-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.366-378
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    • 2001
  • Objective: The purpose of this study was to identify differences in measurement methods for blood pressure (Direct measurement, HP automatic indirect measurement, and SE 7000 Korean made indirect measurement), and to evaluate the clinical trial of the Korean made automatic indirect blood pressure measurement. Material & Methods: From June, 1999 to February, 2000, fifty five consecutive patients were randomized into hypertension group (n=20), normotension group (n=20), and hypotension group (n= 15). Measuring blood pressure by indirect methods (HP NIBP M 1008B and SE 7000 NIBP Korean made) was done simultaneously in the same arm with arterial line for direct blood pressure measurement (HP M1006A). The procedures were repeated ten times at intervals of 2 minutes. Statistical analysis was Performed using SPSS (version 8.0 for windows) software package. Values were expressed as means and standard deviation and means were compared using t-test. Statistical significance was considered present with a p value less than 0.05. Results: In the hypertension group and noromotension group, the disparity between HP direct measurement and indirect SE 7000 NIBP did not show any differences compared to the disparity between HP direct measurement and indirect HP NIBP. In the hypotension group, the disparity in the diastolic pressure between HP direct measurement and indirect SE 7000 NIBP was significantly different compared to the disparity between HP direct measurement and indirect HP NIBP (p<0.001), however, disparities in systolic pressure did not showed any differences. Conclusion: Direct blood pressure measurement (HP M1006A) can be replaced with indirect blood pressure measurements (HP NIBP M 1008B & SE 7000 NIBP) in normotension and hypertension patients. Korean made indirect measurement was found to be more accurate compared to HP indirect measurement in hypotension Patients, but more study is needed.

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Comfort Evaluation of Caps from Pressure Measurement (Part I) (모자 압박감의 객관적인 평가방법 개발 (제 1 보))

  • Jun Young-Min;Park Chung-Hee;Hahn Moon-Heui;Kang Tae-Jin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.4 s.152
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    • pp.615-622
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    • 2006
  • A tool to evaluate the subjective wearing comfort of caps from the objective measurement of pressure was developed. Comfortable Fittability Index(C.F.I) and Holding Power(HP) were defined to represent the subjective wearing comfort of caps. As a preliminary step to define the Comfortable Fittability Index(C.F.I), average pressure, pressure distribution, standard deviation of pressure were obtained and subjective sensation were evaluated by wearing caps. Also Holding Power(HP) was estimated from wind tunnel testing. Two sets of caps were evaluated, one set made of elastic fabric(F-caps) and the other set made of non-elastic fabric(S-caps). F-caps begin to be taken off by the higher wind velocity and thus exhibited higher values of Holding Power. On the other hand, F-caps exerted lower average pressure, narrower pressure distribution, smaller standard deviation.

Validation of the mobile wireless digital automatic blood pressure monitor using the cuff pressure oscillometric method, for clinical use and self-management, according to international protocols

  • Yoo, Sooyoung;Baek, Hyunyoung;Doh, Kibbeum;Jeong, Jiyeoun;Ahn, Soyeon;Oh, Il-Young;Kim, Kidong
    • Biomedical Engineering Letters
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    • v.8 no.4
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    • pp.399-404
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    • 2018
  • The purpose of this study was to evaluate the accuracy of a mobile wireless digital automatic blood pressure monitor for clinical use and mobile health (mHealth). In this study, a manual sphygmomanometer and a digital blood pressure monitor were tested in 100 participants in a repetitive and sequential manner to measure blood pressure. The guidelines for measurement used the Korea Food & Drug Administration protocol, which reflects international standards, such as the American National Standard Institution/Association for the Advancement of Medical Instrumentation SP 10: 1992 and the British Hypertension Society protocol. Measurements were generally consistent across observers according to the measured mean ${\pm}SD$, which ranged in $0.1{\pm}2.6mmHg$ for systolic blood pressure (SBP) and $0.5{\pm}2.2mmHg$ for diastolic blood pressure (DBP). For the device and the observer, the difference in average blood pressure (mean${\pm}$SD) was $2.3{\pm}4.7mmHg$ for SBP and $2.0{\pm}4.2mmHg$ for DBP. The SBP and DBP measured in this study showed accurate measurements that satisfied all criteria, including an average difference that did not exceed 5 mmHg and a standard deviation that did not exceed 8 mmHg. The mobile wireless digital blood pressure monitor has the potential for clinical use and managing one's own health.

A Numerical Study of the Flow Characteristics and Starting Pressure of a Center Body Diffuser According to the Center Body Position and Cone Angle (Center Body 위치와 Cone 각도에 따른 Center Body Diffuser의 유동특성 및 시동에 대한 수치적 연구)

  • Lee, Sung Hun;Park, Jin;Kim, Hong Jip
    • Journal of the Korean Society of Propulsion Engineers
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    • v.23 no.5
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    • pp.10-18
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    • 2019
  • In this study, flow characteristics and the starting pressure of a center body diffuser (CBD) were analyzed at various center body (CB) positions and cone angles. According to the CB position, the location of oblique shock moved to the front from behind the CB cone with an increase in the flow momentum. Additionally, when a strong oblique shock occurred, the direction of supersonic flow was affected and induced to diffuser wall. As a function of different cone angles for the oblique shock, the starting pressure of the CBD was significantly affected.

Foot Pressure Mat with Visual Notification for Recognizing and Correcting Foot Pressure Imbalance (시각적 알림이 있는 족저압매트 개발을 통한 족저압 불균형 인지와 즉각적인 교정)

  • Hanna Park;Bonhak Koo;Jinhee Park;Jooyong Kim
    • Journal of Fashion Business
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    • v.28 no.1
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    • pp.83-97
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    • 2024
  • A plantar pressure mat with visual notifications was developed to confirm whether individuals can effectively balance themselves and correct imbalances. The sensor-embedded mat was made with a commercial yoga mat, and was tested on seven working women in their 30s to determine plantar pressure distribution when standing and squatting, and if they could recognize and correct imbalances with visual feedback. The study found that visual notifications significantly changed the plantar pressure ratio of the forefoot and hindfoot, as well as the left and right foot plantar pressure ratio. Without notifications, the center of gravity was more concentrated in the rear foot than the forefoot in both standing and squatting positions. Visual notifications showed that the center of gravity, which was largely focused on the rear foot, was distributed to the forefoot, resulting in a more evenly distributed center of gravity throughout the sole. For the change in left and right plantar pressure, the weight that was largely loaded on the left side was distributed to the right foot through the visual notification mat, confirming a more balanced plantar pressure.

Analysis of Bale Surface Pressure According to Stretch Film Layer Changes on Round Bale Wrapping

  • Hong, Sungha;Kang, Daein;Kim, Daeyeon;Lee, Sangsik
    • Journal of Biosystems Engineering
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    • v.42 no.3
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    • pp.136-146
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    • 2017
  • Purpose: This paper presents an appropriate wrapping method by analyzing the pressure distribution applied to a bale surface, along with the change in pressure according to an increase in the number of film layers in rice straw bales, which account for 74% of the total bulky feed supply in Korea. Methods: A model with the shape of an actual bale was fabricated to analyze the distribution of surface pressure in bale wrapping, and the pressure was measured. Experiments were conducted to analyze the pressure using eight different layer numbers (2, 4, 6, 8 10, 12, 14, and 16 layers) at five wrapping speeds (27, 29, 31, 33, and 35 rpm). Results: The maximum pressure applied to a circular bale by the film occurred at the center of the end of the bale, whereas the minimum pressure occurred at the center of the bale side. An extreme value ratio between the minimum and maximum pressures was distributed as 8.5-56.6%, which was improved with an increase in rotation speed. The an uneven pressure distribution occurred because the number of film overlaps was 8.24-times greater at the center of the bale's end than at the center of the ba le side. At a level 5 rotation speed, the minimum pressure was $P_{LV5-M1}=0.0625{\sigma}^2+36.173{\sigma}-36.753$ ($R^2=0.9845$) at $M_1$, and the maximum pressure was $P_{LV5-M6}=5.5552{\sigma}^2+41.05{\sigma}-39.071$ at $M_2$, revealing a correlation of $R^2=0.9983$. Conclusions: To replace four layers with six layers, 2-4 layers were added only to the side of the bale, and the minimum pressure at $M_1$ was then improved from that at four layers to that at six layers, and the amount of film consumed for 4-6 layers was reduced by 84.6%.

Influence on amputee gait by the ankle joint alignment (발목관절 조절각도가 절단환자의 보행에 미치는 영향)

  • Kim, Y.H.;Yang, G.T.;Lim, S.H.;Chang, Y.H.;Mun, M.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.369-372
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    • 1997
  • Socket pressure distributions with gait analyses of a transfemoral and a transtibial prostheses were measured in order to assess an optimal socket fitting and unction. Ankle joint was aligned by the neutral and the dorsi/plantar flexed positions. Compared to dorsi and plantar flexed positions of ankle joint, cadence and walking speed increased with the neutral ankle joint alignment. Other gait parameters were close to the normative data with the neutral ankle joint alignment. For the transfemoral amputee, dorsiflexed alignment of the ankle joint created high pressure on the lateral aspect of the socket, on the other hand, plantarflexed alignment resulted in increased pressure on the medial aspect of the socket. For the transtibial amputee, dorsiflexed alignment of the ankle resulted in high pressure on the antero-lateral aspect of the socket during mid-stance, but plantarflexion of the ankle joint showed slight increases in pressure at the same location in the socket. The present study clearly demonstrated that malalignment of a prosthesis results in localized increasing pressure within the socket. Proper alignment of the prosthesis is required in order to acquire an appropriate socket-limb interface as well as the proper gait.

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Numerical Investigation on Multi-stage Axial Fan and Compressor for Considering Pressure Losses by Instrumentation and Area-averaged Properties (측정장치 압력손실과 면적평균 물리량 보정을 위한 다단 축류 팬과 압축기의 수치해석적 연구)

  • CHOI, JAEHO;KIM, SEMI;LEE, WONSUK;CHOI, TAEWOO;KIM, JINWOOK
    • Transactions of the Korean hydrogen and new energy society
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    • v.29 no.4
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    • pp.401-409
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    • 2018
  • A numerical investigation has been conducted to find the effects of pressure losses by struts and rakes, and averaging methods on the performance of a multi-stage axial fan and a multi-stage axial compressor. Struts and rakes which produce pressure losses are installed upstream of the aerodynamic inlet plane in the fan and the compressor rigs. Some of normal stator vanes are substituted with thick vanes with total pressure probes to measure total pressure between stages. Three-dimensional Reynolds-averaged Navier- Stokes equations with $k-{\omega}$ SST turbulence model were applied to analyze the pressure losses by the struts, inlet rakes, and thick instrumented vanes. The hexahedral grids were used to construct computational domain. Inlet pressure losses were evaluated for the compressor as a function of Mach number. The passage pressure losses due to the instrumented vanes were evaluated at the two speed lines in the fan. Total properties, such as pressure and temperature, were evaluated at the exit of the fan and the compressor with two different averaging methods which are area-averaging and mass-averaging, respectively.

A Study on the pressure Rising Considered Fluid inertia in the Notch Area of Balanced Type Vane Pump (노치 영역에서 유체 관성을 고려한 압력 평형형 베인 펌프의 압력 상승에 관한 연구)

  • Jo, Myeong-Rae;Han, Dong-Cheol;Mun, Ho-Ji;Park, Min-Ho;Bae, Hong-Yong
    • Tribology and Lubricants
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    • v.13 no.1
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    • pp.14-20
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    • 1997
  • This paper reports on theoretical study of the pressure overshoot in the delivery ports and pressure rising within balanced type vane pump. Pressure overshoot occur due to the accelerated fluid through the notch, so, result in pressure ripple, flow ripple, and noise. For calculating the pressure rising and fluctuations of pressure, we have modeled mathematically used continuity equation based on compressibility and momentum equation considered fluid inertia in the notch, and analyzed simultaneously. As a results of analysis, we have found oscillation of pressure and compression chamber pressure depend on the rotational speeds, notches. Using the model, notches have been shown to be important design factor in relaxing the rapid pressure rising and reducing the amplitudes of pressure overshoot.