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Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis (근위축성측삭경화증 환자를 돌보는 가족의 우울과 간병 부담감)

  • Oh, Juyeon;An, Ji Won;Oh, Ki-Wook;Oh, Seong-Il;Kim, Jung A;Kim, Seung Hyun;Lee, Jeong Seop
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.202-210
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    • 2015
  • Purpose: The purpose of this study was to describe depression, caregiving burden and the correlation of the two variables in the families of patients with amyotrophic lateral sclerosis (ALS) and to clarify factors predicting caregiving burden. Methods: A descriptive and cross-sectional study was conducted with 139 family members who provided care to patients with ALS. The characteristics of patients and families, Korean-Beck Depression Inventory (K-BDI), Korean version of Zarit Burden Interview (K-ZBI) and Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (K-ALSFRS-R) were used as study measures. Results: The mean score for K-BDI was 19.39 out of 63 suggesting sub-clinical depression and 38.2% of the family members exhibited depression. The mean score for K-ZBI was 66.03 out of 88. The predictors for K-ZBI were K-BDI, age of family member, length of time spent per day in caring, relationship to patient and K-ALSFRS-R. Conclusion: The results of this study suggest that levels of depression and caregiving burden are high among family members caring for patients with ALS. As depression is associated with caregiving burden, screening and emotional supports should be provided to reduce the burden of care for these family. Support programs to alleviate the care burden are also needed, considering family demographics, time per day in caring giving and K-ALSFRS-R.

Seismic Performance Evaluation of SRC Column by Quasi-Static Test (준정적 실험에 의한 SRC 합성교각의 내진성능 평가)

  • Han, Jung-Hoon;Park, Chang-Kyu;Shim, Chang-Su;Chung, Young-Soo
    • Journal of the Earthquake Engineering Society of Korea
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    • v.10 no.4 s.50
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    • pp.85-94
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    • 2006
  • In the design of bridge piers in seismic area, the ductility requirement is the most important factor. In order to enhance the seismic performance of RC columns, it is necessary to make the ductility of columns larger by covering RC columns with steel tubes or confining RC columns by arranging transverse reinforcements such as hoop ties closely. Using core steel composite columns is useful as one of the reinforcing RC columns. In this paper, quasi-static tests on concrete encased composite columns with single core steel or multiple steel elements were performed to investigate the seismic performance of the composite columns. Eight concrete-encased composite specimens were fabricated. The cross-sections of these specimens are composed of concrete-encased H-shaped structural steel columns and a concrete-encased circular tube with partial in-filled concrete. Test parameters were the amount of the transverse reinforcements, type and number of encased steel member. Through the tests, it was evaluated the ductility of SRC composite specimens. It has become clear from the test results that encased steel elements makes the deformation capacity of the columns to be larger. The displacement ductility and lateral strength of specimen with concrete-encased circular tube were indicated the biggest value.

A Study on the Structural and Other Influential Characteristics of Western Timber Roof Truss in Modern Buildings - Focusing the Record of Modern Buildings among the Cultural Assets maintained by Public Institution - (근대 건축물에 사용된 서양식 목조 지붕 트러스의 구조요인 및 기타 영향요인에 관한 연구 - 공공기관이 관리하는 문화재 중 근대건축물 기록을 중심으로 -)

  • Lee, Yoon-Hee;Yu, Hye-Ran;Kwon, Ki-Hyuk
    • Journal of architectural history
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    • v.20 no.4
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    • pp.95-114
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    • 2011
  • Western style timber roof trusses used as typical roof structures of buildings during a modern period have been developed with the interactions with their facade and functionality. The shapes of trusses and member sizes have been diversely changed by the purposes of architects, historical circumstances, and structural characteristics. For this reason, the change in the shapes of western style timber trusses along the times is one of important technology assets demonstrating the development of their structures during the modern period. Therefore, the purpose of this paper is to find out their structural characteristics throughout parametric analysis of which parameters were determined from the collected and classified documents on western style timber roof structure built in the modern period carefully obtained from public institutions. Results of the parametric analysis are as follows. The number of king-post trusses and modified king-post trusses built between 1920 and 1937 reaches almost half of the total number of truss types investigated. The mean values of their spans, distances, tributary areas, and height are respectively, 10.5m, 2.4m, $24.37m^2$and 3.24m. The cross-section areas of trusses tend to reduce since the city construction law was enacted in 1920. Also, this study found that western architects usually used larger structural members than eastern architects and usages and finishing materials of roof trusses are not always considered as one of the important design parameters.

Elasto-Plastic F.E. Analysis of Plane Framed Structures including Large Deformation Effects (대변형(大變形) 효과(效果)를 고려(考慮)한 평면(平面)뼈대 구조물(構造物)의 탄(彈)-소성(塑性) 유한요소해석(有限要素解析))

  • Kim, Moon Young;Yoo, Soon Jae;Lee, Myeong Jae
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.14 no.1
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    • pp.105-117
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    • 1994
  • A finite element procedure which can trace plastic collapse behavior of plane frame structures under small and large deformation is presented. The member is assumed to be prismatic and straight, and has the rectangular or I cross section. For the elasto-plastic analysis, the concept of plastic hinge is introduced and the incremental displacement method is applied. The limit state condition of the plastic hinge is considered under the combined condition of a bending moment and an axial force. Numerical examples are presented in order to demonstrate the validity and efficiency of the proposed procedure.

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Community Participation in Cholangiocarcinoma Prevention in Ubon Ratchathani, Thailand: Relations with Age and Health Behavior

  • Songserm, Nopparat;Bureelerd, Onanong;Thongprung, Sumaporn;Woradet, Somkiattiyos;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7375-7379
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    • 2015
  • A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.

A Study on the Prediction of the Strength and Axial Strain of High-Strength Concrete Columns Confined by Tie Reinforcement (띠근 보강 고강도 콘크리트 기둥의 강도 및 축변형 특성 산정에 관한 연구)

  • Park, Hoon-Gyu;Jang, Il-Young
    • Magazine of the Korea Concrete Institute
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    • v.11 no.2
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    • pp.197-208
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    • 1999
  • The use of high-strength concrete which permits smaller cross sections, reduced dead loads, and longer spans has been getting more popular in tall buildings. However, there has been little research on behavior of high-strength concrete columns laterally reinforced with square ties and subjected to compressive loading. With the addition of transverse reinforcement which lead to triaxial compressive state, ductility behavior of high-strength column member shall be increased. In this study, rational quality and quantity evaluations were made to investigate the ultimate strength and strain ductility by confinement effect of tie reinforced high-strength concrete columns subject to uniaxial loads. Concrete failure theory at the triaxial compressive state and statistical results based on conventional experimental data were applied for this propose. Up to 185 columns, tested under monotonically increasing concentric loading, were evaluated in terms of strength and strain ductility. Analytical results show that confinement stress, maximum compressive strength, and increase of strain equations were developed with the consideration of concrete strength, yield strength, spacing, volumetric ratio, and configurations of tie reinforcement.

Free Vibration of Tapered Tube (선형변단면관(線形變斷面管)의 자유진동)

  • Lee, Yong Woo;Min, Kyung Ju
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.11 no.4
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    • pp.45-54
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    • 1991
  • The closed forms of mass matrix with rotational inertia matrix are developed for free vibration analysis in space structures containing linearing tapered members with cross section of thin-walled tube. The exact displacement functions are used for formulating mass matrix. The very small slopes of the tapered member are used in usual practice, such that the series expansion forms of these are also developed to avoid numerical failure in vibration analysis. Significant improvements of accuracy and efficiency of free vibration analysis are achieved by using the mass matrices developed in this study. Frequencies of free vibration of tapered members are compared with solutions based upon stepped representation of beam element.

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Hydro-forming Process Development of Automotive AA6061 Rear Sub-frame Side Member by Computer Aided Engineering (CAE) (컴퓨터 시뮬레이션(CAE)을 이용한 자동차용 AA6061 리어 서브-프레임 사이드멤버의 하이드로-포밍 공정 개발)

  • Kim, Kee-Joo;Kim, Jae-Hyun;Choi, Byung-Ik
    • Transactions of the Korean Society of Automotive Engineers
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    • v.18 no.5
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    • pp.45-49
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    • 2010
  • The automotive industry has shown a growing interest in tube hydroforming during the past years. The advantages of hydroforming (less thinning, a more efficient manufacturing process, etc.) can, for instance, be combined with the high strength of extra high strength steels, which are usually less formable, to produce structural automotive components which exhibit lower weight and improved service performance. Design and production of tubular components require knowledge about tube material and forming behavior during hydroforming and how the hydroforming operation itself should be controlled. These issues are studied analytically in the present paper. In this study, the whole process of rear sub-frame parts development by tube hydroforming using AA6061 material is presented. At the part design stage, it requires feasibility study and process design aided by CAE (Computer Aided Engineering) to confirm hydroformability in details. Effects of parameters such as internal pressure, axial feeding and geometry shape in automotive rear sub-frame by hydroforming process were carefully investigated. Overall possibility of hydroformable rear sub-frame parts could be examined by cross sectional analyses. Moreover, it is essential to ensure the formability of tube material on every forming step such as pre-bending and hydroforming. In addition, all the components of prototyping tool are designed and interference with press is examined from the point of geometry and thinning.

A study on the compressive capacity of structural skin timber for the furniture manufacturing and heavy timber construction (가구 및 중목구조용 실대재 스킨팀버의 압축 성능에 관한 연구)

  • Kim, Gwang-Chul
    • Journal of the Korea Furniture Society
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    • v.21 no.4
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    • pp.273-283
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    • 2010
  • Structural larger timber have some weak points as like much longer drying time at lower MC(15%), a considerable check developing and the difficulty for the chemicals injection, so it is necessary to develop lighter structural size member for using the new Hanok, heavy timber construction, living necessaries, furniture and industrial goods. The developed skin timber can be a good raw material for those uses. Skin timber is a hollowed timber which be bored out of its considerable cross-sectional area. The intention of this study was the evaluation of compressive capacity of skin timber. Specially, skin timbers which have more than 200mm in sizes were used to analyze the compressive capacity. From the results of this study, the following conclusions have been made: 1. Though considerable inner parts were bored out, both pine skin timber and larch skin timber showed a good compressive capacity to that of non-bored solid timber. 2. According to ASTM, pine skin timber showed various failure types, but Splitting type, Brooming and end rolling type were main failure types for the larch skin timber. 3. Pine skin timber didn't show the significance between cylindrical shape and rectangular shape, but larch skin timber showed the significance between two shapes. Therefore, for the larch skin timber, cylindrical shape and rectangular shape should be used as a column uses and beam uses respectively. 4. Pine skin timber and larch skin timber didn't show the significance on the compressive capacity. There is not much difference of compressive capacity between them, so it can be possible to select on the user convenience.

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A Nutritional Status of different regions in Korea(1) (한국인 지역별 영양실태조사(1))

  • Lee, Ki-Yull;Kim, Myung-Ho;Bang, Sook;Kim, Kyong-Shik
    • Journal of Nutrition and Health
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    • v.4 no.4
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    • pp.57-67
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    • 1971
  • Cross-sectional studies of adults located in different regions were undertaken to measure changes in food intake and nutritional status. Representativeness of the selected areas was proven through a pilot study and an inquiry into some written materials, and those areas were as following: 1) Mountainous area 2) Farming area 3) Coastal Area 4) City Area The nutrition survey was undertaken by students of the College of Home Economics as follow: 60 children (out of the 25% given detailed examination) and their families were randomly selected for the nutrition survey. The survey team was composed of 30 students of the College of Home Economics. Each member of the survey team was assigned to make home visits to two families in order to obtain information on kinds and amounts of food consumed for three days. Degree of food consumption was measured by weighing the food was calculated in the same manner. Average adult unit for calories and protein in the four study areas was 0.81 and 0.98 with little variation. The total calories ranged from 2,114 Cal to 2,311 Cal. and the protein intake averaged from 57 gm to 67 gm. The calories taken by people of Kaejong were composed of carbohydrate (82% -87%), fat (3%-6%) and protein (10%-12%). Kaejong recorded a sufficient intake of fat and protein. All of the four study areas had a deficiency problem in intake of calcium, vitamin A. thiamine, riboflavin and ascorbic acid.

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