• Title/Summary/Keyword: Direct tension test

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Development of Concrete Sensory Information for Patients Undergoing Cardiac Catheterization (심도자 검사 환자를 위한 구체적 감각 정보의 개발)

  • 김조자;김화순
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.433-443
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    • 1997
  • Cardiac catheterization is a diagnostic procedure which is intrusive and anxiety provoking. Patient education and information offer have been suggested as effective nursing interventions to reduce patients' anxiety and stress. Main objectives of this study are : 1) to develop concrete objective information for patients undergoing cardiac catheterization : 2) to analyze the types of information included in the newly developed concrete objective information. The subjects of this study are 11 patients who were admitted to the CCU of a general hospital in Seoul. The subjects were provided with preparatory information about cardiac catheterization by using interview and a booklet. After the procedure, the subjects were asked to describe additional information which they suggest to be added into the booklet and the physical sensations felt during the procedure. The results of the study are summarized as follows : Most subjects were satisfied with the preparatory information that was provided by interview and the booklet before the procedure. But patients suggested several problems related to the content of the booklet. First, they reported difficulty to differentiate the terms -coronary angio gram and cardiac catheterization. Also, some patients expressed that they feared after reading the information about the incision of inguinal area. Subjects responded that the information about the direct process of the test did not reduce their anxiety and the information was not detail enough. Next, most subjects would want to know about the monitor and the sound from monitor. They said that they could not hear instructions from doctor or nurse during the procedure due to tension. Considering above response results, the need for more effective way to provide information, like visual and auditory information through video tape for giving information is suggested. Sensations related to the procedure were the smell coming from sterilization of inguinal area, stinging pain in groin when the doctor inserts a needle into artery, and the sensation of pressure and moving of vessels surrounding neck when the catheter was inserted and visualized on fluoroscopy. Besides, subject reported hot sensation and burning feeling in face and chest area, and nausea when dye is injected by hand. In the analysis of information content, there was 79% agreement on the actual units of analysis that were coded. In the analysis of type of information, procedural information was 60.4%. Concrete objective information was 28.1%. and other information was 11.5%. Agreement of the coders in categorizing the units of information was determined by using Cohen's kappa which corrects for chance agreement. Cohen's kappa was .84.

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The Influence of Hong Kong Problems on Cross Strait Relationship (홍콩문제가 양안관계에 미치는 영향)

  • Kim, Won-Kon
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.95-105
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    • 2020
  • The Hong Kong issue covered in the study refers to the problems caused by the various measures and policies taken by the Chinese government since Hong Kong's return to China on July 1, 1997, and the resistance and resistance shown by the Hong Kong people. Since Hong Kong's return The Chinese government carried out a policy of strengthening direct control over Hong Kong, and on June 30, 2020, the Standing Committee of the National People's Congress of China passed the Hong Kong National Security Act. This study will focus on the impact of the Hong Kong issue on Cross-Strait Relations. Through this, we will take a look at the application of the "one-country, two-system" policy, Taiwan and China's Unification Issues and the democratization of Hong Kong. This study predicts that after the passage of the "Hong kong National security law," the principle of "one-country, two-system" that China tried to apply to unification with Taiwan will be put into a big test, and that Cross-Strait Relations and U.S.-China relations will deteriorate. Tension will quickly arise around Northeast Asia in the future, and we should also analyze and prepare for it in various ways.

Effects of Expansive Admixture on the Mechanical Properties of Strain-Hardening Cement Composite (SHCC) (팽창재 치환율에 따른 섬유보강 시멘트 복합체의 역학적 특성)

  • Lee, Young-Oh;Yun, Hyun-Do
    • Journal of the Korea Concrete Institute
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    • v.22 no.5
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    • pp.617-624
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    • 2010
  • This paper reports on a comprehensive study on the mechanical properties of expansive fiber-reinforced strainhardening cement composite (SHCC) materials containing various replacement levels (0, 8, 10, 12 and 14%) of an expansive admixture and 1.5% polyethylene (PE) fibers volume fraction. A number of experimental tests were conducted to investigate shrinkage, compressive strength, flexural strength, and direct tension behavior. Test results show that as expected, the different replacement levels of an expansive admixture have an important effect on the evolution of the free shrinkage of SHCC with a rich mixture. At the volume fraction of 1.5%, PE fibers in normal SHCC reduce free shrinkage deformation by about 30% in comparison to plain mortar. The replacement of an expansive admixture in SHCC material has led the SHCC to a better initial cracking behavior. Enhanced cracking tendency improved mechanical properties of SHCC materials with rich mixtures. Note that an increase in the replacement of expansive admixture from 10% to 14% does not lead to a significant improvement for mechanical properties; this implies that the replacement of 10% expansive admixture is sufficient.

A Study on the Expressed Desire at Discharge of Patients to Use Home Nursing and Affecting Factors of the Desire (퇴원환자의 가정간호 이용의사와 관련 요인)

  • Lee, Ji-Hyun;Lee, Young-Eun;Lee, Myung-Hwa;Sohn, Sue-Kyung
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.257-270
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    • 1999
  • The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

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