• Title/Summary/Keyword: Fatigue

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A phenomenological convergence study on the mealtime experience of shift nurses on duty. (교대근무 간호사의 식사경험에 관한 현상학적 융합연구)

  • Kim, Soo Jeong;Kim, Won Jeong
    • Journal of the Korea Convergence Society
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    • v.10 no.1
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    • pp.307-316
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    • 2019
  • The purpose of this study is to obtain a comprehensive understanding of shift nurses' mealtime experience on duty. This study was explored by hermeneutic phenomenological analytic method suggested by van Manen. The participants were shift nurses at two general hospitals in Korea. Six participants were interviewed until information reached saturation point. Data was collected through individual in-depth interviews. The results of study were emerged 7 themes. Each theme was :'Forgetting hunger.', 'Fatigue takes precedence over hunger.', 'Feeling sorry and becoming conscious of other colleagues.', 'Inhale the meal in a short time.', 'Conflicting between responsibility for the patient body and my body', 'They want look for freedom and right through their mealtime.', 'Hope that mealtime is a precious time.' The results of this study are significant in providing a convergence understanding of the working environment of the shift nurses.

Seismic damage mitigation of bridges with self-adaptive SMA-cable-based bearings

  • Zheng, Yue;Dong, You;Chen, Bo;Anwar, Ghazanfar Ali
    • Smart Structures and Systems
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    • v.24 no.1
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    • pp.127-139
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    • 2019
  • Residual drifts after an earthquake can incur huge repair costs and might need to replace the infrastructure because of its non-reparability. Proper functioning of bridges is also essential in the aftermath of an earthquake. In order to mitigate pounding and unseating damage of bridges subjected to earthquakes, a self-adaptive Ni-Ti shape memory alloy (SMA)-cable-based frictional sliding bearing (SMAFSB) is proposed considering self-adaptive centering, high energy dissipation, better fatigue, and corrosion resistance from SMA-cable component. The developed novel bearing is associated with the properties of modularity, replaceability, and earthquake isolation capacity, which could reduce the repair time and increase the resilience of highway bridges. To evaluate the super-elasticity of the SMA-cable, pseudo-static tests and numerical simulation on the SMA-cable specimens with a diameter of 7 mm are conducted and one dimensional (1D) constitutive hysteretic model of the SMAFSB is developed considering the effects of gap, self-centering, and high energy dissipation. Two types of the SMAFSB (i.e., movable and fixed SMAFSBs) are applied to a two-span continuous reinforced concrete (RC) bridge. The seismic vulnerabilities of the RC bridge, utilizing movable SMAFSB with the constant gap size of 60 mm and the fixed SMAFSBs with different gap sizes (e.g., 0, 30, and 60 mm), are assessed at component and system levels, respectively. It can be observed that the fixed SMAFSB with a gap of 30 mm gained the most retrofitting effect among the three cases.

Expected Life Evaluation of Offshore Wind Turbine Support Structure under Variable Ocean Environment (해양환경의 변동성을 고려한 해상풍력터빈 지지구조물의 기대수명 평가)

  • Lee, Gee-Nam;Kim, Dong-Hyawn;Kim, Young-Jin
    • Journal of Ocean Engineering and Technology
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    • v.33 no.5
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    • pp.435-446
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    • 2019
  • Because offshore structures are affected by various environmental loads, the risk of damage is high. As a result of ever-changing ocean environmental loads, damage to offshore structures is expected to differ from year to year. However, in previous studies, it was assumed that a relatively short period of load acts repeatedly during the design life of a structure. In this study, the residual life of an offshore wind turbine support structure was evaluated in consideration of the timing uncertainty of the ocean environmental load. Sampling points for the wind velocity, wave height, and wave period were generated using a central composites design, and a transfer function was constructed from the numerical analysis results. A simulation was performed using the joint probability model of ocean environmental loads. The stress time history was calculated by entering the load samples generated by the simulation into the transfer function. The damage to the structure was calculated using the rain-flow counting method, Goodman equation, Miner's rule, and S-N curve. The results confirmed that the wind speed generated at a specific time could not represent the wind speed that could occur during the design life of the structure.

Traditional Korea Medicine for Enhanced Recovery after Surgery (ERAS) in Inpatients after Gynecological Surgery: Retrospective Analysis (부인과 수술 후 한방 조기 회복 치료를 받은 입원 환자에 대한 후향적 분석)

  • Kim, Hae-Won;Yoo, Jeong-Eun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.3
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    • pp.142-161
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    • 2019
  • Objectives: The purpose of this study is to report the effect and safety of traditional Korean medicine (TKM) for enhanced recovery after surgery (ERAS) after gynecological surgery. Methods: The study is conducted by analyzing the medical records of the hospitalized patients in TKM hospital. Eighty-six patients were enrolled who received TKM for ERAS after gynecological surgery from January 2015 to April 2018. We performed statistical analysis by using SPSS ver. 25.0. To prove the effect and safety of TKM for ERAS, we analyzed symptoms and Hemoglobin (Hb), aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) and serum creatinine (Cr) with glomerular filtration rate (GFR). In addition, we checked other adverse reactions that the patients complained to prove the safety of TKM for ERAS. Results: Among symptoms of pain, there was a statistically significant decrease in abdominal pain, lower back pain, and shoulder pain. Other symptoms showed statistically significant improvement in fatigue, abdominal tympanosis, operation-site discomfort, dizziness, urinary discomfort, throat discomfort, constipation, dyspepsia and colporrhagia. Anemia in both ferritin combination treatment group and herbal medicine only group showed significant improvement. There was no liver damage or renal damage by TKM. Conclusions: The result has shown that TKM for ERAS after gynecological surgery is effective and safe. The further study of TKM for ERAS with more patients is needed.

Prevalence, Awareness, Treatment, and Control of Hypertension, Diabetes, and Dyslipidemia Among Patients with Rheumatoid Arthritis (여성 류마티스관절염 대상자의 고혈압, 당뇨, 이상지질혈증의 유병률, 인지율, 치료율 및 조절률)

  • Yun, Hyewon;Boo, Sunjoo
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.228-241
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    • 2019
  • Purpose: The purpose of this study was to evaluate the prevalence, awareness, treatment and control of hypertension, diabetes, and dyslipidemia among women with rheumatoid arthritis. Methods: This cross-sectional study of 288 women with rheumatoid arthritis was conducted in a university-affiliated hospital. Data were collected by reviewing the women's medical charts and self-report questionnaires. Results: The prevalence of hypertension, diabetes and dyslipidemia was 27.8%, 5.9% and 48.3%, respectively. Despite the high prevalence of dyslipidemia, the subjects'awareness of it and its treatment rates were the lowest, which resulted in a low control rate. Of the 288 subjects, 158 (55%) had at least one of the three conditions. The prevalence of the combination of cardiovascular risk factors increased with age, and 32.7% of those aged 60 or older had two or three of the cardiovascular risk factors. Combinations of cardiovascular risk factors were significantly related with severe pain and fatigue. Conclusion: Cardiovascular risk factors were highly prevalent among the women with rheumatoid arthritis, but the rates of awareness, treatment, and control were suboptimal. There is a pressing need to facilitate the prevention, early detection and appropriate management of hypertension, diabetes and dyslipidemia among patients with rheumatoid arthritis in order to prevent cardiovascular disease.

Strengthening RC frames subjected to lateral load with Ultra High-Performance fiber reinforced concrete using damage plasticity model

  • Kota, Sai Kubair;Rama, J.S. Kalyana;Murthy, A. Ramachandra
    • Earthquakes and Structures
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    • v.17 no.2
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    • pp.221-232
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    • 2019
  • Material non-linearity of Reinforced Concrete (RC) framed structures is studied by modelling concrete using the Concrete Damage Plasticity (CDP) theory. The stress-strain data of concrete in compression is modelled using the Hsu model. The structures are analyzed using a finite element approach by modelling them in ABAQUS / CAE. Single bay single storey RC frames, designed according to Indian Standard (IS):456:2000 and IS:13920:2016 are considered for assessing their maximum load carrying capacity and failure behavior under the influence of gravity loads and lateral loads. It is found that the CDP model is effective in predicting the failure behaviors of RC frame structures. Under the influence of the lateral load, the structure designed according to IS:13920 had a higher load carrying capacity when compared with the structure designed according to IS:456. Ultra High Performance Fiber Reinforced Concrete (UHPFRC) strip is used for strengthening the columns and beam column joints of the RC frame individually against lateral loads. 10mm and 20mm thick strips are adopted for the numerical simulation of RC column and beam-column joint. Results obtained from the study indicated that UHPFRC with two different thickness strips acts as a very good strengthening material in increasing the load carrying capacity of columns and beam-column joint by more than 5%. UHPFRC also improved the performance of the RC frames against lateral loads with an increase of more than 3.5% with the two different strips adopted. 20 mm thick strip is found to be an ideal size to enhance the load carrying capacity of the columns and beam-column joints. Among the strengthening locations adopted in the study, column strengthening is found to be more efficient when compared with the beam column joint strengthening.

Safety Evaluation of the Precast Half Deck Pannel Joints Reinforced by Connection Rebar (이음철근이 보강된 반단면 프리캐스트 판넬 이음부의 강도 안전성 평가)

  • Hwang, Hoon Hee
    • Journal of the Korean Society of Safety
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    • v.34 no.2
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    • pp.40-47
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    • 2019
  • The Half-depth precast deck is a structural system that utilizes pre-cast panels pre-built at the factory as formwork at the construction stage and as a major structural member at the same time after completion. These systems have joints between segments, and the detail and performance of the joints are factors that have a very large impact on the quality, such as the constructability and durability of the bridge decks. In this study, strength performance evaluation was performed for improved joints using connecting rebar by experimental method. Static loading tests were conducted on the test specimen with improved joint, those with existing joint and those without joint. The test results of the specimens were compared to each other, and the flexural strength required by the design was compared. The flexural strength required in the design was presented by finite element analysis. It has been shown that the flexural strength of the specimens with joints were more than twice that required by the design. But the flexural strength of the specimen with existing joint was about 84% of that without joint. The flexural strength of the specimen with improved joints was a nearly similar degree of that compared to the specimen without joint. And a comparison of the moment-deflection relationship curves of the two specimens also shows a very similar flexural behavior. It is confirmed that improved joint has sufficient flexural strength. In addition to strength, the bridge decks require serviceability, such as deflection and cracking, and in particular, fatigue resistance due to repetitive live loads is an important performance factor. Therefore, further verification studies are required.

Durability Evaluation of Gangway Ring for the Articulated Bogie of High speed Railway Vehicle (고속철도차량 관절대차 갱웨이 링의 내구성 평가)

  • Kang, Gil-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.66-72
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    • 2019
  • To improve ride quality and running stability of high speed train(HST), it is important that connection between coaches adopts the articulated bogies by using a gangway ring, unlike the conventional independent bogies assembled with car bodies. Although the gangway ring should be ensured absolute safety against passenger movement between coaches during train operation, there is still a lack of quantitative durability criteria of that. Therefore, in order to improve the passenger safety of HST, it is important to study the test requirements on durability evaluation for the ring. In this study, seven mixed loading cases were derived from the triaxial loading(vertical/lateral/longitudinal) modes. The safety factor of each component is at least 2.4 or more from the results of the finite element analysis. In addition, fatigue safety was evaluated through durability analysis from the viewpoint of strain-life design. Durability tests for the gangway ring carried out a total of 10 million cycles in 4 phases load conditions. After the durability test, the defect of each component was investigated using nondestructive testing techniques.

Development of the CFRP Automobile Parts Using the Joint Structure of the Dissimilar Material (결합부 강화구조용 탄소복합재 자동차 부품 개발)

  • Ko, Kwan Ho;Lee, Min Gu;Huh, Mongyoung
    • Composites Research
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    • v.31 no.6
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    • pp.392-397
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    • 2018
  • In this study, the development purpose is to replace steel Tie Rod of commercial vehicle to the carbon composite by a braiding process. CFRP tie rod was designed to meet the performance requirements of existing products by designing the cross section of the core for braiding weaving and the structural design of the joint between the core and the carbon fiber. The specimens were fabricated by braiding method and applied to structural analysis through test evaluation. The manufacturing process proceeded from braiding to infusion through post-curing process. The test evaluation of the final product was satisfactorily carried out by sequentially performing tensile test, torsion test, compression test and fatigue test. In addition, the weight of CFRP tie rod could be reduced by about 37% compared to existing products.

A Classroom Design Plan based on the Biophilic-Design (바이오필릭 디자인 기반 교실 디자인 설계)

  • Choi, Joo-Young;Park, Sung-Jun
    • Journal of the Korean Institute of Educational Facilities
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    • v.26 no.3
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    • pp.15-23
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    • 2019
  • This study aims to suggest a Biophilic classroom design of high school to obtain attention restoration for students. The learning space for youth in the modern society is composed of dry artificial structures. This space is considered to be a space that can not relieve stress caused by learning. "The Attention Restoration Theory" is divided into "Directed Attention" of humans, which is the cause of fatigue and stress, and "Involuntary Attention" as a solution to it. "Involuntary Attention" takes place in a rest state and helps the brain recover when exposed to nature. And the core of "Biophilic-Design Theory" is that humans can recover physical and mental conditions when exposed to nature. The purpose of this study is to apply "The Biophilic-Design Theory" that emphasizes the importance of exposure to nature to the educational space and plan the space where the 'Attention Restoration' can be achieved. The research method is as follows. First, we review previous studies related to "The Biophilic-Design Theory" and "The Attention Restoration Theory". Second, we analyze the application examples of "The Biophilic-Design Theory" and "The Attention Restoration Theory" in domestic and foreign educational spaces. Third, the concept of educational space is set up based on the elements derived from previous studies. Finally, we propose the planning direction of classroom design based on Biophilic-Design. The following conclusions were drawn. First, The creation of the education space to restore the learner's attention requires a visual space plan that utilizes natural elements such as natural light, artificial light, plants, and natural materials that can directly experience nature. Second, the direction in which students in the classroom can be "The Attention Restoration Theory" should consider the use of indirect natural elements that bring the surrounding natural landscape into the interior. This study will be used as the baseline data for the spatial design and planning of education facilities based on Biophilic-Design.