• 제목/요약/키워드: Fatigue Evaluation

검색결과 1,232건 처리시간 0.027초

다면적 인성검사(MMPI-2)임상척도와 자기조절지수와의 관련성 (Relationship between MMPI-2 Clinical Scales and SRQ of Brain Quotient)

  • 위현욱;이협의;정철우;최남숙;박병운
    • 한국산학기술학회논문지
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    • 제18권8호
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    • pp.285-293
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    • 2017
  • 본 연구의 목적은 다면적 인성검사(MMPI-2)의 임상척도와 뇌기능지수 중 자기조절지수와의 관련성을 알아보고자 하는데 있다. 연구는 상담센터에 내원한 20세 이상의 성인 남녀 중 자원한 41명을 대상으로 진행하였다. 자기보고식 검사지인 다면적 인성검사(MMPI-2)를 이용해 검사를 진행했으며, 2채널 뇌파측정기를 이용해 Fp1,과 Fp2에서 뇌파를 측정하였다. 연구결과는 다면적 인성검사(MMPI-2)의 임상척도인 척도2(D)와 자기조절지수 중 휴식 즉, 알파파와 음의 상관을 보였으며, 다면적 인성검사(MMPI-2) 척도3(Hy)은 집중력 즉, 저베타파와 양의 상관성을 보였고, 척도 7(Pt)은 휴식과 음의 상관성을 보였다. 상담현장에서 다면적 인성검사(MMPI-2)와 SQR을 상호 보완하여 사용할 수 있다는데 본 연구의 의의가 있다. 이러한 결과는 세 가지 시사점을 갖는 것으로 해석 가능하다. 첫째, 우울한 정서를 가진 사람들은 타인의 시선과 평가에 민감하여 대인관계를 맺을 시 많은 에너지를 사용하게 되어 휴식이 유지되지 못하기 때문에 피로도가 상승할 수 있다. 둘째, 지나치게 타인의 관심을 얻으려고 하고 쾌활한 모습을 지닌 사람들은 활동력이 높을 것으로 여겨진다. 셋째, 불안과 긴장 상태로 스트레스가 높아진 사람들은 쉽게 지치고 짜증과 불쾌감이 상승할 수 있다는 것을 시사한다.

보강철근이 적용된 급속경화궤도용 광폭침목의 보유 휨 내력 평가 (Evaluation of Flexural Strength of Wide Sleepers with Reinforcing Bars for Quick-Hardened Concrete Track)

  • 배영훈;이일화
    • 한국산학기술학회논문지
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    • 제19권2호
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    • pp.702-709
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    • 2018
  • 노후화된 자갈궤도를 콘크리트 궤도로 개량하는 급속경화궤도 기술이 개발되어 일반철도 및 도시철도의 토공 및 터널 현장에 적용되고 있다. 프리스트레스 방식으로 제작되는 콘크리트 침목에는 일반적으로 보강 개념의 철근이 적용되지 않는다. 그러나 철도 현장에 부설된 침목 다수에서 균열 발생 사례가 관찰되고 있다. 급속경화궤도 시스템의 주요 구성품 중 하나인 광폭침목은 이러한 문제가 발생되지 않도록 자갈궤도 및 콘크리트 궤도 상태에서 구조적인 안전성이 보장되어야하며 균열 저항성이 확보되어야 한다. 특히 포스트텐션 방식으로 제작되는 광폭침목은 반드시 레일 좌면부에 인장부 보강철근이 적용되어야 한다. 본 논문에서는 급속경화궤도용 광폭침목의 보강철근 적용 유무에 따른 침목의 보유 휨 내력 및 균열저항 성능을 비교 및 평가하기 위하여, 정적 및 동적 휨강도 시험, 피로 시험을 실시하였다. 시험 결과 광폭침목 레일 좌면부에 주재료인 강봉 뿐만 아니라 소수의 보강철근을 적절하게 배치할 경우 균열발생 억제 및 균열폭 확대 지연, 휨 파괴 지연 효과를 확인할 수 있었다.

Testing The Healing Environment Conditions for Nurses with two Independent Variables: Visibility Enhancement along with Shortening the Walking Distance of the Nurses to Patient - Focused on LogWare stop sequence and space syntax for U-Shape, L- Shape and I-Shape NS-

  • Shaikh, Javaria Manzoor;Park, Jae Seung
    • KIEAE Journal
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    • 제15권2호
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    • pp.19-26
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    • 2015
  • Purpose: Maximizing human comfort in design of medical environments depends immensely on specialized architects particularly critical care design; the study proposes Evidence-Based Design as an apparent analog to Evidence-Based Medicine. Healthcare facility designs are substantially based on the findings of study in an effort to design environments that augment care by improving patient safety and being therapeutic. On SPSS (Statistical Package for Social Science) t-test is applied to simulate two independent variables of PDR (Pre Design-Research) and POE (Post- Occupancy Evaluation). PDR is conducted on relatively new hospital Hallym University Dongtan Sacred Heart Hospital to analyse visibility from researchers' point of view, here the ICU is arranged in I-Shape. POE is applied on Dongguk University Ilsan Hospital to simulate walking on LogWare where two NS are designed based on L- Shape and Seoul St. Mary's Hospital, The Catholic University of Korea where five NS are functional for ICU Intensive Care Unit, Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), Critical Care Unit (CCU), Korean Oriental Medical Care Unit which are mostly arranged in U-Shape, and walking pattern is recognized to be in a zigzag path. Method: T-Test is applied on two dependent communication variables: walkability and visibility, with confidence interval of 95%. This study systematically analyses the Nurse Station (NS) typo-morphology, and simulates nurse horizontal circulation, by computing round route visits to patient's bed, then estimating minimum round route on LogWare stop sequence software. The visual connectivity is measured on depth map graphs. Hence the aim is to reduce staff stress and fatigue for better patients care by minimizing staff horizontal travel time and to facilitate nurse walk path and support space distribution by increasing effectiveness in delivering care. Result: Applying visibility graph and isovist field on space syntax on I- Shape, L- Shape and U- Shape ICU (SICU, MICU and CCU) configuration, I-shape facilitated 20% more patients in linear view as they stir to rise from their beds from nurse station compared to U-shape. In conclusion, it was proved that U-Shape supply minimum walking and maximum visibility; and L shape provides just visibility as the nurse is at pivot. I shape provides panoramic view from the Nurse Station but very rigorous walking.

회전익 항공기의 장비 장착 지지 구조물의 균열 방지를 위한 설계 개선 (Design Improvements for Preventing Crack of Equipment Mounting Structure in Rotary Wing Aircraft)

  • 방대한;이숙;이상훈;최상민
    • 항공우주시스템공학회지
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    • 제14권1호
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    • pp.28-35
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    • 2020
  • 본 논문은 회전익 항공기의 동체에 특정 장비를 장착하기 위한 지지 구조물에서 균열이 발생하여 이를 개선하기 위한 목적으로 수행한 연구이다. 회전익 항공기 동체의 스킨(Skin) 구조물에 추가된 지지 구조물인 더블러(Doubler)는 개발 단계에서의 하중을 기반으로 설계 및 제작 되었으며, 항공기 운용 중 특정 시점에 더블러의 표면에서 균열이 발견되었다. 균열의 원인을 찾기 위해서 장비 장착 시 체결 조건으로 발생할 수 있는 원 구조물의 초기 변형을 고려하고, 항공기 날개 통과 주파수와 해당 구조물의 고유 주파수를 동특성 해석 조건으로 고려 하였다. 이러한 시나리오의 검토 결과로 초기 변형을 유발하는 패스너 체결 부위의 물리적인 틈(Gap) 제거를 위한 심(Shim)구조물을 추가하고, 두께가 보강된 더블러를 장착하였다. 개선된 설계의 구조적 검증을 위한 동특성 해석 결과를 검토하여 구조 강도의 증가를 확인하고, 더블러에 대한 피로 평가 수행을 통해 항공기 요구 수명 조건 또한 충족함을 확인하였다.

아스팔트 콘크리트 포장용 균열실링재의 부착특성 평가 (Evaluation of Adhesion Characteristics of Crack Sealants Used in Asphalt Concrete Pavement)

  • 이재준;김승훈;백종은;임재규;김용주
    • 한국도로학회논문집
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    • 제17권2호
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    • pp.55-62
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    • 2015
  • Cracking is an inevitable fact of asphalt concrete pavements and plays a major role in pavement deterioration. Pavement cracking is one of the main factors determining the frequency and method of repair. Cracks can be treated with a number of preventative maintenance actions, including overlay surface treatments such as slurry sealing, crack sealing, or crack filling. Pavement cracks can show up as one or all of the following types: transverse, longitudinal, fatigue, block, reflective, edge, and slippage. Crack sealing is a frequently used pavement maintenance treatment because it significantly extends the pavement service life. However, crack sealant often fails prematurely due to a loss of adhesion. Because current test methods are mostly empirical and only provide a qualitative measure of the bond strength, they cannot accurately predict the adhesive failure of the sealant. This study introduces a laboratory test aimed at assessing the bonding of hot-poured crack sealant to the walls of pavement cracks. A pneumatic adhesion tensile testing instrument (PATTI) was adopted to measure the bonding strength of the hot-poured crack sealant as a function of the curing time and temperature. Based on a limited number of test results, the hot-poured crack sealants have very different bonding performances. Therefore, this test method can be proposed as part of a newly developed performance-based standard specification for hot-poured crack sealants for use in the future. PURPOSES : The purpose of this study was to evaluate both the adhesion and failure performance of a crack sealant as a function of its curing time and curing temperature. METHODS: A pneumatic adhesion tensile testing instrument (PATTI) was adopted to measure the adhesion performance of a crack sealant as a function of the curing time and curing temperature. RESULTS: With changes in the curing time, curing temperature, and sealant type, the bond strengths were found to be significantly different. Also, higher bond strengths were measured at lower temperatures. Different sealant types produced completely different bond strengths and failure behaviors. CONCLUSIONS: The bonding strength of an evaluated crack sealant was shown to differ depending on various factors. Two sealant types, which were composed of different raw materials, were shown to perform differently. The newly proposed test offers the possibility of evaluating and differentiating between different crack sealants. Based on alimited number of test results, this test method can be proposed as part of a newly developed performance-based standard specification for crack sealants or as part of a guideline for the selection of hot-poured crack sealant in the future.

Validating the Structural Behavior and Response of Burj Khalifa: Synopsis of the Full Scale Structural Health Monitoring Programs

  • Abdelrazaq, Ahmad
    • 국제초고층학회논문집
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    • 제1권1호
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    • pp.37-51
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    • 2012
  • New generation of tall and complex buildings systems are now introduced that are reflective of the latest development in materials, design, sustainability, construction, and IT technologies. While the complexity in design is being overcome by the availability and advances in structural analysis tools and readily advanced software, the design of these buildings are still reliant on minimum code requirements that yet to be validated in full scale. The involvement of the author in the design and construction planning of Burj Khalifa since its inception until its completion prompted the author to conceptually develop an extensive survey and real-time structural health monitoring program to validate all the fundamental assumptions mad for the design and construction planning of the tower. The Burj Khalifa Project is the tallest structure ever built by man; the tower is 828 meters tall and comprises of 162 floors above grade and 3 basement levels. Early integration of aerodynamic shaping and wind engineering played a major role in the architectural massing and design of this multi-use tower, where mitigating and taming the dynamic wind effects was one of the most important design criteria established at the onset of the project design. Understanding the structural and foundation system behaviors of the tower are the key fundamental drivers for the development and execution of a state-of-the-art survey and structural health monitoring (SHM) programs. Therefore, the focus of this paper is to discuss the execution of the survey and real-time structural health monitoring programs to confirm the structural behavioral response of the tower during construction stage and during its service life; the monitoring programs included 1) monitoring the tower's foundation system, 2) monitoring the foundation settlement, 3) measuring the strains of the tower vertical elements, 4) measuring the wall and column vertical shortening due to elastic, shrinkage and creep effects, 5) measuring the lateral displacement of the tower under its own gravity loads (including asymmetrical effects) resulting from immediate elastic and long term creep effects, 6) measuring the building lateral movements and dynamic characteristic in real time during construction, 7) measuring the building displacements, accelerations, dynamic characteristics, and structural behavior in real time under building permanent conditions, 8) and monitoring the Pinnacle dynamic behavior and fatigue characteristics. This extensive SHM program has resulted in extensive insight into the structural response of the tower, allowed control the construction process, allowed for the evaluation of the structural response in effective and immediate manner and it allowed for immediate correlation between the measured and the predicted behavior. The survey and SHM programs developed for Burj Khalifa will with no doubt pioneer the use of new survey techniques and the execution of new SHM program concepts as part of the fundamental design of building structures. Moreover, this survey and SHM programs will be benchmarked as a model for the development of future generation of SHM programs for all critical and essential facilities, however, but with much improved devices and technologies, which are now being considered by the author for another tall and complex building development, that is presently under construction.

반회후두신경 손상을 동반하지 않은 갑상선 절제술 환자에서 수술 초기의 음성 및 연하 기능의 변화에 대한 분석 (Analysis of Voice and Swallowing Symptoms after Thyroidectomy in Patients without Recurrent Laryngeal Nerve Injury in Early Postoperative Period)

  • 김희진;금보람;김근희;전승식;김혜진;김성균;홍석진;홍석민;김용복;박일석
    • 대한후두음성언어의학회지
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    • 제27권2호
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    • pp.108-113
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    • 2016
  • Background and Objectives : After thyroidectomy, many patients experience problems report such things as reduced voice range and vocal fatigue, swallowing problems without superior and recurrent laryngeal nerve injury. The purpose of this study was to evaluate voice and swallowing problems before and after thyroid surgery without laryngeal nerve injury. Materials and Methods : Ninety-three patients who underwent thyroidectomy without laryngeal nerve injury and completed the follow-up evaluations were studied between June 2013 and December 2015. Each evaluation was performed preoperatively, as well as 1 week, 1 month postoperatively. Analysis was performed including voice handicap index (VHI), dysphagia handicap index (DHI), and acoustic voice analysis. Results : Patients show significant variation of parameters in the fundamental frequency (F), maximal phonation time (MPT), shimmer, jitter and soft phonation index (SPI) early after operation, and most of them showed recovery of parameters after 1month of operation. Perceptive complaint of voice and swallowing also showed significant decreased after operation (p<0.005). After 1month of operation, MPT, highest frequency and frequency ranges still showed significant decreased parameters. Comparing acoustic and perceptive parameters of total thyroidectomy and lobectomy, there was no significant changes between them except highest frequency (p=0.042). Conclusion : The results from both subjective and objective evaluations show voice and swallowing disturbance after thyroidectomy even in the absence of laryngeal nerve and provide patients information about the recovery process after surgery. Highest frequency parameter showed most significant changes after operation.

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가스터빈 블레이드 열차폐코팅의 곡률에 따른 기계적 특성 평가 (Evaluation of the Mechanical Characteristics According to the Curvature of Thermal Barrier Coating)

  • 이정민;석창성;구재민;김성혁;;;문원기
    • 대한기계학회논문집A
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    • 제38권12호
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    • pp.1427-1430
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    • 2014
  • 열차폐 코팅은 고온 화염의 열이 블레이드의 모재에 직접 전달되는 것을 막는 역할을 하며, 세라믹 재질의 탑코팅층과 금속 모재간 결합력을 증가시켜주는 본드코팅층으로 이루어져있다. 이러한 열차폐 코팅 기술로 인하여 블레이드 표면의 온도가 화염온도에 비해 약 $100{\sim}170^{\circ}C$정도 낮아지게 된다. 이러한 열차폐 코팅은 금속모재와 코팅층의 열팽창 계수의 차이로 인해 내부 응력이 발생하게 되며, 블레이드의 형상 및 위치에 따라 발생하는 응력이 다르다. 따라서 본 논문에서는 열차폐코팅의 내구성 시험에 보편적으로 사용되는 코인형 시험편에 대하여 모재의 곡률에 따른 유한요소해석을 수행하고 열차폐 코팅에서 발생하는 내부 응력변화를 고찰하였다. 그 결과 탑코팅에 최저응력이 발생할 때의 곡률을 도출하였고 최저응력에서의 곡률과 차이가 커질수록 발생하는 응력이 커짐을 확인하였다.

Efficacy and Safety of Sorafenib for Advanced Non-Small Cell Lung Cancer: a Meta-analysis of Randomized Controlled Trials

  • Wang, Wei-Lan;Tang, Zhi-Hui;Xie, Ting-Ting;Xiao, Bing-Kun;Zhang, Xin-Yu;Guo, Dai-Hong;Wang, Dong-Xiao;Pei, Fei;Si, Hai-Yan;Zhu, Man
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5691-5696
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    • 2014
  • Background: Many clinical trials have been conducted to evaluate sorafenib for the treatment of advanced NSCLC, but the results for efficacy have been inconsistent. The aim of this study was to evaluate the efficacy and safety of sorafenib in patients with advanced NSCLC in more detail by meta-analysis. Methods: This meta-analysis of randomized controlled trials (RCTs) was performed after searching PubMed, EMBASE, ASCO Abstracts, ESMO Abstracts, and the proceedings of major conferences for relevant clinical trials. Two reviewers independently assessed the quality of the trials. Outcomes analysis were disease control rate (DCR), progression- free survival (PFS), overall survival (OS) with 95% confidence intervals (CI) and major toxicity. Subgroup analysis was conducted according to sorafenib monotherapy, in combination with chemotherapy or EGFR-TKI to investigate the preferred therapy strategy. Results: Results reported from 6 RCTs involving 2, 748 patients were included in the analysis. Compared to sorafenib-free group, SBT was not associated with higher DCR (RR 1.31 (0.96- 1.79), p=0.09), PFS (HR 0.82 (0.66-1.02), p=0.07) and OS (HR 1.01 (0.92-1.12), p=0.77). In terms of subgroup results, sorafenib monotherapy was associated with significant superior DCR and longer PFS, but failed to show advantage with regard to OS. Grade 3 or greater sorafenib-related adverse events included fatigue, hypertension, diarrhea, oral mucositis, rash and HFSR. Conclusions: SBT was revealed to yield no improvement in DCR, PFS and OS. However, sorafenib as monotherapy showed some activity in NSCLC. Further evaluation may be considered in subsets of patients who may benefit from this treatment. Sorafenib combined inhibition therapy should be limited unless the choice of platinum-doublet regimen, administration sequence or identification of predictive biomarkers are considered to receive better anti-tumor activity and prevention of resistance mechanisms.

해수전착 코팅을 이용한 내부식성 철근의 개발 및 적용성에 대한 연구 (2) -해수전착된 구조용 철근의 적용성 평가 (Development and Application of Anti-Corrosive Steel Using Electro-Deposition of Sea Water (2)- Evaluation of Application Rebar with Electro-Deposition Using Sea Water)

  • 권성준;이상민;박상순
    • 한국구조물진단유지관리공학회 논문집
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    • 제16권6호
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    • pp.155-162
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    • 2012
  • 해수에 노출된 콘크리트 구조물은 시간의 경과에 따라 철근부식이 야기될 수 있으며, 이는 구조적인 성능저하로 진전된다. 1단계 연구에서 도출된 해수전착시스템의 개발을 통하여 2단계 연구에서는 해수전착 코팅된 철근 및 코팅철근을 사용한 RC 콘크리트 부재의 구조적, 내구적 성능이 평가되었다. 내구적 성능평가에서는 반전위 측정이 수행되었는데, 코팅된 철근은 일반철근의 35%수준의 부식속도를 가지고 있었으므로 높은 내부식성을 확보하고 있었다. 구조실험에서는 직접인장시험, 부착력시험, RC 부재를 이용한 휨 및 전단시험이 수행되었다. 인장강도 시험에서는 3.2%, 부착성능에서는 8.8%의 강도 증가가 코팅된 철근에서 평가되었다. RC보에 대한 실험에서는 최대하중 및 파괴형태는 두가지 경우에서 거의 동일하게 평가되었다. 해수전착된 시편은 철근주위에 콘크리트와 비슷한 화합물(수산화마그네슘, 탄산칼슘)이 형성되므로 부착력 및 강도를 일부 증가시키는 것으로 평가되었다. 해수전착철근은 피로, 내충격성, 장기침지실험 등을 통하여 성능이 입증되면 더욱 활발하게 사용될 것으로 사료된다.