• 제목/요약/키워드: Operative Temperature

검색결과 106건 처리시간 0.03초

수술 후 가온방법에 따른 체온과 전율의 변화 (Comparison of Forced Air Warming and Radiant Heating on Body Temperature and Shivering of Post-operative Patients)

  • 최경희
    • 성인간호학회지
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    • 제20권1호
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    • pp.135-148
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    • 2008
  • Purpose: This study compared the effects of forced air warming and radiant heating on body temperature and shivering of patients with postoperative hypothermia. Methods: The quasi-experimental study was conducted with two experimental groups who had surgery under general anesthesia; 20 patients of group 1 experimented with the Bair Hugger as a forced air warming and 20 patients of group 2 experimented with the Radiant heater. The study was performed from July 3 to August 31, 2006 in a recovery room of an university hospital in a city. The effects of the experiment were measured by postoperative body temperature and chilling score at arrival and after every 10 minutes. The data were analyzed by t-test or ${\chi}^2$-test, repeated measures ANCOVA using SPSS/WIN 12.0. Results: The mean body temperature showed differences between the Bair Hugger group and Radiant Heater group at 40 minutes(F=-2.579, p=.034), 50minutes(F=-2.752, p=.027), and 60 minutes(F=-2.470, p=.047) after arrival to the recovery room. So, hypothesis 1 was partially accepted. The mean score of shivering showed differences between the Bair Hugger group and the Radiant Heater group, but it had no significant meaning. Hypothesis 2 was not accepted. Conclusion: We need more study to explore the effects and side effects of heating modalities to select a more effective heat treatment. The efficiency of heat modalities with regards to cost benefit, time consumption, and patients' discomfort such as burns should be considered.

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국제공동연구 PARTRIDGE를 통한 확률론적 건전성 평가 기술 개발 현황 (Current Status of an International Co-Operative Research Program, PARTRIDGE (Probabilistic Analysis as a Regulatory Tool for Risk-Informed Decision GuidancE))

  • 김선혜;박정순;김진수;이진호;윤은섭;양준석;이재곤;박홍선;오영진;강선예;윤기석;박재학
    • 한국압력기기공학회 논문집
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    • 제9권1호
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    • pp.62-69
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    • 2013
  • A probabilistic assessment code, PRO-LOCA ver. 3.7 which was developed in an international co-operative research program, PARTRIDGE was evaluated by conducting sensitivity analysis. The effect of some variables such as simulation methods (adaptive sampling, iteration numbers, weld residual stress model), crack features(Poisson's arrival rate, maximum numbers of cracks, initial flaw size, fabrication flaws), operating and loading conditions(temperature, primary bending stress, earthquake strength and frequency), and inspection model(inspection intervals, detectable leak rate) on the failure probabilities of a surge line nozzle was investigated. The results of sensitivity analysis shows the remaining problems of the PRO-LOCA code such as the instability of adaptive sampling and unexpected trend of failure probabilities at an early stage.

수종(數種) 치과(齒科) 수복용(修復用) 복합(複合)레진의 세포독성(細胞毒性)에 관(關)한 실험적(實驗的) 연구(硏究) (AN EXPERIMENTAL STUDY ON THE CYTOTOXICITY OF SEVERAL COMPOSITE RESINS)

  • 명제근;이명종
    • Restorative Dentistry and Endodontics
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    • 제14권1호
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    • pp.25-40
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    • 1989
  • This study was conducted to evaluate the influence of 5 microfilled composite resin to fibroblast cultivated from human pulp (age 13). Each composite resin was manually mixed and filled in cylinder. Resin filled cylinders were placed in dishes (35mm in diameter) containing 3 ml of ${\alpha}$-MEM. Filters (pore size 0.22 ${\mu}m$) to simulate dentin were also placed between the bottom of cylinder and the dish floor. Then stored in 5% $CO_2$ containing incubator for 1 and 2 weeks at the temperature 36.6 C. The results analysed after 1 and 2 weeks were as follows: 1. Experimental group except group 2, 2 weeks incubation cases showed the cytotoxicity compared to the control group in cell count. 2. After 2 week-incubation of group 1 and group 4, cell count was more decreased than 1 week cases and cytotoxicity seemed to be constantly influenced to the cell multiplication. 3. The cell growth rate of 1 week incubation in group 3 and group 5 was similar to the control group and recognized the cytotoxicities of these groups were mild. 4. The cell multiplication rate of 2 week incubation cases in group 2 was greater than control group.

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수술 환자에게 적용한 가온요법 연구논문 분석 (Analysis of Researches on the Warming Therapy for Surgical Patients)

  • 전점이
    • 성인간호학회지
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    • 제22권3호
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    • pp.260-270
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    • 2010
  • Purpose: The main question is systematic review of the published in Korea and foreign countries on warming therapy for surgical patients. Methods: The researchers searched at Medline, CINAHL, KERIS, Adult Nursing Association, Korean Society of Nursing Science, Korean Academy of fundamentals of Nursing, and National Assembly Library web site for the published on warming therapy for surgical patients from 1980 to 2008. Words for search were operation/surgery, warming, operation/surgery and warming. Studies were included randomized controlled trial, and there were no restrictions regarding operative phase and outcome measures. Results: 36 published researches that met the criteria were mostly published in foreign countries between 2000 and 2008 and focused on surgery with general anesthesia. Sample size ranged from 21 to 60 subjects, age range between 21 and 60 years of age. Thirty different warming therapies were reported, fifty-two different dependent variables. Outcome indicators included active external warming, intra-operative, and body temperature. 'Positive effects' and 'no effects' equaled. The most frequently reported 'positive effects' were body temperature, shivering, and acid-base balance. No effects were more likely to be heart rate, blood pressure, and hemodynamics. Conclusion: Many types of warming therapy, are reported in the literature with little information about the efficacy of each, many different dependant variables were studied. There were no consistent reports as to length of time used for warming procedures. Overall, the effects of warming therapy are inconsistent. And additional research must be down before any particular method of warming can be used with confidence as to its effectiveness. Attention must be made as to the research design, better measurement of the dependent variables. This review may serve as a base.

An innovative approach for the numerical simulation of oil cooling systems

  • Carozza, A.
    • Advances in aircraft and spacecraft science
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    • 제2권2호
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    • pp.169-182
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    • 2015
  • Aeronautics engine cooling is one of the biggest problems that engineers have tried to solve since the beginning of human flight. Systems like radiators should solve this purpose and they have been studied extensively and various solutions have been found to aid the heat dissipation in the engine zone. Special interest has been given to air coolers in order to guide the air flow on engine and lower the high temperatures achieved by the engine in flow conditions. The aircraft companies need faster and faster tools to design their solutions so the development of tools that allow to quickly assess the effectiveness of an cooling system is appreciated. This paper tries to develop a methodology capable of providing such support to companies by means of some application examples. In this work the development of a new methodology for the analysis and the design of oil cooling systems for aerospace applications is presented. The aim is to speed up the simulation of the oil cooling devices in different operative conditions in order to establish the effectiveness and the critical aspects of these devices. Steady turbulent flow simulations are carried out considering the air as ideal-gas with a constant-averaged specific heat. The heat exchanger is simulated using porous media models. The numerical model is first tested on Piaggio P180 considering the pressure losses and temperature increases within the heat exchanger in the several operative data available for this device. In particular, thermal power transferred to cooling air is assumed equal to that nominal of real heat exchanger and the pressure losses are reproduced setting the viscous and internal resistance coefficients of the porous media numerical model. To account for turbulence, the k-${\omega}$ SST model is considered with Low- Re correction enabled. Some applications are then shown for this methodology while final results are shown in terms of pressure, temperature contours and streamlines.

척추마취 수술환자의 간호요구 (A Study on Needs of the Spinal anesthesia Patients)

  • 남성미;김명희
    • 성인간호학회지
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    • 제12권4호
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    • pp.666-677
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    • 2000
  • The purpose of this study was to identify the needs which were perceived by patients who were received spinal anesthesia for surgery. The subjects consisted of 50 adult patients who were admitted to 2 university hospitals and 2 general hospitals in Pusan city and 1 general hospital in Koje City for surgery under spinal anesthesia. Thirty eight percent of subjects received information about anesthesia before the operation. The instrument for this study was developed by the researcher based on literature and a pretest. Data were collected from December 10, 1999 to February 10, 2000 and were analyzed by content analysis. The results were that there were 533 meaningful statements in the needs of spinal anesthesia patients. The needs of spinal anesthesia patients had 51 items (preoperation (6), induction of anesthesia(5), intraoperation (27), postoperation(13)) and 6 categories (information, emotional welfare, physical welfare, post anesthetic management, control of physical environment, humane treatment). From the results, it can be concluded that: 1. In the pre-operation period, we have to explain anesthesia procedures, adequate position of anesthesia, duration before anesthesia wears off and sensation of paralysis. We have to supply emotional support to relieve anxiety because of anesthesia. 2. In induction of anesthesia, we have to support patient's position for anesthesia, and relieve anxiety so that patients participate in induction of anesthesia well. 3. In intra-operative period, we have to check the level of anesthesia, and keep up a comfortable position for operation and care for physical discomfort such as thirst, nausea, vomiting, dyspnea and to maintain body temperature of the patient. Since the patient is conscious, we have to communicate with the patient to relieve anxiety, maintain privacy, inform the patient of the process of the operation and encourage the surgeon to explain the outcome of the operation. The operating team needs the careful about what they say and to place the instrument well. We have to ventilate the room air and reduce noise. 4. In the post-operative period, we have to explain the purpose and duration of bed rest, complications of anesthesia and care for physical discomfort such as pain, dysuria, headache, backache. Also we have to maintain body temperature of the patient and maintain privacy.

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인공기후실내의 바닥온도 변화에 의한 인체의 생리적 반응 (Physiological Responses of the Human Body on a Change of the Floor Temperature in Indoor)

  • 최영식
    • 한국산업융합학회 논문집
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    • 제1권1호
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    • pp.21-30
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    • 1998
  • The purpose of this study is to clarify the floor temperature on the human body and to estimate thermal comfort zone in a heated room. In order to evaluate the effects of floor heating, a series of experiments were carried out using Korean subjects. The following experiments were conducted: 1) to obtain the effective radiation area and configuration factors of the person in the sitting posture on a floor to get the mean radiant temperature, 2) to measure contacted area of the person to the floor to calculate conduction heat rate, 3) to measure convective heat transfer coefficient of the body and 4) to know the thermal comfort zone of indoor environment heated by ON-DOL. Subjects were exposed to the following conditions: combinations of air temperature $20^{\circ}C$, $22.5^{\circ}C$, $25^{\circ}C$, and floor temperature $20^{\circ}C$, $22.5^{\circ}C$, $25^{\circ}C$, $27.5^{\circ}C$, $30^{\circ}C$, $32.5^{\circ}C$, $35^{\circ}C$, $37.5^{\circ}C$, $40^{\circ}C$ under still air and 50% relative humidity in the controllable artificial climate chamber. To evaluate the effect of heat conduction between the body and a floor modified mean skin temperature was defined. Weighting coefficient to calculate mean skin temperature were modified with the contacted area. The experiments revealed a positive correlation between the modified operative temperature and the modified mean skin temperature. The modified mean skin temperature can indicate the effect of heat conduction between body and a floor surface.

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다한증수술후 발한분포 및 상하지의 온도변화와 혈류량변화 (The Changes of Sweating Area, Temperature and Blood Flow in the Upper and Lower Extremity after Hyperhidrosis Operations)

  • 김용환;장윤희;문석환;조건현;왕영필;김세화;곽문섭;김학희;장혜숙
    • Journal of Chest Surgery
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    • 제32권5호
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    • pp.456-460
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    • 1999
  • 배경: 다한증에 대한 흉부교감신경절제술은 흉강경기구 및 수술술기 발달로 효과적인 치료방법으로 인식되고 있으나 보상성 다한증으로 그 만족도가 떨어지고 있다. 따라서 저자들은 수술결과 및 보상성 다한증을 분석하고자 하였으며 수술전후 손과 발의 온도 차이 그리고 상지와 하지의 혈류량을 측정하였다. 대상 및 방법: 1995년 12월부터 1998년 7월까지 강남성모병원에서 총 47명의 다한증환자를 흉강경하에 교감신경절제술을 시행하였다. 수술전후로 손가락 및 발가락에서 온도변화를 측정하였고, 혈류량 측정은 도플러 초음파검사로 손가락동맥, 요골동맥, 그리고 족배동맥에서 측정하였다. 결과: 수술사망은 없었으며, 기흉 7건, 재발 3건, 안검하수 1건등의 합병증이 있었다. 보상성 다한증은 수술한 환자의 95%에서 있었으며 이중 5명이 수술을 후회하였다. 족부 다한증은 흉부교감신경절제술후 46%에서 향상되었고, 수술전후 온도변화는 우측 손에서 1$^{\circ}C$, 좌측 손에서 1.9$^{\circ}C$였고 통계적으로 의미있게 증가하였다. 그러나 족부 다한증에서는 의미있는 온도차이가 없었다. 혈류량은 손에서 의미있게 증가하였으나 발에서는 차이가 없었다. 결론: 다한증의 흉부 교감신경절제술은 안전하고 효과적인 치료이지만 그 만족도는 보상성 다한증에 의해 감소하고 있으므로 수술전에 보상성 다한증에 대하여 충분히 설명하는 것이 중요하다. 족부 다한증은 생리적 변화에 의한 것이라기 보다는 정신적 안정에 의한 것으로 보인다.

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수술 중 흡입가스의 가온가습이 체온, 혈압 및 떨림에 미치는 효과 -일반회로 적용군과의 후향적 비교연구- (The Effects of Intra-operative Heated Humidification on Body Temperature, Blood Pressure and Shivering of Patients Undergoing General Anesthesia)

  • 배익렬;허명행
    • 임상간호연구
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    • 제17권2호
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    • pp.192-203
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    • 2011
  • Purpose: The purpose of this study was to compare the body temperature (BT), blood pressure (BP) and shivering in patients undergoing operation under general anesthesia between the heated humidification circuit tube (HHCT) group and the non-HHCT group. Methods: Data were extracted from the participants' medical records from September 1st to December 30th, 2009. The HHCT group consisted of 50 cases who were applied with heated and humidified gas via a specially designed circuit under general anesthesia. The HHCT which was adjusted at $41^{\circ}C$ was applied from induction of general anesthesia to extubation. In comparison, the non-HHCT group consisted of 50 cases who were applied with gas through standard breathing circuit without heat and humidification. Collected data were analyzed by $x^2$ test, t-test and repeated measures ANOVA. Results: The BT and shivering were significantly different between two groups (p<.001). But the BP was was not signigicantly different between the HHCT group and the non-HHCT group. Conclusion: The application of heated and humidified gases to patients under general anesthesia was effective in preserving the body temperature and reducing the shivering.

Vivadent의 변연누출에 관한 실험적 연구 (Marginal Leakage Test on 'Vivadent' Composite Resin)

  • 권혁춘
    • 대한치과의사협회지
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    • 제23권12호통권199호
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    • pp.1031-1037
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    • 1985
  • The purpose of this study was to evaluate the marginal sealing ability of 'vivadent.' Using freshly extracted human teeth and 2% aqueous methylene blue, the marginal leakage of dye in restorative materials such as vivadent with acid etching technique, Durafill with acid etching technique, silar with acid etching technique, Adaptic, and Amalgam were investigated at 37℃ and under temperature cycling in range of 4℃-60℃. The results were as follows; 1. All filling materials showed some degree of marginal penetration by 2% methylene blue dye. 2. Vivadent with acid etching technique revealed effective marginal sealing ability, but under temperature cycling it showed increased marginal leakage. 3. All resins showed greater marginal leakage than amalgam restoration. 4. Vivadent had the most effective marginal sealing ability in experimented resins.

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