• 제목/요약/키워드: Pressure Management

검색결과 1,953건 처리시간 0.031초

고혈압 대상자의 방문간호 중재프로그램의 효과 (Effect of Case Management Intervention Program for Registered Clients with Home Health Care of Hypertension)

  • 오숙희;김용순;박지원;유문숙
    • 가정간호학회지
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    • 제17권1호
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    • pp.28-35
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    • 2010
  • Purpose: The study compared the hypertension care efficacy of a case management intervention program for registered clients. Methods: The nonequivalent control group pretest-posttest design involved 53 registered hypertensive patients of a customized visiting health care service in S-city(n=28 experimental group, n=25 control group). Data collection and case management intervention were carried out from April to July, 2009. The experimental group had six home visits and two phone calls, and the control group had two home visits during the 8-week period. Outcome variables for test hypotheses were changes in physiologic index (blood pressure and total cholesterol) and degree of self-management performance and confidence. Results: Repeated measure ANOVA and t-test of means revealed significant differences before and after program for systolic and diastolic blood pressure and self-management performance and confidence, but no significant difference concerning total cholesterol. Conclusion: A case management program can have positive effects on blood pressure control and self management. However, research is needed to create a more effective case management for vulnerable patient populations.

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제조기업의 환경혁신에 대한 원인요인과 촉진요인 (The Influence Factors on the Activation of Environmental Innovations in Manufacturing Firms)

  • 최종민
    • 경영과학
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    • 제32권3호
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    • pp.71-89
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    • 2015
  • This research empirically investigated the influence factors on the activation of environmental innovations (EI) in Korean manufacturing firms. In this study, external factors (compulsory demand, government regulation, normative pressure and imitative pressure) and internal factors (environmental resources, top management support, integration of environmental tasks, capabilities of environmental personnel, and environmental strategy/environmental management systems) were totally considered. The results of a multiple regression analysis showed that influence factors such as top management support, environmental resources and integration of environmental tasks have a significant and positive impact on levels of EI. However, the effects of external factors were not statistically significant. We also examined whether capabilities of environmental personnel as well as environmental resources, which are directly related with degrees of EI, have a moderating impact on relationships between other internal factors and levels of EI. With a subgroup analysis, the moderating role of abilities of environmental personnel were empirically confirmed. Through a multiple regression analysis, the direct effects of external factors on the adoption or construction of internal factors were demonstrated. The effects of government regulation, normative pressure and imitative pressure on internal factors were significant and positive. It was also found that external factors have indirect effects on EI through internal factors. Finally, the results of multiple regression analyses indicated that EI positively influences the achievement of environmental competitive benefits, and environmental competitive advantages can improve the organizational performance of a firm.

고혈압 환자들의 관점에서 본 혈압관리에 대한 지식, 태도, 실천: 질적연구 (The Knowledge, Attitude and Practice of Blood Pressure Management from the Patient's Viewpoint: A Qualitative Study)

  • 이석구;전소연
    • Journal of Preventive Medicine and Public Health
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    • 제41권4호
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    • pp.255-264
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    • 2008
  • Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

국내 수소타운 내 0.1MPa 이하 저압 수소 사용시설의 안전관리 항목 분석 (An Analysis of Safety Management Items for Low Pressure Hydrogen Facility below 0.1MPa in Domestic Hydrogen Town)

  • 이덕권;허두현;이선규;이정운;유근준;이연재;김희식
    • 한국가스학회지
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    • 제19권6호
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    • pp.85-91
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    • 2015
  • 전 세계적으로 수소에너지에 대한 관심이 점차 증가함에 따라 수소 생산, 저장, 운송, 이용 분야에서 응용 기술의 개발이 활발히 진행되고 있다. 국내에서도 울산 수소타운을 조성하여 시범운영 중에 있어 수소에너지 응용처 확대에 대한 가능성을 높이고 있다. 울산 수소타운은 가스 사용 압력에 따라 고압부와 저압부로 구분할 수 있는데 고압부는 '고압가스안전관리법'을 적용하여 안전관리를 하고 있고 저압부는 '수소타운 시범사업의 안전관리에 관한 지침'을 적용하여 운영 중에 있다. 본 논문에서는 울산 수소타운 내 0.1MPa 이하 저압 수소 사용시설의 안전관리 효율성 향상을 위해 저압 수소사용 시설 및 안전관리 항목 분석을 통해 안전관리 방향성을 검토하고 향후 개선 방향을 제시하고자 하였다. 본 연구의 결과를 통해 국내 수소타운 활성화 및 안전 관리 효율성 증대에 도움이 될 수 있을 것으로 기대한다.

통계적 기법을 이용한 배·급수 관망 내 감압 밸브 성능 평가에 관한 사례 연구 (Evaluation of Pressure Reducing Valves performance using Statistical Approach in Water Distribution System : Case Study)

  • 박노석;최두용;이영주;윤석민
    • 상하수도학회지
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    • 제29권4호
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    • pp.519-531
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    • 2015
  • It has been widely accepted that the pressure management of water distribution systems using pressure reducing valves(PRVs) would be an effective method for controlling leakages. A pressure reducing valve (PRV) regulates outlet pressure regardless of fluctuating flow and varying inlet pressure, thereby reducing leakage and mitigating the stress on the water distribution system. However, the operation of a PRV is vulnerable to its mechanical condition and hydraulic operability. In this research, the effect of PRVs installed in water distribution system are evaluated in terms of hydraulic pressure reduction and mechanical performance by analyzing measured pressure data with statistical approach. A statistical approach using the moving average filter and frequency analysis based on fourier transform is presented to detect abnormally operated PRVs that have been densely installed in water distribution system. The result shows that the proposed approach can be a good performance evaluation method by simply measuring pressures for the PRVs.

건축물 제연시스템의 송풍기에 대한 해석기술 개발 (Development of Analysis Technology on Fan in Pressure Differential System for Smoke Management)

  • 김정엽;김지석
    • 한국화재소방학회:학술대회논문집
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    • 한국화재소방학회 2009년도 춘계학술논문발표회 논문집
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    • pp.352-357
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    • 2009
  • The fact that the major cases of life casualties are from smoke in the fire accidents and the expected steep increase of skyscrapers, huge spaces, multiplexes and huge scaled underground spaces demand establishment of efficient smoke countermeasure. The core technology for development of smoke management system is analysis tool of fan used in pressure differential system. The development of analysis technology on sirroco-typed fan using experimental and numerical methods are carried out to evaluate the features and performance of fan used in pressure differential systems.

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실린더 압력센서를 사용한 가솔린 엔진의 도시토크와 부하토크의 추정 (Indicated and Load Torque Estimation of SI-Engine using Cylinder Pressure Sensor)

  • 백종탁;박승범;선우명호
    • 한국자동차공학회논문집
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    • 제11권5호
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    • pp.1-6
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    • 2003
  • The torque is an important measure that represents the performance of a particular engine. Furthermore the information of engine torque can be used as a primary feedback parameter in modem engine management system. In this paper, a methodology is proposed for torque estimation of SI-engine. Since the proposed method uses cylinder pressure sensor, the torque can be estimated in a simple manner. The indicated torque is estimated from the peak pressure and its location, and the load torque is observed by the state observer based on the estimated indicated torque. The proposed method is accurate and robust against the variations that affect the torque production such as spark timing, mass air flow and others. This torque estimation method may be an alternative solution to the use of engine torque maps in a modem torque-based engine management system.

제주 지역 고혈압 환자의 혈압조절 관련 요인 (Factors Related to Blood Pressure Control in Hypertensive Patients in Jeju Province)

  • 고영주;박은옥
    • 한국보건간호학회지
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    • 제27권2호
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    • pp.267-279
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    • 2013
  • Purpose: This study was conducted to identify blood pressure control rate and related factors in hypertensive patients. Methods: Data were collected using face to face survey with measuring blood pressure from 268 hypertensive patients. Results: Subjects without spouses were 2.19 times more likely to control their blood pressures (p=.002). Whenever subjects came up 1 score in the low sodium diet score, they were 1.37 times more likely to control their blood pressures (p=.044). The possibility of blood pressure control rose 1.58 times per point in the stress management score (p=.011) and the sleep and rest score (p=.002). Conclusion: It is important to develop education and intervention program of lifestyle regarding low sodium diet, stress management and sleep and rest, in order to improve the blood pressure control.

실험계획법을 이용한 원자력 발전소에서의 냉각제 상실사고에 대한 연구 (A Study on Loss of Coolant Accident in Nuclear Power Plant Using DOE)

  • 임영문;이성모
    • 대한안전경영과학회지
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    • 제7권4호
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    • pp.85-99
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    • 2005
  • The main objective of this paper is to search whether containment vessel's best pressure may increase until how long when loss of coolant accident (LOCA) happened in containment vessel of Ulchin nuclear power plant 1 and 2. Another goal of this research is to find the influential factors that increase containment vessel pressure. Model for this research is Ulchin nuclear power plant 1 with 10 cycles. Data were collected by simulator of Ulchin nuclear power plant 1 and design of experiment was used for data analysis. For the experiment, seven factors that are going to influence in containment vessel pressure were chosen. It was found that fatter which influences in early rise of containment vessel pressure after LOCA is only explosion size. Also, containment vessel's best pressure (3.74 bar.a) was much lower than limit (4.86 bar.a) of FSAR (Final Safety Analysis Report).

The Study of the Influence of Intra-Abdominal Pressure to Manual Materials Handling

  • Woo, Tsun-Yu
    • Industrial Engineering and Management Systems
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    • 제7권1호
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    • pp.90-98
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    • 2008
  • This research selects the lifting task to be the main subject. Four experiments were designed to measure which among lifting postures, lifting heights, waist-belt, and breathing control significantly influences intra-abdominal pressure (Gallagher, 1991; Lavender, Andersson and Natarajan, 1999). The experimental results were taken to be the recommendations of the manual materials handling work design. The research findings reveal that the symmetrical stoop posture is the most significant to the intra-abdominal pressure within all lifting postures. When the lifting height is increased, the intra-abdominal pressure produced relatively goes up. Also, the combination of symmetrical stoop posture, waist-belt use, and inspiration and holding at the same time is the most efficient in carrying out lifting tasks. Simultaneously, the research discovers that for any posture, the volume of the intra-abdominal pressure is much bigger when using the waist-belt compared to when it is not used. Therefore, the waist-belt design for the lifting works might be the future research approach.