• Title/Summary/Keyword: Pressure management

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

  • Oh, Suk-Hee;Kim, Yong-Soon;Park, Jee-Won;Yoo, Moon-Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.1
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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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The Influence Factors on the Activation of Environmental Innovations in Manufacturing Firms (제조기업의 환경혁신에 대한 원인요인과 촉진요인)

  • Choe, Jong-min
    • Korean Management Science Review
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    • v.32 no.3
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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.

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

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.4
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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.

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

  • Lee, Duk-Gwon;Heo, Doo-Hyun;Lee, Sun-Kyu;Lee, Jung-Woon;Lyu, Geun-Jun;Lee, Yeon-Jae;Kim, Hie-Sik
    • Journal of the Korean Institute of Gas
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    • v.19 no.6
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    • pp.85-91
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    • 2015
  • As the interest in hydrogen energy is being increased, it is a widely issue to develop a lot of hydrogen technologies in the field of production, storage, transportation, application and others. In the aftermath, there is a hydrogen town in Ul San, which is expected to expand application fields of hydrogen energy, as a demonstration project. The hydrogen town in Ul San can consist of high and low pressure part by the gas pressure. The high pressure part is managed by 'the high pressure gas safety control act'. And, low pressure part is managed by 'the guideline for the safety management of demonstration project of hydrogen town'. In this paper, to improve efficiency of safety management, the direction of safety management is reviewed by an analysis of low pressure hydrogen facility and safety management items. And then, some improvement directions are suggested. In the end, it is expected that the results of this study could help to activate construction of hydrogen town and improve efficiency of safety management as well.

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

  • Park, No-Suk;Choi, Doo-Yong;Lee, Young-Joo;Yoon, Sukmin
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.4
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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.

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

  • Kim, Jung-Yup;Kim, Ji-Seok
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2009.04a
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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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Indicated and Load Torque Estimation of SI-Engine using Cylinder Pressure Sensor (실린더 압력센서를 사용한 가솔린 엔진의 도시토크와 부하토크의 추정)

  • 백종탁;박승범;선우명호
    • Transactions of the Korean Society of Automotive Engineers
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    • v.11 no.5
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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.

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

  • Ko, Yeong Ju;Park, Eunok
    • Journal of Korean Public Health Nursing
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    • v.27 no.2
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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.

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

  • Leem Young-Moon;Lee Sung-Mo
    • Journal of the Korea Safety Management & Science
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    • v.7 no.4
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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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    • v.7 no.1
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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.