• The Korean Nurse
• /
• v.36 no.2
• /
• pp.73-83
• /
• 1997

Bed rest is recommended to prevent postlumbar puncture headaches(PLPHA), but the period of bed rest varies in the literature from 6 hours to 24 hours. In clinical practice the period of bed rest varies but nursing methods for adults and children have little difference. In Seoul National University Hospital, children have been given at least 6 hours bed rest after a lumbar puncture. Pediatric oncology patients require a lumbar puncture for an initial diagnosis, follow up treatment or administration of chemotherapeutic agent. But it is difficult for young children to lie supine or to refrain from their usual activities in any way, and unpleasant problems related to a shortage of beds often occurs during discharge or in an outpatient setting. The purpose of this study is to substantiate the preventive effect of PLPHA by the period of bed rest, to identify the other factors that influence PLPHA, and to use the nursing methods proper to children. The subjects were 65 children, ages 1-17, undergoing treatment in the children's cancer center at SNUCH during the period June 1, 1995, to Aug. 31, 1995. The team nurses asked questions about PLPHA of the parents and children in order to fill out a questionnaire. The data were evaluated by percent, t-test, Chi-square test and Mann-Whitney U test. Result; 1. There was no significant difference relating the bed rest time spent to the occurrence of postspinal headaches (t-test). 2. There was a significant risk of PLPHA in the children who were irritable before procedure and/or had experienced previous PLPHA(p<0.05, ${x^2}-test$). 3. The following factors were not found to be associated with increased risk of PLPHA: previous puncture experience, giving analgesics, the choice of puncturist, inpatient/outpatient status, gauge of needle, purpose, the amount of CSF removed, gender, diagnosis, the number of peripheral WBCs, previous lumbago experience after LP, position after bed rest, age, the number of aural puncture at the time. A longer period of bed rest is unlikely to be more effective to prevent PLPHA and seems impractical. A shorter period will save time and effort. Perhaps it will also allay some of the fears which surround LP. So 1 hour bed rest after LP is suggested and nursing methods for emotional support should be investigated to reduce PLPH.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.11
• /
• pp.843-850
• /
• 2020

The purpose of this study is to evaluate the structural risk and weakness of a railway tank car through nonlinear collision analysis according to overseas collision safety standards. The goal is to propose a crash safety design guideline for railway tank cars for transporting dangerous goods in Korea. We analyzed the buffer impact test procedure of railway freight cars prescribed in EN 12663-2 and the tank puncture test criteria prescribed in 49CFR179. A nonlinear finite element model according to each standard was modeled using LS-DYNA, a commercial finite element analysis solver. As a result of the buffing impact test simulation, it was predicted that plastic deformation would not occur at a collision speed of 6 km/h or less. However, plastic deformation was detected at the rear of the center sill and at the tank center supporting the structure at a collision speed of 8 km/h or more. As a result of a head-on test simulation of tank puncture, the outer tank shell was destroyed at the corner of the tank head when 4% of the kinetic energy of the impacter was absorbed. The tank shell was destroyed in the area of contact with the impacter in the test mode analysis of tank shell puncture when the kinetic energy of the moving vehicle was reduced by 30%. Therefore, the simulation results of the puncture test show that fracture at the tank shell and leakage of the internal material is expected. Consequently, protection and structural design reinforcement are required on railway tank cars in Korea.

• Composites Research
• /
• v.21 no.5
• /
• pp.23-30
• /
• 2008

Stab threats using sharp edged or pointed Instruments could be easily encountered by police officers or soldiers. In this study, the shear thickening fluids (STF) was impregnated into Kevlar fabrics to improve the stab protection and the resistance of STF impregnated Kevlar fabrics was experimentally investigated. The puncture and cut resistance were tested using a drop test machine withspike and knife indenters fabricated based on the National Institute of Justice (NIJ) standard. The STF was filled with spherical $SiO_2$ particles having an average diameter of 100nm, 300nm, and 500nm. The effect of particle size on puncture and cut resistance of STF impregnated Kevlar fabrics was also investigated. The measured impact load histories showed that STF impregnation into fabric leads to withstand higher peak loads than that of neat fabrics under spike test. The test results showed that Kevlar impregnated with STF exhibit remarkable improvements in puncture resistance while it is slightly influential on the cut resistance. Specifically, particle size is the one of the dominant factors controlling fabric resistance to puncture under spike impact test.

• Pediatric Infection and Vaccine
• /
• v.6 no.1
• /
• pp.101-106
• /
• 1999

Purpose : Tuberculosis, a major public health problem, is an important cause of childhood infectious diseases. To decrease the tuberculosis morbidity rate, BCG vaccination and chemoprophylaxis are performed. Recently 2TU PPD skin test was introduced as a diagnostic method for tuberculous infection. We studied the positive conversion rate of 2TU PPD test after percutaneous multiple puncture BCG vaccination. Methods : Four hundred seventy six infants from well baby clinic of Samsung Cheil Hospital were enrolled. They were immunized with percutaneous multiple puncture technique BCG(Japan BCG laboratory, Japan) at 1 month of age. Approximately 6 months later, tuberculin skin test using RT23 2TU PPD was performed. Induration size, family history of tuberculosis and number of BCG scars were evaluated. Induration greater than or equal to 5mm was defined as positive conversion. Results : Among 476 infants, 248(52.1%) were male and 228(47.9%) were female. PPD skin tests were performed $6.2{\pm}0.5$($mean{\pm}S.D.$) months after BCG vaccination. Mean induration size was $7.3{\pm}3.2mm$ and positive conversion rate was 85.5%. Total number of BCG scars was $15.5{\pm}3.2$. Conclusion : The seroconversion rate by 2TU PPD test after percutaneous multiple puncture BCG vaccination was high. But, more comparative studies with various age groups may be needed for 2TU PPD test used as diagnostic method of tuberculosis in the hospitals.

• The Proceedings of the Korean Institute of Illuminating and Electrical Installation Engineers
• /
• v.9 no.6
• /
• pp.83-90
• /
• 1995

This paper analyzed the electrical field strength of porcelain suspension insulator used various testing methods in order to present the causes and countermeasure for the puncture failure by the inner minute defect. A power frequency puncture test and a step-front-of-wave flashover voltage test were conducted. The failed specimen of these samples was analyzed material characteric observed the cross-sectional picture by the scanning electron microscope, and tested the autoclave expansion for the portland cement using the metal bond agent. The porcelain made a progress the failure by the thermal expansion coefficient of the different material. The inner detecting technique on behalf of the puncture failure protection is presented such as the steep-front-of-wave flashover voltage test.

• Journal of muscle and joint health
• /
• v.30 no.1
• /
• pp.25-35
• /
• 2023

Purpose: This study was conducted to examine the effects of ethyl chloride spray during arteriovenous fistula puncture on pain, depression, and noncompliance in hemodialysis patients. Methods: This study used a randomized controlled trial design on adults with chronic renal failure who received hemodialysis treatment through arteriovenous fistula. Ethyl chloride spray was applied to 20 subjects in the experimental group during arteriovenous fistula puncture, and a placebo spray was applied to 20 subjects in the control group; the intervention was conducted 12 times for 4 weeks. A total of 33 participants were used in the final analysis. The outcomes were measured using the face pain rating scale, Center for Epidemiological Studies Depression Scale (CES-D), and modified United States Renal Data System tools. Results: As a result of the pre-homogeneity test between the two groups, it was confirmed that the sexes were not homogeneous. Therefore, sex was treated as a covariate and analyzed. Puncture pain was significantly reduced in the experimental group (p<.001). However there was no significant difference between the groups in depression and noncompliance. Conclusion: Ethyl chloride spray was convenient and effective pain management intervention for both hemodialysis patients and medical staff.

• Korean Journal of Food Science and Technology
• /
• v.14 no.1
• /
• pp.16-20
• /
• 1982

The texture changes of potato of the variety ‘Namjack’ were determined as a function of temperature and boiling time by a puncture test with Universal Testing Machine. Apart from texture measurement, heat penetration test and sensory evaluation were carried out. Textural softening during cocking could be expressed by the puncture work and was followed first order kinetics. The Z-value for texture changes was $19.9^{\circ}C$. The cook value in equivalent minutes at $100^{\circ}C$ to get a boiled potatoes was 7 min. Mechanically the boiled product could be regarded as cooked when the final puncture work reduced to the equilibrium value, approximately 6/100 of the initial value.

• KIEE International Transactions on Electrophysics and Applications
• /
• v.3C no.5
• /
• pp.165-170
• /
• 2003

This paper presents development of solid core suspension disc insulators (cap and cap suspension disc insulator) for replacing cap and pin suspension disc insulators in overhead transmission and distribution lines which expose to lightning discharges. By this means the punctured problem caused by steep front surge voltage created by lightning discharge on the lines can be solved. The solid core suspension insulator was designed and constructed based on the dimensions of conventional suspension disc insulators (cap and pin insulators). The insulators are made of alumina porcelain. The electrical and mechanical characteristics of the solid core suspension insulators were carried out. The puncture test was performed in the air by applying steep front impulse voltage with amplitude about 2.5 per unit of 50% flashover (CFO) of the insulator unit at negative standard lightning impulse $1.2/50\;\mu\textrm{s}$ with steepness up to $9200\;kV/\mu\textrm{s}$. The testing results show that solid core suspension disc insulators are not punctured eventhough the steepness of the steep front impulse voltage was increased up to $9200\;kV/\mu\textrm{s}$.

• Journal of the Korean Home Economics Association
• /
• v.26 no.3
• /
• pp.93-102
• /
• 1988

Rheological properties of cowpea and mung bean starch gels and pastes were investigated and compared with Instron Universal Testing machine and Brabender Viscometer. As the result of puncture test of gels, yield point force of mung bean starch gel was higher than that of cowpea starch gel. Compression coefficient of cowpea starch gel calculated by Bourne's equation was lower than that of mung bean starch gel. the stress relaxation test showed that viscoelastic properties of cowpea and mung bean starch gels may be represented by six element Maxwell model consisting of three Maxwell element in parallel. Cowpea and mung bean starch pastes showed bingham pseudoplastic behavior in 3, 5, 6, 7 and 8%. The consistency index in 7∼8% of cowpea starch paste were lower than those of mung bean starch paste. concentration dependence on consistency index and yield stress in mung bean starch were higher than those of cowpea starch. The yield stress of starch pastes was significantly correlated with yield point force by puncture test (r=0.996).

• Proceedings of the KIEE Conference
• /
• 2000.07c
• /
• pp.2026-2028
• /
• 2000

As the results of evaluation of its performance for 300 kN Ball and Socket type suspension insulators. There was electrically internal puncture of the solid insulating body of the insulating due to the steep front impulse voltage, which usually occurs puncture before external flash-over of insulators, moreover we have obtained satisfactory results in power arc test of 7.2kA cycle fatigue test with high qualify control index of 4.6, especially we have obtained more satisfactory results than that before improvement of its materials.