• 제목/요약/키워드: Repeated measurement data

검색결과 222건 처리시간 0.026초

피부자극이 혈액투석환자의 동정맥루 천자시 동통감소에 미치는 영향 (The Efect of Cutaneus Stimulation on AV Fistula Puncture Pain of Hemodialysis Patients)

  • 박정숙
    • 대한간호
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    • 제33권1호
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    • pp.37-51
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    • 1994
  • The cutaneous stimulation is an independent nursing intervention used in various painful conditions, and is explained by gate control theory. This study was aimed at identifying the effect of cutaneous stimulation on reduction of arteriovenous fistula puncture pain of hemodialysis patients. One group repeated measurement post test research was designed. Forty-five hemodialysis patients who received arteriovenous fistula puncture regulary in hemodialysis units of an attacted D hospital to K university have been studied from August 16 to 21, 1993. First the arteriovenous fistula puncture pain of control period was measured, and then the arteriovenous fistula puncture pain of experimental period(with cutaneous stimulation) was measured. The instrument used for this study were visual analogue pain scale as subjective pain measurement, objective pain behavior checklist and Spielberger's Trait Anxiety Inventory as intervening variables. Analysis of data was done by use of paired t-test, t-test, ANOVA and Perarson correlation coefficient. The results of this study were summarized as follows; 1) The first hypothesis that the subjective pain score of arteriovenous fistula puncture pain in experimental period(with cutaneous stimulation) will be lower than in control period was partly supported. The subjective pain score of arterial line was rejected(paired t=-0.28, p=0.77) and the subjective pain score of venous line was supported(paired t=2.61, p=0.01). 2) The second hypothesis that the objective pain behavior score of arteriovenous fistula pain in experimental period(with cutaneous stimulation) will be lower than in control period was rejected(arterial line paired t=-0.45, p=0.65; venous line paired t=-0.36, p=0.72). 3) The third hypothesis that the cardiopulmonary signs of arteriovenous fistula puncture pain in experimental period(with cutaneous stimulation) will be lower than in control period was rejected(pulse paired t=-0.8, p=0.42; systolic BP paired t=0.98, p=0.33; diastolic BP paired t=0.43, p=0.66). Further experimental studies with simple intravenous injection patients will be recommended in order to identify the effect of cutaneous stimulation.

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기본간호학 실습에 있어 자가학습을 통한 능숙도 측정 - 배변관장을 중심으로 - (Measurement of competency through self study in basic nursing lab. practice focused on cleansing enema)

  • 고일선
    • 기본간호학회지
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    • 제6권3호
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    • pp.532-543
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    • 1999
  • This study was conducted to provide the basic data necessary for the improvement of the teaching method for basic nursing practice as well as the effectiveness of the practice by examining the students' competency in cleansing enema after doing the self study instead of the traditional education. To examine the competency in cleansing enema after the self study, this study is an one group pretest-posttest design that subjects did the enema practice through the self study. The subjects were 89 sophomore students at Y University. College of Nursing. In basic nursing lab practice class, cleansing enema self study module was given to the students which was developed by the researcher based on the literature review and asked them to finish doing the pre study and checking the self study evaluation criteria after reading the goal, learning activities and theoretical guideline. After watching the video tape, students practiced the process in the module by themselves. For the competency in cleansing enema. repeated autonomous practices were done during the open lab other than the regular class. Whenever the practice was done, the frequency and time were measure and documented. When the student felt confident through repeated practices, the competency was evaluated by the researcher and two assistants based on the evaluation criteria. And the process was repeated till the student could perform all the items on evaluation criteria completely. The data were collected for 42 days from Oct. 15 to Nov. 26 in 1996. Collected data were analyzed by frequency, percentage, Pearson correlation coefficient and variance analysis. The results are summarized as follows : 1. 43.2% of the students were favorable to nursing and 63.6% like lecture, but 71.6% like practice. So they were more interested in practice than in lecture. 2. 62.3% of the students scored high in written test, 97.8% scored high in practice. So the practice score was better. 3. The frequency of repeated practice to pass the test ranged from 1 to 4 and the average is 2.2. 4. The average time needed in preparation and the performance was nearly the same regardless of the frequency. It took 5 to 38 minutes for those who passed the test after practicing once and the average was 16 minutes. 5 to 60 minutes were taken for those who practiced twice to pass the test and the average was 21 minutes. Those who passed the test after three practices needed 8 to 30 minutes and the average was 15 minutes, which was similar to the time that the students who passed the test for the first trial. Only one student passed the test after 4 practices and it took 10 minutes. 5. 64% of the students agreed that the context and the content of the module were appropriate for the self study and 68.2% were satisfied. And 71.9% said that the module helped them to practice the enema self study 6. Though only 42% of the students were satisfied with the video. 50.6% said that it was helpful for the self study. 7. 52.3% of the students were satisfied with the self study method, and 86.6% obtained self-confidence when performing the enema. 8. The lower the student's practice score was, the more practices were needed for them to pass the test(r=-.213, P<.05). As a result, for performing the enema practice competently, two or more practice opportunities were needed to be given. And it is possible to obtain the less complex nursing skills through the self study, when enough learning resources and assistance such as learning guidance or video tapes are provided. Based on this study. I want to suggest that. 1. There must be college policy that can support the new method instead of the traditional learning method for the students to attain the proficiency in basic nursing skills. 2. The assistant materials should be developed as soon as possible to promote the self study of basic nursing skills.

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서해 배타적경제수역[EEZ]내 해사채취구역의 지형변화 (Bathymetric Change of a Sand Mining Site within EEZ, West Sea of Korea)

  • 김백운;이상호;양재삼
    • 한국지구과학회지
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    • 제26권8호
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    • pp.836-843
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    • 2005
  • 서해 배타적경제수역내 해사채취구역에서 해저지형 변화를 규명하기 위하여 2회에 걸쳐 단일빔음향측심기를 이용한 측심자료를 획득하였다. 교차점 분석에 의한 측심자료의 정확도는 IHO 표준의 2등급에 해당하였다. 지형도는 폭 300 m, 깊이 10 m의 구덩이 형태를 나타내었으며, 이러한 지형의 변화 과정이 두 지형도 수심차의 분포에서 표현되었다. 그러나 해사채취량을 정량화하기 위해서는 더욱 정확하고 정밀한 자료가 요구된다. 이러한 지형변화는 퇴적환경 및 저서생태 환경에 영향을 미칠 수 있으므로 한정된 모래자원을 관리하고 지속가능한 개발을 위해서는 과학적인 조사자료에 근거한 환경영향평가가 요구된다.

시간 (3분, 4분)에 따른 구령방법이 심폐소생술의 피로도와 정확도에 미치는 영향 (The effects on fatigue and accuracy of cardiopulmonary resuscitation of the verbal-order method based on different time intervals (3, 4 minutes))

  • 이미경;양정옥;정주하;이경준;조영석
    • Journal of the Korean Data and Information Science Society
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    • 제27권2호
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    • pp.409-417
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    • 2016
  • 본 연구는 시간 (3분, 4분)에 따른 구령방법이 심폐소생술의 피로도와 정확도에 미치는 영향을 자료로 제시하기 위하여 실험집단과 대조집단의 실험 전 신체적 특성의 동질성을 독립표본 t 검정을 실시하여 동질한 집단으로 나타났다. 집단 별 젖산의 차이를 반복측정 분산분석을 실시한 결과, 시간 (F=7.835, p <.01)과 집단 (F=8.695, p <.01)의 주효과 및 시간과 집단의 상호작용효과 (F=12.582, p <.001) 등에서 모두 통계적으로 유의하게 나타났다. 즉 집단과 시간 (3분, 4분)에 따른 주효과 검정을 Bonferroni방법을 이용하여 실시한 결과에서 실험집단의 젖산 양이 대조집단에 비해 더 많다는 것을 알 수 있었고 (p <.01), 젖산이 실험 전과 3분 후는 차이가 나타나지 않았지만, 실험 전과 4분 후 (p<.05), 3분 후와 4분 후 (p<.05)는 각각 차이를 나타냈다. 다음으로 측정 시간에 따른 정확도를 비교하기 위하여 대응표본 t 검정을 실시한 결과에서 3분 후의 정확도가 4분 후의 정확도에 비해서 더 높게 나타났다 (t=4.584, p <.001). 따라서 응급상황에서 119가 도착하기 전까지 심폐소생술 시 처치자는 심폐소생술을 3분 전에 타인과 교대로 실시해야 한다.

수술전과 수술중 피부가온요법 적응이 고관절 전치환술 환자의 수술 주기 고막체온 변화에 미치는 영향 (The Effect of Pre and Intra-Operative Warming Therapy on Tympanic Temperature Changes during Perioperative Phase in Receiving Patients with Total Hip Replacement)

  • 권영숙;김은희
    • 기본간호학회지
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    • 제7권1호
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    • pp.86-96
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    • 2000
  • The purpose of the study was to investigate the effects of Warming Therapy used with patients consistantly before and during surgery to on changes in their body temperatures. The data were collected from patients in a university hospital in Taegu between December 1, 1998 and May 31, 1999. The subjects were selected from patients who were hospitalized for total hip replacement surgery. Thirty participants were assigned to two groups : experimental(Warming Therapy) group and control group. Each group consisted of 15 patients. The research design was a repeated measurement design, using a nonequivalent control group. The Warming Therapy, using a forced-air warming blanket, that is a, 'Bair Hugger' was applied to subjects in the experimental group. The subjects in the group were treated with the 'Bair Hugger' to warm up the whole body for 40 minutes before surgery and upper body and face during the operation. The core temperature was measured using a tympanic thermometer. The body temperature of the patients was measured 13 times every 15 minutes during the surgery. After the operation the body temperature of the patients was measured 4 times every 15 minutes, from the time of arrivial in the recovery room to the time of leaving the recovery room. The SPSS Win 9.0 program was used for data analysis. Specific methods tested were done using ${\chi}^2-test$, t-test, repeated measures ANOVA. The findings of the study are as follows. 1. The first hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group during the operation', was supported (F=32.16, p=.000). 2. The second hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group after the operation', was supported.(F=33.36, p=.000) 3. During recovery, shivering was observed one patient in the experimental group and seven patients in the control group. In summary, the findings of the study suggest that the 'Warming Therapy' applied before and during the surgery was a very effective treatment for surgical patients in maintaining the core temperature during surgery

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생리식염수 냉수 거즈와 일반 냉수 거즈의 수술 후 갈증, 구강상태, 타액 산성도에 미치는 효과 비교 (A Comparison of Effect between Wet Gauze with Cold Normal Saline and Wet Gauze with Cold Water on Postoperative Thirst, Oral Cavity Condition, and Saliva pH)

  • 문양희;이연희;정인숙
    • 기본간호학회지
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    • 제22권4호
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    • pp.398-405
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    • 2015
  • Purpose: This study was aimed to compare the effect between wet gauze with cold normal saline and wet gauze with cold water on thirst, oral cavity condition, and saliva pH among postoperative patients. Methods: This study was a quasi-experimental study with 56 participants. The experimental group received wet gauze with cold normal saline, and control group received wet gauze with cold water for three times at 15 minute intervals. Data were collected using visual analog scale for thirst, oral assessment guide for oral cavity condition and acidity tape for saliva pH. Measurement were made before applying the gauze and at 15min, 30min, and 45min after applying gauze. Data were analyzed using repeated measured ANOVA. Results: Thirst, oral cavity condition, and saliva pH improved in both groups with increasing number of gauze application. Thirst for the experimental group improved more than for the control group (F=4.29, p=.009), oral cavity condition except saliva, and saliva pH were not significantly different between the groups. Conclusion: This study results indicated that nurses can apply wet gauze with cold normal saline to reduce thirst and saliva acidity, and to improve the oral cavity condition for postoperative patients.

DInSAR 멀티 트랙 시계열 기법을 이용한 알라스카 시구암 화산의 2차원 지표변위 관측 (Measurement of 2D surface deformation on the Seguam volcano of Alaska using DInSAR Multi-track time-series techniques)

  • 이슬기;이창욱
    • 대한원격탐사학회지
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    • 제30권6호
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    • pp.719-730
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    • 2014
  • Small BAseline Subset (SBAS) 기법은 기선 거리가 짧은 다중시기의 간섭도를 이용하므로 화산과 같은 산악지역을 관측하는데 효과적이다. 본 연구에서는 SBAS기법을 이용하여 알라스카 알류산 열도에 위치한 시구암 화산의 지표 변위에 대해 2차원으로 분석을 수행하였다. 본 연구를 위해 1992년부터 2008년까지 201트랙과 473 트랙의 ERS-1/2 위성자료를 수집하였으며, 각각의 자료에 대하여 차분 간섭기법(Differential Interferometry Synthetic Aperture Radar, DInSAR)과 SBAS 알고리즘을 적용하였고, 지표 변위에 대한 시계열 분석을 수행하였다. 또한, LOS 방향의 지표 변위도를 이용하여 수평 방향과 수직 방향의 지표 변위를 계산하였다. 그 결과, Pyre peak 주변에서 LOS 방향으로는 연간 -1~2 cm의 침하가 나타났으나, 수직 방향으로 계산한 결과는 연간 -2~3 cm의 침하가 나타났고, 수평 방향으로는 수축과 팽창이 반복되었다. 수직 방향과 수평 방향에서의 관측은 화산 활동에 대한 영향을 잘 설명할 수 있기 때문에, 마그마원의 움직임을 감시 할 수 있는 기초자료로 활용될 수 있을 것으로 예상된다.

Basic Physiological Research on the Wing Flapping of the Sweet Potato Hawkmoth Using Multimedia

  • Nakajima, Isao;Yagi, Yukako
    • Journal of Multimedia Information System
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    • 제7권2호
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    • pp.189-196
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    • 2020
  • We have developed a device for recording biological data by inserting three electrodes and a needle with an angular velocity sensor into the moth for the purpose of measuring the electromyogram of the flapping and the corresponding lift force. With this measurement, it is possible to evaluate the moth-physiological function of moths, and the amount of pesticides that insects are exposed to (currently LD50-based standards), especially the amount of chronic low-concentration exposure, can be reduced the dose. We measured and recorded 2-channel electromyography (EMG) and angular velocity corresponding to pitch angle (pitch-like angle) associated with wing flapping for 100 sweet potato hawkmoths (50 females and 50 males) with the animals suspended and constrained in air. Overall, the angular velocity and amplitude of EMG signals demonstrated high correlation, with a correlation coefficient of R = 0.792. In contrast, the results of analysis performed on the peak-to-peak (PP) EMG intervals, which correspond to the RR intervals of ECG signals, indicated a correlation between ΔF fluctuation and angular velocity of R = 0.379. Thus, the accuracy of the regression curve was relatively poor. Using a DC amplification circuit without capacitive coupling as the EMG amplification circuit, we confirmed that the baseline changes at the gear change point of wing flapping. The following formula gives the lift provided by the wing: angular velocity × thoracic weight - air resistance - (eddy resistance due to turbulence). In future studies, we plan to attach a micro radio transmitter to the moths to gather data on potential energy, kinetic energy, and displacement during free flight for analysis. Such physiological functional evaluations of moths may alleviate damage to insect health due to repeated exposure to multiple agrochemicals and may lead to significant changes in the toxicity standards, which are currently based on LD50 values.

12주 근력강화훈련 동안 표면근전도 신호의 특성 (Characteristics of Surface Electromyography During Strength Training of 12 weeks)

  • 신화경;조상현;차광석
    • 한국전문물리치료학회지
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    • 제10권1호
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    • pp.109-128
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    • 2003
  • This study tested whether repeated measurement of median frequency (MDF)-related variables could express the muscle power changes during a 12-week DeLome strengthening program, by using consecutive overlapping FFT (Fast Fourier transformation) and integrated EMG (IEMG) from surface EMG data for isometric and isotonic exercise. To evaluate the effect of training, the following were recorded every 3 weeks for the elbow flexors and knee extensors of 5 healthy male volunteers: MVC, lRM, limb circumference, and surface EMG during isometric MVC or isotonic contraction at 10RM load. From the EMG data, IEMG and variables from a regression analysis between MDF and time were obtained. MVC, lRM, IEMG, and initial MDF increased linearly over the training period. The fatigue index and slope of the regression line increased temporarily until the 6th week and decreased thereafter. From these results, there appeared to be enhanced neural recruitment of fast twitch fibers in the first 6 weeks and continued enhancement in the recruitment and hypertrophy of fast twitch fibers, which led to increased fatigue resistance, over the last 6 weeks. Accordingly, the MDF and IEMG analysis technique could demonstrate the effect of the program detected significant changes in both isometric and isotonic contractions. EMG analysis methods can be used to estimate the electrophysiological and histological changes in skeletal muscles during a strengthening program.

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Study on Physique Characteristics of Skilled Athletes

  • Kim, Bo-Kyoung;Lee, Suk-Hee;Yoon, Jung-Gyu;Jeon, Hye-Mi;Kim, Jung-Hee;Lee, Ju-Hwan;Lee, Joon-Hee;Lee, Mun-Hwan;Chang, Duncan;Choi, Wan-Suk
    • 국제물리치료학회지
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    • 제2권1호
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    • pp.244-250
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    • 2011
  • The purpose of this study is to investigate whether there are differences in physique characteristics between the excellent domestic player groups in each sport player's, to prevent epidemiologic damage of musculoskeletal system and to provide fundamental data to improve performances for players. This study has performed for total 60 student players from Y University in Yongin, Gyeonggi-do, consists of 20 Kendo players, 20 Judo players and 20 Taekwondo players. We measured the length and circumference of arm, leg, body using Martin anthropometer to collect the data for 3 groups. There was significant difference in lower left arm length between player groups(p<.01), and Kendo players' right side femoral were longer than other 2 groups for leg length measurement(p<.01). Judo players' circumference for right/left stretched arm/bent upper arm were thicker than other 2 groups(p<.01). Taekwondo players' chest circumference were smaller than other 2 groups(p<.01), and Taekwondo players' right/left femoral circumference were thinner than other 2 groups(p<.05). From this study, it was found that there are physique characteristics differences between the Kendo, Judo and Taekwondo player groups. This indicates that repeated exercise for each sport player causes physique change, and it may cause epidemiologic damage of musculoskeletal system. It is recommended to perform balancing exercise prior to main exercise.