• 제목/요약/키워드: Repeated measurement data

검색결과 222건 처리시간 0.024초

녹색광을 이용한 반사형 광용적맥파측정기의 주변광 간섭시 신호측정 (The Verification of Photoplethysmography Using Green Light that Influenced by Ambient Light)

  • 장기영;고현철;이정직;윤영로
    • 대한의용생체공학회:의공학회지
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    • 제35권5호
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    • pp.125-131
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    • 2014
  • The purpose of this study is to verify the utility of reflected photoplethysmography sensor using two green light emitting diodes that influenced by ambient light. Recently it has been studied that green light emitting diode is suitable for light source of reflected photoplethysmography sensor at low temperature and high temperature. Another study showed that, green light is better for monitoring heart rate during motion than led light. However, it has a bad characteristic about ambient light noise. To verify the utility of reflected photoplethysmography sensor using green light emitting diode, this study measures the photoplethysmography signal that is distorted by ambient light and will propose a solution. This study has two parts of research method. One is measurement system that composed sensor and board. The sensor is made up PE-foam and Non-woven fabric for flexible sensor. The photoplethysmography signal is measured by measurement board that composed high-pass filter, low-pass filter and amplifier. Ambient light source is light bulb and white light emitting diode that has three steps brightness. Photoplethysmography signal is measured with lead II electrocardiography signal at the same time and it is measured at the finger and radial artery for 1 minute, 1000 Hz sampling rate. The lead II electrocardiography signal is a standard signal for heart rate and photoplethysmography signal that measured at the finger is a standard signal for waveform. The test is repeated 3 times using three sensor. The data is processed by MATLAB to verify the utility by comparing the correlation coefficient score and heart rate. The photoplethysmography sensor using two green light emitting diodes is shown better utility than using one green light emitting diode and red light emitting diode at the ambient light. The waveform and heart rate that measured by two green light emitting diodes are more identical than others. The amount of electricity used is less than red light emitting diode and error peak detectability factor is the lowest.

분광광도계를 이용한 720 nm에서 망상적혈구 측정 경험 (Experience of Reticulocytes Measurement at 720 nm Using Spectrophotometer)

  • 성현호;석동인;정유현;김대중;이석재
    • 대한임상검사과학회지
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    • 제49권4호
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    • pp.382-389
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    • 2017
  • 임상 실험실에서의 망상 적혈구 계산은 현재 수동 및 자동으로 구분된다. 현미경에 의한 망상 적혈구 수 검사는 정확성의 결여, 낮은 재현성 등이 망상 적혈구 결과의 정확성에 문제가 있다. 또한, 자동 혈액 분석기의 유동 세포 계측법은 개발 도상국 및 소규모 실험실에서 비용 때문에 사용하기가 어렵다. 따라서 본 연구는 이러한 단점을 보완 할 수 있는 새로운 방법을 찾기 위해 노력했다. 이 연구의 목적은 분광 광도계로 염색 된 망상 적혈구 수를 비교하고 또한 분광 광도계 및 유동 세포 계측기의 통계를 분석하는 것이다. 동일한 8 개의 EDTA 샘플을 36 회 반복하여 분광 광도계와 유동 세포 계측기 사이의 일치도를 비교 하였다. 이 연구는 700~780 nm에서 600 배 희석 한 표본을 10 개의 차이로 측정하였다. 흡광도에 의한 710~730 파장은 표준 및 검사와 양의 상관 관계가 있으며(r=0.967, p<0.01), 변수에 대한 상관 관계를 나타내었다. 결과에 대한 회귀 분석결과 최적 희석 계수는 600 배였다. 따라서 본 연구는 자동 분광 광도계를 이용한 망상 적혈구 흡광도 측정에 대한 경제적인 기여 그리고 망상 적혈구 관련 빈혈에 대한 모니터링 시스템 등에 기여 할 수 있는 기술적 활용을 시도한 것이다. 따라서 더욱 광범위한 연구가 필요할 것으로 사료된다.

청소년이 지각한 가족지지와 우울과의 상관관계 연구 (A Study of the Relationship on the Perceived Family Support and the Level of Depression among Adolescents)

  • 박명희;김창숙;서영숙;서희숙;노현신
    • 한국보건간호학회지
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    • 제12권2호
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    • pp.67-88
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    • 1998
  • Present study was attempt to explore the relationship between perceived family support and depression and to emphasize the importance or needs of family support in psychological care especially among adolescents. Study subjects comprized of 308 high school students including vocational students in part, and data collection was done in the Kwangju City area in April. 1998. The Moos Family Environment Scale and the Zung's Self-Rating Depression Scale modified by investigators were used as measurement tools of 59 item questionnaire and in data analysis, statistical methods of T-test, ANOVA. and Pearson Correlation Coefficient were utilized. The study findings are as follows 1. The hypothesis of the study, 'the higher the degree of perceived family support among adolescents, the lower the level of depression', was supported (r=-0.4469, p<.001). 2. Some variables in demographic characteristics related to the degree of family support with statistical significance were school division of vacational vs non-vocational(t=-2.02, p<.05), age(f=5.47, p<.01), family monthly income (f=2.49, p<.05), mother's level of education (f=3.01. p<.05), residence at developmental stage (f=2.87, p<.05), personal problem of highest priority at present(f=7.73, p<.001), and family problem perceived by adolescents(f=7.38, p< .001). 3. Items In general characteristics related to the level of depression with statistical significance were sex(t=-2.91, p<.0l). mother's level of education(f=2.53. p<.05). residence at developmental stage (f=3.95. p<.0l). present personal problem of highest priority (f=3.68. p<.1l). and perceived in-family problem (f=4.58. p<.001). 4. The mean score of the degree of perceived family support was 61.26 $(SD=\pm14.45)$ in a range of 21.00 to 96.00 ; that of the level of depression. 43.74 $(SD=\pm8.04)$ in a range of 23.00 to 67.00. which demonstrated that the higher the degree of perceived family support, the lower the level of depression. In conclusion. it was found that the degree of family support perceived by adolescents is a variable affecting the level of depression. Based on the study outcome, further research suggestions can be made as such that repeated studies are needed in order to delineate the various factors affecting family support and depression, and a study involving family support implementation program is required as a nursing intervention for the development of emotional security among adolescents, perceived family support, depression, adolescence.

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A New Approach to the Whole Body Intervention Program(General Coordinative Manipulation Program) of Nonspecific Back Disorder

  • Moon Sang-Eun
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.112-128
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    • 2003
  • Since areas of pain and dysfunction of musculoskeletal typically suffered by the patients with back disorders spread all over the body, WBIP(GCM Program) for the primary treatment and management is required. The purpose of this study is to analyze if WBIP(GCM Program) based on the hyper/hypomobility pattern of Four Body Types can identify the effective treatment of back disorders and the effect on the postural balanced restoration of the spine and extremities. Non-specific back disorder is still a major reason for sick leave. And moreover, its been reported that there was often recurrence to the patients whose symptom had been diminished. As a WBIP(GCM Program) based on kinematic chain patterns of Four Body Types, this study gave a new information on the effective diagnosis, treatment and management of non-specific back disorders. 337 patients above the twenty-five years old with the non-specific back disorders at the hospital and oriental medical clinics at Kyungnam and Busan areas in South Korea from August 24th, 2000 to Feb 23rd, 2001 have randomly been assigned to four experimental groups such as Whole Body Intervention Program Group, Physical Therapy Group like modality treatments, Acupuncture-Treatment Group, and Placebo Control Group. According to intervention program applied to the each four group for three times per week(twelve times per 4weeks), as the time-series methods, we compared and evaluated the body status of the pretest with that of post treatment completion of four week, three month, and six month, respectively. As the analytical method of measurement, our researchers used the Moire Interferometry Unit and Postural Kit that could measure the postural balance of spine and extremities. The collection of data was performed in the designated hospital and oriental medical clinics. For the analysis of the data, the SPSS 10.0 package program was used. X2-test has been taken in order to compare and analyze characteristics and GPES of the patients in four experimental groups. Repeated Measure ANOVA and Tukey post hoc test has been adopted in order to compare the effects of the balanced restoration of the spine and extremities among four Groups categorized for this study. Statistical significance was accepted at the 0.05 level of confidence The effect of the balanced restoration on the spine and extremities of the patients with non-specific back disorders has been proved in all of the Groups. As for the restoration degree, however, WBIP(GCM Program) Group produced the highest effectiveness in terms of the fact that it had a dense moire in comparison with the other three Groups and that the Moires of both sides had the same level by the time(p<0.01). WBIP(GCM Program) based on four tilting types of scapular and ilium and hyper/hypomobility pattern took a higher effect on the balanced restoration of the spine and extremities through a whole body as well as the treatment of back disorders than the other three Groups which the usual remedy without classification of body type had been applied to.

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분노관리 프로그램이 정신질환자의 공격성에 미치는 효과 : 동영상과 차모임을 중심으로 (The Effects of Anger Management Program of the Psychotic Patient : Focus on Video and Tea Gathering)

  • 김미혜
    • 한국콘텐츠학회논문지
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    • 제19권11호
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    • pp.353-364
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    • 2019
  • 본 연구는 정신질환자를 대상으로 분노관리 동영상과 차 모임 프로그램을 적용한 후 정신질환자의 공격성 감소에 미치는 효과를 검증하기 위함이며 비 동등성 대조군 전·후 설계로 진행되었다. 연구 대상은 H정신병원 폐쇄병동에 입원한 환자32명이다. 측정변수는 공격성 척도로 프로그램의 효과는 동영상 프로그램이 끝난 후 1회와 8회의 분노관리 차모임 후 1회 총 2회를 측정하였다. 자료분석은 실수와 백분율, 평균과 표준 편차, χ2 test, t-test, paired t-test, 반복측정 분산분석으로 분석하였다. 분노관리 프로그램에 참여한 실험군의 공격성 정도는 대조군보다 유의하게 낮았다(F=14.38, p< .001). 공격성 하부항목인 적대감(F=8.53, p< .001), 분노감(F=6.10, p=.004), 언어적 공격성(F=7.58, p< .001), 신체적 공격성(F=13.92, p< .001) 모두 실험군이 대조군 보다 유의하게 낮았다. 이러한 결과를 바탕으로 분노관리 프로그램은 입원한 정신질환자의 전체 공격성과 적대감, 분노감, 언어적 공격성, 신체적 공격성을 유의하게 감소시키는데 효과적인 것으로 나타났으며 정신질환자나 다양한 그룹에서 분노관리를 위한 기초자료로 활용되어질 수 있을 것이다.

음악요법의 한의학적 활용을 위한 신뢰도 및 적용 가능성 연구 (A Study on Reliability and Applicability of Oriental Medical Music Therapy Using)

  • 송민선;최찬헌
    • 동의생리병리학회지
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    • 제28권6호
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    • pp.674-682
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    • 2014
  • The purpose of this study was to identify the effect of applying oriental music therapy and reliability of electroencephalogram(EEG) equipment. The study was approved by the critical trial judge committee from ${\bigcirc}{\bigcirc}$(IRB No. 2013-07) university. In order to measure test-retest reliability for 15 subjects, EEG for same participants were measured using same method mentioned above after 2 hours from the first measurement. Same provider implemented to each person at same time. Firstly, EEG was measured for 5 minutes after the subject with attached electrodes sat on chair comfortably for 10 minutes. Then, the subject was given mental stress using the four fundamental arithmetic operations for 5 minutes, and measured EEG for another 5 minutes. After that the subject sat on the chair comfortably listening oriental medicine music therapy for 5 minutes, and EEG was measured for 5 minutes again. There was no side effect regarding music therapy reported. Raw data, which was measured in each step, were converted through FFT(fast fourier transform) and analyzed after divided into certain frequency including ${\alpha}$ wave, ${\beta}$ wave, ${\theta}$ wave, immersion wave, stabilization wave, sef100 wave, and sef95 wave. Data were analyzed using wilcoxon signed rank test, Intraclass correlation coefficient(ICC), repeated measures ANOVA with the SPSS program. In test-retes method, there were significantly differences in ${\alpha}$ wave, ${\beta}$ wave, immersion wave, stability wave, ${\theta}$ wave, sef100 wave, sef95 wave. ICC has shown a high degree of reliability that it was ${\alpha}$ wave .877, ${\beta}$ wave .855, ${\gamma}$ wave .895, immersion wave .897, stability wave .816, ${\theta}$ wave .904, sef100 wave .910, sef95 wave .776. Also, there was a statistically significant difference in ${\alpha}$ wave after applying oriental music therapy. Based on these results, it is considered that average of the channel EEG and application of oriental music therapy would be practiced by increase of sample size using this machine.

전리함 반응 함수의 직접 측정과 이를 이용한 방사선의 실제선량 분포측정 (Direct Measurement of Chamber Response Function and Its Application to Radiation Dose Distribution Dosimetry)

  • 이상훈;조병철;김종훈;최은경;권수일;장혜숙;이병용
    • Radiation Oncology Journal
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    • 제15권1호
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    • pp.65-69
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    • 1997
  • 목적 : 전리함의 크기로 인한 공간 분해능의 문제로 나타나는 전리함 반응함수를 제거하여 실제 선량분포를 얻고자 하였다. 대상 및 방법 : 내경 5mm, 6.4mm 등 2개의 서로 다른 크기를 갖는 전리함들과 다이오드, 필름의 반응함수를 구하고, 동일한 방사선 조사면$(10\times20cm^2)$의 선량분포 프로파일을 측정하여, 각각 deconvolution 기법으로 보정한 후, 보절된 격과가 일치하는지 비교하였다. 결과 : 원통형 전리함의 반응함수와 선량분포를 측정하였고, 측정한 선량분포에서 반응 함수의 효과를 deconvolution방법으로 제거하여 실제 선량분포를 찾아내었다. 사용한 에너지는 최대 광자선 에너지 4MV, 6MV, 15MV였으며, 전 에너지 영역에 걸쳐 보정 된 결과가 일치하는 방향으로 변화하였으며, 분해능 증가 효과가 있었다. 결론 : deconvolution 방법으로 전리함 반응 함수의 효과를 제거했을 때, 여러 측정기를 이용하여 측정한 선량 프로파일의 결과가 일치하는 경향을 볼 수 있어서 deconvolution 방법을 통해 얻은 선량 프로파일을 임상적으로 응용할 수 있음을 알았다.

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자율주행자동차의 공사구간 안전주행 지원을 위한 교통안전시설물 개발 실증 연구 (An Empirical Study on Development of Traffic Safety Facilities for Safe Autonomous Vehicle Operation in Construction Areas)

  • 김지윤;김지수
    • 한국ITS학회 논문지
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    • 제22권5호
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    • pp.163-181
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    • 2023
  • 자율주행자동차의 센서에 대응하는 시설물의 검지성능을 향상시키는 것은 주행안전성을 향상시키는 데에 도움이 된다. 도로·교통 분야에서는 이를 위하여 도로 인프라 또는 시설물의 개선을 통해 센서에 대한 검지성능을 향상시키기 위한 연구를 수행하고 있다. 본 연구는 이러한 자율주행 지원 인프라 개발 연구의 일환으로 강우 상황에서도 충분히 LiDAR의 검지성능이 확보되어 공사구간에서 시선유도 기능을 유지할 수 있도록 교통콘과 드럼의 형상을 변형하여 이의 개선효과를 실증 실험으로 확인하였다. 개선의 원리는 반사 성능이 증대되며 기존의 시설물과 형상적으로 크게 차이가 나지 않도록 교통콘은 원뿔형 대신 사각뿔형으로, 드럼은 원기둥형 대신 6각기둥형과 8각기둥형으로 각각 제작하였다. 맑은 날과 강우 20 mm/h, 40 mm/h 상황에서 시설물에 대한 LiDAR 검지 데이터를 확인하였으며, 사각뿔형 교통콘과 8각기둥형 드럼은 기존 시설물에 비해 검지성능이 향상되었음을 확인하였다. 다만, 반복 측정에 따른 편차가 발생하였고, 통계적 해석으로는 유의미성을 확인하지 못한 것이 본 연구 결과의 한계이며, 이 결과를 반영하여 향후 연구에서는 측정환경의 다양성에도 균일하게 데이터가 취득될 수 있는 형태로 개선할 필요가 있다.

호스피스 병동 입원 환자의 삶의 질 변화 (Quality of Life Changes in Patients Admitted to the Hospice Unit)

  • 박테레지아;송혜향;서인옥;조영이;박명희;허정희;김은경;박순주;라정란
    • Journal of Hospice and Palliative Care
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    • 제3권1호
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    • pp.18-27
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    • 2000
  • 목적 : 본 연구는 강남성모병원 호스피스 병동에 입원한 환자들의 입원 시 삶의 질과 간호서비스를 받는 동안 삶의 질 변화와 호스피스 간호서비스가 말기환자의 삶의 질에 미치는 영향을 알아보고자 시도하였다. 방법 : 1999년 10월부터 2000년 3월 사이에 가톨릭 대학교 강남성모병원 호스피스 병동에 입원한 환자와 가족 100명을 대상으로 연구자가 수정, 보완하여 개발한 설문지를 통해 자료를 수집하였고, 수집된 자료는 repeated measures ANOVA로 분석하였다. 결과 : 1) 간호제공자에 의해 인지된 환자의 삶의 질 평점은 입원시, 입원 1, 2, 3, 4주에 각각 3.31, 3.68, 3.56, 3.73, 3.75로 입원 당시보다 시간이 지남에 따라 유의하게 향상되었고, 입원시점에 따라 항목별로 살펴 볼 때 "신체적 청결"(F=6.50, P=0.0001) "통증조절"(F=18.01., P=0.0001) "대변상태"(F=2.96, P=0.0237) "수면상태"(F=3.99, P=0.0048) "메스꺼움/구토"(F=4.50, P=0.0022) "의료진의 편안한 돌봄"(F=3.95, P=0.0051) "가족들의 돌봄"(F=2.76, P=0.0317) "불안감"(F=3.14, P=0.0177) "마음이 편안함"(F=3.63, P=0.0085) "인간적인 대우"(F=3.32, P=0.0136) "죽음이 끝이 아니라 새로운 시작이라고 생각함"(F=2.54, P=0.0450) 등의 항목에서 유의한 차이가 있었다. 2) 환자 자신에 의해 인지된 삶의 질 평점은 입원 시와 입원 1주에 각각 3.63, 3.83으로 향상되었지만 유의한 차이는 보이지 않았다. 입원시점에 따라 항목별로 살펴볼 때 "통증조절" 항목만이 유의한 변화를 보였다. 3) 사망시점으로부터 삶의 질 평점은 사망 5주전, 4주전, 3주전, 2주전, 1주전에 각각 3.48, 3.51, 3.44, 3.46, 3.50이었으며 유의한 차이는 없었다. 결론 : 본 연구의 결과 호스피스 서비스는 말기 환자의 삶의 질에 긍정적인 영향을 주는 것으로 보여졌다. 따라서 호스피스 서비스의 질 향상을 위해 호스피스 환자들을 지지해 줄 중재방안을 모색해야 하며, 특히 간호의 영적 영역에 초점을 두어야 하겠다. 또한 말기 환자의 주관적인 삶의 질 측정을 위해 도구개발이 이루어져야 하며 대상자를 확대하여 계속적인 연구가 있어야 할 것으로 생각된다.

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각종 체온계의 구강체온측정에 관한 실험적 비교연구 -외제화씨 체온계, 전자체온계 및 국산 섭씨체온계에 의한 측정온도와 측정시간의 비교- (COMPARATIVE EXPERIMENTAL STUDY ON MEASUREMENT OF ORAL TEMPERATURE WITH DIFFERENT KINDS OF CLINICAL THERMOMETERS -comparison of Oral Temperature and Oral Placement Time among Fahrenheit Glass Thermometer, Electric Thermometer, Yu II centigrade Glass Thermometer, and Kuk II centigrade Glass Thermometer-)

  • 윤정숙
    • 대한간호학회지
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    • 제4권2호
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    • pp.93-106
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    • 1974
  • The purposes of this study are to identify the necessity of utilization of electric thermometer, to determine the difference of clinical thermometers to reach maximum or optimum temperature, and to determine the length of time necessary for temperature taking, with Fahrenheit thermometer, electric thermometer, Yu Ⅱ centigrade thermometer, and Kuk ll centigrade thermometer. The first and second comparative Experiments were' conducted from August 25 through September 30, 1973. In the first experiment, Fahrenheit thermometer, which had been accurately teated two times, and electric thermometer have been utilized. These two kinds of thermometers were inserted simultaneously under the central area of the tongue and the mouth kept closed while thermometers were in place. All temperature readings were done at one minute interval until leaching-maximum temperature. These procedures were repeated one hundred times and the data were-analyzed statistically by means of the t-test. In the second experiment, Fahrenheit thermometer, which had been accurately tested two. times, Yu Ⅱ centigrade thermometer, and Kuk Ⅱ centigrade thermometer have been utilized. These three kinds of thermometers were inserted simultaneously under the central area of the. tongue and the mouth kept closed while thermometer were in place. All temperature readings were done at one minute interval until reaching maximum temperature. These procedures were. repeated one hundred times and the data were analyzed statistically by means of the F-ratio Under the eight hypotheses designed for this study, the findings obtained are as follows: 1. There were no significant differences in the maximum temperature between Fahrenheit thermometer and electric thermometer. The mean maximum temperature for Fahrenheit thermometers was 37.06℃ and for electric thermometer was 37.09℃. 2. The placement time to reach maximum temperature taken by Fahrenheit thermometer was significantly shorter than that by electric thermometer. The mean placement time for Fahrenheit thermometers was 4.04 minutes, for electric thermometer was 5.52 minutes. In the case of Fahrenheit thermometers, 45 to 77 percent after 3 to 5 minutes, over 90 Percent after 7 minutes, and 100 percent after 10 minutes, had reached optimum temperature. When the electric thermometer was used, 23 to 54 percent after 3 to 5 minutes, over 90 percent after 9 minutes, and 100 percent after 12 minutes, had reached optimum temperature. 5. There ware no significant differences in the maximum temperature among Fahrenheit thermometer, Yu Ⅱ centigrade thermometer, and Kuk Ⅱ centigrade thermometer. The mean maximum temperature for Fahrenheit thermometers was 36.67℃, for Yu Ⅱ centigrade thermometer, was 33.73℃, and for Kuk Ⅱ centigrade thermometers was 37.76℃. 6. There were no significant differences in placement time to reach maximum temperature among Fahrenheit thermometer, Yu Ⅱ centigrade Thermometer, and Kuk Ⅱ centigrade thermometer. The mean placement time (or Fahrenheit thermometers was 7.77 minutes, for Yu Ⅱ centigrade thermometers was 7.25 minutes, and Kuk Ⅱ centigrade thermometers was 7.25 minutes. In the case of Fahrenheit thermometers, 8 to 24 percent after 3 to 5 minutes, over 90 percent after 11 minutes, and 100 percent after 13 minutes, had reached maximum temperature. When the Yu Ⅱ centigrade thermometer was used, 10 to 27 percent after 3 to 5 minutes, over 90 percent after 11 minutes, an8 103 percent after 13 minutes, had reached maximum temperature. When the Kuk Ⅱ centigrade thermometer was used, 11 to 27 Percent after 3 to 5 minutes, over 90 percent after 11 minutes, and 100 percent after 12 minutes, had reached maximum temperature. 7. There were no significant differences in the optimum temperature(the maximum temperature minus 0.1℃) among fahrenheit thermometer, Yu Ⅱcentigrade thermometer, and Kuk Ⅱ centigrade thermometer. The mean optimum temperature for Fahrenheit thermometers was 36.60℃, for Yu Ⅱ centigrade thermometers was 36.69℃, and Kuk Ⅱ centigrade thermometers was 36.69℃. 8. There were no significant differences in placement time to reach optimum temperature among Fahrenheit thermometer, Yu Ⅱ centigrade thermometer, and Kuk Ⅱ centigrade thermometer The mean placement time for Fahrenheit thermometers was 5.70 minutes, for Yu Ⅱ centigrade thermometers was 5.54 minutes, and for Kuk Ⅱ centigrade thermometers was 5.28 minutes. In the case of Fahrenheit thermometers, 21 to 49 percent after 3 to 5 minutes, over 90 percent after 9 minutes, and 100 percent after 12 minutes, had reached optimum temperature. When the Yu Ⅱ centigrade thermometer was used, 23 to 51 percent after 3 to 5 minutes over 90 percent after 10 minutes, and 100 percent after 12 minutes, had reached optimum temperature. When the Kuk Ⅱ centigrade Thermometer was used, 23 to 57 Percent after 3 to 5 minutes, over 90 percent after 9 minutes, and 100 Precent after 11 minutes, had reached optimum temperature.

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