• Journal of the Korea institute for structural maintenance and inspection
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• v.27 no.3
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• pp.30-37
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• 2023

The PSCB girder bridge is a closed cross-section in which the top and bottom flanges and the web are integrated, and the structural characteristics are generally different from the bridges in which the girder and the floor plate are separated, so a maintenance plan that reflects the characteristics of the PSCB girder bridge is required. As a result of analyzing damage types by collecting detailed safety diagnosis reports of highway PSCB girder bridges, most of the deterioration and damage occurring during use is concentrated on the top flange. In particular, cracks in the bridge direction on the underside of the top flange occurred in about 70 % of the PSCB girder bridges to be analyzed, and these cracks were judged to be caused by indirect loads such as heat of hydration and drying shrinkage rather than structural cracks caused by external loads. In order to improve durability and reduce maintenance costs of PSCB girder bridges in use, it is necessary to control restraint drying shrinkage cracks from the design stage. Therefore, in this paper, the cracks caused by drying shrinkage under restraint, which is the main cause of cracks under the flanges of the top part of the PSCB girder bridge, were directly calculated using the Gilbert Model, and the influencing factors such as the amount of reinforcing bars, diameter and spacing of reinforcing bars were analyzed. As a result of the analysis, it was found that the crack width caused by restraint drying shrinkage exceeded the allowable crack width of 0.2 mm for reinforcing bars with a reinforcing bar ratio of 0.01 or less based on the H16 reinforcing bar and a reinforcing bar with a diameter greater than H19 based on the reinforcing bar ratio of 0.01. Finally, based on the results of the crack width review, a method for controlling the crack width of the top flange of the PSCB girder bridge was proposed.

• Journal of Korean Tunnelling and Underground Space Association
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• v.10 no.3
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• pp.303-312
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• 2008

Multi-axial compression tests have been frequently adopted for the evaluation of material properties of rock cores and rock fracture model tests. Special care has to be applied on the boundary condition between the specimen and loading platen to draw the precise test results of the multi-axial compression tests. With the use of dry steel platen, the stress rotation will occur, due to the frictional restraint from the boundary between the specimen and loading platen. The restraint will deviate the expected test results under the conditions of the given external pressures. Various methods have been applied to reduce the side restraint along the specimen/loading platen interface. The steel brush type loading platen is one example of the attempts. In this paper, a new type of loading platen is introduced to overcome the limitation caused by the use of the brush type loading platen, which requires some internal space for the installation of the brushes. The new type of loading platen, roller supported steel piston type loading platen. is constituted of shot steel pistons which have sufficient stiffness to deliver the external pressure and the shaft type roller installed at the rear of the pistons. The pistons are designed to follow the local deformation of the specimens. In this paper, structural details of the loading platen are presented and frictional and biaxial compression tests results are shown to verify the required functions of the loading platen. Furthermore, calibration process is followed by a comparison between the test results and numerical analyses.

• Sleep Medicine and Psychophysiology
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• v.8 no.2
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• pp.144-147
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• 2001

Chemical restraint or "rapid tranquilization" is another option in treating patients who are a danger to themselves or others and struggle violently once physically restrained. The most commonly used drugs are benzodiazepines and antipsychotics. The use of benzodiazepines, either alone or in combination with high potency neuroleptics, has increased in recent years. Benzodiazepines are extremely safe but may cause respiratory depression and hypotension. Respiratory depression is more likely with intravenous administration, therefore these medications should be given slowly and titrated to the desired effect. Special care should be taken when sedating patients who are under the influence of alcohol or narcotics and are sleep apneic patients. This report deals with a case of respiratory distress in a patient with sleep apnea syndrome after the rapid tranqulization. All patients receiving chemical restraint must be carefully monitored. For critically ill patients who require sedation or chemical restraint, the constant attendance of a physician may be warranted.

• International Journal of Automotive Technology
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• v.8 no.2
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• pp.185-191
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• 2007

The new FMVSS 208, 213, 225 regulations include automatic suppression of airbags to prevent low-risk airbag deployment and the use of child seats with a rigid-bar anchor system. The regulations mean that children must sit in the rear seat, but do not include other specific safety measures for their protection. In the rear, restraint equipment consists of three-point shoulder/lap belts for the outside seats and a static two-point lap belt in the middle, with no additional devices such as pretensioners or load limiters; this is far from optimal for children. This study investigated injury rates using a 3-year-old-child dummy. ECE R44 sled tests used a booster, a speed of 48 km/h, and a 26- to 32-g rectangular deceleration pulse. While seated on a booster, the dummies were restrained by an adult shoulder/lap three-point belt. HIC_15 msec, Chest G and Nij were somewhat lower with an emergency locking retractor (ELR)+pretensioner+load limiter than with only an ELR or with ELR+pretensioner. However, the current seat-belt system results in injury rates that exceed the limit for OOP performance under the new FMVSS 208 regulations.

• Korean Journal of Adult Nursing
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• v.18 no.4
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• pp.543-552
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• 2006

Purpose: The purpose of this descriptive study was to investigate the pattern of physical restraints used in ICUs and to identify influencing factors of application and removal of restraints. Method: The subjects of this study were 90 restrained patients out of 215 patients over 6 years old who were admitted to 6 ICUs in SMC during a 2 weeks period. The data was collected through a questionnaire of characteristics, guidelines and nursing care of restraint uses. The data were analyzed by non-parametric statistic with the use of the SAS program. Results: The restraints were applied to 31.4% of subjects. Mean time of physical restraint was $36.76{\pm}55.7$ hours. There were significant difference with mean time and frequency according to duty shift. GCS, restless behavior and discomfort factors, medical devices, and life sustaining devices had significant relation with application of restraints. In addition, the mean time of restraints used were related significantly with GCS, restless behavior, and discomfort factors. Conclusion: The used of restraints were dependent on mainly the nurses' decision. Thus ICU nurses have to develop the guidelines to applying restraints and removal of restraints in regard to patients rights and ethics. Continuous monitoring and evaluation of application of the restraints is essential in professional nursing.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.12 no.2
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• pp.205-215
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• 1992

Load tests for fourteen small-scale foundation models combined with geotextile, sand mat and rigid mat were conducted to study the effect of geotextile(G/T), sand mat(S/M), and foundation types on deformation of foundation soils. In addition, the experimental results were compared with those obtained from numerical analysis using a software program. The main conclusions were summarized as follows: 1. The restraint effect on G/T is more outstanding on the lateral displacement than on the vertical one. 2. The single use of S/M has better effect on the restraint of vertical displacement than lateral one. 3. The use of both S/M and G/T is required for the restraint of lateral and vertical displacement. 4. Multi-layered foundation with large rigidity shows similar tendency to that of foundation reinforced with S/M and G/T.

• The Journal of Korean Academic Society of Nursing Education
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• v.15 no.1
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• pp.62-71
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• 2009

Purpose: The present study was performed to identify the perception, attitude, and knowledge regarding the use of physical restraints among nursing personnel working at long-term care facilities. Method: 289 nurses, nurse aids and private caregivers working at 13 wards from 7 facilities participated in the survey. Perception, attitude and knowledge regarding the use of physical restraints were evaluated using the Perceptions of Restraints Use Questionnaire developed by Evans and Strumpf(1993) and Physical Restraint Questionnaire suggested by Janelli, et al(2006). Results: Wrist restraints were used the most frequently. The perception score regarding the use of physical restraints was 3.35, which is a moderate value. Study respondents considered 'safety measure' and 'safe use of a medical device' as the most important aspects when applying physical restraints to elderly. The respondents reported physical restraints were therapeutic at least to some degree but knowledge level about physical restraints of the respondents was rather low. Conclusion: Perception and attitude toward physical restraints were identified. The lack in knowledge about physical restraints needs to be addressed for more efficient use of them.

• Steel and Composite Structures
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• v.9 no.2
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• pp.89-101
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• 2009

This paper presents a simplified model to study post-buckling behaviours of the axially restrained steel column at elevated temperatures in fire. The contribution of axial deformation to the curvature of column section is included in theoretical equations. The possible unloading at the convex side of the column when buckling occurs is considered in the stress-strain relationship of steel at elevated temperatures. Parameters that affect structural behaviours of the axial restrained column in fire are studied. The axial restraint cause an increase in the axial force before the column buckles; the buckling temperature of restrained columns will be lower than non-restrained steel columns. However, the axial force of a restrained column decreases after the column buckles with the elevation of temperatures, so make use of the post-buckling behaviour can increase the critical temperature of restrained columns. Columns with temperature gradient across the section will produce lower axial force at elevated temperatures.

• The Korean Journal of Rehabilitation Nursing
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• v.19 no.2
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• pp.118-127
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• 2016

Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

• Journal of Korean Academy of Nursing
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• v.50 no.3
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• pp.333-348
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• 2020

Purpose: The present study investigated the association between nurse staffing and health outcomes among psychiatric inpatients in Korea by assessing National Health Insurance claims data. Methods: The dataset included 70,136 patients aged 19 years who were inpatients in psychiatric wards for at least two days in 2016 and treated for mental and behavioral disorders due to use of alcohol; schizophrenia, schizotypal and delusional disorders; and mood disorders across 453 hospitals. Nurse staffing levels were measured in three ways: registered nurse-to-inpatient ratio, registered nurse-to-adjusted inpatient ratio, and nursing staff-to-adjusted inpatient ratio. Patient outcomes included length of stay, readmission within 30 days, psychiatric emergency treatment, use of injected psycholeptics for chemical restraint, and hypnotics use. Relationships between nurse staffing levels and patient outcomes were analyzed considering both patient and system characteristics using multilevel modeling. Results: Multilevel analyses revealed that more inpatients per registered nurse, adjusted inpatients per registered nurse, and adjusted inpatients per nursing staff were associated with longer lengths of stay as well as a higher risk of readmission. More adjusted inpatients per registered nurse and adjusted inpatients per nursing staff were also associated with increased hypnotics use but a lower risk of psychiatric emergency treatment. Nurse staffing levels were not significantly associated with the use of injected psycholeptics for chemical restraint. Conclusion: Lower nurse staffing levels are associated with negative health outcomes of psychiatric inpatients. Policies for improving nurse staffing toward an optimal level should be enacted to facilitate better outcomes for psychiatric inpatients in Korea.