• 제목/요약/키워드: Use of restraint

검색결과 129건 처리시간 0.026초

정형외과 수술 후 섬망 발생요인 분석 (Predictors of Delirium in Patients after Orthopedic Surgery)

  • 정미혜;윤선옥;박정희;추순옥;오소영;김미영
    • 임상간호연구
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    • 제17권3호
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    • pp.443-454
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    • 2011
  • Purpose: The purpose of this study was to investigate the predictors of delirium in patients after orthopedic surgery. Methods: Participants were 121 orthopedic surgery patients from one university affiliated hospital located in Seoul. The instrument of Delirium Observation Screening Scale (DOS) developed by Schuurmans et al. (2003) was utilized. Data were collected from September 1st, 2010 to March 31st, 2011 and analyzed using SPSS 12.0 with descriptive statistics, t-test, chi-square test and logistic regression. Results: The delirium in patients after orthopedic surgery was occurred in 9 (7.4%) out of 121 patients. Several factors were associated with the delirium occurrence age, admission route, preadmission Activity of Daily Living (ADL), preadmission hearing aid use, preadmission walking degree, diagnosis, type of surgery, Intensive Care Unit (ICU) stay after surgery, restraint, drainage tube, time of admission to surgery, preoperative albumin and preoperative sodium. Preadmission ADL, preoperative sodium and time of admission to surgery were the significant predictors of the delirium occurrence. Conclusion: Study results may help nurses predicting and detecting delirium early and providing preventive measures to the patients with high risk of delirium after orthopedic surgery.

Elastic local buckling of thin-walled elliptical tubes containing elastic infill material

  • Bradford, M.A.;Roufegarinejad, A.
    • Interaction and multiscale mechanics
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    • 제1권1호
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    • pp.143-156
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    • 2008
  • Elliptical tubes may buckle in an elastic local buckling failure mode under uniform compression. Previous analyses of the local buckling of these members have assumed that the cross-section is hollow, but it is well-known that the local buckling capacity of thin-walled closed sections may be increased by filling them with a rigid medium such as concrete. In many applications, the medium many not necessarily be rigid, and the infill can be considered to be an elastic material which interacts with the buckling of the elliptical tube that surrounds it. This paper uses an energy-based technique to model the buckling of a thin-walled elliptical tube containing an elastic infill, which elucidates the physics of the buckling phenomenon from an engineering mechanics basis, in deference to a less generic finite element approach to the buckling problem. It makes use of the observation that the local buckling in an elliptical tube is localised with respect to the contour of the ellipse in its cross-section, with the localisation being at the region of lowest curvature. The formulation in the paper is algebraic and it leads to solutions that can be determined by implementing simple numerical solution techniques. A further extension of this formulation to a stiffness approach with multiple degrees of buckling freedom is described, and it is shown that using the simple one degree of freedom representation is sufficiently accurate for determining the elastic local buckling coefficient.

Buckling analysis of steel plates in composite structures with novel shape function

  • Qin, Ying;Luo, Ke-Rong;Yan, Xin
    • Steel and Composite Structures
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    • 제35권3호
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    • pp.405-413
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    • 2020
  • Current study on the buckling analysis of steel plate in composite structures normally focuses on applying finite element method to derive the buckling stress. However, it is time consuming, computationally complicated and tedious for general use in design by civil engineers. Therefore, in this study an analytical study is conducted to predict the buckling behavior of steel plates in composite structures. Hand calculation method was proposed based on energy principle. Novel buckling shapes with biquadratic functions along both loaded and unloaded direction were proposed to satisfy the boundary condition. Explicit solutions for predicting the critical local buckling stress of steel plate is obtained based on the Rayleigh-Ritz approach. The obtained results are compared with both experimental and numerical data. Good agreement has been achieved. Furthermore, the influences of key factors such as aspect ratio, width to thickness ratio, and elastic restraint stiffness on the local buckling performance are comprehensively discussed.

무선 연속 당측정기에 의한 정상 개의 당 농도 평가 (Evaluation of Glucose Concentration by Wireless Continuous Glucose Monitoring System in Healthy Dogs)

  • 강지훈;김성수;양만표
    • 한국임상수의학회지
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    • 제27권4호
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    • pp.392-396
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    • 2010
  • Blood glucose curves in the management for diabetic patients have several limitations including intermittent assessment of blood glucose concentration, hospitalization, patient restraint, and repeated phlebotomy. The aim of this study was to apply and evaluate a wireless continuous glucose monitoring system (CGMS) in healthy dogs. Subcutaneous interstitial glucose concentrations in 7 dogs were continuously monitored and recorded by wireless CGMS. During induced hyperglycemia, the interstitial glucose concentrations were compared with whole blood glucose concentrations measured by glucometer and serum glucose concentrations measured by automated chemistry analyzer, respectively. There were no significant differences among interstitial, whole blood and serum glucose concentrations. The interstitial glucose concentrations had a good correlation to serum glucose concentrations. The real-time wireless CGMS is a valuable tool for monitoring system of glucose concentrations in dogs. Use of the CGMS for diabetic patients will provide accurate information over traditional blood glucose curves.

T-joint 용접부의 형상에 따른 역학적 메카니즘에 관한 연구 (A Study on the Mechanical Mechanism According to the Groove Shape of T-welded Joint)

  • 방한서;김종명
    • Journal of Welding and Joining
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    • 제17권6호
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    • pp.53-61
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    • 1999
  • The use of thick plate in increasing in recent years due to the rapid expansion of chemical plants, nuclear plants, ships and other industrial plants. Welding is the most popular joining techniques employed in manufacturing industrial machineries and structures. Normally, Groove shapes are prepared according to appropriate rules and regulations such as KS, JIS, AWS, LR, DNV and etc. for various thicknesses of plate. However those groove angles tend to be too large. As a result of large groove angle, residual stress, deformation of material and strength reduction is obtained. Therefore, the reliability and safety of structures and machinery tend to be decreasing. Therefore, in this paper, theoretical as well as experimental study are carried out to find optimum groove shapes for T-welded joint of mild steel. The test specimen are made in same condition with simulation model. Welding residual stresses measurement by sectional cutting method. ⅰ) The mechanical difference for change the thickness of plate and groove angle are not appeared. ⅱ) In a mechanical point of view minimum preparation angle(40°) is more suitable than maximum groove angle(60℃). ⅲ) The measurement value and distribution of welding residual stresses are not effected largely by groove angle. It is mechanical restraint that mainly affect welding residual stresses distribution. In mechanical point of view minimum groove angle is more suitable than maximum groove angle. Therefore, it is appropriate to minimize the size of groove shape in strength and safety.

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고래자원의 가치 논쟁에 관한 연구 (A Research on the Debates of Whale Resource Values)

  • 박성쾌
    • 수산경영론집
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    • 제45권3호
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    • pp.111-129
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    • 2014
  • The main purpose of this study is to analyze the disputes concerning the 1982 moratorium on commercial whaling and the standing rights of other natural objects. Basically, the debates has arisen from the very nature of whales and other natural resources, that is to say, a mixed good of consumptive and non-use value. The debates between pro- and anti-moratorium states regarding whaling may not find out a peaceful solution without compromise or negotiation since any international institution for official settlements does not exist. If the pro-states could provide anti-states with a certain type of economic incentive which is side payments, anti-states might offer self-restraint not to whale. Here, it would be considered to apply Kaldor-Hicks compensation principles to this problem. Since 1965, some countries such as the United States and Japan began to recognize the standing right of natural objects. Even though rejected, the newt case in Korea was brought to the Supreme Court. If a standard of living increases significantly to a higher level(i.e. more than per capita income US$30,000), there would be a tendency of valuing natural objects and their beauty more and more highly.

구속 철근콘크리트 기둥의 극한강도와 거동해석 (Behavior and Ultimate Strength of Restrained Reinforced Concrete Columns)

  • 박재운
    • 대한토목학회논문집
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    • 제12권4호
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    • pp.23-31
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    • 1992
  • 본 연구는 편심축하중을 받는 구속 RC 장주의 거동해석에 대한 계속연구로서, 참고문헌에서 철근콘크리트기둥의 비선형성을 고려한 이론해석방법을 도출하고, 이 이론해석방법에 의한 비선형 해석프로그램을 개발하였다. 이 프로그램을 이용하여 정해에 보다 근접한 기둥의 극한강도를 해석하였으며, 만족한 결과를 이미 얻었다. 이 논문에서는 개발한 프로그램을 이용하여 구속 철근콘크리트 기둥의 극한강도와 거동에 영향을 주는 단부회전구속, 단부구속비, 단부편심거리, 단부 편심거리비, 단부횡방향구속, 콘크리트의 압축강도, 기둥의 철근비, 철근의 항복강도 등 각종 매개변수의 특성을 심도있게 연구, 분석하였다.

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해양생물에 대한 $CO_2$의 영향을 실험하기 위한 문어의 이용 (Experimental Design of Octopus for $CO_2$ Effects on Marine Organisms)

  • 이경선
    • 해양환경안전학회지
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    • 제12권3호
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    • pp.179-183
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    • 2006
  • $CO_2$를 해양에 격리 처리하기 위해서는 $CO_2$가 해양생태계에 어떠한 영향을 미치는가에 대한 연구가 선행되어야 한다. 이 연구에서는 $CO_2$의 해양생물영향실험에 있어 연체동물의 이용가능성을 모색하기 위한 연구로, 먼저 문어에 적합한 마취농도를 확립하고, 혈액을 채취하기 위한 케뉴레이션 방법 및 문어가 케뉴라를 탈착시키는 것을 방지하기 위한 구속 방법에 대해서 검토하였다. 그 결과 1) 문어에 적합한 마취제는 5.25% $MgCl_2\;6H_2O$인 것으로 나타났다. 2) 문어로부터 혈액채취를 위한 케뉴라 삽입 부위는 배대동맥이 적합한 것으로 나타났다. 3) 케뉴라 보호를 위하여 플라스틱 넷트로 만든 구속 쳄버를 이용하는 것이 유용한 것으로 나타났다

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조기교통개방 콘크리트의 내구성능 향상에 관한 연구 (Enhanced Durability Performance of High Early Strength Concrete for Early Traffic Opening)

  • 원종필;김현호;안태송
    • 콘크리트학회논문집
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    • 제13권4호
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    • pp.362-370
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    • 2001
  • 콘크리트포장 보수공사에서 조기교통개방을 위해 현재 국내에서는 초속경시멘트를 사용하고 있으나 이는 초기의 빠른 수화반응과 내.외부적 구속으로 인한 온도수축 및 건조수축이 발생하여 콘크리트포장에 인장응력을 유발한다. 구속으로 인한 수축은 콘크리트내에 균열을 발생시켜 투수성을 증가시키고 장기적으로는 내구성을 약화시킨다. 콘크리트보강재료로서 섬유는 이러한 균열을 제어하는데 효과적이다. 본 연구에서는 국내에서 사용되고 있는 3종류의 초속경시멘트의 내구성을 평가하였고 내구성을 증진시키기 위하여 콘크리트 보강 섬유를 혼입하였으며 일반 콘크리트와 섬유보강 콘크리트를 비교.분석하였다. 실험결과 조기교통개방콘크리트에서 섬유의 혼입은 일반 콘크리트보다 내구성을 증진시키는데 우수한 효과를 나타내었다.

중환자실 환자의 입원기간에 따른 사지 둘레 변화 및 관련요인 (Changes in Limb Circumferences among Intensive Care Unit Patients and Related Factors)

  • 신혜은;강지연
    • 중환자간호학회지
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    • 제9권2호
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    • pp.13-25
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    • 2016
  • Purpose: This study was conducted to identify changes in limb circumferences among patients admitted to the intensive care unit (ICU) and related factors. Methods: We conducted a prospective observational study with 27 patients from 3 ICUs at a university hospital located in B city of Korea, from September 1 to October 30, 2015. The circumferences of the left and right upper arms, thighs, and lower legs were measured on the first, third, fifth, and seventh days of ICU admission. Information on the related factors was collected from the medical records. The data were analyzed using a linear mixed model method. Results: The limbs circumferences significantly reduced from day 3, and the changes continued till day 7. These changes were related to the gender of the subjects, restraints application, use of steroids, and continuous renal replacement therapy. Conclusions: Based on the above results, it can be concluded that ICU-acquired weakness begins before the third day of admission. Thus, early mobilization protocols for ICU patients need to be developed and implemented in order to improve long-term outcomes.

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