Effects of Postpartum Massage Program on Stress response in the Cesarean section Mothers (산후마사지프로그램이 제왕절개술 산모의 스트레스 반응에 미치는 효과)
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- Journal of Korean Academy of Nursing
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- v.30 no.2
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- pp.488-497
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- 2000
The purpose of this study was to explore the effect of a postpartum massage program on stress response in the Cesarean section mothers. The study focused on evaluating the effect of postpartum massage program on mood, anxiety, skin temperature and concentration of saliva and breast milk immunoglobulin A in the Cesarean section mothers. This study was designed as a nonequivalent control group pretest-posttest quasi-experimental study. Twenty-eight Cesarean section mothers were selected as experimental group, whereas twenty- seven were control group. The postpartum massage program consisted of 20 minutes of warm-up, massage and ending phases and used once a day. During each program, there were 4 minutes of warm-up, 14 minutes of massage on back, axillary and breasts, and 2 minutes of ending. Massage were used for the experimental group by the same investigator 20 times per minute. The massage technique used were efflurage, petrissage, accupressure, kneading and vibration. Skin temperature was monitored with YSI Tele-thermometer(Simpson electric Co., USA) before and after massage program. The concentration of immunoglobulin A in saliva and breast milk was analyzed by immunoturbididimeter assay(Cobas INTEGRA, Swiss) before and after massage program. Also at this time mood and anxiety were measured by self-report. The data were analyzed using SPSS version 7.5 and hypothesis was tested with ANCOVA analysis and Pearson coefficient correlation. The results were as follows : 1) Score of mood increased significantly after use of postpartum massage program. 2) Level of anxiety decreased significantly after use of postpartum massage program. 3) Skin temperature increased significantly after use of postpartum massage program. 4) Concentration of saliva immunoglobulin A increased significantly after use of postpartum massage program. 5) Concentration of breast milk immunoglobulin A did not change significantly after use of postpartum massage program. 6) After use of postpartum massage program, there was significant correlation between psychological stress response and physiological stress response.The results suggest that postpartum massage program can be effective nursing intervention to reduce stress response in the postpartum mothers under stress.
In this paper, a two-phase structural health monitoring system using acceleration response signatures are presented to firstly alarm the change in structural condition and to secondly detect the changed location for full-scale concrete girder bridges. Firstly, Mihocheon Bridge which is a two-span continuous concrete girder bridge is selected as the target structure. The dynamic response features of Mihocheon Bridge are extracted by forced vibration test using bowling ball. Secondly, the damage alarming occurrence and the damage localization techniques are selected to design two-phase structural health monitoring system for Mihocheon Bridge. As the damage alarming techniques, auto-regressive model using time-domain signatures, correlation coefficient of frequency response function and frequency response ratio assurance criterion are selected. As the damage localization technique, modal strain energy-based damage index method is selected. Finally, the feasibility of two-phase structural health monitoring systems is evaluated from static loading tests using a dump truck.
The operational modal analysis (OMA) technique, which extracts the modal parameters of a structural system using ambient vibrations, has been actively developed as a field of structural health monitoring of cable-supported bridges. In this paper, the short and long-term modal parameters of a cable-stayed bridge were evaluated using the acceleration data obtained from the two ambient vibration tests (AVTs) and three years of continuous measurements. A total of 27 vertical modes and 1 lateral mode in the range 0.1 ~ 2.5 Hz were extracted from the high-resolution AVTs which were conducted in the 6th and 19th years after its completion. Existing OMA methods such as Peak-Picking (PP), Eigensystem Realization Algorithm with Data Correlation (ERADC), Frequency Domain Decomposition (FDD) and Time Domain Decomposition (TDD) were applied for modal parameters extraction, and it was confirmed that there was no significant difference between the applied methods. From the correlation analysis between long-term natural frequencies and environmental factors, it was confirmed that temperature change is the dominant factor influencing natural frequency fluctuations. It was revealed that the decreased natural frequencies of the bridge were not due to changes in structural performance and integrity, but to the environmental effects caused by the temperature difference between the two AVTs. In addition, when the TDD technique is applied, the accuracy of extracted mode shapes is improved by adding a proposed algorithm that normalizes the sequence so that the autocorrelations at zero lag equal 1.
In this study, the effect of temperature-induced uncertainty to damage monitoring using acceleration-impedance response features is analyzed for presterssed concrete(PSC) girder bridges. Firstly, a damage monitoring algorithm using global and local vibration features is designed. As global and local features, acceleration and electro-mechanical impedance features are selected respectively. Secondly, the temperature effect on the acceleration and impedance features for a lab-scaled PSC girder is experimentally analyzed. From the experimental results, compensation models for temperature-acceleration features and temperature-impedance features are estimated. Finally, the feasibility of the acceleration-impedance-based damage monitoring technique using the compensation model is evaluated in the PSC girder for which a set of prestress-loss and flexural stiffness loss cases were dynamically tested.
Nondestructive evaluation (NDE) technique method using a resonance frequency mode was carried out for ceramics made by different carbonizing temperatures (600, 800, 1000,
The high-skewed and/or composite propellers of current interests to reduce the ship vibration and to increase the acoustic performance are likely to be exposed to the unexpected structural problems. One typical example is that the added mass effect on the propellers working in the non-uniform wake field reduces the natural frequency of the propeller leading to the resonance with the low-frequency excitation of the external forces. To avoid this resonance problem during the design stage, the technique of fluid-structure interaction has been developed, but the higher-order effect of the blade geometry deformation is not yet considered in evaluating the added mass effects. In this paper the fluid boundary-value problem is formulated by the potential-based panel method in the inviscid fluid region with the velocity inflow due to the body deformation, and the structural response of the solid body under the hydrodynamic loading is solved by applying the finite element method which implements the 20-node iso-parametric element model. The fluid-structure problem is solved iteratively. A basic fluid-sturcture interaction study is performed with the simple rectangular plates of thin thickness with various planform submerged in the water of infinite extent. The computations show good correlation with the experimental results of Linholm, et al. (1965).
Blood and urine mercury level of three workers were monitored during 60~80 days after high exposure to mercury at the silver refining plant. Mercury was used to form silver-mercury amalgam from plating sludge. Workers were exposed to mercury about 70 days at the several processes, such as hand held weaving, vibration table, and heating from the furnace. mercury was analysed by atomic absorption spectroscopy-vapor generation technique. Recovery from the biological sample was 95.51% and pooled standard deviation was 0.033. At the time of study, there was no work at the workplace. So, airborne mercury concentration was measured with area sampling 5 days after the work, ranged from 0.1459 to 1.2351 mg/㎥(Arithmatic mean 0.4711 mg/㎥, Geometric mean 0.3566 mg/㎥) at the inside of the plant, that is far above the ACGIH's TLV(0.025 mg/㎥) and ranged from 0.0073 to 0.0330 mg/㎥ at the outdoor. Blood mercury levels at the beginning of the monitoring were 4~14 times greater than the American Conference of Governmental Industrial Hygienists Biological Exposure Index(ACGIH BEI, 15 ug/L). Blood mercury levels were decreased logarithmically, that is, rapidly at the high level and slowly at the low level but sustained above the level of the ACGIH BEI 60~80 days after the work. Urine mercury levels at the beginning of the monitoring were 8~16 times greater than the ACGIH BEI(35 ug/g creatinine). Urine mercury levels were decreased logarithmically, but correlation between urine level and off-days were lower than those of blood. Decreasing pattern of blood mercury levels were little affected than that of urine levels when the chelating agent, D-penicillamine, was administered. There was correlation between blood mercury level and urine mercury level(0.81~0.83) but it didn\`t mean that the highest blood mercury level corresponded the highest urine mercury level. In our study, Case 1 always shows the highest level in urine but case 3 always shows the highest level in blood. Creatinine correction represented better correlations between urine mercury levels and blood levels, and between urine levels and off-days rather than by urine volume. Spot urine sampling had a wide variation than that of whole day urine sampling. So, We recommend spot urine sampling for screening and whole day urine sampling for exact diagnosis.
The Earth Pressure Balanced (EPB) Shield Tunnel Boring Machine (TBM) is widely employed for constructing urban underground spaces due to its minimal vibration and low noise levels. The injection of additives offers several advantages, including maintaining shield chamber pressure, reducing shear strength, minimizing cutter wear, and decreasing the permeability of the excavated soil. This technique is known as soil conditioning and involves the application of additives such as foam, polymer, and bentonite slurry. In this study, weathered granite soil commonly encountered at domestic tunnel sites was used as a soil specimen. Foam and polymer were applied as additives to assess the rheological properties of conditioned soils. The workability was evaluated through slump tests, while the rheological properties were assessed through laboratory pressurized vane shear tests conducted under the same conditions. Specially, the polymer was applied under specific conditions with low workability with high slump values, with the aim of evaluating the impact of polymer application. The test results revealed that with an increase in the Foam Injection Ratio (FIR), the slump value also increased, while the torque, peak strength, yield stress, apparent viscosity, and thixotropic area decreased. Conversely, an increase in the Polymer Injection Ratio (PIR) led to results opposite to those of FIR. Additionally, a correlation between the slump value and yield stress was proposed. When comparing conditions with only foam applied to those with both foam and polymer applied, even with similar slump values, the yield stress was found to be lower in the latter conditions.
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70