• 제목/요약/키워드: Weight concern

검색결과 309건 처리시간 0.024초

간호기록 행위에 관한 조사연구 (A STUDY ON NURSING RECORD BEHAVIOR IN PATIENT′S RECORDS)

  • 강윤희
    • 대한간호학회지
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    • 제4권1호
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    • pp.22-37
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    • 1974
  • Through the examination of hospitalized patient's records, this study purports to determine. the extent to which nursing record behaviors meet general expectations held for nursing records and the differences in nursing record behavior in relation to different nursing categories, period of recording and hospitals with different management patterns. Nursing record behaviors of 802 patient's records in four hospitals in Seoul were examined. by use of a check list, which was prepared by the author as an instrument for the study. Data obtained from this examination were processed into percentage values for percentage. test and chi-square test in order to determine their significance. Results are as follows; 1. Records pertaining to treatment ranked highest among all care categories in their extent of coverage, averaging 65.6 percent. 2. Of the treatment category records, records of medication led others at 94.3 percent. followed by records of test and collection of specimens at 59.9 percent. diet at 58.8 percent and treatment at 41.0 percent. 3. Records in the category of physical assessment and care averaged 44.1 percent, the second highest next to treatment category records, 4. Of the records in the category of physical assessment and care, records in vital signs. placed first at 98.9 percent, followed by sleep at 76.2 percent, body weight at 74.7 percent, symptoms and signs at 69.3 percent, rest at 44.5 percent, hygiene at 39.7 percent, activities and participation at 16.9 percent, positions at 10.3 percent, level of consciousness at 9.8 percent and physiological dysfunction at 1.1 percent in that order. 5. Records in the category of psychological assessment and care averaged 3.2 percent, the lowest of the -three major categories. 6. Of the records in the category of psychological assessment and care, records on emotional responses ranked top at 10.5 percent, followed by self-concern at 2.1 percent, adjustment at 2.0 percent, family, occupational and social relations at 0.7 percent and preferences. and interest at 0.5 percent in that order. 7. Records in relation to the category of specific conditions were found in 9.1 percent of the total records. 8. Of the records in the category of specific conditions, consultation and transfer records, stood first at 25.0 percent, followed by precautionary measurements at 1.4 percent and isolation at 0.9 percent 9. A great difference in nursing record behavior was observed between the first week of hospitalization and the last week, with the first week's recordings much higher than the last week in the categories of treatment and specific conditions (p<0.01). and of physical assessment and care (p <0.05). 10. A big difference was also observed among the hospitals (p<0.01). 11. A big difference was also observed between the government-run hospitals and the private hospitals in the categories of physical assessment and care and specific conditions in the first week of hospitalization (P<0.05l), and in the category of psychological assessment and care in the last week (P<0.05). 12. Between the hospitals established with foreign aid and the other hospitals, the difference in nursing record behavior was significant only in the category of physical assessment and care both in the first week and the last week (P<0.01). 13. The average nursing record behavior in all care categories stood at 45.1 percent in the extent of its coverage in relation to the general expectations.

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프리캐스트 콘크리트 트리플 리브 슬래브의 전단성능 (Shear Capacity of Precast Concrete Triple Ribs Slab)

  • 황승범;서수연;이강철;이석현
    • 콘크리트학회논문집
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    • 제28권4호
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    • pp.489-496
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    • 2016
  • 최근, 건물의 자중을 저감시킴으로서 시공성을 향상시키기 위한 방안으로 중공 PC슬래브에 대한 관심이 높아지고 있다. 국내에서 생산되는 대표적인 중공 PC슬래브인 HCS는 생산방식 특성상 전단보강근의 배근이 어렵기 때문에 안전성 및 사용성 측면에서 문제가 제기되고 있다. 이와 같은 측면에서, 최근 새로운 형태의 부분 PC 슬래브 시스템인 Tripple Ribs Slab (TRS)가 개발되었다. TRS는 전단보강근의 배근이 가능한 하프PC형 중공슬래브이다. 본 연구에서는 TRS의 전단성능을 검토하기 위해 전단실험을 진행하였다. 시공단계별로 형성되는 단면조건에 대하여 비대칭 1점 가력으로 실험하였으며 실험결과 강도를 기준 식들과 비교하였다. 실험에서의 변수는 CIP 유무와 래티스바의 유무 또는 래티스바의 종류이다. 실험으로부터, TRS는 설계하중을 충분히 지지할 수 있는 전단성능을 가지고 있으며 실험체의 강도는 국내콘크리트구조기준에서 제시하는 일반식으로 적절하게 예측될 수 있는 것으로 나타났다. CIP가 타설되지 않은 시공단계에서는 래티스바의 기여도가 현저히 낮기 때문에 래티스바의 전단강도를 제외하고 설계하는 것이 바람직하다고 판단된다.

프리캐스트 콘크리트 트리플 리브 슬래브의 휨성능 (Flexural Capacity of Precast Concrete Triple Ribs Slab)

  • 황승범;서수연;이강철;이석현
    • 콘크리트학회논문집
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    • 제28권1호
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    • pp.3-11
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    • 2016
  • 건물의 자중을 저감시킴으로서 시공성을 향상시키기 위한 방안으로 중공 PC슬래브에 대한 관심이 높아지고 있다. 이와 같은 측면에서, 최근 새로운 형태의 부분 PC 슬래브 시스템인 Tripple Ribs Slab (TRS)가 개발되었다. TRS부재는 3개의 리브와 스트랜드로 프리스트레싱된 바닥구조로 구성되어 있다. TRS 바닥구조는 웨브와 웨브 사이에 스티로폼(styrofoam)을 채운 뒤 토핑 콘크리트를 타설함으로서 슬래브 시스템을 구축한다. 본 연구에서는 TRS의 휨성능을 검토하기 위해 휨실험을 진행하였다. Full scale로 제작된 5개의 실험체를 제작한 뒤 휨파괴되도록 단순지지조건으로 실험하였으며 실험결과 강도를 기준 식들과 비교하였다. 실험에서의 변수는 부재의 깊이와 토핑 또는 슬립포밍시 형성되는 추가의 콘크리트 턱의 유무이다. 또한 실험체들에 대하여 비선형 단면해석을 실시하였으며 그 결과를 실험결과와 비교하였다. 실험으로부터, TRS는 설계하중을 충분히 지지할 수 있는 휨성능과 연성능력을 가지고 있으며 실험체의 강도는 기준 식으로 적절하게 예측될 수 있는 것으로 나타났다. 추가의 턱은 실험체의 강도에 영향을 미치지 못하는 것으로 나타났으며 이에 따라 이들 턱은 굳이 추가의 작업을 통하여 제거할 필요는 없는 것으로 사료된다. 비선형 단면해석을 통하여 TRS의 휨거동을 보다 정확하게 예측하기 위해서는 슬립포밍에 의한 콘크리트의 취성적인 특성을 해석에서 고려할 필요가 있는 것으로 판단된다.

분유 중 아플라톡신 M1 분석 및 위해평가 (Analysis and Risk Assessment of Aflatoxin M1 in Infant Formula)

  • 강영운;송정언;서정혁;박성국;김미혜
    • 한국식품과학회지
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    • 제45권2호
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    • pp.235-240
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    • 2013
  • 본 연구에서는 분유 중 아플라톡신 $M_1$을 면역친화성칼럼을 이용하여 정제하고 HPLC로 분리하였으며 형광검출기로 정량 분석하는 시험법을 확립하였다. 이 시험법을 이용하여 439건의 시료에 대한 분석을 실시하였다. 그 결과, 아플라톡신 $M_1$의 검출농도는 평균 2.6 ng/kg(불검출-14.9 ng/kg)로 나타났으며, 검출률은 64%로 조사되었다. 본 연구의 오염도자료를 이용한 분유 중 아플라톡신 $M_1$의 노출량 및 위해 수준은 연령별로 비교했을 때 신생아에게서 가장 높게 나타났으나 초과간암발생률은 1년에 백만명 중 0.02명 정도로서 위해수준은 매우 낮은 것으로 평가 되었다.

Increasing Content of Healthy Fatty Acids in Egg Yolk of Laying Hens by Cheese Byproduct

  • Hwangbo, Jong;Kim, Jun Ho;Lee, Byong Seak;Kang, Su Won;Chang, Jongsoo;Bae, Hae-Duck;Lee, Min Suk;Kim, Young Jun;Choi, Nag-Jin
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권3호
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    • pp.444-449
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    • 2006
  • This study investigated the effects of dietary supplementation of cheese byproduct on performance, egg quality and fatty acid profile of egg yolk lipids from laying hens. One hundred five 30-wk-old White leghorn laying hens were randomly distributed into five groups of twenty one hens each and maintained in individual laying cages for 4 weeks. The hens were assigned to five treatments that consisted of corn-soybean meal based diets containing 0, 1, 3, 5 or 10% of cheese byproduct. Feed intake and rate of egg production of hens were not significantly different across the treatments during the whole experiment (p>0.05). Similarly, egg yolk cholesterol level, egg weight, Haugh's unit, eggshell thickness, color, and strength were not significantly different across the treatments (p>0.05). The amount of C16:0 in egg yolk was not significantly different across the treatments, but that of C18:0 decreased with increased cheese byproduct (p<0.01). Monounsaturated fatty acid (C16:1 and C18:1) content in egg yolk was similar across the treatments. Total CLA and cis-9, trans-11 CLA content increased linearly with increased cheese byproduct (p<0.001), while trans-10, cis-12 CLA amount was not significantly different across the treatments (p>0.05). Total saturated fatty acid (SFA) in the egg yolk was decreased as the level of cheese byproduct including CLA increased (p<0.01). However, the amount of unsaturated fatty acids (UFA) such as monounsaturated fatty acids (MUFA), n-3 polyunsaturated fatty acids (PUFA), n-6 PUFA, and total PUFAs in the egg yolk were not significantly different across the treatments (p>0.05). Therefore, the present results showed that cheese byproduct beneficially improved the fatty acid composition of concern to human health in the egg yolk without adverse effects on egg quality.

미숙아의 발달지지를 위한 간호중재에 관한 문헌연구 (Literature Review Nursing Intervention for Developmental Support on Preterm Infants)

  • 김태임;심미경
    • 부모자녀건강학회지
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    • 제4권1호
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    • pp.35-55
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    • 2001
  • Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

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자동차 배기가스 중 입자상 탄소성분 내 PAHs의 정성적 비율 추정 (The Qualitative Rate Estimation of PAHs in Carbon Compounds of Particles in Vehicles Exhaust Gas)

  • 김종범;이경빈;김진식;김창환;차용호;권순박;배귀남;김신도
    • 한국대기환경학회지
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    • 제30권5호
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    • pp.449-460
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    • 2014
  • Since the emergence of domestically produced automobiles in 1964, the number of automobiles in circulation in South Korea has increased constantly. With this rapidly increasing number of automobiles, automobile-induced environmental pollution has become an issue of great concern, especially with regard to air pollution. Of the carbon composites contained in automobile exhaust gas, PAHs are known to be carcinogenic and highly deleterious to humans and thus need to be urgently mitigated. To address this issue of PAHs, this study was conducted to estimate qualitative of particulate PAHs contained in carbon composites in automobile exhaust gas, by capturing all particulate matter discharged from the latter. To allow for differentiated analyses, the automobiles investigated were divided into 4 groups: gasoline vehicle, motocycle, diesel vehicle, and LPG vehicle. Samples were analyzed using two methods. First, in-depth analysis was performed on organic carbon (OC) and elemental carbon (EC) composites with analysis parameters, using the Thermal Optical Transmittance Method (NIOSH 5040). Second, for the examination of particulate PAHs, GC/MSD was used to analyze the 16 PAH species specified by the Environmental Protection Agency (EPA). The analyses yielded the findings that diesel vehicles had the highest mass concentration ($2,007{\mu}g/m^3$), followed by motocycle ($1,066{\mu}g/m^3$), LPG vehicle ($392{\mu}g/m^3$), and gasoline vehicles ($270{\mu}g/m^3$). The highest carbon concentrations in total particulate matter by vehicle weight were produced from LPG vehicle (79.8%), followed by gasoline vehicle (77.4%), motocycle (69.8%), and diesel vehicle (59.1%).

관상동맥 협착을 동반한 심장에서 심근보호액 우심방 관류법의 심근 국소관류량 (The Local Myocardial Perfusion Rates of Right Atrial Cardioplegia in Hearts with Coronary Arterial Obstruction)

  • 이재원;서경필
    • Journal of Chest Surgery
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    • 제25권1호
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    • pp.1-16
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    • 1992
  • The quantitatively measured local myocardial perfusion rates with microspheres are used as an objective indicator of even distribution of cardioplegic solution, and the efficacy of the retrograde right atrial route of cardioplegia is evaluated in hearts with various levels of coronary arterial obstruction. After initial antegrade cardioplegia under the median sternotomy and aortic cannulation, 60 hearts from anesthetized New Zealand white rabbits are divided in random order as normal group [ligated left main coronary artery ; MA, MR] and diagonal group [ligated proximal diagonal artery ; LA, LR]. Half of each group [N=10] are perfused with antegrade cardioplegia[A] under the pressure of 100 cmH2O and the other half with retrograde right atrial route[R] under the pressure of 60 cmH2O[St. Thomas cardioplegic solution mixed with measured amount of microspheres]. The myocardium is subdivided into segments as A[atria], RV[right ventricle]. S[septum], LV[normally perfused left ventricular free wall], ROI[ischemic myocardium of left ventricular free wall]. LV and RQI are further divided into N[subendocardium] and P[subepicardium]. The resulting local myocardial perfusion rates and N /P of each group are compared with Wilcoxon rank sum test. The weight of the hearts is 5.94$\pm$0.66g, and there are no statistically significant dif-ferences[p>0.05, ANOVA] between six compared group. The mean flow rate[F: ml /g / min] of MR group is comparable with MA group[p>0.05], but in N and L group, there are significantly depressed F with right atrial route of cardioplegia, which means elevated perfusion resistance with this route. In spite of no significant differences in delivered doses of microsphere[DEL] between compared groups[p>0.05, ANOVA], there are significantly depressed REC and NF in hearts with right atrial cardioplegia which suggests increased requirement of cardioplegic solution with this route. The interventricular septum shows poor perfusion with right atrial route of cardioplegia without obstruction of supplying coronary arteries. But, with obstruction of coronary artery supplying septum as in M group, the flow rate is superior with right atrial route of infusion. The left ventricular free wall perfusion rates of every RQI with R route are superior to that of A route[p<0.05]. But, in LV segments, there are unfavorable effects of right atrial cardioplegia in L group, although the subendocardial perfusion is well maintained in N group. The LV free wall of left main group shows depressed perfusion rates with antegrade route as compared with RQI segments of diagonal group. But, by contraries, there are increased perfusion rates and superior N /P ratio with retrograde right atrial route. It implies more effective perfusion with right atrial route of cardioplegia in more proximal coronary arterial obstruction[i.e., M group as compared with L group]. As a conclusion, all region of ischemia have superior perfusion rates with right atrial car-dioplegia as compared with antegrade route, and especially excellent results can be obtained in hearts with more proximal obstruction of coronary arteries which would otherwise result in more severe ischemic damage. But, the depressed perfusion rates of the segments with normal coronary artery in hearts with coronary arterial obstruction may be a problem of concern with right atrial cardioplegia and needs solution.

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한복지의 역학적 특성에 관한 연구 (제2보) 여자용 추동한복지 (A Study on the Mechanical Properties of Fabrics for Korean Folk Clothes (Part 2) On the Women's Fall & Winter Fabrics)

  • 성수광;고재운;권오경
    • 한국의류학회지
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    • 제12권2호
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    • pp.169-179
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    • 1988
  • In the part 1, relations were found between fundmental mechanical properties and primary hand values, performance of Korean women's summer fabrics. In this paper, in order to investigate the hand values and mechanical properties such as tensile, shearing, bending, compression, surface and thickness & weight of the women's fall & winter fabrics were measured by KES-F system. Sorts of 90 commercial fabrics for women's fall & winter clothes were classfied into 39 silk and 51 polyester fabrics according to meterials. The experimental results were analysed statistically to relate the hand values and the mechanical properties and concerning to formation of weared clothes and transformation behavior were investigated. Furthermore, there mechanical properties as well as their hand values were discussed in comparison with those values for kimono fabrics. The main results are summarized as follows; 1. The shape of silk fabrics in formation for weared clothes show a box-shaped silhouette. Polyester fabrics has a easy to shape-less and make a silhouette which goes along with the body. 2. Silk fabrics for Korean women's fall & winter clothes have ${\pm}1\sigma$ range of bending, shearing, surface properties and thickness as compared with kimono fabrics. 3. A wrinkle recovery and drapability of silk fabrics for Korean women's fall & winter clothes are inferior to kimono fabrics. On the other hand, the fabrics for Korean women's fall & winter clothes have conical-shaped silhouette based on higher bending rigidity. 4. Except for flexibility with soft feeling, a primary factor of mechanical properties contributes to the hand values of fabrics for Korean women's fall & winter clothes having no concern with materials were same as the women's summer fabrics. 5. As for the hand values of fabrics for Korean folk clothes, stiffness, anti-drape stiffness are larger than those of kimono fabric and stiffness, anti-drape stiffness, crispness of fabrics for Korean women's fall & winter clothes have smaller values as compared with Korean women's summer fabrics.

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해양바이오물질이 PCB의 독성작용에 미치는 영향 (Effects of Chitosan on the Toxicity of Environmental Pollutants)

  • 이현교;김혜영;양재호
    • 한국해양바이오학회지
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    • 제2권2호
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    • pp.102-107
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    • 2007
  • 산업의 발달과 함께 환경오염에 대한 국민적인 관심도는 날로 증가하고 있다. PCB는 우리 주변에 널리 퍼져 있고 먹이사슬을 통해 체내에도 축적되어 인체의 위해성이 우려되는 대표적인 환경오염물질이다. PCB의 노출은 성장기의 두뇌에서 가장 큰 신경독성을 나타내며 영아 및 유아는 상대적으로 높게 노출되어 위험집단으로 분류된다. 본 연구는 PCB의 신경독성에 구조-활성관계가 미치는 영향을 분석하고 PCB에 의한 독성을 최소화 할 수 있는 방안으로서 해양활성물질의 사용가능성을 이해하고자 하였다. PCB노출에 따른 신경세포의 신호전달 체계변화를 분석하기 위하여 Protein Kinase C (PKC)의 변화를 측정하였다. PKC의 전체적인 활성을 [$^3H$]PDBu로 분석한 결과 ortho-position(PCB-105, -123)을 가지고 있는 PCB가 non-ortho (pCB-77, -81) 구조보다 신경에 미치는 영향은 더 높았다. Westem blot 결과 PKC isofonn 중에는 PKC-beta II 및 epsilon의 경우 ortho-position PCB에서 더 높은 활성을 보였다. 이러한 PKC의 변화는 성장기 신경세포에서 신호전달기작의 변화에 많은 영향을 미치므로 이를 예방하거나 차단 할 수 있는 물질을 발견하고자 다양한 키토산을 처리하였다. 그 결과 1백만 달톤 이상의 고분자 키토산의 경우 PCB에 의한 신호전달 기작 변화를 억제할 수 있음을 보였다. 본 연구는 환경오염 등에 의한 독성예방에 키토산의 활용가능성을 제시하였다.

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