• 한국산학기술학회논문지
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• 제17권5호
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• pp.452-458
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• 2016

본 논문은 노인요양시설 요양보호사들의 억제대 사용에 대한 인식을 조사한 서술적 조사연구이다. 자료수집은 2016년 1월 13일부터 2월 10일까지 노인요양시설 요양보호사 113명을 대상으로 자기기입식 설문을 통해 이루어졌다. 억제대 사용의 인식에 대한 전체 평균은 3.43(${\pm}0.24$)이였으며, 억제대 적용 이유로 가장 중요하게 생각하는 항목은 "대상자를 침대에서 떨어지지 않도록 보호하기 위하여"였으며, 주로 노인 대상자들의 안전사고를 예방하기 위한 항목에서 억제대 사용을 중요하게 생각하는 것으로 나타났다. 억제대 사용에 대한 지식은 18점 만점에 평균 11.23점으로 보통 수준이었으며, 50세 이하의 요양보호사들의 지식수준이 다소 낮았다. 억제대 사용에 대한 태도는 전체평균 9.19점으로 다소 긍정적으로 가급적 억제대 사용을 자제해야 한다고 생각했으며, 근무경력 3년 이하의 요양보호사들이 더 높게 나타났다. 억제대는 노인대상자의 신체 정신적 그리고 인권과 밀접한 관련이 있는 것으로 가장 많은 시간을 함께 하는 요양보호사들의 억제대 사용에 대한 인식의 고려와 향상을 위하여 억제대 사용에 대한 정확한 지침과 눈높이에 맞는 교육이 제공되어야 한다.

• 한국임상수의학회지
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• 제16권2호
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• pp.363-368
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• 1999

The effects of continuous administration of propofol on the blood, liver and kidney of dogs were evaluated. Propofol(5mg/kg) was repeatedly administered to 8 mongrel dogs intravenously for consecutive seven days. Time to recovery, body temperature, heart rate, and respiratory rate were measured and recorded during experimental period. Hematology (WBC, RBC, PCV) and serum chemistry (AST, ALT, BUN, Creatinine) were also monitored for eight days. Time to standing significantly decreased on day 4 and 6 compared with that on day 1. Body temperature 5 minutes after injection on day 5 and 6, and respiratory rate before injection on day 2, 3, 5 and 6 were significantly increased, respectively. No significant changes were observed in total WBC counts, total RBC counts and PCV values. The AST and AIT values were decreased on day 2 compared with those on day 1, but were within clinically normal range. There were no significant changes in BUN and Creatinine levels. This study suggests that consecutive day propofol anesthesia in dogs can be used for the purpose of the treatment and restraint.

• Bulletin of the Korean Chemical Society
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• 제15권9호
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• pp.786-791
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• 1994

A simple and rapid sample pretreatment process necessary for determination of metal oxides in water was proposed. Samples were injected into the continuous-flow tube installed inside the microwave oven and the treated samples were cooled before entered to the Ion Chromatography (IC) or Inductively Coupled Plasma (ICP). By coupling this microwave digestion system with IC or ICP, a fully automatic analytical procedures may be easily established. In this study, two different types of digestion methods were considered; the open tubing method (OTM) and the restraint tubing method (RTM). The RTM was proved to be 3 times faster in digestion period and 10 times higher in detection range than the OTM. Validation of proposed sample digestion system was carried out by using an ICP. The results showed that both of continuous-flow methods, the OTM and the RTM were comparable in accuracies with the conventional batch-type vessel digestion method.

• 성인간호학회지
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• 제18권4호
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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.

• Steel and Composite Structures
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• 제2권4호
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• pp.297-314
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• 2002

An energy method of analysis is presented which can be used to study the inelastic lateral-distortional buckling of hot-rolled I-sections continuously restrained at the level of the tension flange. The numerical modelling leads to the incremental and iterative solution of a fourth-order eigenproblem, with very rapid solutions being obtainable, so as to enable a study of the factors that influence the strength of continuously restained I-beams to be made. Although hot-rolled I-sections generally have stocky webs and are not susceptible to reductions in their overall buckling loads as a result of cross-sectional distortion, the effect of elastic restraints, particularly against twist rotation, can lead to buckling modes in which the effect of distortion is quite severe. While the phenomenon has been studied previously for elastic lateral-distortional buckling, it is extended in this paper to include the constitutive relationship characteristics of mild steel, and incorporates both the so-called 'polynomial' and 'simplified' models of residual stresses. The method is validated against inelastic lateral-torsional buckling solutions reported in previous studies, and is applied to illustrate some inelastic buckling problems. It is noted that over a certain range of member slenderness the provisions of the Australian AS4100 steel standard are unconservative.

• 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.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2005년도 ICCAS
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• pp.834-837
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• 2005

In this paper, we describe the method of non-invasive blood pressure measurement using pulse wave transit time(PWTT). PWTT is a new parameter involved with a vascular that can indicate the change of BP. PWTT is measured by continuous monitoring of ECG and pulse wave. No additional sensors or modules are required. In many cases, the change of PWTT correlates with the change of BP. We measure pulse wave using the photo plethysmograph(PPG) sensor in an earlobe and we measure ECG using the ECG monitoring device our made in the chest. The measurement device for detecting pulse wave consists of infrared LED for transmitted light illumination, pin photodiode as light detector, amplifier and filter. We composed 0.5Hz high pass, 60Hz notch and 10Hz low pass filter. ECG measurement device consists of multiplexer, amplifier, filter, micro-controller and RF module. After amplification and filtering, ECG signal and pulse wave is fed through micro-controller. We performed the initial work towards the development of ambulatory BP monitoring system using PWTT. An earlobe is suitable place to measure PPG signal without the restraint in daily work. From the results, we can know that the dependence of PWTT on BP is almost linear and it is possible to monitoring an individual BP continuously after the individual calibration.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 추계학술대회 논문집
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• pp.1093-1098
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• 2007

In designing the high-speed railroad track, it is important to utilize appropriate track components to maintain uniform stiffness and ensure track alignment within the tolerance set for that system. In this regard, continuous welded rails (CWRs) were introduced to the Korean railways. Yet the installation of CWRs can result in an adverse impact due to the track/structure interaction on bridge sections yielding variations in the stiffness at the expansion joints. It may also impose additional axial force, generate excessive stress or deflection on track, and loosen the ballast at the ends as a bridge deck contracts or expands owing to a thermally-induced dynamic response. The risk is even greater in a long bridge deck, resulting in track longitudinal irregularities, deteriorating passenger's comfort, and increasing maintenance efforts. This study evaluates the performance of ZLR and their impact on track longitudinal irregularities through the track measuring results on a test section installed the ZLR in order to minimize the thermally-induced responses and the maintenance efforts for the high speed railway bridges.

• 한국철도학회:학술대회논문집
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• 한국철도학회 1999년도 춘계학술대회 논문집
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• pp.442-449
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• 1999

Due to temperature variations, considerable longitudinal rail forces and displacements may develop in continuous welded rail(CWR) track on long-span bridges or viaducts. Excessive relative displacements between sleepers and ballast bed may disturb the stable position of the track in the ballast which results in a lower frictional resistance. Generally, these problems are solved by installing rail expansion devices. However the application of expansion devices in high-speed tracks on existing bridges, as a means to prevent excessive longitudinal displacements and forces, is not attractive method due to comfort, safety and maintenance aspects. An alternative and very effective solution is possibly the use of so-called zero longitudinal restraint(ZLR) fastenings over some length of the track. The calculations, carried out in this respect, show a considerable reduction of track displacements, track forces, and the relative sleeper/ballast displacements. This reduction depends on the length over which these fastenings are installed. In this paper calculations of the longitudinal displacments and forces in a CWR track and substructure resulting from thermal, mechanical and kinematical loads were carried out using the FEM analysis program LUSAS

• 대한간호학회지
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• 제49권6호
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• pp.724-735
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• 2019

Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24. Results: In the final model, admission via emergency department (Β=.06, p=.019), age over 65 years (Β=.11, p=.001), unconsciousness (Β=.18, p=.001), dependent activities (Β=.12, p=.001), abnormal vital signs (Β=.12, p=.001), pressure ulcer risk (Β=.12, p=.001), enteral nutrition (Β=.12, p=.001), and use of restraint (Β=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (Β=.06, p=.038), hospital length of stay (Β=5.06, p=.010), and discharge to another facility (not home) (Β=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium. Conclusion: The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.