• Title/Summary/Keyword: continuous restraint

Search Result 32, Processing Time 0.028 seconds

Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards (신경계 병동에서 억제대를 적용 중인 환자가족의 억제대 적용에 대한 인식과 태도)

  • Ha, So-Yeon;Ha, Yi-Kyung;Kim, Myung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.5
    • /
    • pp.3293-3302
    • /
    • 2015
  • This study was conducted to identify families' perception and attitude toward application of physical restraint(PR) in general neurological wards. The study is based on subjects from 70 family members who have cared patients applying PR. Data was collected using self-report questionnaires and reviewing of patients' medical records. 68.6% of subjects were female and the mean age was 47.9 years old. Family members were either sons, daughters or spouses. The questionnaires analyzed families' perceptions based on a score of 5, the results showed a mean score of 4.2, and items related to maintaining therapeutic tools scored the highest. The application of PR with two hands was perceived by families as more important than PR applied with one hand. In families' attitude toward PR, there was general agreement that families had the right to decide to apply and remove PR. Continuous education and information regarding PR is required to support families.

Neurogenic effect of exercise via the thioredoxin-1/ extracellular regulated kinase/β-catenin signaling pathway mediated by β2-adrenergic receptors in chronically stressed dentate gyrus

  • Kim, Mun-Hee;Leem, Yea-Hyun
    • Korean Journal of Exercise Nutrition
    • /
    • v.23 no.3
    • /
    • pp.13-21
    • /
    • 2019
  • [Purpose] Chronic stress is a precipitating factor for depression, whereas exercise is beneficial for both the mood and cognitive process. The current study demonstrates the anti-depressive effects of regular exercise and the mechanisms linked to hippocampal neurogenesis. [Methods] Mice were subjected to 14 consecutive days of restraint, followed by 3 weeks of treadmill running, and were then subjected to behavioral tests that included the forced swimming and Y-maze tests. Protein levels were assessed using western blot analysis and newborn cells were detected using 5-bromo-2'-deoxyuridine (BrdU). [Results] Three weeks of treadmill running ameliorated the behavioral depression caused by 14 days of continuous restraint stress. The exercise regimen enhanced BrdU-labeled cells and class III β-tubulin levels in the hippocampal dentate gyrus, as well as those of thioredoxin-1 (TRX-1) and synaptosomal β2-adrenergic receptors (β2-AR) under stress. In vitro experiments involving treatment with recombinant human TRX-1 (rhTRX-1) augmented the levels of phospho-extracellular signal-regulated kinases 1 and 2 (ERK1/2), nuclear β-catenin, and proliferating cell nuclear antigens, which were previously inhibited by U0216 and FH535 (inhibitors of ERK1/2 and β-catenin/T cell factor-mediated transcription, respectively). The hippocampal neurogenesis elicited by a 7-day exercise regimen was abolished by a selective inhibitor of β2-AR, butoxamine. [Conclusion] These results suggest that TRX-1-mediated hippocampal neurogenesis by β2-AR function is a potential mechanism underlying the psychotropic effect of exercise.

Earthquake response of isolated cable-stayed bridges under spatially varying ground motions

  • Ates, Sevket;Soyluk, Kurtulus;Dumanoglu, A. Aydin;Bayraktar, Alemdar
    • Structural Engineering and Mechanics
    • /
    • v.31 no.6
    • /
    • pp.639-662
    • /
    • 2009
  • A comprehensive investigation of the stochastic response of an isolated cable-stayed bridge subjected to spatially varying earthquake ground motion is performed. In this study, the Jindo Bridge built in South Korea is chosen as a numerical example. The bridge deck is assumed to be continuous from one end to the other end. The vertical movement of the stiffening girder is restrained and freedom of rotational movement on the transverse axis is provided for all piers and abutments. The longitudinal restraint is provided at the mainland pier. The A-frame towers are fixed at the base. To implement the base isolation procedure, the double concave friction pendulum bearings are placed at each of the four support points of the deck. Thus, the deck of the cable-stayed bridge is isolated from the towers using the double concave friction pendulum bearings which are sliding devices that utilize two spherical concave surfaces. The spatially varying earthquake ground motion is characterized by the incoherence and wave-passage effects. Mean of maximum response values obtained from the spatially varying earthquake ground motion case are compared for the isolated and non-isolated bridge models. It is pointed out that the base isolation of the considered cable-stayed bridge model subjected to the spatially varying earthquake ground motion significantly underestimates the deck and the tower responses.

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

  • Shin, Hye Eun;Kang, Jiyeon
    • Journal of Korean Critical Care Nursing
    • /
    • v.9 no.2
    • /
    • pp.13-25
    • /
    • 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.

  • PDF

Measurement and Analysis of Rodent Biological Signals using Telemetry System (원격측정장치를 이용한 설치류의 생체신호 측정 및 분석)

  • Kim, Chang-Hwan;Hur, Gyeong-Haeng
    • Journal of the Korea Institute of Military Science and Technology
    • /
    • v.14 no.6
    • /
    • pp.1159-1165
    • /
    • 2011
  • Telemetry techniques of rats have been used for assessing safety pharmacology of drugs and chemicals. Biological signals including blood pressure and heart rate measured under anesthesia were significantly different from those obtained under normal conditions. The stress of restraint in awake animals can also affect the accuracy of physiological evaluation. This paper details the surgery required to allow key cardiovascular parameters to be determined. The telemetric measurement of cardiovascular parameters such as blood pressure, heart rate, electrocardiograph(ECG) established. We carried out the continuous monitoring of cardiovascular parameters using the telemetry system in F344 rats. During the measurement, no significant changes were observed in the heart rate and blood pressure. ECG signals and body temperature were also constant during the measurement of biological signals. With the results of this study, we conclude that this telemetry system can be applied usefully for the assesment of biological parameters in the rats.

Relationship between convergence awareness for healthy weight management and eating behavior, creativity and convergence competency of adolescents (청소년의 건강 체중관리를 위한 융합 인식 및 식행동과 창의·융합역량과의 관련성)

  • Kim, Yunhwa;Lee, Youngmi;Lee, Yeon-Kyung
    • Journal of Nutrition and Health
    • /
    • v.55 no.3
    • /
    • pp.376-389
    • /
    • 2022
  • Purpose: Obesity can lead to several chronic diseases. With a continuous increase in the obesity rates, sustainable healthy weight management among growing adolescents has become essential. This study was conducted to examine the relationship between obesity-related factors and creative convergence ability. This could form the basis for convergence education for the sustainable healthy weight management of adolescents. Methods: Data were collected from 430 adolescents in Daegu, Gyeongbuk, and Gyeonggi regions using a self-administered 5-Likert questionnaire from November to December 2020. Results: The average score of the male students was higher than that of the female students in terms of healthy weight management convergence awareness, creativity, convergence thinking ability, self-efficacy, exercise, and dietary diversity. On the other hand, the dietary restraint score and the number of weight loss attempts were higher in the female students. Dietary restraint, disinhibition scores and weight loss attempts were higher in obese adolescents compared to underweight adolescents. It was found that dietary restraint, convergence thinking ability, problem-solving ability, exercise, and dietary diversity factors had a positive effect on healthy weight management convergence awareness. Healthy weight management convergence awareness, exercise, meal amount management, junk food management, weight loss belief, and weight loss trial experience had a positive effect on dietary restraint. Convergence thinking ability, weight loss experience, and obesity factors had a positive effect on dietary disinhibition. Conclusion: The sustainable healthy weight management education of adolescents is based on weight management knowledge and awareness of convergence, and must include gender differences. Thus, the problem-solving ability for healthy weight management can be creatively cultivated to enhance self-efficacy.

A Simplified Numerical Model for an Integral Abutment Bridge Considering the Restraining Effects Due to Backfill

  • Hong, Jung-Hee;Jung, Jae-Ho;You, Sung-Kun;Yoon, Soon-Jong
    • Journal of the Korea Concrete Institute
    • /
    • v.15 no.5
    • /
    • pp.759-767
    • /
    • 2003
  • This paper presents the simplified but more rational analysis method for the prediction of additional internal forces induced in integral abutment bridges. These internal forces depend upon the degree of restraint provided tc the deck by the backfill soil adjacent to the abutments and piles. In addition, effect of the relative flexural stiffness ratio among pile foundations, abutment, and superstructure on the structural behavior is also an important factor. The first part of the paper develops the stiffness matrices, written in terms of the soil stiffness, for the lateral and rotational restraints provided by the backfill soil adjacent to the abutment. The finite difference analysis is conducted and it is confirmed that the results are agreed well with the predictions obtained by the proposed method. The simplified spring model is used in the parametric study on the behavior of simple span and multi-span continuous integral abutment PSC beam bridges in which the abutment height and the flexural rigidity of piles are varied. These results are compared with those obtained by loading Rankine passive earth pressure according to the conventional method. From the results of parametric study, it was shown that the abutment height, the relative flexural rigidity of superstructure and piles, and the earth pressure induced by temperature change greatly affect the overall structural response of the bridge system. It may be possible to obtain more rational and economical designs for integral abutment bridges by the proposed method.

A Study on the Bending Strength of a Built-up Beam Fabricated by the $CO_2$ Arc Spot Welding Method ($CO_2$아크 스폿 용접법에 의한 조립보의 굽힘강도에 관한 연구)

  • 한명수;한종만;이준열
    • Journal of Welding and Joining
    • /
    • v.15 no.4
    • /
    • pp.143-153
    • /
    • 1997
  • In this study, bending test was performed on the real-scale, built-up beam test model fabricated by the $CO_2$ arc spot welding to evaluate the applicability of the welding method to the production of the stiffened plate in car-carrying ship. The built-up beam models which were fixed at both ends in longitudinal direction or simply supported to the rigid foundation, depending on the restraint condition of the corresponding car decks considered, were subjected to simulated design vehicle loads or concentrated point loads. During the test, the central deflection and the longitudinal bending stresses were measured from several points on the longitudinal flange face to predict the section properties of the built-up beams. The longitudinal bending stress on each spot weld were also measured to calculate the average horizontal shear force subjected to spot welds. Test results revealed that the shear strength of spot welds with their current weld nugget size and welding pitch was adequate enough to withstand the horizontal shear forces under the design vehicle loads. Although the built-up beam fabricated by the arc spot welding was a discontinuous beam, its mechanical behavior was well explained by the continuous beam theory using the effective breadth of plate. Based on test results, the criterion for the size of spot weld of which the average shear stress might meet the allowable stress requirement of AWS Code could be established.

  • PDF

Consideration of Domestic Category Killers for Distribution Environment

  • Kim, Moon-Sook;Kim, Hyeon-Ju
    • The International Journal of Costume Culture
    • /
    • v.2 no.1
    • /
    • pp.31-42
    • /
    • 1999
  • The category killer that has been rapidly growing mainly in advanced countries since early 1990's, is a mew distribution model which aims for obtaining market controlling power by surpassing competing businesses in a specific area of products. The domestic situation of category killers is very different from that of advanced ones abroad since it has just been introduced into the Korean market. At the moment, there are only 10 or so companies operating in the market : Geopyung's , Taeheng's , Midopa's , of Sinsegye Department store, adn of Yerim International. The purpose of this study is to examine problems of domestic companies in the present market by analysing the operation status of category killers in domestic markets as well as foreign ones, and to suggest a counter-strategy of category killers for the distribution environment of the 21st century to improve the competitiveness of Korean distribution industry. The competitiveness of category killers lies above all in products lines. Category killers are equipped with the greatest number of products lines among those of competing businesses due to maximized product selections in an limited range. Another source of competitiveness may be found in balanced strategy positioning. That is to say, category killers are in a position where they can adjust policies towards any of the three purposes while aiming at them altogether : prices of discount stores, products range of specialty stores, and customer service level of department stores. It is also necessary for efficient store operation to use information technology such as electronic data interchange (EDI), electronic pose system(EPOS) and electronic funds transfer (EFTPOS). As for the cost structure, category killers can gain an advantage over other business since operating cost of various sections can be saved. There are, however, certain risks that category killers with strong competitiveness may influence on other businesses a great deal and even facilitate their decline. Yet it seems that the growth of category killers will be more viciously restrained by continuous challenges from other businesses. The distribution industry is supposed to develop through such competition and restraint.

  • PDF

The Development of Continuous Flow Method Through Microwave Oven for the Analysis of Metal Oxides in Water by ICP-AES (ICP-AES에 의한 수중의 금속 산화물 직접분석을 위한 연속흐름 Microwave 용해장치 개발 연구)

  • Kim, Yeon Du;Lee, Gye Ho;Kim, Hyeong Seung;Kim, Dong Su;Park, Gwang Gyu
    • Journal of the Korean Chemical Society
    • /
    • v.38 no.8
    • /
    • pp.576-584
    • /
    • 1994
  • The method described offers rapid and efficient sample preparation using on-line microwave digestion of metal oxides in water sample with direct elemental detection by ICP-AES. The open tubing digestion system(OTD) and the restraint tubing digestion system(RTD) for flow injection(FI) were designed and tested to find the optimum conditions. Comparison of OTD and RTD indicated that RTD was 3 times faster on the digestion time, and 10 times higher on sample mass. Finally, the results of RTD agree well with those by conventional microwave open vessel in all cases and show good precision; Fe and Cu show good with about 5% of RSD, while Zn and Co more or less than 10% RSD.

  • PDF