Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥2-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.
As rock bolts become one of the main support systems in tunnels and underground structures, the integrity of the rock bolts affects the safety of these structures. The purpose of this study is the evaluation of rock bolt integrity using wavelet transforms of the guided ultrasonic waves by using transmission test in the field. After several rock bolts with various defect ratios are embedded into a large scale concrete block and rock mass, guided waves are generated by a piezo disk element and measured by an acoustic emission (AE) sensor. The captured signals are analyzed in the time-frequency domain using the wavelet transform based on a Gabor wavelet. Peak values in the time-frequency domain represent the interval of travel time of each echo. The energy velocities of the guided waves increase with an increase in the defect ratio. The suitable curing time for the evergy velocity analysis is proposed by the laboratory test, and in-situ tests are performed in two tunnelling sites to verify the applicability of rock bolt integrity tests performed after proposed curing time. This study proves that time-frequency domain analysis is an effective tool for the evaluation of the rock bolt integrity.
This paper is performed to examine the effect of creep during the primary consolidation and the applicability of the Yin's EVP (Elasto-Visco-Plastic) model. In ordinary consolidation theories using the elastic model, the primary consolidation process can be expressed but the secondary consolidation process cannot. It is due to the viscosity, which can express the secondary consolidation, and is sometimes related to the scale effect (difference of the thickness of clay layer between laboratory sample and field condition) such as hypotheses Type A and Type B shown by Ladd et al. (1977). Usually, the existence of the creep during the primary consolidation has been conformed and the Type B is well acceped. On the other hand, from the large-scaled consolidation tests the intermediate characteristic between Type A and Type B was proposed as Type C by Aboshi (1973). In this study, to clarify the effect of creep on the settlement-time relation during the primary consolidation in detail, Type B consolidation tests were performed using the separate-type consolidation test apparatus for a peat and clay. Then the test results were analyzed by using Yin's EVP Model (Yin and Graham, 1994). In conclusion, followings were obtained. At the end of primary consolidation, the compression for the subspecimens should not be the same because of the difference of the excess pore water pressure dissipation rate. And the average settlement measured by the separate-type consolidometer coincides with the analyzed one using the Yin's EVP model. As for the dissipation of the excess pore water pressure, however, the measured excess pore water pressure dissipates faster compared with the Yin's model.
Journal of the Korean Regional Science Association
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v.9
no.1
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pp.65-78
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1993
In this study, the significant and enduring concentration of federal R&D spending in metro-scale clusters across the nation is treated as evidence of the operation of a distinct industrial infrastructure defined by the ability of R&D performers to attract external funding and pursue the sophisticated project work demanded. It follows, then, that the agglomerative potential of these R&D concentrations -- performers and their support infrastructures -- requires a search for economic impacts guided by a different stimulative effects attributable to federal R&D spending may be that substantial subnational economic impacts are routinely obscured and diluted by research designs that seek to discover impacts either at the level of nation-scale economic aggregates or on firms or specific industries organized spatially. Therefore, this study proceeds by seeking to link the locational clustering of federal contract R&D spending to more localized economic impacts. It tests a series of models(X-IV) designed to trace federal contract R&D spending flows to economic impacts registered at the level of metro-regional economies. By shifting the focus from funding sources to recipient types and then to sector-specific impacts, the patterns of consistent results become increasingly compelling. In general, these results indicated that federal R&D spending does indeed nurture the development of an important nation-spanning advanced industrial production and R&D infrastructure anchored primarily by two dozed or so metro-regions. However, dominated as it is by a strong defense-industrial orientation, federal contract R&D spending would appear to constitute a relatively inefficient national economic development policy, at least as registered on conventional indicators. Federal contract R&D destined for the support of nondefense/civilian(Model I), nonprofit(Model II), and educational/research(Mode III) R&D agendas is associated with substantially greater regional employment and income impacts than is R&D funding disbursed by the Department of Defense. While federal R&D support from DOD(Model I) and for-profit(Model II) and industrial performer(Model III) contract R&D agendas are associated with positive regional economic impacts, they are substantially smaller than those associated with performers operating outside the defense industrial base. Moreover, evidence that the large-business sector mediates a small business sector(Model VI) justifies closer scrutiny of the relative contribution to economic growth and development made by these two sectors, as well as of the primacy typically accorded employment change as a conventional economic performance indicator. Ultimately, those regions receiving federal R&D spending have experienced measurable employment and income gains as a result. However, whether or not those gains could be improved by changing the composition -- and therefore the primary missions -- of federal R&D spending cannot be decided by merely citing evidence of its economic impacts of the kind reported here. Rather, that decision turns on a prior public choice relating to the trade-offs deemed acceptable between conventional employment and income gains, the strength of a nation's industrial base not reflected in such indicators, and the reigning conception of what constitutes national security -- military might or a competitive civilian economy.
There were already several studies conducted on the steel-concrete (SC) composite column, which was developedcomplement the weaknesses and maintain the advantages of previous composite columns. The axial compressive capacity of the SC composite column was estimated by the tests in previous studies, but the experiments for the large-scale column could not be performed because of the limitation with the laboratory's capacity. In this study, the analytical study was performed using the general finite element analysis program to reflect the interaction of concrete and steel and the local buckling of steel flange composed of the non-compact section. The appropriateness of the analytical model was verified by the comparison between experimental and analytical results. The nonlinear behavior of full-scale SC composite column was analyzed using the verified analytical model. From these analytical studies, it was concluded that the width-to-thickness ratio of the steel cross-section of the SC composite column should not exceed 25:0. The section area of the link is best when it is over 0.025 dt, and the link distance is to be less than D/2 or 300mm.
Almost all countries of the world have recently made great efforts to reduce green-house gases to alleviate the global warming threatening human survival, because a huge amount of carbon dioxide as one of the main green-house gases has been emitted from the combustion processes of fossil fuels such as coal and oil. $CO_2$ capture and storage (CCS) technology is a representative method to diminish the green-house gases, and actively investigated by many countries. This study focuses on the design and construction of a high pressure $CO_2$ injection facility to store it to underground, which is the first $CO_2$ injection in Korea following the steps of the $CO_2$ capture from large $CO_2$ emission sources and transportation to the sea. Injection tests of $CO_2$ on the platform on the sea were carried out in Yeongil Bay of Pohang city in the early 2017. Thus, we were able to perceive the necessary operating conditions of the injection facility, injection characteristic, and knowhow of the injection facility. The results obtained from the injection test shall be utilized for facility upgrades and scale-ups.
This paper presents the results of performance verification tests of the isolated flat plate apartment building with the laminated rubber bearings. The shaking table test is carried out in CABR(China Academy of Building Research) with two 1/10 scale isolation and non-isolation models under 4 excitation waves. The shaking table test is proceeding from x axis, y axis and x+y axis with different amplitude of acceleration values. The results show that, to non-isolated model, the natural vibration period is remarkably decreased and entered non-linear condition after moderate earthquake. Its accelerations become lager with increasing storey number and completely collapsed under large earthquake. The inter-storey shifts largely exceed the limit values of regulated displacement angles. But to isolated model, the natural vibration period of isolated modal is almost the same in all conditions and still in its elastic condition. The earthquake loading is greatly reduced and the accelerations of superstructure are greatly reduced. The inter-storey drifts are very small and can be neglected. The isolated model is in translational state and can be seen as a rigid whole. The displacements of isolation layer are in the allowable range. This experiment demonstrates that the seismic isolation is very effective to mitigate the influence of earthquake on structures and it is possible to increase the serviceability due to decrease the floor acceleration. facilities from their good states that is superior to non-isolated structure.
The Journal of Korean Academy of Sensory Integration
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v.16
no.2
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pp.50-63
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2018
Objective : The purpose of this study is to examine the effects of parent - child interaction therapy on parenting skills and children's problem behaviors by meta - analysis and to provide a basis for intervention methods. Methods : This study was conducted from January 2007 to March 2018 and the study was conducted using the parent-child interaction program for children with disabilities. PubMed and CINAHL, EBSCOhost, Science Direct were used to search for studies, and reference searching was also conducted as a secondary search option. A total of 7 studies was selected to meet the selection criteria, and the final 7 studies were assessed by using the Jadad scale. Statistical tests were performed using the R-meta-analysis program. Results : The effect size of parenting skill was large and the size of the effect of parenting stress was moderate. The children's problem behaviors also showed moderate effect sizes and all p-values were statistically significant (p < .0001). Conclusion : This study examined the effects of parent-child interaction therapy on parenting skills, parenting stress, and children's problem behaviors. Future research is needed to establish the basis for intervention for family involvement in pediatric occupational therapy.
The Journal of Korean Academy of Sensory Integration
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v.18
no.1
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pp.56-72
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2020
Objective : The purpose is to analyze the effects of parent training interventions in reducing the symptoms of Attention Deficit Hyperactivity Disorder (ADHD) and to provide a basis for the effects. Methods : We collected literature published in international academic journals from 2009 to 2019 through ProQuest and Scopus databases. The search key terms were (ADHD OR Attention Deficit Hyperactivity Disorder) AND (Parent OR Mother OR Father) AND (Training OR Program OR Therapy OR Intervention) AND (Randomized OR Randomised OR Randomly). The PEDro scale was used to evaluate the quality of the studies, and a meta-analysis was conducted through Comprehensive Meta-Analysis 3.0. Results : Of 628 studies that we reviewed, 20 were eligible for inclusion. of parental training interventions for children with ADHD appeared close to a medium effect size while parent-child interventions (0.639) appeared to have a medium to large effect size. Oppositional defiant behavior and conduct disorder (0.737) in children and children's emotions (0.679) appeared close to a large effect size. ADHD symptoms hyperactivity and impulsivity (0.590) and child behavior (0.521) appeared to be over a medium effect size. We chose a random-effects model since heterogeneity tests showed significant results. Conclusion : We were able to confirm the effects of parent training interventions on the symptoms of children with ADHD. This will be used as evidence to provide a clinical basis for occupational therapists. More research related to parental training interventions should be carried out to ensure better reporting in the future.
In this study, mortality, body wet weight, health assessment, and short-term behavioral mode were observed to determine the effects of ultrasound on the ecological response of the carp Cyprinus carpio. Mortality in the treatments was less than 5% during ultrasound exposure (31 dB re 1 ${\mu}Pa$, $14{\sim}15$ kHz) and there were no significant differences among the replicates (P>0.05). The treatments, based on mean wet weight, exhibited greater effect than the controls, but the magnitude of the differences was not large. Skins and tail fins of some test animals exposed to the controls and intensive treatment groups had light injury such as hemorrhaging, whereas, damages in other organs such as eyes, other fins, parasites, thymus, and gills were not observed (P>0.05). Sudden stimuli in low intensity at a short distance caused a directional avoidance of the fish from the sound. However, the carp exposed to ultrasound at the large scale field was not observed clear behavior changes. Overall results suggest that fish exposed to the low-intensity ultrasound had no serious stress during the tests.
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