• 제목/요약/키워드: pressure effects

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음압 창상 처치(Negative pressure wound therapy)에 대한 문헌적 고찰 (Review of negative-pressure wound therapy)

  • 유주리;강재경
    • Journal of Medicine and Life Science
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    • 제15권2호
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    • pp.56-61
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    • 2018
  • NPWT는 90년대 이후 많은 연구가 이루어지며 발전해왔다. 이 기술은 사용하기에 간단하고 다양한 상처에 적용할 수 있고 효용성과 비용-효과가 뛰어나며 부작용이 적다. 따라서 NPWT를 일반적인 드레싱 대신에 사용하면 육아조직의 빠른 성장과 상처 수축을 통해 피부 이식이나 피판이 필요한 부위를 줄일 수 있고 봉합이 불가했던 부위를 가능하게 하므로 창상 환자에 대한 의료 비용을 감소시키고 만성 창상 환자가 입원하지 않고 움직이면서 창상 관리가 가능하도록 할 수 있는 유용한 방법이다.

The Effects of Visual Biofeedback Information on Hyperextended Knee Control

  • Jung, Sung-hoon;Jeon, In-cheol;Ha, Sung-Min
    • The Journal of Korean Physical Therapy
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    • 제33권3호
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    • pp.162-167
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    • 2021
  • Purpose: A hyperextended knee is described as knee pain associated with an impaired knee extensor mechanism. Additionally, a hyperextended knee may involve reduced position sense of the knee joint that decreases the individual's ability to control end-range knee extension movement. The purpose of this study was to investigate the effects of visual biofeedback information for plantar pressure distribution on knee joint angle and lower extremity muscle activities in participants with hyperextended knees. Methods: Twenty-three participants with hyperextended knees were recruited for the study. Surface electromyography signals were recorded for the biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior muscle activities. The plantar pressure distribution was displayed and measured using a pressure distribution measuring plate. Knee joint angle kinematic parameters were recorded using a motion analysis system. The visual biofeedback condition was the point at which the difference between the forefoot and backfoot plantar foot pressure on the monitor was minimized. The Wilcoxon signed-rank test was used to determine the significance between the visual biofeedback condition and the preferred condition. Results: The knee joint angle was significantly decreased in the visual biofeedback condition compared to that in the preferred condition (p<0.05). The rectus femoris and gastrocnemius muscle activities were significantly different between the visual biofeedback and preferred conditions (p<0.05). Conclusion: The results of this study showed that visual biofeedback of information about plantar pressure distribution is effective for correcting hyperextended knees.

상재하중과 점토함유량이 불포화 풍화토의 함수특성에 미치는 영향 (Effects of Overburden Pressure and Clay Content on Water Retention Characteristics of Unsaturated Weathered Soils)

  • 박성완;박재영;태두형;심영종
    • 대한토목학회논문집
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    • 제30권1C호
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    • pp.53-63
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    • 2010
  • 함수특성곡선은 불포화지반의 거동을 분석하는데 있어서 매우 중요한 물성으로 활용되고 있으나 많은 경우 상재하중과 세립분의 영향을 고려하지 않은 상태에서 측정되어 적용해 왔다. 따라서 본 논문에서는 국내의 대표적인 풍화토를 대상으로 상재하중과 점토의 함유량에 따른 함수특성 영향을 살펴보았다. 상재하중, 세립분, 그리고 이력 조건을 고려하여 함수특성과 불포화 투수계수를 SWCC 시험결과를 토대로 평가하였다. 또한 불포화시 습윤용적과 확산능력에 대하여도 살펴보았다.

차압주조공정에서 공정변수가 후육 주조품의 주조특성에 미치는 영향 (Effect of Process Parameters on Thick-wall Thickness Casting Characteristics in Counter Pressure Casting Process)

  • 강호정;윤필환;이규흔;김억수;박진영
    • 한국주조공학회지
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    • 제40권2호
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    • pp.34-42
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    • 2020
  • The effects of the initial balancing pressure, filling pressure and maximum build-up pressure on the casting characteristics of the thick-wall thickness casting during the counter-pressure casting process were investigated. Water model experiment and a computer simulation were carried out to evaluate the characteristics during the filling and solidification stages in counter-pressure casting (CPC); as a reference, the low-pressure casting (LPC) process was used. The average dendrite cell size decreased with an increase in the solidification rate and maximum build-up pressure. A turbulent flow occurred during the filling stage of the LPC process, resulting in the formation of inner gas, while a lamellar flow pattern dominated during the CPC process and was more evident with an increase in the initial balancing pressure, improving the mechanical properties of the castings.

2단계 욕창 치유에 영향을 주는 요인 분석 (Factors affecting Healing of Stage 2 Pressure Ulcer)

  • 박경희;김금순
    • 중환자간호학회지
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    • 제3권2호
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    • pp.1-11
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    • 2010
  • Purpose: This study was designed to identify the factors affecting healing of Stage 2 pressure ulcer in an acute care facility in Korea. Methods: 286 Stage 2 pressure ulcers of 145 patients were examined. Data were collected in the period between October $1^{st}$, 2006 and September $30^{th}$, 2007. Data were analyzed with Kaplan-Meier survival analysis for cumulative recovery rate of Stage 2 pressure ulcers. Cox proportional hazard model was used to examine effects of multiple variables simultaneously. Results: Out of 286 initial Stage 2 pressure ulcers, 204 (71.3%) pressure ulcers healed completely. The median time to heal was 15 days according to Kaplan-Meier survival analysis. Cox proportional hazard model showed that the Stage 2 pressure ulcers healed more quickly when pressure redistribution surfaces were used (p<.001, HR=2.184), patients were administered with vitamins (p= .038, HR=1.451), and the size of the pressure ulcers were small (${\leq}3.0cm^2$, p= .006, HR=1.765). Conclusion: The factors contributing to the healing of Stage 2 pressure ulcer in an acute care setting were the application of pressure redistribution surface, small ulcer size (${\leq}3.0cm^2$), and the administration of vitamins.

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심해 환경 하에서 내파 충격파를 받는 내압 선체의 동적 좌굴 평가 기법 (Dynamic Stability Assessment of Pressure Hull in Deep Sea against Implosion Pressure Pulse)

  • 노인식;조상래;조윤식
    • 대한조선학회논문집
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    • 제57권4호
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    • pp.198-206
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    • 2020
  • In this study, the dynamic structural behavior of pressure vessels due to pressure pulse initiated by implosion of neighbouring airbacked equipments including Unmanned Underwater Vehicles (UUV), sensor system, and so on were dealt with for the structural design and safety assessment of pressure hulls of submarine. The dynamic buckling and collapse responses of pressure vessel in deep sea were investigated considering the effects of initial hydrostatic pressure and fluid-structure interactions. The governing equations for circular cylindrical shells were formulated theoretically assuming a relatively simple displacement fields and the derived nonlinear simultaneous ordinary differential equations were analysed by developed numerical solution algorithm. Finally, the introduced safety assessment procedures for the dynamic buckling behaviors of pressure hulls due to implosion pressure pulse were validated by comparing the theoretical analysis results with those of experiments for examples of simple cylinders.

외이경혈 미세전류신경근 자극과 체성경혈 미세전류신경근 자극이 압통역치에 미치는 효과 (Effects of Microcurrent Electrical Neuromuscular Stimulation of Auricular and Somatic Acupuncture Points on Experimental Pressure Threshold)

  • 고현철;조원호;한승수
    • 한국전문물리치료학회지
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    • 제4권2호
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    • pp.36-50
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    • 1997
  • The purpose of this study was to compare the effects of high intensity, high frequency microcurrent electrical neuromuscular stimulation(MENS) of auricular and somatic acupuncture points and low intensity, low frequency microcurrent electrical neuromuscular stimulation(MENS) of auricular and somatic acupuncture points on experimental pressure threshold at the elbow according to the time. Fifty healthy adults, aged 19 to 26 years, were assigned randomly to one of five groups: 1) the high intensity, high frequency somatic group(n=10) received MENS to somatic acupuncture points, 2) the high intensity, high frequency auricular group(n=10) received MENS to auricular acupuncture points, 3) the low intensity, low frequency somatic group(n=10) received MENS to somatic acupuncture points, 4) the low intensity, low frequency somatic group(n=10) receive MENS to somatic acupuncture points, and 5) the placebo group(n=10) received placebo treatment and served as controls. Pressure threshold was measured before, after, 5 minutes, 10 minutes and 15 minutes. Pressure threshold has increased significantly(p<.05) in the high intensity, high frequency auricular group following treatment after 5 minutes, with no statistically significant differences in pressure threshold change scores among five groups, Only the high intensity, high frequency auricular group demonstrated statistically significant change score in pressure threshold following treatment after, 5 minutes, 10 minutes and 15 minutes after compared to the placebo group. The results indicated that MENS applied to the high intensity, high frequency auricular group increases pressure threshold.

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상호교환식 메트로놈 훈련이 만성 뇌졸중 환자의 족저압과 낙상효능감에 미치는 영향 (Effects of Interactive Metronome Training on the Plantar Pressure and Fall Efficacy in Chronic Stroke Patients)

  • 황원경;이한숙;박선욱
    • 대한물리의학회지
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    • 제15권1호
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    • pp.105-112
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    • 2020
  • PURPOSE: This study examined the effects of Interactive Metronome training on the plantar pressure and fall efficacy in chronic stroke patients. METHODS: Twenty-two hemiplegic patients were allocated randomly to an experimental group and control group. The experimental group received conventional physical therapy and emphasized weight-bearing interactive metronome training, whereas the control group received conventional physical therapy. The training was performed three times per week, 40 minutes per each session, for a total of seven weeks. The plantar pressure was assessed using the contact area and contact pressure, whereas the fall efficacy was assessed using the FES (Fall Efficacy Scale), ABC (Activities-specific Balance Confidence scale) and FOFQ (Fear of Falling Questionnaire). RESULTS: After training, a significant increase was observed in the paretic side of the contact area and the paretic and non-paretic side of contact pressure in both groups (p<.05). The between-group differences in the changes before and after training were statistically significant in the paretic side of the contact pressure (p<.05). After training, both the FES of the between-group and ABC of the experimental group were increased significantly (p<.05), but the between-group differences in the changes before and after training were not statistically significant in the FES, ABC, and FOFQ (p>.05). CONCLUSION: Interactive Metronome training is considered an effective treatment for improving the contact pressure of the paretic side in chronic stroke patients.

폐경전 성인 여성에서 운동과 칼슘 섭취량이 혈압과 혈중 지질에 미치는 영향 (Effects of Exercise and Calcium intake on Blood Pressure and Blood Lipids in Premenopausal Women)

  • 최미자
    • Journal of Nutrition and Health
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    • 제34권1호
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    • pp.62-68
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    • 2001
  • The purpose of this study was to confirm that regular physical exercise habit and calcium intake play a role reducing the risk of cardiovascular diseae, particularly to confrim that regular exercise is important in reducing serum lipid levels. Subjects were classified into regular exercise group(more than 3 times/wk, more than 30 min per exercise) and non-regular exercise group. A convenient frequency method was used to assess the nutritional intake of subjects. Anthropometric measurement such as bodyweight and hight, and blood pressure were measured. There was no significant difference between nonexercisers and exerciser in energy intake, calcium intake and blood lipid levels. The strength of frequency of exercise may not by adequate to modify lipid profiles in premenopausal woman with normal lipid level, Although we found no significant difference in blood lipid levels, this result does not imply there are no benefits of exercise subjects. There were no signigicant correlations between age or weight with blood lipids in regular exercise group, while there were significant positive correlations between age of weight with blood lipids in non-regular exercise group. The levels of serum cholesterol, and triglyceride, blood pressure and atherogenic index increased with age in nonexercise women, Especially, atherogenic index was lower in regular exercise group. The blood pressure in nonexercise group was significantly higher than that in regular exercise group There was a highly significant negative correlation between calcium intake and blood pressure in nonexercise women, There was a highly significant negative correlation between calcium intake and blood pressure in nonexercise women. The results suggest that increased habitual physical activity and calcium intake may have desirable effects on serum lipid levels and blood pressure in premenopausal women.(Korean J Nutrition 34(1):62-68, 2001)

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평행이동하는 강성옹벽에 작용하는 비선형 주동토압 : II. 적용성 (Nonlinearly Distributed Active Earth Pressure on a Translating Rigid Retaining Wall : II. Application)

  • 백규호
    • 한국지반공학회논문집
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    • 제19권1호
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    • pp.191-199
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    • 2003
  • 강성 옹벽에 작용하는 주동토압은 뒷채움재에서 발생하는 아칭효과로 인하여 삼각형이 아닌 비선형의 분포형태를 보인다. 따라서 뒷채움재에서 발생하는 아칭효과를 고려함으로써 평행이동하는 강성옹벽에 작용하는 주동토압의 비선형 분포를 산정할 수 있는 새로운 토압산정식이 제안되었다. 본 논문에서는 $\phi$\delta$, 그리고 옹벽의 높이가 새로운 제안식에서 계산되는 토압의 크기와 분포형태에 미치는 영향을 알아보기 위하여 매개변수 분석을 수행하였다. 그리고 제안된 토압산정식에 대한 정확도를 검증하기 위하여 새로운 제안식에서 얻어진 결과들이 기존의 시험결과 및 기존 제안식들의 결과들과 비교되었다. 예측치와 측정치의 비교를 통해서 새로운 토압산정식은 평행이동하는 강성 벽체에 작용하는 주동토압의 크기와 분포형태에 대하여 만족스런 결과를 주는 것으로 나타났다. 또한 새로운 토압산정식의 사용성을 높이기 위하여 수정 주동토압계수와 주동토압의 작용점 높이에 대한 간편한 설계도표가 제시되었다.