• 제목/요약/키워드: pressure for study

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상급종합병원 입원환자의 욕창발생 위험예측을 위한 Braden Scale의 타당도 검증 (Determining Optimal Cut-off Score for the Braden Scale on Assessment of Pressure Injury for Tertiary Hospital Inpatients)

  • 박숙현;최혜연;손연정
    • 중환자간호학회지
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    • 제16권3호
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    • pp.24-33
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    • 2023
  • Purpose : This study aims to establish an optimal cut-off score on the Braden scale for the assessment of pressure injury to detect pressure injury risks among inpatients in a South Korean tertiary hospital. Methods : This retrospective study used electronic medical records, from January to December 2022. A total of 654 patients were included in the study. Of these, 218 inpatients with pressure injuries and 436 without pressure injuries were classified and analyzed using 1:2 Propensity Score Matching (PSM), and the generalized estimating equation was performed using SPSS Version 26 and the R Machlt package program. Results : The cut-off value on the Braden scale for distinguishing pressure injury was 17 points, and the AUC (area under the ROC curve) was 0.531 (0.484-0.579). The sensitivity was 56.6% (45.5-67.7%) and the specificity was 69.7% (66.0-73.4%). With 17 points, the Braden scale cut-off distinguished those who had pressure injuries from those who did not at the time of admission (p < .03). In the pressure injury group, the Braden score on the day of the pressure injury was 14, with significant results in all subcategories except the moisture category. Conclusion : Our findings revealed that a cut-off value of 17 was optimal for predicting the risk of pressure injuries among tertiary hospital inpatients. Future studies should evaluate the optimal cut-off values in different clinical environments. Additionally, it is necessary to conduct multicenter large sample studies to verify the effectiveness of a 17 value in PI risk assessments.

일시적인 시각차단이 만성 뇌졸중 환자의 지면 족저압 분포와 족부면적에 미치는 영향 (The Effects of Temporary Visual Block on the Foot Pressure and Foot Area of Chronic Stroke Patients)

  • 정성화;구현모
    • PNF and Movement
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    • 제17권1호
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    • pp.103-109
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    • 2019
  • Purpose: The purpose of this study was to investigate the effect of temporary visual block existence and nonexistence on the change in foot pressure and foot area in stroke patients. Methods: Sixty-one chronic stroke patients volunteered to participate in the study. Foot pressure and foot area were measured using the Biorescue system. The subject maintain a comfortable standing position on the pressure-measuring plate one meter away from the computer. The sequence of the visual variation data while standing on the measuring plate was collected randomly. The data were collected with three repetitions and used the five-second measuring values except the first second and the last second according to each visual condition. All data were analyzed using SPSS version 21.0. The significance level for the statistical inspection was set as 0.05. Results: The comparison between the visual existence and nonexistence status showed statistically significant effects on foot pressure and foot area. The visual nonexistence status showed more improvement in foot pressure symmetry and area than visual existence status. Conclusion: This study shows that the foot pressure and foot area for the chronic stroke patients changed according to the visual states. It is predicted that these data will be used in rehabilitation training programs and to present temporary changes in visual status for stroke patients.

폴리머 피뢰기의 고장전류에 대한 방압 설계기술에 관한 연구 (Study on the relief design for the fault current of polymer arrester)

  • 김인성;박효열;조한구
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1999년도 하계학술대회 논문집 D
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    • pp.1717-1719
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    • 1999
  • The chief advantage of polymer arrester. from design of pressure relief, anti-contamination, electrical failure was reduced by outdoor polymer housing. In the first for development of pressure relief design for polymer arrester, fault current and surge were studied through experiments of electrical. Designed the FRP inner tube and unit modules for pressure relief housing. Tested the performance of unit modules for pressure relief of polymer arrester, and the result was successful. The pressure relief of polymer arrester depend on design pattern of diamond shape and ellipse. Study on the pressure relief of FRP inner tube for outdoor polymer arrester. Designed and manufactured FRP inner tube of polymer arrester. Tested the fault current of polymer arrester per 10 kA, 10 cycle.

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척추의 만곡과 족저부 압력 분포 및 발각도의 상관성 연구 - 족부 진단기의 임상적 활용 가능성 검토를 위한 예비연구 - (A Study of the Correlation between Spinal Curvatures, Plantar Pressure and Foot Angles)

  • 은영준;송윤경;임형호
    • 척추신경추나의학회지
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    • 제2권2호
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    • pp.1-16
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    • 2007
  • Objectives : The purpose of this study was to identify spinal curvatures, plantar pressure and foot angles in a walking. Methods : 19 outpatients under 19 years old were included. Plantar pressure and foot angle in a walking were measured by using Gaitview AFA-50. Spinal curvatures were measured by using radiograph. Results : The cervical lordotic angle is significantly difference with left and right plantar pressure(p=0.027). The thoracic kyphotic angle is significantly difference with left and right plantar pressure(p=0.026). Cobb's angle is significantly difference with left and right plantar pressure(p=0.027). The other plantar pressure were no difference from spinal curvatures and foot angle in a walking. Conclusion : There were no correlation between plantar pressure, spinal curvatures and foot angle. We consider that needed more additional study.

어려운 기도를 가진 마네킹에게 양손후두경법, 우측-후방압박법과 반지연골압박법 효율성 비교 (Comparison of bimanual laryngoscopy, backward-rightward pressure, and cricoid pressure in difficult airway management: A manikin study)

  • 최혜경;정형근
    • 한국응급구조학회지
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    • 제18권2호
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    • pp.35-43
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    • 2014
  • Purpose: The purpose of this study was to establish novice user guidelines for efficient external laryngeal manipulation for intubation in difficult airway management. Methods: This study included 59 pre-qualified junior and senior emergency medical service students. The participants were instructed at random to intubate a manikin equipped with a cervical collar, thus simulating a difficult airway, using three types of external laryngeal manipulation: bimanual laryngoscopy, backward-rightward pressure, and cricoid pressure. The resultant intubation time and glottic view grade scores were estimated. Results: Intubation time was longest using the bimanual manipulation method, followed by cricoid pressure and backward-rightward pressure. A low Cormack-Lehane glottic view score was obtained regardless of the assisted compression method used. Conclusion: Backward-rightward pressure may be the most efficient method of external laryngeal manipulation on the basis of the intubation time and improvement in glottic view.

앉은 자세에서 탄력밴드를 이용한 PNF 팔 패턴의 방산효과가 골반의 압력에 미치는 영향 (The Relationship of Pelvic Pressure and Irradiation of the PNF Upper Arm Pattern in the Sitting Position with an Elastic Band -A Randomized Control Trial-)

  • 양재만;여고은;김동욱;이정훈
    • PNF and Movement
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    • 제17권3호
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    • pp.421-429
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    • 2019
  • Purpose: This study evaluated the relationship between pelvic pressure and irradiation of the proprioceptive neuromuscular facilitation (PNF) upper arm pattern exercises with an elastic band while in a sitting position. Methods: Fourteen subjects with asymptomatic pelvic pressure participated in this study. Pelvic pressure was measured using a Gaitview® system while sitting and performing PNF bilateral upper arm patterns. Resistance strength was provided by the blue elastic band. The statistical significance of the results was evaluated using a repeated one-way ANOVA and the independent t-test. The Bonferroni method was used for the post-hoc test. Results: The results revealed a significant change in the pelvic pressure when performing the PNF arm pattern. The average resistance pressure on the pelvis, with the elastic band, significantly increased after the initial sitting position (F=3.91, 3.92; p<0.05). No significant pelvic pressure changes were noted for each PNF upper arm pattern (p>0.05). Conclusion: The results of this study showed a positive relationship between pelvic pressure and the irradiation of PNF upper arm pattern exercises with resistance in the sitting position.

네스핏 트레킹화와 평면 인솔 트레킹화의 족저압력 분석 (Analysis of Plantar Pressure Differences between Flat Insole Trekking Shoes and Nestfit Trekking Shoes)

  • 최재원;이중숙
    • 한국운동역학회지
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    • 제25권4호
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    • pp.475-482
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    • 2015
  • Objective : The purpose of this study was to investigate mean plantar foot pressure, maximum plantar pressure and ground reaction force, and center migration path of pressure according to the type of trekking shoes for the development of shoes. Method : Subjects of the study averaged $22.10{\pm}2.05years$ of age. Their average height was $169.27{\pm}7.62cm$ and their average weight was $64.34{\pm}10.22kg$. The method of this study was administered measuring 50 steps, at once, 3 times at a speed of 4 km/h and using the data of 30 steps. Pedar-X system measured the mean foot pressure, maximum foot pressure, mean maximum force, and center migration path of pressure by subjects' position while walking. Statistical analysis was performed by SPSS 23.0 using a paired t-test. Results : Results of the study showed Nestfit trekking shoes lower foot pressure of both feet in mean foot pressure and maximum foot pressure. Nestfit trekking shoes showed high ground reaction force (p<.001) in the midfoot, and low mean ground reaction force in the rearfoot. The center migration path of pressure showed the Nestfit trekking shoes were more stable than flat insole trekking shoes. Conclusion : It can be concluded that wearing Nestfit trekking shoes spreads pressure efficiently and induces walking stability because Nestfit trekking shoes spread the pressure of the forefoot and rearfoot to the midfoot and the center migration path of pressure shows regularly.

소형 이륜자동차의 머플러 배기압력 특성에 관한 실험적 연구 (Experimental Study on the Exhaust Pressure Charactieristics in the small motorcycle.)

  • 이중섭;최석천;배재영;정한식;정효민;서정세
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2004년도 추계학술대회
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    • pp.678-683
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    • 2004
  • In this study, a experiment has been developed for measuring the exhaust pressure of muffler at inlet and outlet. The main experimental parameters were a engine speed and sound absorbing material in the muffler. The muffler sound absorbing material tested a steel wool and glass wool. The exhaust pressure was measured with pressure sensor. The phase of exhaust pressure with high speed was moved according to increasing engine speed comparing with exhaust pressure with low speed. Also, the distribution of exhaust pressure at the model-1, 2 and 3 are similar with distribution of exhaust pressure at muffler inlet.

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초고압 시스템의 안전성 확보에 대한 연구 (A Study of Safety Acquirement for an Assessment of Ultra High Pressure System)

  • 이기천;김형의;김재훈
    • 한국안전학회지
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    • 제25권5호
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    • pp.7-14
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    • 2010
  • Ultra high pressure system, which can be generally increased over 1,000bar, needs to have sealing mechanism to protect leakage and selection of the materials used in the intensifier. Components such as pressure vessel, hydraulic hose assembly, accumulator, hydraulic cylinder, hydraulic valve, pipe, etc., are tested under the impulse-pressure conditions. Components need to be tested under 1.5 to 3 times of rated pressure to check the tolerance even though rated pressure range of these components are not ultra high pressure. So, the ultra high pressure system needs to be equiped to test components. In this study, safety assessments of ultra high pressure system which are using failure analysis of components, changing the types of the control system, and finite element analysis with static condition, are investigated.

전자유압식 분사계를 갖는 D.I. 디젤기관의 분사 및 연소에 관한 연구 (A Study on Injection and Combustion of D.I. Diesel Engine with Electronic-hydraulic Fuel Injection System)

  • 김현구;라진홍;안수길
    • 수산해양교육연구
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    • 제9권1호
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    • pp.83-97
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    • 1997
  • Diesel engine is widely used for ship and industry source of power because of its high thermal efficiency and reliability and durability. However it lead to air pollution due to exhaust gas, and it is important to develop diesel engine of lower air-pollution to decrease the hazardous exhaust gas emissions. As one of the ways, the study for practically using the high pressure of fuel injection and variable injection timing system is being processing. The high pressure injection, which is said to be an effective means for reducing both NOx and particulate emissions, and great improvements in combustion characteristics have been reported by many researchers. In this study, electronic-hydraulic fuel injection system and hydraulic fuel injector system have been applied to the D.I. test engine for high pressure injection and variable injection timing. The injection pressure and injection rate depending upon accumulator pressure were measured with strain gage and Bosch injection rate measuring system before fitting the system into test engine, and analyzed the characteristics of the injection system. The combustion characteristics with this injection system has been analyzed with data concerning heat release rate, pressure rising rate, ignition point, ignition delay and maximum pressure value.

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