• Title/Summary/Keyword: restraint

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A Study on Caregiver's Perception of Restraints (요양보호사의 억제대 사용에 대한 인식)

  • Kang, Hye-kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.452-458
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    • 2016
  • This is a descriptive study on visiting caregivers' perception of restraint use. Data were collected from 113 caregivers working at long-term facilities using a structured questionnaire from Feb to March 2016. The caregivers' perception of restraint use was the medium score. The items they considered the most important reasons for the restraints was "Protecting an older person from falling out of bed", which was primarily intended to prevent accidents of the elderly. The score of the knowledge of restraint use was 11.23 points out of 18 and those affected were more than 50 years of age. The attitude score to the use restraints was 9.19, and caregivers thought it should be possible to refrain from using restraints. Work experience of 3 years or less were higher. The perception of using restraints is affected by the knowledge and attitudes of restraint use. This is very important for the elderly in long-term care facilities and is related to health and human rights. Therefore, it is important to provide continuous education related to the use of restraints and regulations on their management.

Optimization of Seat belt Load Limiter for Crashworthiness (안전벨트 충돌하중특성 최적화)

  • Seo, bo pil;Choi, sung chul;Kim, beom jung;Han, sung jun
    • Journal of Auto-vehicle Safety Association
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    • v.3 no.2
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    • pp.5-10
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    • 2011
  • Under the full frontal crash event, seatbelt system is the most typical and primary restraint device that prevents the second impact between an occupant and vehicle interior parts by limiting the forward motion of an occupant in the vehicle occupant packaging space. Today's restraint systems typically include the three-point seat belt with the pretensioner and the load limiter. A pretensioner preemptively tightens the seat belts removing any slack between a passenger and belt webbing which leads to early restraint of a passenger. After that a load limiter controls level of belt load by releasing the belt webbing to reduce occupant injurys. In this study, load characteristics of load limiters are optimized by the computer simulation with a MADYMO model for a frontal impact against the rigid wall at 56kph and then we suggest performance requirements. We derived optimum load characteristic from the results using four vehicle simulation models represented by the vehicle. Based on the results, we suggest the performance from the results of the second optimization using the simulation considering the design and the standardization. Finally, the performance requirements is verified by the sled tests including the load limiter device for the full vehicle condition.

Effective torsional strength of axially restricted RC beams

  • Taborda, Catia S.B.;Bernardo, Luis F.A.;Gama, Jorge M.R.
    • Structural Engineering and Mechanics
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    • v.67 no.5
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    • pp.465-479
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    • 2018
  • In a previous study, design charts where proposed to help the torsional design of axially restricted reinforced concrete (RC) beams with squared cross section. In this article, new design charts are proposed to cover RC beams with rectangular cross section. The influence of the height to width ratio of the cross section on the behavior of RC beams under torsion is firstly shown by using theoretical and experimental results. Next, the effective torsional strength of a reference RC beam is computed for several values and combinations of the study variables, namely: height to width ratio of the cross section, concrete compressive strength, torsional reinforcement ratio and level of the axial restraint. To compute the torsional strength, the modified Variable Angle Truss Model for axially restricted RC beams is used. Then, an extensive parametric analysis based on multivariable and nonlinear correlation analysis is performed to obtain nonlinear regression equations which allow to build the new design charts. These charts allow to correct the torsional strength in order to consider the favourable influence of the compressive axial stress that arises from the axial restraint.

Effect of cover depth and rebar diameter on shrinkage behavior of ultra-high-performance fiber-reinforced concrete slabs

  • Yoo, Doo-Yeol;Kwon, Ki-Yeon;Yang, Jun-Mo;Yoon, Young-Soo
    • Structural Engineering and Mechanics
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    • v.61 no.6
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    • pp.711-719
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    • 2017
  • This study investigates the effects of reinforcing bar diameter and cover depth on the shrinkage behavior of restrained ultra-high-performance fiber-reinforced concrete (UHPFRC) slabs. For this, twelve large-sized UHPFRC slabs with three different rebar diameters ($d_b=9.5$, 15.9, and 22.2 mm) and four different cover depths (h=5, 10, 20, and 30 mm) were fabricated. In addition, a large-sized UHPFRC slab without steel rebar was fabricated for evaluating degree of restraint. Test results revealed that the uses of steel rebar with a large diameter, leading to a larger reinforcement ratio, and a low cover depth are unfavorable regarding the restrained shrinkage performance of UHPFRC slabs, since a larger rebar diameter and a lower cover depth result in a higher degree of restraint. The shrinkage strain near the exposed surface was high because of water evaporation. However, below a depth of 18 mm, the shrinkage strain was seldom influenced by the cover depth; this was because of the very dense microstructure of UHPFRC. Finally, owing to their superior tensile strength, all UHPFRC slabs with steel rebars tested in this study showed no shrinkage cracks until 30 days.

A Study on Restraint Effects of Head Restraint Systems and Neck Injuries in Rear-End Crash (추돌시 Head Restraints 시스템의 구속 효과와 인체 상해에 관한 연구)

  • Lee, Chang-Min
    • Journal of the Ergonomics Society of Korea
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    • v.17 no.3
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    • pp.1-11
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    • 1998
  • Focuses of this study are to investigate the usage status of head-restraint system(H/R) in usual driving and to simulate usage conditions of H/R at rear-end crashes. The usage of H/R was categorized into five classes according to the height and distance from occupant's head ; Large-$90^{\circ}$ H/R for enough height and short distance. Large-$70^{\circ}$ H/R for enough height and long distance. Small-$90^{\circ}$ H/R for low height and short distance. Small-$70^{\circ}$ H/R for low height and long distance. and No H/R. Then. these five conditions were tested to find out the degree of neck injuries by using a car-crash simulation package, DYNAMAN. Results from the investigation of H/R usage show that most of drivers(60%) have Small-$70^{\circ}$ H/R for low height and long distance. Results from the simulation performed at 15mph and 30mph show that: 1) at 15 mph, there is a possibility for neck injury in Small-$90^{\circ}$ H/R and Small-$70^{\circ}$ H/R. 2) at 30 mph. there is a high possibility of death in Small-$70^{\circ}$ H/R and Small-$90^{\circ}$ H/R.

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Experimental Study on the Frictional Constraint of Draw Bead (드로오 비드의 마찰구속에 관한 실험적 연구)

  • 김영석;장래웅;최원집
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.16 no.4
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    • pp.658-666
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    • 1992
  • In developing computer-aided design technology for optimization of stamping die design, it has been an important issue to treat the frictional constraint acting on the blank holder surface. The main goal of this work is to establish database of draw bead restraint force and clarify friction characteristic for various automotive sheet steels, which is essential in developing friction algorithm that can be used for CAD of stamping die design. Draw bead friction tester is used to evaluate the various parameters that affect the draw restraint force and the coefficient of friction for the cold rolled and the coated sheet steels such as drawing rate, lubricant type, surface property of material, etc.

Stildy on the Methodology to Prevent Neck Injury at tow Speed Rear-End Impact (저속 후면 추돌 시 목부상해 예방을 위한 연구)

  • Park Insong;Chun Yongbum;Kim Guanhee;Lim Jonghun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.13 no.5
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    • pp.29-34
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    • 2005
  • 141,841 car-to-car collision had occurred in 2003, and among the accidents 51,796 were rear-end impact. According to insurance company for loss or damage, more than $60\%$ of rear-end impact victims suffer neck injury. This means at least 31,000 neck injury victims have happened in 2003. More than $97\%$ of the neck injury victims have low severity injury than A.I.S 2. Head restraint, which is designed to limit rearward head movement and equipped on seat, can considerably protect neck from rear-end impact. In this paper we evaluated head restraint geometry and drivers' sitting position according to RCAR standard and carried out low speed volunteer crash test. The crash speed is 4km/h and N.I.C value is used to determine injury probability. Through these research results we can introduce the method to prevent neck injury at rear-end impact.

Effects of near-fault loading and lateral bracing on the behavior of RBS moment connections

  • Yu, Qi-Song Kent;Uang, Chia-Ming
    • Steel and Composite Structures
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    • v.1 no.1
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    • pp.145-158
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    • 2001
  • An experimental study was conducted to evaluate the effects of loading sequence and lateral bracing on the behavior of reduced beam section (RBS) steel moment frame connections. Four full-scale moment connections were cyclically tested-two with a standard loading history and the other two with a near-fault loading history. All specimens reached at least 0.03 radian of plastic rotation without brittle fracture of the beam flange groove welds. Two specimens tested with the nearfault loading protocol reached at least 0.05 radian of plastic rotation, and both experienced smaller buckling amplitudes at comparable drift levels. Energy dissipation capacities were insensitive to the types of loading protocol used. Adding a lateral bracing near the RBS region produced a higher plastic rotation; the strength degradation and buckling amplitude were reduced. A non-linear finite element analysis of a one-and-a-half-bay beam-column subassembly was also conducted to study the system restraint effect. The study showed that the axial restraint of the beam could significantly reduce the strength degradation and buckling amplitude at higher deformation levels.

A Study on the Application of Physical Restraints in Intensive Care Units (일 대학병원 중환자실의 억제대 사용실태)

  • Kim, Mi-Yeon;Park, Jeong-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.177-186
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    • 2010
  • Purpose: The purpose of this descriptive study was to investigate the application of physical restraints in ICUs of a university hospital. Method: Data were collected from August 1 to October 1 2009, using a recording tool from Electric Nursing Records and an observation tool for physical restraints and related factors. Frequency, percentage, and paired t-test with the SPSS/WIN 16.0 program were used to analyze the data. Results: The application rate for physical restraints in 5 ICUs was 34.3%, the highest application rate was 48.4% in the neurosurgical ICU. The mean frequency for physical restraint application per patient was 1.14, and the mean hours of restraint application per incident was 113.01 hours. The most common complications of physical restraints were bruising and edema. Conclusion: Many ICU nurses use physical restraints when caring for patients who are at high risk for falls, including patients have high levels of acuity, decreased level of consciousness or increased irritability. When physical restraints are applied, patients show resistance against the use resulting in side effects of bruising and edema. Therefore, nurses should observe changes in restrain sites, perform nursing interventions to prevent complications, and minimize the use of physical restraints.

Acute Respiratory Distress due to Rapid Tranquilization in a Bipolar Patient with Sleep Apnea (수면 무호흡증이 있는 양극성 장애 환자에서 급속 정온요법으로 인해 발생한 급성 호흡 장애)

  • Ham, Byung-Joo;Seo, Yong-Jin;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.8 no.2
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    • pp.144-147
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    • 2001
  • Chemical restraint or "rapid tranquilization" is another option in treating patients who are a danger to themselves or others and struggle violently once physically restrained. The most commonly used drugs are benzodiazepines and antipsychotics. The use of benzodiazepines, either alone or in combination with high potency neuroleptics, has increased in recent years. Benzodiazepines are extremely safe but may cause respiratory depression and hypotension. Respiratory depression is more likely with intravenous administration, therefore these medications should be given slowly and titrated to the desired effect. Special care should be taken when sedating patients who are under the influence of alcohol or narcotics and are sleep apneic patients. This report deals with a case of respiratory distress in a patient with sleep apnea syndrome after the rapid tranqulization. All patients receiving chemical restraint must be carefully monitored. For critically ill patients who require sedation or chemical restraint, the constant attendance of a physician may be warranted.

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