• 대한간호학회지
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• 제30권1호
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• pp.60-71
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• 2000

This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers. Results of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

• 대한기계학회논문집A
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• 제25권11호
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• pp.1873-1880
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• 2001

The effects of restraint of pressure induced bending(PIB) on crack opening for circumferential through-wall crack in a pipe were investigated. In this study, the elastic and elastic-plastic finite element analyses were performed to evaluate crack opening displacement(COD) for various restraint conditions and crack size. The results showed the restraint of PIB decreased crack opening for a given crack size and tensile stress, and the decrease in crack opening was considerable for large crack and short restraint length. A1so, the effect was more significant in tole results of elastic-plastic analysis compared with in the elastic analysis results. In the elastic-plastic analysis results, tole restraint effect was increased with increasing applied tensile stress corresponding to internal pressure. Additionally, the restraint effect on COD was independent on the variation in pipe diameter and decreased with increasing pipe thickness, and It depended on not total restraint length but shorter restraint length for non-symmetrically restrained.

• 대한가정학회지
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• 제29권1호
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• pp.13-25
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• 1991

We measured change of peripheral skin temperature and mean skin temperature when the upper arm and thigh are pressured in order to know the effect of skin pressure applied by clothing on blood circulation. After release from pressure, we observed also recovery condition. At the same time, we examined relation between pressure and a feeling of thightness. Three physiques of healthy females, namely slender, standard and plump, served as subjects. We used continuous restraint method with skin pressure applied by experimental fabric for 10 min. As a result of this experiment, we obtained following findings. 1. The significant difference was marked at the pressure, measuring time and physique with change of skin temperature under upper arm restraint. The peripheral and mean skin temperature decreased with the lapse of restraint time. A remarkable tendency observed according to the increase of restraint pressure. Recovery condition after release from pressure not yet recovered to original state, for all after a lapse of 10 min. 2. The significant difference was marked at the pressure, measuring time and physique with change of skin temperature under thigh restraint, especially different physique was remarkable among them. The peripheral skin temperature decreased or decreased. Recovery condition after release from pressure was the same upper arm. 3. Main factor affecting the evaluation of a feeling of tightness was restraint pressure. The value of pressure sensation made remarkable declined after a lapse of 10 min restraint time. Individual differences, however, were shown in pressure sensation.

• 대한기계학회논문집A
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• 제30권9호
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• pp.1134-1141
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• 2006

This paper presents the model for evaluating restraint effect of pressure induced bending (PIB) on the circumferential through-wall crack opening displacement (COD), which considers plastic behavior of crack. This study performed three-dimensional elastic-plastic finite element (FE) analyses for different crack angle, restraint length, pipe geometry, stress level, and material conditions, and evaluated the influence of each parameter on the PIB restraint effect on COD. Based on these evaluations and additional perfectly-plastic FE analyses, a closed-form model to evaluate the restraint effect of PIB on the plastic crack opening of circumferential through-wall crack, was proposed as functions of crack angle, restraint length, radius to thickness ratio, axial stress corresponding to an internal pressure, and normalized COD evaluated from linear-elastic crack opening condition.

• Nuclear Engineering and Technology
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• 제39권1호
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• pp.75-84
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• 2007

This paper presents a closed-form model for evaluating the restraint effect of pressure induced bending on the opening of a circumferential through-wall crack, which is considered plastic deformation behavior. Three-dimensional finite element analyses with different crack lengths, restraint conditions, pipe geometries, magnitudes of internal pressure, and tensile properties were used to investigate the influence of each parameter on the pressure-induced bending restraint on the crack opening displacement. From these investigations, an analytical model based on elastic-perfectly plastic material was developed in terms of the crack length, symmetric restraint length, mean radius to thickness ratio, axial stress corresponding to the internal pressure, and normalized crack opening displacement evaluated from a linear-elastic crack opening condition. Finite element analyses results demonstrate that the proposed analytical model reliably estimated the restraint effect of pressure-induced bending on the plastic crack opening of a circumferential through-wall crack and properly reflected the dependence on each parameter within the range over which the analytical expression was derived.

• Structural Engineering and Mechanics
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• 제32권5호
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• pp.635-648
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• 2009

This paper describes fire performance of eight axially restrained reinforced concrete (RC) columns under a combination of two different load ratios and two different axial restraint ratios. The eight RC columns were all concentrically loaded and subjected to ISO834 standard fire on all sides. Axial restraints were imposed at the top of the columns to simulate the restraining effect of the rest of the whole frame. The axial restraint was effective when the column was expanding as well as contracting. As the results of the experiments have shown, the stiffness of the axial restraint and load level play an important role in the fire behaviors of both HSC and NSC columns. It is found that (a) the maximum deformations during expanding phase were influenced mostly by load ratio and hardly by axial restraint ratio, (b) For a given load ratio, axial restraint ratio had a great impact on the development of axial deformation during contraction phase beyond the initial equilibrium state, (c) increasing the axial restraint increased the value of restraint force generated in both the NSC and HSC columns, and (d) the development of column axial force during the contracting and cooling phase followed nearly parallel trend for columns under the same load ratio.

• 한국의료질향상학회지
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• 제20권1호
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• pp.42-57
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• 2014

Objective: The objective of this research was to develop a guideline for more effective use of physical restraint on patients in the intensive care unit and training the nurses on it and applying it on clinical practice to assess its effectiveness. Method: This research analyzed the before and after effect of the development of a guideline for physical restraint by dividing the category into nurse and patient. In the case of nurse, a comparison of knowledge and nursing service regarding the use of physical restraint from before the training on physical restraint guideline(Jan. 2011) and after the training on physical restraint guideline(Dec. 2011) was made. In the case of patient, a comparison of physical restraint usage rate and average usage time, the number of unplanned extubation cases were compared from before the use of physical restraint (Jan.~Apr. 2011) and after the use of physical restraint (Sep.~Dec. 2011) were made. Result: After the training on the physical restraint guideline, the knowledge of the nurse and the nursing practice showed notable improvement by (p<0.000) and (p<0.048) respectively and in patient, physical restraint usage rate and average time of usage decreased by (p<0.001) and (p<0.001) respectively. And despite the decrease in the number of cases in which the physical restraint was used, the number of unplanned extubation cases remained the same. Conclusion: Physical restraint guideline training and guideline usage can be stated to have brought out positive effect in both the nurse and patient. In order to maintain such positive effects, continuous training is necessary and continuous revaluation is necessary, regarding knowledge and nursing practices.

• 콘크리트학회지
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• 제8권5호
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• pp.111-122
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• 1996

본 연구에서는 매스콘크리트의 외부구속도의 특성을 검토하기 위하여, 타설높이를 1.0m로 고정시킨 상태에서 타설블럭의 밑면길이와 타설높이와의 비(L/H), 하부 구속체의 탄성계수($E_r$) 등 매스콘크리트 구조물에서 특히 외부구속에 영향을 미치는 인자를 대상으로 parameter study를 실시하여 각 인자가 온도응력에 미치는 영향을 검토하고 각 인자간의 상호 영향도에 대해서도 검토하였다. 검토결과, 외부구속에 의해 발생하는 응력은 단면 높이방향으로 거의 직선분포를 이루고 있으며, L/H나 구속체 탄성계수의 크기에 따라서도 다르고 타설한 콘크리트의 강도발현에 따른 탄성계수의 증가 및 체적변화로 이해서 재령별로도 그 영향이 각각 다르다는 것을 알았다. 또한, 외부구속은 축방향구속과 휨방향구속으로 나누어 평가할 수 있으며, 외부구속이 약한 경우는 휨방향구속이 탁월하고, 외부구속이 강한 경우는 축방향구속이 탁월하다는 것을 알았다. 그리고타설높이 H를 1.0cm로 제한 시킨 경우에 ACI 207 위원회법으로 계산한 결과를 본 해석결과와 비교한 결과, ACI위원회법으 외부고속이 약한 경우에는 본 해석결과보다 큰 값으로 평가하고, 외부구속이 강한 경우에는 작게 평가하고 있음을 알았다.

• Journal of Welding and Joining
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• 제19권5호
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• pp.548-554
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• 2001

The restraint force is required an accurate measurement and analysis to protect weldment from residual stress. Also, this residual stress caused by clacks in weldments are often observed in the weldments of large size nozzles or radial tanks after welding. This paper is preformed on the study of evaluation of welding restraint forces using load cell with STS thin plate which are using pressure vessel steel in the industry field. As a result of this study, as the welding currents are higher and the welding speeds are more slowly, the magnitude of restraint force in process of the flat plate welding hows to be more large. Also, the temperature in process of melting is increasingly rising, then the restraint forces exhibit the compressive forces, whereas the restraint forces during cooling represent extensional force.

• Computers and Concrete
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• 제17권2호
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• pp.173-188
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• 2016

Generally, thermal stress induced by hydration heat causes cracking in mass concrete structures, requiring a thorough control during the construction. The prediction of the thermal stress is currently undertaken by means of numerical analysis despite its lack of reliability due to the properties of concrete varying over time. In this paper, a method for the prediction of thermal stress in concrete structures by adjusting thermal stress measured by a thermal stress device according to the degree of restraint is proposed to improve the prediction accuracy. The ratio of stress in concrete structures to stress under complete restraint is used as the degree of restraint. To consider the history of the degree of restraint, incremental stress is predicted by comparing the degree of restraint and the incremental stress obtained by the thermal stress device. Furthermore, the thermal stresses of wall and foundation predicted by the proposed method are compared to those obtained by numerical analysis. The thermal stresses obtained by the proposed method are similar to those obtained by the analysis for structures with internally as well as externally strong restraint. It is therefore concluded that the prediction of thermal stress for concrete structures with various boundary conditions using the proposed method is suggested to be accurate.