• 제목/요약/키워드: restraint

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Perception, Attitude, and Knowledge about Physical Restraints among Nursing Personnel in Long Term Care Facilities (노인시설 간호제공자의 신체적 억제대에 대한 인식, 태도 및 지식에 대한 연구)

  • Kim, Shin-Mi;Lee, Yun-Jung;Kim, Duck-Hee;Kim, Sook-Young;Ahn, Hye-Young;Yu, Su-Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.62-71
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    • 2009
  • Purpose: The present study was performed to identify the perception, attitude, and knowledge regarding the use of physical restraints among nursing personnel working at long-term care facilities. Method: 289 nurses, nurse aids and private caregivers working at 13 wards from 7 facilities participated in the survey. Perception, attitude and knowledge regarding the use of physical restraints were evaluated using the Perceptions of Restraints Use Questionnaire developed by Evans and Strumpf(1993) and Physical Restraint Questionnaire suggested by Janelli, et al(2006). Results: Wrist restraints were used the most frequently. The perception score regarding the use of physical restraints was 3.35, which is a moderate value. Study respondents considered 'safety measure' and 'safe use of a medical device' as the most important aspects when applying physical restraints to elderly. The respondents reported physical restraints were therapeutic at least to some degree but knowledge level about physical restraints of the respondents was rather low. Conclusion: Perception and attitude toward physical restraints were identified. The lack in knowledge about physical restraints needs to be addressed for more efficient use of them.

Experimental Study on Mechanical Properties and Deformation Behavior of Concrete with Recycled Aggregates and Steel Fiber (순환골재 및 강섬유를 혼입한 콘크리트의 역학적 특성 및 변형 거동에 관한 실험적 연구)

  • Lee, Hyun-Ho;Lee, Tae-Wang
    • Journal of the Korea Concrete Institute
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    • v.28 no.3
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    • pp.357-363
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    • 2016
  • To solve the exhaustion problem of natural aggregate which were create the high value in construction and environmental industry, recycled aggregates have considerable benefits than other materials. However, even though many researches have been conducted with recycled aggregates, building structures with recycled aggregated are rarely constructed because it has lower quality than natural aggregates have. In this study, mechanical and strain properties of recycled aggregates concrete containing steel fibers have been reviewed in order to complement performance of recycled aggregates concrete. As results, recycled aggregates concrete showed lower compressive strength and elastic modulus than plain concrete. But, recycled aggregates concrete containing steel fibers showed equivalent performance with plain concrete. In review of drying shrinkage and creep coefficient, recycled aggregates concrete containing steel fibers showed similar behavior with plain concrete in the range of 0.5 Vol.% fiber content rate by internal restraint effect, moisture transport restraint effect and strength enhancement effect of steel fiber. Therefore, it is considered that mixing steel fibers with concrete is the effective method as a active application plan for recycled aggregates.

The U. S. Antitrust Law on the Exclusion of Medical Staff Privilege and its Implication (참여의 특권 배제에 관한 미국 독점금지법 법리와 그 시사점)

  • Jeong, Jae-Hun
    • The Korean Society of Law and Medicine
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    • v.12 no.2
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    • pp.295-316
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    • 2011
  • If the medical staff privileges, which mean the eligibility to practice at open hospitals, are excluded in the United States, antitrust claims based on the violation of the Sherman Act have been raised a lot. The proliferation of these lawsuits in the United States, which are characterized as antitrust lawsuits, can be understandable situation. The reason is because doctors who don't belong to specific hospitals are seriously damaged, if the medical staff privileges are excluded and doctors cannot use facilities of open hospitals. In order to decide to allow the privileges of certain doctors, hospitals have to rely on peer review to maintain high quality of medical services, and it is not easy to find alternative of peer review in the professional areas like healthcare. However, there are possibilities that members of the peer review can abuse power to unfairly exclude privileges of potential competitors. In this sense, it is asserted in the U.S. antitrust lawsuits that the restraint of medical staff privilege can be the illegal restraint of trade in violation of section 1 of Sherman Act and can be monopolization or an attempt to monopoly by hospitals in violation of section 2 of Sherman Act. As Korea adopted open hospital system quite recently, there is still no case related with the exclusion of medical staff privileges. However, medical staff privilege system of Korea is not different from that of the United States in principle. Thus, the U.S. jurisprudence on the exclusion of medical staff privileges can be referred in the interpretation of "practice that interferes with or restricts the activities or contents of the business" based on Article 19.1.9 of Monopoly Regulation and Fair Trade Law of Korea.

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Antidepressant-like and Hypnotic Effects of the Herbal Extract Combination of Stauntonia hexaphylla and Vaccinium bracteatum Fruit in Mice

  • Oh, Dool-Ri;Kim, Yujin;Jo, Ara;Im, Sojeong;Kim, Cho Een;Jung, Myung-A;Shin, Jawon;Kang, Huwon;Choi, Eun Jin;Kim, Jaeyong;Choi, Chulyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.2
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    • pp.88-96
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    • 2020
  • Stauntonia hexaphylla (SH) and Vaccinium bracteatum (VB) are herbal extracts widely used in food and traditional herbal medicine, and have the ability to perform a wide range of biological activities. We aimed to investigate the effects of the SH and VB combination (SHVB) on mice models of chronic restraint stress (CRS) and pentobarbital-induced sleeping behaviors to elucidate its possible mechanisms of action. CRS-exposed mice treated with SHVB showed significantly decreased immobility time, increased swimming and climbing times in the forced swim test (FST), and increased locomotor activity in the open field test (OFT). SHVB decreased serum CORT levels, but enhanced brain monoamine neurotransmitters. SHVB significantly decreased the sleep latency and increased total sleep duration in pentobarbital-induced sleeping behavior in mice. SHVB showed inhibitory effect on 5-HT2A receptor-mediated ERK1/2 phosphorylation. These results suggest that SHVB has antidepressant and hypnotic effects by regulating the 5-HT2A receptor.

Studies on Garment Restraint (IV) -Effect of Slacks Restraint on Lower Extremity- (의복의 구속성에 관한 연구 (IV) -슬랙스 착용시의 하지부 압박을 중심으로-)

  • 심부자;최선희
    • Journal of the Korean Society of Clothing and Textiles
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    • v.18 no.3
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    • pp.387-394
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    • 1994
  • Journal of the Korean Society of Clothing and Textiles Vol. 18, No. 3 (1994) p. 387∼394 In this study, the restriction of slacks (blue jean) versus box pleats skirt was investigated, from the view point of peripheral blood flow at the toe according to motion variation and E.M.G. analysis of leg muscles after walking on the flat or going up and down stairways. Besides, the pressure of slacks on the lower extrimity was measured statically and dynamically. The main results were summerized as follows; 1. The clothing pressure applied by slacks was; each one of thigh and lower leg was 18.2 g/ cm2 and 22.1 g/cm2 in upright, 63.4 g/cm2 and 26.6 g/cm2 in sitting on the chair, on both sides of thigh and lower leg 272.0 g/cm2 over in squatting. 2. When the motion starts from upright, the dynamic clothing pressure reach their peak before the motions end. When the motion ends and the body comes to a still condition, the clothing pressure grow lower and indicate a constant value. but when the body starts moving again to return to upright, the pressures once grow higher and go to zero value after reaching the peak. The pressure on the knee show much greater than those on the hip. This can be because these pressures depend on the degree of skin stretching motion and of its curvature. 3. The surface E.M.G. in leg muscles M. rectus femoris and M. gastrocnemius were recoreded. In the case of wearing slacks, two muscles were activated much more than wearing skirt. 4. The peripheral blood flow at the toe by wearing slacks was lower than wearing skirt. Also the case when squatting, the peripheral blood flow at the toe was low.

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A Study on Embedded Crack at the Hatch Coaming FCA Butt Weldment in an Ultra Large Containership on the Basis of Fracture Mechanics (초대형 컨테이너선의 해치 코밍 용접부의 내부 균열에 대한 파괴역학적 연구)

  • Shin, Sang-Beom;Lee, Joo-Sung
    • Proceedings of the KWS Conference
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    • 2010.05a
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    • pp.61-61
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    • 2010
  • The purpose of this study is to prevent the unstable fracture at the FCA butt weldment of hatch coaming deck in the ultra large containership during service life. In order to do it, the behavior of the embedded crack at the weldment under design loading conditions was evaluated in accordance with BS7910. Here, the level of primary stress induced by ship motion was evaluated by the design code of classification society and FEA. The level of residual stress as secondary stress was calculated in consideration of the restraint degree of weldment and welding heat input by using the predictive equation proposed by authors in the previous study. The fatigue crack growth rate at the weldment was evaluated using CT specimen in accordance with ASTM E647. According to the results, although the allowable defect for embedded crack specified in the classification society exists at the weldment, the occurrence possibility of unstable fracture at the weldment could not be negligible, regardless of CTOD value given in this study. So, in this study, the effect of initial defect size, welding heat input, restraint degree and CTOD on the fracture mechanical characteristics of embedded crack at the weldment was evaluated by the comprehensive fracture assessment. Based on the results, the design criteria including allowable defect, residual stress level and CTOD value was established to prevent the unstable fracture at the FCA butt weldment of hatch coaming deck in an ultra large containership during service life of 20years.

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Type and Characteristics of Gauze Fabric of Ancient Korea - Focused oil Gauze Fabrics Shown on Costume Restraint of the King Hungduk - (한국 고대 羅직물의 유형과 특성 -흥덕왕 복식금계에 나타난 羅직물을 중심으로-)

  • 권영숙;신경철;장현주
    • Journal of the Korean Society of Costume
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    • v.51 no.1
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    • pp.21-32
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    • 2001
  • Gauze is very light and thin. Their warps are entangled and their structure is loose. It is natural that they are easier to decay than other silk fabrics through physiochemical processes over a long period of time. Nonetheless quite many remains of Gauze fabrics can be found in China or Japan as well as in Korea. Various Gauze was used in costumes since the era of the Three Kingdoms and their weaving techniques, such as using gold threads with silk-fabrics, was developed in Koryo dynasty era, which made it possible to create more magnificent gauze fabrics in Korea. Relatively a lot of Gauze fabrics are remained in Korea. Based on these corroborative relics, this thesis analyzes the characteristics of gauze fabrics possesed in Korea and categorizes the gauze fabrics described in the Decrees on Costume Restraint of the King Hungduk. This also compares them with the present gauze in other countries. The types of gauze fabrics are generally divided into desined gauze, and non-designed gauze, the one without pattern. There ar a lot of desined gauze, such as dyeing gauze, brocade gauze, embroidery with gauze ground, patterned gauze with gauze ground etc. which were found in Korea and also in China and Japan. Non-designed gauze is divided into 2-end complex gauze, 3-end complex gauze, 4-end complex gauze, etc depending on the number of crossing warps. All of the non-designed gauze of Koryo dynasty found in Korea was 4-end complex gauze fabrics. These non-designed gauze fabrics were also found in Japan and China.

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Chemical Attack and Carbonation Properties of Latex-Modified Concrete Using Blast-furnace Slag (고로(高爐)슬래그 미분말(微粉末)을 사용(使用)한 라텍스개질(改質) 콘크리트의 화학적(化學的) 침식(侵蝕) 및 탄산화 특성(特性))

  • Hong, Chang-Woo;Jeong, Won-Kyong;Sim, Do-Sik
    • Resources Recycling
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    • v.17 no.5
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    • pp.11-18
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    • 2008
  • The purpose of this study was to evaluate the effects of blast-furnace slag on chemical attack and carbonation of latex-modified concrete (LMC) and ordinary portland cement concrete as slag contents. Main experimental variables were performed latex contents (0%, 15%) and slag contents (0%, 30%, 50%). The compressive strengths, chemical attacks resistance and carbonation depth were measured to analyze the characteristic of the developed LMC and BS-LMC(latex-modified concrete added blast-furnace slag) on hardened concrete. The test results showed that compressive strength of BS-LMC with blast-furnace slag content 30% was quite similar to it of OPC without slag content. The structural quality deterioration was concerned when blast slag content was up to 50%. However, carbonation restraint of BS-LMC with blast-furnace slag 30% was bigger then that of opc. Also, the effects of added latex on OPC and BS-LMC were increased on the carbonation restraint and chemical attacks resistance.

Approximate Solution for Finding the Buckling Strength of Orthotropic Rectangular Plates (직교이방성판의 좌굴강도를 구하기 위한 근사식의 개발)

  • J. H. Jung;S. J. Yoon;S. K. You
    • Composites Research
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    • v.16 no.5
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    • pp.28-38
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    • 2003
  • In this study, the analytical investigation of orthotropic rectangular plate is presented. The loaded edges are assumed to be simply supported and the unloaded edges could have elastically restrained boundary conditions including the extreme boundary condition such as simple, fixed, and free. Using the closed-form solutions, the buckling analyses of orthotropic plate with arbitrary boundary conditions are performed. Based on the data obtained by conducting numerical analysis, the simplified form of equation for finding the buckling coefficient of plate with elastically restrained boundary conditions at the unloaded edges is suggested as a function of aspect ratio, elastic restraint. and material properties of the plate. The results of buckling analyses by closed-form solution and simplified form of solution are compared for various orthotropic material properties. It is confirmed that the difference of results is less than 1.5%.

Penile Translocation Surgery in Lateral Recumbency of a Calf Using Tilt-Up Mobile (대동물 보정 차량을 이용한 횡와위 자세 육성우의 음경전위술)

  • Jeong, Jae-Kwan;Moon, Sung-Ho;Kang, Hyun-Gu;Kim, Ill-Hwa
    • Journal of Veterinary Clinics
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    • v.29 no.1
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    • pp.112-117
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    • 2012
  • This report evaluated the convenience and accessibility of a penile translocation surgery in the lateral recumbency of a calf using a tilt-up mobile compared with that of dorsal recumbency on the ground of a barn. One nine-month-old F-1 (Korean native sire x Holstein dam) calf was sedated with xylazine (0.03 mg/kg, IV) and restrained in the right lateral recumbency position on a tilt-up restraint mobile (90 cm high), whereas the other nine-month-old Korean native calf was administered xylazine (0.3 mg/kg, IV) and restrained in dorsal recumbency position on the ground of a barn, with assistance by one person. For the two calves, lidocaine was administered subcutaneously from the preputial orifice to the S-shaped penis. The preputial orifice was incised, and the preputial sheath and penis were separated bluntly, then laterally translocated to the site toward the left flank at a $40^{\circ}$ angle. Anti-inflammatory drug (ketoprofen) and antibiotics (penicillin) were administered following the surgery. The duration of surgery was 30 min shorter in the calf that received the surgery in lateral recumbency using the tilt-up mobile with operator's standing posture (60 min) than the one that underwent surgery in dorsal recumbency on the ground with operator's bending posture (90 min). One week after the surgery, the operation area, including the translocated preputial orifice, was healed without complications in both cases. The results detailed in this report demonstrate that penile translocation surgery in the lateral recumbency position using a tilt-up mobile might be used conveniently in calves due to the convenience of restraint, reduced surgery time, and reduced physical inconvenience for the surgeon.