• 제목/요약/키워드: scale down

검색결과 840건 처리시간 0.027초

슬관절 치환술 환자의 교육 프로그램 효과에 관한 연구 (Effects of the Educational Program for Patients of T.K.R.A.)

  • 왕미숙
    • 한국간호교육학회지
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    • 제7권1호
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    • pp.68-80
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    • 2001
  • This study is aimed to evaluate the effects of the educational program that is designed to help the patients of T.K.R.A. to improve their self-nursing ability. The research will show how well this program can contribute to raising of their adaptability of everyday life by decreasing the difficulties that the patients had before in their daily life. The sample persons for this research were 40 adult patients who had T.K.R.A. in our hospital, and the data were collected through the questionnaires which were given to them. For the surveying tool, Jette's scale was applied to measure the degree of uncomforting that the patients experienced in their daily life. The materials of report had been gathered from May 1st to December 10th. The collected data were analyzed with real numbers, percentage, average, the standard deviation, TorF test and Pearsons correlation. The results of this study can be summarized like follows: The survey of self-caring exercise part were processed with two groups containing experiment group and contrast group. The exercise which took the highest points in experiment group was repetition of stretching and bending knees with laid down position while taking a walk, repetition of stretching and bending knees with seated on chair position and repetition of stretching and bending knees with laid down position got high points in contrast group. There were distinctive differences in statistics between repetition of stretching and bending knees in laid down position and taking a walk. There was no significant statistical gap between the degrees of inconveniences of daily life that each two groups experienced when we compared the average of the two groups, but 12 out of 20 questions got considerable differences. According to common characters of self-caring, there was a distinctive gap in the group who left the hospital in 14days and the ones who spend more than 30 minutes with exercise. The patient group who left the hospital in fourteen days after T.K.R.A. spent more time doing self-caring exercise. In the relationship between common characters and the degree of difficulties of daily life, Exercising is effective and Spending more that 30 minutes for exercise showed visible differences. The patients who answered that exercise are effective and put more time for it experienced less pain in their everyday life. The data proved by Pearson's correlation showed the relationship between self- caring and the degree of pain of daily life. According to the result, the increasing of self-caring activities helped to down the degree of inconveniences of daily life. This data show that T.K.R.A. reduced self-caring exercise ability and daily life activities. Therefore, the medical staffs who would take care the T.K.R.A. patients should offer stable nursing through well scheduled and education materials for patients. It is also important to encourage the patients to participate to the exercise by showing them how exercise after T.K.R.A. The education program is expecting to guarantee not only the right of patients to get enough information but also effective result to decrease uncomfortable of daily life.

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부자(附子)의 경구투여(經口投與)가 RAT의 척수손상(脊髓損傷)에 미치는 영향(影響) 및 비교(比較) (The Effects of Radix aconiti on the Contraction of Rat's Spinal Cord Injury)

  • 이건목;김경식;이강창
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.105-116
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    • 1998
  • Purpose In this study, We observed the recovery process in the ability to move in the hind limbs of the rats whose spinal cord injuries were treated by Radix acouniti(RA). The purpose of this study is to see the effects of Radix acouniti(RA) water extract on the contraction of rat's spinal cord injury. Procedure First, the rats were subjected to hemisectional spinal cord injuries by a scalpel blade. Those rats, then, were divided into three groups: Sham operated rats group and the experimental group, which received the Radix acouniti(RA) water extract, and the control group, which had no treatment. Their recovery in the ability to walk was observed by the Open Field Test (OFT) for 14 days after the injuries. Method The OFT was applied at four points: the hip, knee, ankle joint, and the tail. Each joint was given a movement rating of from 0 to 3, depending on the amount of movement. A movement rating of 0 designates no movement, a 1 designates slight movement, a 2 designates increased movement, and a 3 designates active movement. Slight movement is defined as a joint displaying less than or equal to 30% of that joint range, increased movement is displaying less than or equal to 60% of that joint's range, and active movement is greater than or equal to 90% of that joint's range. Tail movement is also graded on a scale of 0 to 3. A rating of 0 indicates that the tail is down 100% of the time, one of 1 indicates that the tail is down more than 10%, one of 2 shows that the tail is down less than 50% but more than 10% of the time, and one of 3 shows that the tail is down less than 10% of the time. All four ratings were added together and then averaged to arrive at a single score. Results The sham group which did not go through spinal cord injuries showed near normal results on all 3 joints and tail from right after the operation, which one would expect. The RA oral application group showed more effective recovery of movememt function than the control group around 4 days after the spinal cord injuries. However, after 14 days, both groups displayed almost the same degree of movement recovery. The results of this study are summarized as follows: 1. After 14days the spinal cord injuries, movement was recovered in sham operated group, control group, and experimented group in the hip, the knee, the tail and then the ankle of rats, in that order. 2. Around 7 days after the spinal cord injuries, the experimental group proved the effectiveness of the therapy in terms of movement recovery. 3. The level of ALT, ALP, AST in RA treated group was slightly increased. 4. The level of BUN and creatinine in RA treated group was slightly increased. The above results indicate that RA therapy at an early stage can bring about better movement recovery in patients with spinal cord injuries from traffic accidents or industrial disasters. But there is apparent side effect of RA on clinical, therefore the study on this should be continued.

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쌍계사 오층석탑 실물 크기 모델의 동적 거동 시험 (Dynamic Test of a Full Scale Model of Five-Story Stone Pagoda of Sang-Gye-Sa)

  • 김재관;류혁
    • 한국지진공학회논문집
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    • 제5권4호
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    • pp.51-66
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    • 2001
  • 1936년 7월 4일 경상남도 하동군 화개면을 진앙지로 하는 규모 5의 지진이 발생하였다. 이 지진으로 인하여 쌍계사 경내 건물과 문화재가 손상을 입었으며 금당 앞에 위치한 오층석탑의 탑두(종형석)가 추락하였다. 쌍계사 지진의 세기를 정량적으로 평가하기 위하여 철저한 고층을 거쳐서 실물크기의 석탑 모델을 제작하였다. 제작된 석탑모델을 진동대에 탑재하여 낮은 진폭에서 석탑모델의 동특성을 확인하는 예비시험과 지진파의 지진가속도를 증가시켜 가면서 석탑모델의 거동 특성을 규명하는 본 시험을 실시하였다. 석탑모델의 제작과정과 시험 절차에 관하여 상세히 기술하였고 진동대 시험 결과를 제시하고 그 결과에 관하여 논하였다.

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상상연습이 뇌졸중 환자의 균형능력과 낙상 위험도 및 낙상 효능감에 미치는 영향: 개별대상자 실험연구 (The Effect of Mental Practice on Increasing Balance and Fall Index & Fall Efficacy Scale of Stroke Patients: Single Subject Experimental Research)

  • 이재홍;김수경;최성열
    • 대한지역사회작업치료학회지
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    • 제2권2호
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    • pp.37-49
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    • 2012
  • 목적 : 본 연구의 목적은 상상연습이 뇌졸중 환자의 균형능력과 낙상 위험도 및 낙상 효능감에 미치는 영향을 알아보기 위한 것이다. 연구방법 : 뇌졸중 진단을 받은 4명의 성인을 대상으로 개별대상자 실험연구 방법 중 대상자간 다중기초선(multiple baseline across individuals)으로 설계되었다. 기초선 과정과 중재 과정을 포함해 총 20회를 4주 동안 진행하며, 기능적 손 뻗기 검사를 이용해 균형능력의 변화를 측정했다. 그리고 낙상 위험도(Tetrax) 프로그램과 낙상 효능감으로 중재 전 후를 비교했다. 시각적 분석과 2 표준편차 밴드 분석방법을 통해 나타냈다. 결과 : 상상연습 중재기간 동안, 기능적 손 뻗기 검사를 사용한 결과 대상자들의 균형능력의 향상이 나타났다. 이러한 변화로 낙상 위험도가 감소하였고, 낙상 효능감이 증가했다. 결론 : 본 연구 결과, 상상연습이 뇌졸중 환자의 균형능력 향상에 효과적임을 알 수 있었다. 향후 연구에서 더 많은 연구 대상을 통해 다양한 방법으로 균형능력을 측정하여 확인이 이루어졌으면 한다.

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다중 미세 날개구조의 표면 열전달에 미치는 영향분석 (Numerical Study of Surface Heat Transfer Effects of Multiple Fan-Shaped Small-Scale Fins)

  • 박기홍;박상후;이주철;민준기;하만영
    • 대한기계학회논문집B
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    • 제37권5호
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    • pp.523-530
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    • 2013
  • 전자제품과 같이 소형화 추세에 있는 제품에 대하여 열전달 촉진을 시키는 방법에 대하여 연구하였다. 두께 10 ${\mu}m$ 를 가지는 미세 날개구조를 이용하여 상하진동 운동을 유도하고 열전달 특성에 대하여 분석하였다. 본 연구에서는 양방향 유체-고체 연성해석 (Two-way FSI)를 이용하여 미세 날개의 거동을 분석하였으며, 단일 날개구조를 제작하여 해석모델을 검증하였다. 단일 및 다중 미세 날개구조에 의한 열전달 향상이 날개가 없는 경우와 비교해 볼 때 최대 40% 정도 향상됨을 알 수 있으며, 본 연구에서 제안된 방법에 의하여 향후 실제적인 열전달 촉진기술에 충분히 활용될 수 있을 것으로 사료된다.

역류증상지수와 역류소견점수의 타당성과 신뢰도 (The Validity and Reliability of Reflux Symptom(RSI) Index and Reflux Finding Score(RFS))

  • 이병주;왕수건;이진춘
    • 대한후두음성언어의학회지
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    • 제18권2호
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    • pp.96-101
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    • 2007
  • Laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aero-digestive tract. LPR differs from gastroesophageal reflux in that it is often not associated with heartburn and regurgitation symptoms. Otolaryngological manifestations of acid reflux include a wide range of pharyngeal and laryngeal symptoms. Belafsky et al. developed a useful self-administered tool, the reflux symptom index (RSI), for assessing the degree of LPR symptoms. Patients are asked to use a 0 to 5 point scale to grade the following symptoms: 1) hoarseness or voice problems; 2) throat clearing; 3) excess throat mucus or postnasal drip ; 4) difficulty swallowing; 5) coughing after eating or lying down; 6) breathing difficulties ; 7) troublesome or annoying cough; 8) sensation of something sticking or a lump in the throat; 9) heartburn, chest pain, indigestion or stomach acid coming up. A RSI score greater than 13 is considered abnormal. As there is no validated instrument to document the physical findings and severity of LPR, Belafsky et al. developed an eight-item clinical severity scale for judging laryngoscopic finding, the reflux finding score (RFS). They rated eight LPR-associated findings on a scale from 0 to 4 : subglottic edema, ventricular obliteration, erythema/hyperemia, vocal-fold edema, diffuse laryngeal edema, posterior commissure hypertrophy, granuloma/granulation tissue, and thick endolaryngeal mucus. A RFS score of greater than 7 was found to suggest LPR-associated laryngitis. Although both indices (RSI and RFS) are widely used, there is some controversy about their validity (sensitivity and specificity) and reliability (intra-rater and inter-rater) in LPR diagnosis and treatment. We discuss the validity and reliability of RSI and RFS with literature review.

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미분무수 소화시스템의 도로터널 적용을 위한 실물 화재 실험 (Full-scale Fire Suppression Test for Application of Water Mist System in Road Tunnel)

  • 한용식;최병일;김명배;이유환;소수현
    • 한국화재소방학회논문지
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    • 제25권3호
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    • pp.51-56
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    • 2011
  • 도로터널에서의 미분무수 소화시스템의 화재진압 특성을 조사하기 위해 실물 터널 화재 실험을 수행하였다. 적용된 소화시스템은 압력이 3.5 bar인 저압 물분무 소화설비와 60 bar인 고압 미분무수 소화시스템이다. 미분무수 소화시스템은 물분무 소화시스템의 1/6 만큼의 소화용수량을 사용한다. 화원 (fire source)은 실물 승용차와 유류화재를 모사한 화원면적 $1.4m^2$의 헵탄 연료 팬 화재로 구성하였다. 터널 내의 환기조건을 구현하기 위해 실물모형 터널의 한쪽 끝단에 유속(0.9~3.8 m/sec 범위) 발생장치를 설치하였으며, 화원에서 하류 방향으로 터널 내 온도분포는 K-type 열전대 트리를 사용하여 측정하였다. 실험 결과 고압 미분무수 소화시스템은 B급 화재의 경우 저압 물분무 시스템과 동등한 수준의 냉각효과를 보였다.

건설사업관리(CM) 관리인력 규모산정을 위한 사례연구 - 공공공사 건축공사 사례를 중심으로 - (A Study on the Calculation of Organization Scale in Construction Management -Focusing on Building Construction-)

  • 안상현;김진대
    • 한국건설관리학회논문집
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    • 제14권4호
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    • pp.65-72
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    • 2013
  • 국내 CM현장은 경기침체로 인해 성장이 다소 둔화되고 있지만 최근 공공기관 이전사업 등으로 인해 CM시장은 꾸준한 규모를 보이고 있다. CM제도가 도입된 이래로 다수의 발주기관들이 건설사업관리 역량을 점차 보유하고 있지만 이에 대한 건설사업관리 조직 규모 산정을 위한 노력은 미흡한 실정이다. 본 연구에서는 공공공사 건축공사 10개소 사례를 바탕으로 통계분석과 관리인력당 사업비를 활용하여 건설사업의 관리업무를 수행하는 전체 관리조직의 규모 산정 방법을 도출하였고 Case Study를 통해 활용성을 검토하고자 하였다. 이를 통해 적정 관리인력 규모 산정 및 투입으로 건설사업의 원활한 업무수행과 성공적으로 사업을 수행하는데 기여하고자 하였다.

소비 상황에서 소비자의 윤리적인 태도에 관한 탐색적 연구 (An Exploratory Study on the Ethical Attitudes of Consumers in Consumption Situations;based on the Consumer Ethics Scale)

  • 정효선;윤혜현
    • 한국식품조리과학회지
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    • 제24권1호
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    • pp.1-10
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    • 2008
  • The purpose of this study was to examine the ethical attitudes of consumers in consumption situations by using the consumer ethics scale(CES). Self-administrated questionnaires were completed by 492 consumers, and the resulting data were analysed by frequency, chi-square, one-way ANOVA, factor analysis, reliability analysis, and cluster analysis. We found four different groups of consumers were identified according to their ethical attitudes in consumption situations: 1) the unethical onlooker consumer group, 2) the socialized unethical consumer group, 3) the ethical consumer group, and 4) the severely unethical consumer group. The unethical onlooker consumer group was most widespread prevalent among university students who were in their 20s and down or under, and who received spending money from their parents, and the socialized unethical consumer group was most prevailing prevalent among the higher educated consumers. The women who consumers slightly outnumbered men in an the ethical consumer group, slightly outnumbered the men who did, and many of the university-educated large income earners fell into this group consumed in that way as well. The severely unethical consumer group was quite uncommon among those who were at the age of 41 and up over, and not many of the higher educated people and larger income earners consumed in an the severely unethical consumer group, either. Thus, it's proven this study proves that in terms of the propensity to consume, the consumers' were different from one another in ethical attitudes and behaviors differ according to their demographic characteristics.

BSC관점에서 수산정책자금이 경영성과와 신용등급 변화에 미치는 영향 (AThe Effects of Public Loan Programs in Fishery Industry on Management Performance and Credit Rating Change from a BSC perspective)

  • 박일곤;장영수
    • 수산경영론집
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    • 제47권2호
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    • pp.43-59
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    • 2016
  • This study investigated the difference of the effects of public loan programs in fishery industry on management performance from a balanced score card (BSC) perspective depending on the type of loan, scale of fund, period of support and business category, using the financial data of fisheries firms having the balance of loan at the end of 2014. The key factors influencing credit rating change were also analyzed after public loan support. From a integrative perspective, results show that the firms supported by working fund have higher management performance than the firms supported by facility fund. The firms received large scale fund showed higher management performance than the firms received small scale fund. While management performance was decreasing or slowing down over time after financial support, management performance of the firms supported by facility fund improved over time. From a non-financial perspective, the firms received facility fund invested more in education and growing perspective than the firms received working fund. As the size of fund increased, the investment in education, growing, internal process and customer increased. Personnel expenses and employee benefits for education and growing has increased over time. However, the firms with facility fund restricted the expenses of education, personnel expenses and employee benefits as time goes by. Because the effects of public loan on credit rating of fisheries corporations have no statistical significance, it has become known that the financial support of public loan program has no influence on the change of credit rating of fisheries corporations. This study attempted performance analysis from a BSC perspective which combine factors of non-financial perspective with factors of financial perspective. Findings from this study suggest the direction of microscopic performance analysis of public loan in fishery industry.