• Title/Summary/Keyword: tension pressure

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A Study on Distress and State Anxiety Level in Gynecological Postoperative Patients under PCA Management (통증자가조절기 사용 중인 부인과수술환자의 불편감과 불안 연구)

  • Suh, Young-Sook;Hong, Mi-Soon
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.351-359
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    • 2004
  • Purpose: A descriptive study was conducted to examine the levels of distress, state anxiety, and physiologic responses in postoperative patients under patient controlled analgesia (PCA), and to determine correlations among the variables. Method: The study sample included women who underwent an elective hysterectomy procedure or other gynecologic surgeries(N=100). Subjective distress was assessed by visual analog scales around 8 hours postoperatively. Trained nurses collected objective distress data through observation of subject's behavior and vital signs. Data were analyzed with frequencies, percentages, means, Pearson correlation coefficients, ANOVA, and the Scheffe post test using SPSS/PC 11.0. Result: Subjective distress, objective distress, and state anxiety scores were relatively low, except pain scores(5.31 out of 10.0) among sub-scales of subjective distress. Women who had a total abdominal hysterectomy showed significantly higher levels of both subjective distress and state anxiety than those after a minor gynecologic surgery. In relationships among variables, subjective distress correlated positively with postoperative state anxiety, but not with the amount of analgesic medication, verified by further analysis on sub-scales of subjective and objective distress. The higher the levels of state anxiety, the higher the levels of tension, dyspnea, facial change, and systolic blood pressure observed. Conclusion: Regardless of effective pain management, most postoperatively experienced distress in gynecological patients was derived from surgery associated anxiety and pain. Specific psychological strategies should be established as well for those with high levels of state anxiety to facilitate prompt recovery.

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Effects of through the intercom during MRI Scans on Patient Anxiety and Intentional Contact (MRI 검사 시 방송을 통한 의도적 접촉이 환자 불안에 미치는 영향)

  • Kim, Sang-Jin
    • The Journal of the Korea Contents Association
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    • v.13 no.1
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    • pp.294-299
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    • 2013
  • This study has investigated the effect of intentional contact through the intercom during MRI scans on the decrease of anxiety in patients. The results obtained through the test group and control group are as follows. 1. The homogeneity of the anxiety score before the scan between the two groups was not acknowledged, hence a significant result could not be deduced. 2. Intentional contact through the intercom displayed decreasing results rational discomfort (t=-2.214, p=.031). 3. Intentional contact through the intercom displayed decreasing results of (t=-3.722, p=.000), and fear (t=-2.74, p=.009). 4. Intentional contact through the intercom displayed decreasing results of heart rate (t=-4.180, p=.000). In conclusion, the attempt to perform MRI scans with intentional contact through the intercom did not display significant effect on the blood pressure of the subject after the scan, however, displayed a decrease in objective and rational discomfort, as well as the heart rate, another vital sign. Accordingly, it is judged that intentional contact through the intercom can be used as an effective substitutive treatment method in patient care and test, as it relieves psychological tension in the patient and allows the patient to feel stability.

A Study on the Aesthetic Thought and Expression Tendency of Contemporary Architecture from the Concept of the Uncanny (언캐니 개념으로 바라 본 현대건축의 미적사유와 표현경향 연구)

  • Park, Kyoung-Ah
    • Korean Institute of Interior Design Journal
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    • v.22 no.1
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    • pp.164-173
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    • 2013
  • This study aims to analyze the aesthetic thought and expression tendency appeared in contemporary architecture by looking at today's architectural art based on the concept of the uncanny that Sigmund Freud contended as an aesthetic principle, of the aesthetic concepts tossed around to define the contemporary times in the aesthetics field and discuss the architectural analysis possibility of the concept of the uncanny. The generation structure of the uncanny that generates experiences of fear and surprise is classified into dual structure, trauma, threatening structure, and repetition compulsion. This is the principle that evokes a sense of experiencing subject, incorporates sensibility, and vitalizes internal process. This is also the methodology to organize and structure the concept of the uncanny. When seen from the four factors drawn from the concept of the uncanny and aesthetic expressions, the uncanny expression characteristics of contemporary architecture includes isolation, subversion, trace, absence, oblique line, flotation, concealment, and disturbance. Isolation and subversion refers to producing the space of the pressure of tension and relaxation caused by repression and relief from repression and eliciting the maximum expansion of the sense of space through spatial change. Trace and absence indicates being able to elicit more intense emotions from the experiencing subject by applying the images of alienation and absence in the way to reproduce historical trauma. This happens by implementing the potential value of physical activity. Oblique line and flotation means visual impulse. This happens in the way to visualize uneasy points. This causes uncanny by threatening the survival. Finally, concealment and disturbance refers to creating unpredictable space. The concept of masquerade and maze space composition are applied in the way to activate spatial perception, including space exploration and unintended subject's forced selection. As stated above, the uncanny expression characteristics shown in contemporary architecture can be presented as indicators that are available to analyze the undecided and diversified contemporary architecture aesthetically. In this respect, this study has great significance.

Development of the Water-borne Separation Media Polymer for a Moving Historic Sites (자기분산형 수용성 에폭시를 이용한 유구 이전용 박리제의 개발)

  • Han, Won-Sik;Hong, Tae-Kee;Lim, Sung-Jin;Wi, Koang-Chul
    • Journal of Conservation Science
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    • v.25 no.2
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    • pp.171-178
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    • 2009
  • When we considered the superior ability of the semi-water soluble urethane 1st transcription and final epoxy products, the stability for moving historic sites depend on physical properties and the peel off state of separation media. In this paper, we synthesised three type of water-borne epoxy solution without using a surfactant, and investigated the peel off state, physical properties, and the state between urethane surface and epoxy surface after exfoliation. The life time of water-borne separation media is over the 60 days. When it is used the 30% solution of water-borne separation media, it made good separation of urethane pre-products surface and epoxy final product surface and no color change. The separation tension pressure is about 15~50 kg/$cm^2$ and there is no surface whitewash phenomenon. We suggest that this water-borne epoxy will be best material as separation media of low viscosity type.

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Liposuction in the Treatment of Lipedema: A Longitudinal Study

  • Dadras, Mehran;Mallinger, Peter Joachim;Corterier, Cord Christian;Theodosiadi, Sotiria;Ghods, Mojtaba
    • Archives of Plastic Surgery
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    • v.44 no.4
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    • pp.324-331
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    • 2017
  • Background Lipedema is a condition consisting of painful bilateral increases in subcutaneous fat and interstitial fluid in the limbs with secondary lymphedema and fibrosis during later stages. Combined decongestive therapy (CDT) is the standard of care in most countries. Since the introduction of tumescent technique, liposuction has been used as a surgical treatment option. The aim of this study was to determine the outcome of liposuction used as treatment for lipedema. Methods Twenty-five patients who received 72 liposuction procedures for the treatment of lipedema completed a standardized questionnaire. Lipedema-associated complaints and the need for CDT were assessed for the preoperative period and during 2 separate postoperative follow-ups using a visual analog scale and a composite CDT score. The mean follow-up times for the first postoperative follow-up and the second postoperative follow-up were 16 months and 37 months, respectively. Results Patients showed significant reductions in spontaneous pain, sensitivity to pressure, feeling of tension, bruising, cosmetic impairment, and general impairment to quality of life from the preoperative period to the first postoperative follow-up, and these results remained consistent until the second postoperative follow-up. A comparison of the preoperative period to the last postoperative follow-up, after 4 patients without full preoperative CDT were excluded from the analysis, indicated that the need for CDT was reduced significantly. An analysis of the different stages of the disease also indicated that better and more sustainable results could be achieved if patients were treated in earlier stages. Conclusions Liposuction is effective in the treatment of lipedema and leads to an improvement in quality of life and a decrease in the need for conservative therapy.

Reinforcing Effect of Pre-Tensioned Rock Bolts in the Jointed Rocks Condition (록볼트 긴장에 의한 수평절리암반의 보강효과)

  • An, Joung-Hwan;Lee, Sang-Duk
    • Tunnel and Underground Space
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    • v.19 no.5
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    • pp.388-396
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    • 2009
  • Rock bolt is one of the most important supports for tunnelling to prevent excessive ground relaxation at the primary tunnel excavation stage. It forms a ground arch band by confining the ground around a tunnel. Rock bolt has various effects, such as support or hanging effect, internal pressure effect, arching effect, ground improvement effect etc. Most studies on rock bolt focused on the concept of support, but only a few researches on the ground reinforcing effect by pre-tensioning a rock bolts. In this study, large scale model tests are performed to investigate the ground reinforcing effect of rock bolts for regularly jointed rocks. Simple beam model was built to find out the reinforcing effect of jointed rocks, which was reinforced by pre-tensioned rock bolts. Settlement of model beam was analyzed through measuring its sagging for various installation intervals.

Fundamental Studies on Human Sciences by Facial Form Analysis - Based on Unit Fluid Model of Essence, Qi energy, Emotion, Blood - (안면형상연구의 인간과학적 기초 연구 - 정기신혈(精氣神血)의 유체역학적(流體力學的) 해석을 중심으로 -)

  • Kim, Jong-Won;Lee, In-Seon;Kim, Kyu-Kon;Lee, Yong-Tae;Kim, Kyung-Chul;Eom, Hyun-Sup;Chi, Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.5
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    • pp.1057-1061
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    • 2008
  • For the purpose of investigating the reasonable logics contained in physiognomy of east and old western medicine. hypothetical researches based on hydromechanics theory were performed concerning facial types of form and pathologic features, especially 4 types of Dr. Jisan-Essence, Qi energy. Emotional Activity and Blood(EQAB). In order to infer the functional relation between facial type forming and EQAB factors, EQAB were supposed as fluid grounded on their continual flowing or periodical change and pressure effect from its congestion. and a premise that there's a linear corresponding relationship between the appearance of organ and its physical conditions of its inner vessels is formed too. Through this work, the unit fluid model(UFM) of Essence can be assumed as circle shape formed by the high viscosity and surface tension, the UFM model of Qi energy as quadrangular shape by the scattering features to outer four directions, and the UFM of emotional activity as inverted triangular shape by the flippant and uprising features, and the UFM of blood as ellipsoid triangle by the heavy and descending features in spite of circulation. The shapes made from each UFM are reproduced in the process of human development and manifest respective facial shape through the self-reproduction method like fractal theory in the last. Conclusively. it is said that the facial form analysis method like EQAB type theory can be the useful methodology to understand the human pathological and physiological features in view of hydromechanics.

Clinical Evaluation of Thoracoscopic Sympathectomy in Hyperhidrosis (흉강경하 흉부 교감신경간 절제술을 시행한 본태성 다한증 환자의 임상적 고찰)

  • Oh, Wan-Soo;Kang, Jeong-Kweon;Yon, Jun-Heum;Kim, Jeong-Won;Hong, Ki-Hyuk
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.81-86
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    • 1999
  • Background: Essential hyperhidrosis is a condition with excessive sweating, which may be localized in any parts of the body. Thoracic sympathectomy has been a surgical procedure for the management of hyperhidrosis. Methods: We studied 30 ASA I and II patients suffering from severe hyperhidrosis. Bilateral upper thoracoscopic sympathectomy of $T_{2-4}$ was performed in 30 patients under general anesthesia. Anesthesia was induced with 2.5% thiopental sodium 5 mg/kg and succinylcholine chloride 1 mg/kg and was maintained with enflurane 1~2 Vol% and $N_2O-O_2$ mixture adjusted to maintain $SpO_2$ greater than 96%. During anesthesia, invasive arterial pressure, heart rate, EKG, $SpO_2$ and capnography were monitored. Skin temperature was measured with thermister probes attached to the index finger of each hand. An increase in temperature after cautery confirmed success of the sympathectomy. Results: There were 14 men and 16 women whose ages ranged from 16 to 46 years old (mean age 22.2). Of these patients, 13 patients had complained of palm-sole hyperhidrosis, 9 of palm-sole-axilla hyperhidrosis, 4 of palm-sole-face hyperhidrosis and 4 of palm-sole-axilla-face hyperhidrosis. The provocative factors of excessive sweating were tension and stress from interpersonal relationships. There was positive familial history in 37%. The most common complication was compensatory hyperhidrosis in 23 patients comprising 76%. Other complication included peumothorax (4 patients), hemothorax (1 patient), ipsilateral Horner's syndrome (1 patient) and paresthesia of right arm (1 patient). The degree of satisfaction was graded as good, fair and poor with 15, 12 and 3 patients, respectively. Conclusions: Thoracoscopic sympathectomy with VATS is an efficient, safe and minimally invasive surgical procedure for essential hyperhidrosis.

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Ore Minerals and the Physicochemical Environments of the Inseong Gold-Silver Deposits, Republic of Korea (인성(仁成) 금(金)·은(銀) 광상(鑛床)에서 산출(産出)되는 광석광물(鑛石鑛物)과, 물리화학적(物理化學的) 생성환경(生成環境))

  • Lee, Hyun Koo;Moon, Hi-soo
    • Economic and Environmental Geology
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    • v.22 no.3
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    • pp.237-252
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    • 1989
  • The Inseong gold-silver mine is located 3Km northwest of Suanbo, Choongcheongbugdo, Republic of Korea. The mine occurs in the shear zone formed by tension fractures within the Hwanggangri Formation of the Ogcheon metamorphic belt. Ore minerals found in the gold-silver bearing hydrothermal quartz vein composed mainly of pyrite, arsenopyrite, sphalerite, galena and minor amount of chalcopyrite, pyrrhotite, stannite, bismuthininte, native bismuth, chalcocite, electrum and tellurian canfieldite(?). The gangue minerals are quartz, calcite, chlorite and rhodochrocite. Wallrock alterations such as chloritization, silicitication, pyritization, carbonitization and sericitization can be observed in or around the quartz vein. According to the paragenetic sequence, quartz vein structure and mineral assemnlages, three different stages of ore formation can be recognized. The physico-chemical environment of ore formation in this deposit shows slight variation from stage to stage, but the condition of main ore deposition can be summarized as follows. Fluid inclusion, S-istope geothermometry and geothermometry based on mineral chemistry by use of arsenopyrite and chlorite show the ore was formed at temperature between 399 and $210^{\circ}C$ from fluids with salinities of 3.3-5.8 wt.% equivalent NaCl. It indicates that pressure during the mineralization is less than 0.6 Kb corresponding to a depth not greater than 1Km. S-isotope data suggests that thermal fluid may have magmatic origin wit some degree of mixing with meteoric water. In coclusion, the Inseong gold-silver deposit was formed at shallow depth and relatively high-temperature possibly with steep geothermal gradient under xenothermal condition.

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A Study on Output Characteristics of the π-type Piezoelectric Harvester (π-type 압전 하베스터의 출력 특성 연구)

  • Lee, Byeong-Ha;Jeong, Seong-Su;Cheon, Seong-Kyu;Ha, Yong-Woo;Park, Tae-Gone
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.28 no.1
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    • pp.1-6
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    • 2015
  • Generating output characteristics of a ${\pi}$-type piezoelectric harvester depending on size of the ceramic and the elastic body were studied. The ${\pi}$-type piezoelectric harvester consists of a rectangular piezoelectric ceramic and a ${\pi}$ shaped elastic body. If the tensions is applied at both ends of an elastic body legs, the piezoelectric effect occurs at the ceramics through the form change of the elastic body. The structure of this ${\pi}$-type harvester can be used in a various area than an existing type generator, because it prevent from direct pressure to the ceramic. Generating characteristics of the harvester were analyzed by using finite element method program. The piezoelectric harvester was fabricated on the basis of analyzed results and attached on a frequency controllable vibrator to measure the output characteristics. And generating characteristics were defined by comparing analysis results and experimental results. The highest output voltage was obtained when the ceramic length, thickness were 20 mm, 0.5 mm in the analysis result. And experiment was performed by analysis results at low frequency region, output voltage was generated about 6 V.