• 대한간호학회지
• /
• 제47권3호
• /
• pp.367-379
• /
• 2017

Purpose: This study aimed to understand and describe the caring experiences of spouses of elderly people with dementia. Methods: The hermeneutic phenomenological method was used and participants were 12 spouses aged 65 and over who were taking care of their husbands or wives with dementia at home. Data were collected from individual in-depth interviews on participants' actual caring experiences. Additionally, novels, movies, and memoirs on elderly couples with partner who had dementia were included as data for the analysis. The qualitative data analysis software program was used to manage and process the collected qualitative data. Data were analyzed using hermeneutic phenomenological analysis based on four fundamental existentials including lived body, lived space, lived time, and lived others. Results: Five essential themes emerged from the analysis: 1) body moving like an old machine, 2) swamp of despair filling with hope, 3) sweet time after bitterness, 4) disappointed elderly couple in the empty nest, and 5) unappreciation vs. empathetic feelings. These essential themes were comprehensively summarized as "the road leading to the maturation of life with dedication and hope while bearing the weight of caring based on the couple's relationship." Conclusion: The findings indicate that the nature of the caring experience of spouses of elderly individuals with dementia is filled with many dynamic and paradoxical dimensions. Thus, results of the study would help with developing interventions tailored specifically for elderly spouse caregivers to support their role adaptation and ultimately improving their quality of life.

• Carbon letters
• /
• 제8권2호
• /
• pp.108-114
• /
• 2007

In this work, activated carbon (AC) after $HNO_3$ modification was used as the support during the production of supported $TiO_2$ to increase the high deposition efficiency and the photocatalytic activity. The results of $N_2$ adsorption showed that the BET surface area of samples decreased with an increasing of the concentration of $HNO_3$ due to the penetration of $TiO_2$. From XRD data, a single crystal structure of anatase peak was observed in diffraction patterns for the AC coated with titanium complexes. From the SEM results, almost all particles were aggregated with each other at the carbon surface and AC was covered with $TiO_2$ particles in all of the samples. The EDX spectra show the presence of C, O, Ti and other elements. It was also observed a decreasing of amount of C content with increasing Ti and O content from the EDX. The results of FT-IR revealed that the modified AC contained more surface oxygen bearing groups than that of the original AC. The effect of surface acidity and basity calculated from Boehm titration method was also evaluated from correlations as a function of NaOH, $NaHCO_3$, and $Na_2CO_3$ uptake. The surface modification of AC by $HNO_3$ leads to an increase in the catalytic efficiency of AC/$TiO_2$ catalysts, and the catalytic efficiency increases with increasing of $HNO_3$ concentration.

• 한국지반신소재학회논문집
• /
• 제10권1호
• /
• pp.43-51
• /
• 2011

연약 점성토 지반에 성토를 할 경우 과도한 침하와 측방유동으로 인한 피해를 최소화하기 위해 토목섬유/성토지지말뚝공법이 주로 사용되고 있다. 본 공법은 연약지반 층을 관통하여 지지층에 관입시킴으로써 상재하중을 지지하게 하여 상재하중으로 인한 침하와 측방유동 발생을 최소화한다. 본 연구에서는 연약 점성토 지반에 설치된 토목섬유/성토지지말뚝공법의 보강효과를 정량적으로 검토함을 목적으로 하였다. 실내모형실험을 통하여 무보강 및 성토지지말뚝 보강의 경우에 대한 지반 거동을 재현하고 성토지지말뚝에 의한 측방유동 억지효과를 분석하였다. 이때 성토지지말뚝을 설치한 경우에 대해서는 상재하중의 크기를 다르게 설정하여 완속 재하와 급속 재하의 경우에 대한 측방유동의 억지효과를 분석하였다.

• 보건교육건강증진학회지
• /
• 제17권2호
• /
• pp.207-218
• /
• 2000

National health promotion services are any planned combination of comprehensive and specific services to help people to achieve and maintain health. The purpose of the service activities is to identify health needs, to obtain information and resources and to achieve change of individuals, families, groups, or entire communities. It also includes environmental support of social, political, economic, and organizational policy and regulatory arrangements bearing on behavior or more directly on health. To be most effective, the service must be planned and delivered by health professional. Therefore, the aim of this study has been to develop a health professional training program for national health promotion. The specific aims of this study were: 1) to clarify the roles, responsibilities and competencies of health promotion practitioners; 2) to help health promotion practitioners to get the knowledge, skills, and abilities for any heath promotion project or program that seeks to improve health; 3) to help health promotion practitioners to acquire the skills and abilities to encourage people to participate in the health promotion project, to access the health needs and available community resources, and develop community-wide health promotion program strategies. The health professional training program developed in this study included factors affecting education, the demands of training program and roles and responsibilities of health promotion practitioners. This study also developed the curriculum for health promotion practitioners. The curriculum had six topics: 1) government's health promotion policies and projects or programs; 2) health management and plan; 3) recent health issues and future perspectives; 4) data on various health status indices; 5) strategies to implement health promotion projects or programs; and 6) introduction of some effective and comprehensive health promotion projects or programs.

• Korean Journal of Acupuncture
• /
• 제26권2호
• /
• pp.61-74
• /
• 2009

Objectives: The warm needling technique is a method which combines the effects of acupuncture with those of moxibustion. The purpose of this study was to find the stimulus effects of a high frequency warm needling device when stimulating acupoint $LI_4$ on the carrageenan-induced arthritis. Methods: This study was to observe the effects to edema reaction, WBF(weight bearing force), NO concentration, nNOS expression after the electro high frequency stimulus of high frequency warm needling device on LI4 with insulated acupuncture needle. Results: The effect of the high frequency warm needling device is to rise up the temperature in proportion to the current intensity. After stimulating on the acupoint $LI_4$ of the carrageenan-induced arthritis in rats with the high frequency warm needling device, it significantly reduced edema in the rat's foot. In addition, WBF, NO concentration of spinal cord (nmol/mg), and nNOS relative expression were reduced. Conclusions: The above results support the idea that stimulus by the high frequency warm needling device on $LI_4$ produces a potent analgesic effect in the arthritis pain model of the rat. Moreover, stimulus by the high frequency warm needling device modulates endogenous NO through the suppression of nNOS protein expression.

• Tribology and Lubricants
• /
• 제35권5호
• /
• pp.300-309
• /
• 2019

Gas foil thrust bearings (GFTBs) support axial loads in oil-free, high speed rotating machinery using air or gas as a lubricant. Due to the inherent low viscosity of the lubricant, GFTBs often have super-laminar flows in the film region at operating conditions with high Reynolds numbers. This paper develops a mathematical model of a GFTB with turbulent flows and validates the model predictions against those from the literature. The pressure distribution, film thickness distribution, load carrying capacity, and power loss are predicted for both laminar and turbulent flow models and compared with each other. Predictions for an air lubricant show that the GFTB has high Reynolds numbers at the leading edge where the film thickness is large and relatively low Reynolds numbers at the trailing edge. The predicted load capacity and power loss for the turbulent flow model show little difference from those for the laminar flow model even at the highest speed of 100 krpm, because the Reynolds numbers are smaller than the critical Reynolds number. On the other hand, refrigerant (R-134a) lubricant, which has a higher density than air, had significant differences due to high Reynolds numbers in the film region, in particular, near the leading and outer edges. The predicted load capacity and power loss for the turbulent flow model are 2.1 and 2.3 times larger, respectively, than those for the laminar flow model, thus implying that the turbulent flow greatly affects the performance of the GFTB.

• 구강회복응용과학지
• /
• 제34권4호
• /
• pp.331-337
• /
• 2018

상악골 결손을 갖고 있는 무치악 환자를 폐쇄장치로 수복할 때 임상가들은 많은 어려움을 겪게 된다. 결손부를 통한 공기의 누출, 안정성과 지지의 부족, 감소된 의치 피개 면적은 의치의 흡착과 변연 폐쇄를 어렵게 한다. 본 증례는 편평상피암에 이환된 우측 상악동 부위에 상악골 절제술을 받은 무치악 환자로 술전 치과 검진, 수술용 폐쇄장치, 이행 폐쇄장치, 그리고 최종 폐쇄장치에 이르는 단계적 치료 과정을 통해 보철적 재건을 완료하였다. 본 증례의 환자는 전상악골 및 양측 상악 결절이 온전하며 한정된 크기의 결손부를 가져 적절한 유지와 지지를 갖는 폐쇄장치를 제작할 수 있었으며 심미 및 기능면에서 양호한 예후를 보였기에 이를 보고하는 바이다.

• 한국융합학회논문지
• /
• 제12권4호
• /
• pp.31-42
• /
• 2021

본 연구에서는 코로나19 관련 연구논문의 연구주제를 탐색하고 동향을 검토하고 있다. 또한 감성분석을 통해 부정적인 어조가 강한 경고가 되는 주제들을 알아본다. 잠재 디리슐레 할당(LDA)를 이용하여 총 8개의 토픽을 발견하였고, 이를 구조적 토픽 모델링(STM)과 비교하여 비교적 안정적인 결과임을 확인하였다. 또한 k-means 군집 알고리즘을 통해 각 토픽별로 세부 연구주제를 발견하였고 주성분 분석을 이용하여 이를 시각적으로 표현하였다. 감성분석을 통해 각 토픽별 긍정적, 부정적인 단어들을 살펴보고 감성점수를 계산하여 연구논문의 주된 어조를 파악하였는데, 특히 생물 의학 관련, 국제적 역학관계, 심리적 영향과 관련된 연구에서 부정적인 어조가 강한 것으로 나타나 해당 부문에 대해서 주의와 관심이 요구된다. 향후 연구자들이 연구의 방향성을 탐색하고 정책결정자들이 연구지원 사업을 결정하는데 기초자료로 활용될 수 있을 것이다.

• Steel and Composite Structures
• /
• 제44권3호
• /
• pp.437-450
• /
• 2022

When the vertical load-bearing members in high-rise structures fail locally, the beam-column joints play an important role in the redistribution of the internal forces. In this paper, a static laboratory test of three full-scale flush flange beam-reinforced connections with side and cover plates (CP-FBSP connection) with double half-span steel beams and single L-shaped columns composed of concrete-filled steel tubes (L-CFST columns) was conducted. The influence of the side plate width and cover plate thickness on the progressive collapse resistance of the substructure was thoroughly analyzed. The failure mode, vertical force-displacement curves, strain variation, reaction force of the pin support and development of internal force in the section with the assumed plastic hinge were discussed. Then, through the verified finite element model, the corresponding analyses of the thickness and length of the side plates, the connecting length between the steel beam flange and cover plate, and the vertical-force eccentricity were carried out. The results show that the failure of all the specimens occurred through the cracking of the beam flange or the cover plate, and the beam chord rotations measured by the test were all greater than 0.085 rad. Increasing the length, thickness and width of the side plates slightly reduced the progressive collapse resistance of the substructures. The vertical-force eccentricity along the beam length reduced the progressive collapse resistance of the substructure. An increase in the connecting length between the beam flange and cover plate can significantly improve the progressive collapse resistance of substructures.

• Structural Engineering and Mechanics
• /
• 제85권4호
• /
• pp.531-543
• /
• 2023

The existing concrete bridges are time-varying working systems, where the maintenance strategy should be planned according to the time-varying performance of the bridge. This work proposes a time-dependent residual capacity assessment procedure, which considers the non-stationary bridge load effects under growing traffic and non-stationary structural deterioration owing to material degradations. Lifetime bridge load effects under traffic growth are predicated by the non-stationary peaks-over-threshold (POT) method using time-dependent generalized Pareto distribution (GPD) models. The non-stationary structural resistance owing to material degradation is modeled by incorporating the Gamma deterioration process and field inspection data. A three-span continuous box-girder bridge is illustrated as an example to demonstrate the application of the proposed procedure, and the time-varying reliability indexes of the bridge girder are calculated. The accuracy of the proposed non-stationary POT method is verified through numerical examples, where the shape parameter of the time-varying GPD model is constant but the threshold and scale parameters are polynomial functions increasing with time. The case study illustrates that the residual flexural capacities show a degradation trend from a slow decrease to an accelerated decrease under traffic growth and material degradation. The reliability index for the mid-span cross-section reduces from 4.91 to 4.55 after being in service for 100 years, and the value is from 4.96 to 4.75 for the mid-support cross-section. The studied bridge shows no safety risk under traffic growth and structural deterioration owing to its high design safety reserve. However, applying the proposed numerical approach to analyze the degradation of residual bearing capacity for bridge structures with low safety reserves is of great significance for management and maintenance.