• Title/Summary/Keyword: Mean Pressure Control

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Effect of Therapy on Stress and Quality of Life in Patients Undergoing Hemodialysis (음악요법이 혈액투석환자의 스트레스와 삶의 질에 미치는 영향)

  • 김영옥
    • Journal of Korean Academy of Nursing
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    • v.23 no.3
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    • pp.431-452
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    • 1993
  • This study was done to determine the effect of music therapy on stress and quality of life in patients undergoing hemodialysis. The research design was a nonequivalent control group pre -post test design. The subjects consisted of 21 patients who received hemodialysis in two hospitals located in Kwang Ju. The fourteen receiving treatment in one hospital were assigned to the experimental group and the seven in the other hospital to the control group. Data were gathered from December 14, 1992 to January 16, 1993 through questionnaires and physiological measurement. Data were analyzed by the SAS package using frequency, t-test, paired t-test and Pearson Prod uct - Moment Correlation Coefficient. The results of this study are summarized as follows ; 1. There were no significant differences between the two groups on stress scores and quality of life scores before the treatment. 2. The mean score on the psychological stress scale for the patients undergoing hemodialysis was 2.48 out of a maximum mean score of four, the items with high stress scores were “feeling of weakness and annoyed by everything”, “limitation of food”, “limitation of fluid”, “change in skin color” in that order. The psychological category showed the highest stress score followed by developmental, scoioeconomic and physiological stress categories in that order. 3. In the experimental group, post - test diastolic blood pressure decerased significantly(t=3.24, p=0.0064), but in the control group pre and post - test diastolic blood pressure were not different. 4. There was no difference between the two groups on the pre and post -test psychological stress scores or the depression scores. 5. The mean score of quality of life for patients undergoing hemodialysis was 2.75 out of a maxi-mum mean score of five. The category of ‘emtional state’ showed the highest score followed by ‘self - esteem’, ‘physical state and function’, ‘economic life’, ‘relationship with neighbors’ and ‘family relationship’ categories in that order. There was no significant difference in the pre and post - test quality of life scores between the two groups. 6. Hypothesis 1 that patients undergoing hemodialysis who received music therapy would have less stress than patients undergoing hemodialysis who did not receive music therapy is divided into two sub - hypotheses. 1) The first sub-hypothesis that patients undergoing hemodialysis who received music therapy would have less physiological stress than patients undergoing hemodialysis who did not receive music therapy was partly supported. Among three physiological stress indices (pulse, systolic blood pressure, diastolic blood pressure), only diastolic blood pressure decreased significantly after the treatment in the experimental group. 2) The second sub-hypothesis that patients undergoing hemodialysis who received music therapy would have less psychological stress than patients undergoing hemodialysis who did not receive music therapy was not supported. Psychological stress score and depression score were not significantly different before and after the treatment. 7. Hypothesis 2 that patients undergoing hemodialysis who received music therapy would have a higher quality of life score than patients undergoing. hemodialysis who did not received music therapy was not supported. There were no significant changes in the quality of life scores before and after the treatment.

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Characteristics of the Low Pressure Plasma

  • Bae, In-Sik;Na, Byeong-Geun;Seol, Yu-Bin;Song, Ho-Hyeon;Yu, Sin-Jae;Jang, Hong-Yeong
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.235.2-235.2
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    • 2014
  • Plasma hardly grows in low pressure because of lack of collision. Especially, in extremely low pressure like 1 mTorr, the experiment scale is far larger than mean free path therefore plasma is hardly generated in such low pressure. But low pressure plasma has useful properties like low damage or fine sputtering process because it has typically low electron density. In here, thermal electron is used to make breakdown in low pressure easily and cylindrical geometry is used to help discharge easily. And we changed magnetic field strength to control electron density or temperature. In low pressure, density and temperature behavior is very interesting so its characteristics are examined here.

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Decision-Tree Analysis to Predict Blood Pressure Control Status Among Hypertension Patients Taking Antihypertensive Medications (약물복용 중인 고혈압 환자의 혈압관리양상 예측을 위한 의사결정나무분석)

  • Kim, Hee Sun;Jeong, Seok Hee;Park, Sook Kyoung
    • Journal of Korean Biological Nursing Science
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    • v.21 no.1
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    • pp.85-97
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    • 2019
  • Purpose: This study was performed to analyze the levels of blood pressure and to identify good or poor blood pressure control (BPC) groups among hypertension patients. The study was based on the Korea National Health and Nutrition Examination Survey (KNHANES VI and VII) conducted from 2013 to 2016. Methods: The sociodemographic and clinical data of 4,151 Korean hypertension patients aged 20-79 years and who were taking antihypertensive medications was extracted from the KNHANES VI and VII database. Descriptive statistics for complex samples and a decision-tree analysis were performed using the SPSS WIN 24.0 program. Results: The mean age was $62.46{\pm}0.21years$. The mean systolic blood pressure (SBP) was $128.07{\pm}0.28mmHg$, and the diastolic blood pressure (DBP) was $76.99{\pm}0.21mmHg$. 71.9% of participants showed normal blood pressure (SBP < 140mmHg and DBP < 90mmHg). From the decisiontrees analysis, the characteristics of participants related to good BPC group were presented with 9 different pathways same as those from the poor BPC group. Good or poor BPC groups were classified according to the patients' characteristics such as age, living status, occupation, education, hypertension diagnosis period, numbers of comorbidity, perceived health status, total cholesterol, high density lipoprotein-cholesterol, alcohol drinking per month, and depressive mood. Total cholesterol level (< 201mg/dL or ${\geq}201mg/dL$ cutoff point) was the most significant predictor of the participants' BPC group. Conclusion: This decision-tree model with the 18 different pathways can form a basis for the screening of hypertension patients with good or poor BPC in either clinical or community settings.

Effect of Ultrasound Therapy at the ST11 on Sympathetic Nervous System Change: A Prospective Randomized Controlled Study (기사혈(氣舍穴, ST11)에 적용한 혈위 초음파요법이 교감신경계에 미치는 영향: 전향적 무작위 대조군 연구)

  • Shinwoo Kang;Dongho Keum
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.4
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    • pp.167-184
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    • 2023
  • Objectives This study was designed to assess the effectiveness of ultrasound therapy at the ST11 for regulation of sympathetic hyperactivity. Methods Forty healthy adult subjects were assigned to experimental group and control group. After taking mental stress, ultrasound therapy was applied at the ST11 in experimental group and sham-ultrasound therapy was applied in control group. The evaluation of sympathetic activity was measured by blood pressure, pulse rate, and heart rate variability at 3 times (Time 1: before the stress stimulation, Time 2: after the stress stimulation, Time 3: after the intervention). The primary end point was consisted of normalized (norm) low frequency (LF)/high frequency (HF) ratio, LF (norm), HF (norm). The secondary end point was consisted of systolic blood pressure, diastolic blood pressure, pulse rate, mean heart rate, standard deviation of NN intervals, root mean square of the successive differences, total power (log). Results After the stress stimulation, all subjects showed sympathetic hyperactivity. After the intervention, the experimental group showed lower sympathetic activity than the control group. Comparing the Time 3 and Time 1, the experimental group showed no significantly differences in sympathetic activity while the control group showed higher sympathetic activity in Time 3 than Time 1. Comparing the Time 3 and Time 2, the experimental group showed lower sympathetic activity in Time 3 than Time 2 while the control group showed higher sympathetic activity in Time 3 than Time 2. Conclusions We suggest that the ultrasound therapy at ST11 can decrease sympathetic activity in sympathetic hyperactivity condition.

A Study on the Distribution of Droplet Velocity and Diameter in a High-Pressure Swirl Spray (와류형 고압 분무의 속도 및 입경분포에 관한 연구)

  • Choi, Dong-Seok;Ryu, Kyung-Hoon;Cha, Keun-Jong;Kim, Duck-Jool
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.23 no.10
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    • pp.1310-1319
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    • 1999
  • High-pressure swirl injectors have usually been employed in Gasoline direct injection engines due to their spray characteristics and the feasibility of their control. Thus the microscopic characteristics of high-pressure swirl spray were investigated by PDA. The correlation between axial and radial velocities and the correlation between droplet size and axial velocity were examined with different axial and radial positions. Two dimensional droplet velocity and its number distribution with size-classified droplets were illustrated. The mean droplet velocity and its SMD were also analyzed at the center of spray, the position having maximum mean axial velocity, and the spray periphery using time dividing method. Finally, the structure of high-pressure swirl spray was presented with the size distribution and velocity profile of droplets.

Condensation Heat Transfer and Pressure Drop of R245fa in a Plate-shell Heat Exchanger (Plate-shell 열교환기에서 R245fa의 응축열전달 및 압력강하 특성에 관한 연구)

  • Kim, Sung Woo;Baek, Changhyun;Song, Kang Sub;Kim, Yongchan
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.28 no.12
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    • pp.495-501
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    • 2016
  • Condensation heat transfer and pressure drop of R245fa were investigated experimentally in a plate-shell heat exchanger which consisted of thirty seven counter flow channels formed by thirty-eight plates with a chevron angle of $50^{\circ}$. The upflow of the water in one channel receives heat from the downflow of R245fa in the other. The effects of refrigerant mass flux, imposed heat flux, refrigerant saturation pressure, and mean vapor quality on the heat transfer characteristics were explored in detail. Experimental correlations were proposed to predict the condensation heat transfer coefficient and friction factor in terms of the Boiling number, Reynolds number, and Prandtl number. In the experiments, the mean vapor quality in the refrigerant channel was varied from .22 to .82, mass flux from 3 to $5kg/m^2$, imposed heat flux from 1 to $3kW/m^2$, and system pressure from .61 to .81 MPa.

Effects of Information Provision on Anxiety, Blood Pressure & and Pulse in Cerebral Angiography Clients (정보제공이 뇌혈관조영술 대상자의 불안, 혈압, 맥박에 미치는 영향)

  • Lee, Sun Yeon;Lee, Kyung-Sook
    • Journal of Korean Biological Nursing Science
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    • v.18 no.4
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    • pp.280-287
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    • 2016
  • Purpose: This study was to evaluate the effects of information on anxiety, blood pressure and pulse in cerebral angiography clients. Methods: The data were collected from June to November 2014. The participants were 42 (21 each for experimental and control group) patients who to received cerebral angiography. The information developed from researchers' materials for cerebral angiography was provided only to experimental group. Measured variables were anxiety, systolic and diastolic blood pressure, and pulse rate. Research tools for anxiety were Spielberger's state anxiety inventory, and 10 point visual analogue scale (VAS). Results: The difference in mean systolic blood pressure after intervention between the experimental group ($129{\pm}15.34$) and the control group ($141{\pm}17.70$) was statistically significant (t=-2.28, p=.028). The differences between the two groups in state anxiety, VAS anxiety, diastolic blood pressure, and pulse rate after intervention were not statistically significant (p>.05). Conclusion: The information using educational material was effective in to decreasing systolic blood pressure in patients who received cerebral angiography. Therefore this study material could be used as a nursing intervention for patients in cerebral angiography.

An Experimental Study on Combustion Instability Mechanism in a Dump Gas Turbine Combustor (모형 가스터빈 연소기내 연소불안정성에 대한 실험적 연구)

  • Lee, Youn-Joo;Lee, Jong-Ho;Jeon, Chung-Hwan;Chang, Young-June
    • Proceedings of the KSME Conference
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    • 2001.11b
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    • pp.853-858
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    • 2001
  • The knowledge of flame structure is essential for control of combustion instability phenomena. Some results of an experimental study on mechanism of naturally occurring combustion oscillations with a single dominant frequency are presented. Tests were conducted in a laboratory-scale dump combustor at atmospheric pressure. Sound level meter was used to track the pressure wave inside the combustor. The observed instability was a longitudinal mode with a frequency of $\sim341.8Hz$. Instability map was obtained at the condition of inlet temperature of $360^{\circ}C$, mean velocities of $8.5\sim10.8m/s$ and well premixed mixture. It showed that combustion instability was susceptible to occur in the lean conditions. In this study, unstable flame was observed from stoichiometric to 0.7 in overall equivalence ratio. At selected unstable conditions, phase-resolved OH chemiluminescence images were captured to investigate flame structure with various mean velocities. As mean velocity is increased, the flame grows and global heat release was changed. Due to these effects, combustion instability can be maintained at more lean air-fuel ratio. Also, these results give an insight to the controlling mechanism for an increasing heat release at maximum pressure.

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Torque Curves and Cardiovascular Response to Isometric Exercise at the Elbow Joint in Normal and Hemiplegic Subjects (정상인과 편마비 환자의 주관절 등척성 운동시 우력양상과 심혈관계에 미치는 영향)

  • Shin, Hyung-Soo;Hwang-Bo, Gak;Lim, Weon-Sik;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.537-549
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    • 2001
  • The isometric torque of the elbow flexor and extensor muscles were measured for 6 seconds at a joint angle of 90$^{\circ}$ , in 10 normal subjects (control group) and 10 hemiplegic subjects(patient group), using the Cybex NORMTM System. The peak torque, the time to peak torque were measured for each exercise. In addition, heart rate and blood pressure were recorded simultaneously at rest and immediately following exercise completion at 1 and 3m mutes. Statistical analysis was performed using SPSS 8.0 for Windows software and mean and standard deviations were calculated. The results are as follows. 1) In the patient involved group. the isometric values for flexors and extensors were significantly lower than in the normal nondominant group(p<.05). 2) The extensor to flexor strength ratio in the isometric mode was 121.0% in the patient involved group compared with 78.7%in the normal nondominant group, a significant difference(p<.05). 3) The mean increment ratio was increased 19.0% for systolic blood pressure and 25.2% for disatolic blood pressure in the patient group. 4) The mean increment ratio was increased 36.0% heart rate in the patient group.

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Development of IMEP Estimation and Control Algorithm Using In-Cylinder Difference Pressure for Passenger Diesel Engines (승용 디젤 엔진의 실린더 차이 압력을 이용한 IMEP 추정 및 제어 알고리즘 개발)

  • Chung, Jae-Sung;Oh, Seung-Suk;Park, In-Seok;SunWoo, Myoung-Ho
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.9
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    • pp.915-921
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    • 2012
  • In this study, we propose a new method for estimating the IMEP using difference pressure, which is the pressure difference between the cylinder pressure and the motoring pressure. The estimated IMEP, denoted as $IMEP_{diff}$, optimizes the theoretical IMEP calculation range based on the fact that the difference pressure exists between the start and the end of combustion. $IMEP_{diff}$ is verified to have a high linear correlation with IMEP with $R^2$ of 0.9955. The proposed method can estimate the IMEP with 21% of the cylinder pressure data and 31% of the calculation effort compared to the theoretical IMEP calculation method, and therefore, it has great potential for real-time implementations. The estimation and control performance of $IMEP_{diff}$ is validated by engine experiments, and by controlling $IMEP_{diff}$, the torque variation between the cylinders was reduced.