The purpose of this study was to identify risk factors predictive of alterations in skin integrity during the intraoperative period. The predictive risk factors were studied for intraoperative pressure sores from December 1998 through January 1999. A sample of 220 patients was selected from the operating room schedule of a University Hospital in Pusan. There were two criteria in including patients : the operation lasted longer than 2 hours and the absence of skin break-down according to NPUAP criteria. The data were analized by SPSS/PC, Stepwise multiple logistic regression was used to identify the variables which were predictive of alterations in skin integrity. Of the 220 patients studied, 41 patients (18.6%) developed stage 1 pressure sores in the immediate postoperative period. In relation to skin changes, three independent variables emerged from the stepwise multiple logistic regression as being significant (p<0.05). Factors predictive of pressure sore formation included low serum albumin(p=0.000), prone position while undergoing surgery(p=0.0004), time on the operating table(p=0.0165). Among the intrinsic factors, serum albumin was the most significant causal factor in pressure sores development in the intra-operative period. Pressure and shearing force were the most significant extrinsic factors in pressure sores development. From the results of this study we concluded that the primary nursing goal is the maintenance of the proper patient' position during the intraoperative period. Also imperative for sore prevention is the reduction of surgery time and improving preoperative nutritional status.
Objective: This study aimed to identify children's cognitive processing and performance characteristics while multiple task performance. It confirmed whether their multiple task performance and psychological refractory period (PRP) varied by task condition (stimulus onset asynchrony [SOA] and task difficulty) and stimulus modality. Methods: Seventy 5-year-olds were recruited. Multi-task tools were developed using the E-prime software. The children were required to respond to two stimuli (visual or auditory) presented with microscopic time difference and their response times (RTs) were recorded. Results: As the SOA increased, the RTs in the first task increased, while the RTs in the second task and PRP decreased. The RTs of the first and second tasks, and the PRP for difficult tasks, were significantly longer than those for easy tasks were. Additionally, there was an interaction effect between the SOA and task difficulty. Although there was no main effect of stimulus modality, task difficulty moderated the modality effect. In the high difficulty condition, the RTs of the first and second tasks and PRP for the visual-visual task were significantly longer than those for auditory-auditory task were. Conclusion: These results inform theoretical discussions on children's multi-task mechanism, and the loss of multiple task performance. Additionally, they provide practical implications and information on the composition of multi-tasks suitable for children in educational environments.
Background: Multiple Chemical Sensitivity (MCS) is an acquired disease which etiology remains unknown. It is characterized by the development of sensitivity to certain chemical products. Most of the hypotheses formulated to explain the syndrome associate it to a previous exposition to some kind of volatile chemical. University researchers in chemical laboratories suffer a phenomenon of multi-exposition to chemical agents at low concentration during long periods of time although in an irregular form. Many of these chemical agents have similar properties to those suspicious of causing MCS. This article studies the prevalence of MCS in laboratory researchers. Methods: The study group is university researchers in chemical laboratories. The control group was obtained from administrative personnel who work in the same universities and therefore, are not exposed to chemical products from the laboratories, but have the same exposition to the rest of environmental polluting agents from the area and from the buildings of the university. In this study, it is used the Quick Environmental Exposure and Sensitivity Inventory (QEESI) (sensitivity of 92%/specificity of 95%). Results: The results showed that the prevalence of MCS for the university researchers is not related to exposition by inhalation to multiple chemical agents, at low concentration. Conclusions: The results disagree with one of the main etiological hypotheses of MCS, which is based on the existence of hypersensitive people, who presents a response after prolonged expositions to very low concentrations during a long period of time.
The fatigue of back muscle in the repetitive lifting motion was studied using multiple parameters(FFT_MDF, RMS, 2C, NT) in this study. Recent developments in the time-frequency analysis procedures to compute the IMDF(instantaneous median frequency) were utilized to overcome the nonstationarity of EMG signal using Cohen-Posch distribution. But the above method has a lot of computation time because of its complexity. So, in this study, FFT_MDF(median frequency estimation based on FFT) algorithm was used for median frequency estimation of back muscle EMG signal during muscle work in uniform velocity portion of lumbar movement. The analysis period of EMG signal was determined by using the run test and lumbar movement angle in dynamic task, such as lifting. Results showed that FFT_MDF algorithm is well suited for the estimation of back muscle fatigue from the view point of computation time. The negative slope of a regression line fitted to the median frequency values of back muscle EMG signal was taken as an indication of muscle fatigue. The slope of muscle fatigueness with FFT_MDF method shows the similarity of 77.8% comparing with CP_MDF(median frequency estimation based on Cohen Posch distribution) method.
KSII Transactions on Internet and Information Systems (TIIS)
/
제8권1호
/
pp.123-144
/
2014
Wireless sensor networks are generally deployed for specific applications to accomplish certain objectives over a period of time. To fulfill these objectives, it is crucial that the sensor network continues to function for a long time, even if some of its nodes become faulty. Energy efficiency and fault tolerance are undoubtedly the most crucial requirements for the design of an information extraction protocol for any sensor network application. However, most existing software agent based information extraction protocols are incapable of satisfying these requirements because of static agent itineraries and large agent sizes. This paper proposes an Information Extraction protocol based on Multiple software Agents with Dynamic Itineraries (IEMADI), where multiple software agents are dispatched in parallel to perform tasks based on the query assigned to them. IEMADI decides the itinerary for an agent dynamically at each hop using local information. Through mathematical analysis and simulation, we compare the performance of IEMADI with a well known static itinerary based protocol with respect to energy consumption and response time. The results show that IEMADI provides better performance than the static itinerary based protocols.
Due to the customer needs of reducing cost and delivery date shorting, prompt change in the production plan became more important. In the multi period system (For instance, production line.) where target processing time exists, production, idle and delay risks occur repeatedly for multiple periods. In such situations, delay of one process may influence the delivery date of an entire process. In this paper, we discuss the minimum expected cost of the case mentioned above, where the risk depends on the previous situation and occurs repeatedly for multiple periods. This paper considers the optimal switching frequency to minimize the total expected cost of the production process. In this paper, first, the optimal switching frequency model is proposed. Next, the mathematic formulation of the total expectation is presented. Finally, the policy of optimal switching frequency is investigated by numerical experiments.
In this paper, we proposed a method to determine the acceleration/deceleration time of the motion for reducing the residual vibration caused by the resonance of the robot in the high-speed motion. The relationship between the acceleration/deceleration time and the residual vibration was discussed for the trapezoidal velocity profile by analyzing the time when the jerk happens. The natural frequency of the robot can be estimated in advance through the dynamics simulation. The simulation and experiment for both cases where the moving distance of the robot is long enough and the distance is short, are implemented in the 1-DOF linear robot. Simulation and experimental results show that when the acceleration/deceleration time is a multiple of the vibration period, the settling time and the amplitude of the residual vibration become less than when the time is not a multiple.
This study is about the periodic characteristics of Wonsam in the Joseon Dynasty. Wonsam include the Danryeong-shaped Wonsam in the beginning, the compound Wonsam in a period of transition and the stereotyped Wonsam in the late Joseon Dynasty. The formative characteristics of Wonsam are divided into four stages. The first stage of the Wonsam is from the 15th to 16th century. The shape of Wonsam began to form and it was similar to one of Danryeong during this time. The formative characteristics of the first Wonsam included collars that looked like one of Danryeong, side pleats(called Moo) with multiple inner folds, straight cylinder-shaped sleeves, and a belt tied with the Wonsam. There were various fabrics that were used for the Wonsam from this stage. Second stage of the Wonsam is from the early 17th to mid 17th century. This period marked the beginning of the transition of the Wonsam and it served as a stepping-stone to the development stage in the Joseon Dynasty. The characteristics of the transitional Wonsam were a complex combination of the Danryeong and Wonsam. During this period, the Wonsam went through many changes and forms in a short period of time. Third stage of the Wonsam is from the mid 17th to early 19th century. The Wonsam was developed at this stage. The developed Wonsam went through a period of transition equipped with a stable form. The formative characteristics of Wonsam during this period included collars that faced each other, big and wide sleeves with multicolored stripes, Hansam, curve-edged side seam and the side pleats(Moo) with multiple inner folds had disappeared. It was a turning point from the single-layered clothes to double layered clothes and from dark blue to green color appeared at this time. The fabric patterns of this stage tended to consist of more simplified silk pattern. The fourth stage of the Wonsam is from the late 19th to 20th century. The Wonsam was expanded at this stage. The formative characteristics and fabrics were typically used for the standard Wonsam and were divided into two types; as a ceremonial robe used in courts and a wedding ceremonial robe for the common people. Phenomena such as sewing of double-layered clothes as one and straight-edged side seam during the late Joseon period developed into simpler and more practical fashion culture.
This paper represents a basic statistical examination on the navigability of ocean-going ship from the point of estimating the time lasting period when propeller racing occurred by using the basic probability theory and the statistics. The propeller racing is one of the most important seakeeping qualities in relation to the safety of the main engine and shafting system. The trend of the racing has been mainly investigated in order to estimate allowable maximum propeller diameter, operation of ocean-going ships, etc.. In those studies, the propeller racing generally and mainly means the situation (propeller exposed) in which the relative motion amplitude between ship hull and wave surface would exceed a depth of point in rotary disk propeller. Therefore, it seems that the magnitude of the amplitude and its exceeding frequency of propeller racing have been examined as a principal subject of study as usual. However, the time during which the amplitude exceeds the depth of point, that is, the propeller exposes in the air, must be also one of most important factor affecting the trend of propeller racing. Then, this paper proposes a new practical method for estimating the time lasting of exposed propeller related to propeller racing in rough-confused seas on the basis of the linear strip theory and the statistics. And, numerical examples of estimating the propeller racing probability are given for four wide ship forms. Finally the usefulness of the proposed method for predicting propeller racing based on the time lasting period is discussed.
Purpose: Despite of the popular use of the reconstruction plate for the fixation of clavicular shaft fractures, some disadventages have been raised such as long period of immobilization, long skin incision, loosening of plate and screws, and increased chance of nonunion due to severe periosteal injury. Thus, the authors have performed intramedullary multiple Steinmann pins fixation that could reduce the disadvantages of plate fixation in order to compare the treatment results between the two groups. Materials & Methods: From 1994. Jan. to 1997. Dec. the department of orthopaedic surgery of the Kwak's hospital treated operatively for 56 cases of the clavicular shaft fractures in adult. 39 cases of them were treated with the plate fixation and 17 cases with the intramedullary multiple Steinmann pins fixation(SP group). Reconstruction plates(Plate group) were used for 26 out of 39 patients treated with plate fixation. Among the Plate group and SP group, each 15 cases were selected by age and sex and compared each other according to the bone union time, union rate, complication, and functional results. The follow-up period was 12 months at the shortest and 48 months at the longest and the average was 16 months. Results: The Plate group showed that the bone union time was 7 weeks and the bone union rate was 93%. The SP group showed 6.5 weeks and 100% respectively. In complication, the Plate group had 1 case of loosening of plate and screws and delayed union; SP group had 1 case of pin migration. The functional results according to Kang's criteria, 87% of the Plate group and 93% of the SP group showed good or excellent. Conclusion : The SP group showed very comparable results in terms of the bone union time, bone union rate, complication, and functional results comparing to the Plate group. The intramedullary multiple Steinmann pins fixation showed several advantages over the reconstruction plate fixation, which were simple operative technique, easy removal of pins, being able to perform immediate postoperative full range of motion exercise. Therefore, the intramedullary multiple Steinmann pins fixation is thought to be one of the useful operative techniques in treatment of the clavicular shaft fractures in adult.
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