• Title/Summary/Keyword: Pulse test

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The Effect of Hand Massage on Pain and Anxiety Related to Chest Tube Removal in Patients with a Lobectomy (손마사지가 폐엽 절제술 환자의 흉관 제거시 통증과 불안에 미치는 영향)

  • Song Yeoung-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.1
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    • pp.27-44
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    • 2002
  • The main purpose of this study was to identify the effect of hand massage on pain and anxiety related to chest tube removal in patients with a lobectomy. The research design of this study was a nonequivalent control group non-synchronized design. Of the twenty nine adult subjects, fourteen were assigned to the experimental group and fifteen to the control group. The data were obtained over 3 months from a medical center in Seoul. The instruments used to assess trait state anxiety was the Spielberger Trait-State anxiety Inventory. For pain and psychological anxiety. The Visual Analogue Scale was used. Hiko analogue sphygmo-manometer(2001) was used to check blood pressure and pulse rate as indicators of physiological anxiety Subjects in the experimental group received hand massage for 5 minutes just before chest tube was removed, and subjects assigned to the control group did not receive hand massage. Data were analysed with $x^2$-test and Mann-Whitney U test using the SPSSWIN 10.0 program. The results of the study are as follows : 1. Hypothesis 1: 'there will be a significant difference between two groups in the level of pain after chest tube removal' was supported (u = 23.00, p < 0.001). 2. Hypothesis 2: 'there will be a significant difference between the two groups in the level of psychological anxiety after chest tube removal' was supported (u = 3.00, p < 0.001). 3. Hypothesis 3: 'there will be a significant difference between the two groups in physiological anxiety(systolic, diastolic blood pressure and pulse rate) after chest tube removal' was supported(u =55.50, p = 0.01 ; u = 41.50, p = 0.01 ; u = 20.50, p < 0.001, relatively). The findings of this study indicate that hand massage is effective for pain and anxiety related to chest tube removal in patients with lobectomy. Therefore, hand massage is recommended as an effective nursing intervention for relieving pain and anxiety in patients undergoing chest tube removal. Further research is needed to identify the proper duration and timing to achieve the optimal effect of hand massage. A larger subject population is required to apply the current findings to the general population. Further research is also needed to assess the effects of hand massage in other patient subsets. Finally, it would be interesting to see if the effects of hand massaging would be attenuated when performed by a non-medical specialist.

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Effects of one-to-one Labor Support on Labor Pain, Labor Stress Response, Childbirth Experience and Neonatal Status for Primipara (일대일 분만지지간호가 초산모의 분만동통, 분만스트레스 반응, 분만경험 및 신생아 상태에 미치는 효과)

  • Hur, Myung-Haeng
    • Women's Health Nursing
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    • v.7 no.2
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    • pp.188-202
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    • 2001
  • This study was designed to investigate the effect of one-to-one labor support on labor pain, labor stress response, childbirth experience and neonatal status for primipara by a quasi experiment (nonequivalent control group pretest-posttest design), from April 30, 1999 to February 20, 2000. The subjects of this experiment consisted of eighty two primipara with single gestation, full term, uncomplicated pregnancies. Forty one were in the experimental group and forty one in the control group. Their mean age was 25.95 years, their mean gestation period was 39.9 weeks. A caring package of one-to-one labor support had three components. Physical support consisted of massage, back pressure, touch. Emotional support was provided by a continuous nurse's presence, acceptance and encouragement. Informational support involved teaching breathing skills, relaxation skills and knowledge about the labor process. Data assessed labor pain, pulse rate and blood pressure to measure labor stress response. Also, in measuring the value of labor stress response, plasma epinephrine, plasma norepinephrine and serum cortisol were measured. In the 24 hours after birth, the data for the postpartum mother's childbirth experiences was collected. Umbilical cord arterial blood pH, one minute and five minute Apgar score were measured after birth. Data was analyzed by t-test, $x^2$-test, repeated measures ANOVA, ANCOVA with SAS Program. The results were as follows; 1. Labor pain was significantly low in the experimental group(P=.016). 2. No significant group effects were found, but significant time effects were found for plasma epinephrine, norepinephrine, serum cortisol, pulse rate and blood pressure. 3. The childbirth experience of the experimental group was significantly more positive than the control group (P = .005). 4. The umbilical cord arterial blood pH of the experimental group was significantly higher than the control group(P=.014). There was no significant difference between the two groups in neonatal one minute and five minute Apgar scores. In conclusion, these findings indicate that one-to-one labor support could be effective in decreasing labor pain, and increasing positive childbirth experiences, also increasing the neonatal umbilical cord arterial blood pH for primipara. So, one-to-one labor support could be applied as an effective nursing treatment for primipara.

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Prediction Model for Autogenous Shrinkage of High Strength Fly Ash Concrete (고강도 플라이 애쉬 콘크리트의 자기수축 예측 모델)

  • Lee, Hoi-Keun;Lee, Kwang-Myong;Kim, Woo
    • Journal of the Korea Concrete Institute
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    • v.15 no.1
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    • pp.134-142
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    • 2003
  • Autogenous shrinkage, a significant contributor of early-age cracking of high strength concrete (HSC), must be avoided or minimized from an engineering point of view. Therefore, it is necessary to study how to reduce and to predict autogenous shrinkage with respect to tile control of early-age cracking. In this study, autogenous shrinkage of HSC with various water-binder ratio (W/B) ranging from 0.50 to 0.27 and fly ash content of 0, 10, 20, and 30% were investigated. Based on the test results, thereafter, a prediction model for autogenous shrinkage was proposed. Test results show that autogenous shrinkage increased and more rapidly developed with decreasing the W/B. Also, the higher fly ash contents, the smaller autogenous shrinkage. In particular, even if much autogenous shrinkage occurs at very early-ages, stress may not be developed while the stiffness of concrete is low. In order to consider the change of concrete stiffness, the transition time referred as stiffening threshold, was obtained by monitoring of ultrasonic pulse velocity evolution and considered in the autogenous shrinkage model. From a practical point of view, the proposed model can be effectively used to predict autogenous shrinkage and to estimate stress induced by autogenous shrinkage.

The Effects of Inhalation Method Using Essential Oils on the Preoperative Anxiety of Hystrectomy Patients (향기흡입법이 자궁적출술 환자의 수술전 불안에 미치는 효과)

  • Oh, Young-Hi;Jung, Hyang-Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.5 no.1
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    • pp.18-26
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    • 2002
  • The purpose of this study was to elucidate the effects of inhalation method using essential oils on the preoperative anxiety of hystrectomy patients, and to provide effective and holistic nursing care to them. The research design was a nonequivalent control group non synchronized design. The data were collected from February 1 to March 31, 2002 at D Medical Center in Busan. The subjects were forty one patients that were operated on under general anesthesia for hystrectomy. They were assigned to two groups, twenty one subjects in the experimental group and twenty subjects in the control group. The tool of the Visual Analogue Scale(VAS) was used to anxiety on all patients the day before surgery and the preoperative period. Then systolic and diastolic blood pressure, pulse rate levels were measured the day before surgery and the preoperative period. The experimental group received two treatments of inhalation method using essential oils of with lavender, ylang ylang, and bergamot oil. The data were analyzed by the $X^2$ test and the independent t-test. The results of this study were summarized as follows: 1. Hypothesis 1: It has been supported that the experimental group received inhalation method using essential oils might cause lower level of the preoperative VAS anxiety than that of the control group(t=-2.93, p=.006). 2. Hypothesis 2: It has been rejected that the experimental group received inhalation method using essential oils might cause lower level in the preoperative systolic blood pressure than the control group(t=-.120, p=.905). It has been rejected that the experimental group received inhalation method using essential oils might cause lower level in the preoperative diastolic blood pressure than the control group.(t=1.766, p=.085). 3. Hypothesis 3: It has been supported that the experimental group received inhalation method using essential oils might cause lower level in preoperative pulse rate than the control group(t=5.853, p=.000). According to these results, inhalation method using essential oils can be considered an effective nursing intervention that relieves the preoperative anxiety of hysterectomy patients and stabilizes vital sign partially.

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The Effect of Supportive Nursing Intervention on Patient's Response of Anxiety during Emergency Room Staying (지지적 간호중재가 응급실 환자의 불안반응에 미치는 효과)

  • Yoon Jung Won;Park Young Sook;Park Chung Ja
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.100-113
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    • 2000
  • The purpose of this study is to examine the effect of supportive nursing intervention on patient's response of anxiety in emergency room as the suspected experimental research sequentially designed for the unequal control group. This study collected the data from 100 patients including 50 patients of experimental group and 50 patients of control group in emergency room of the only one university hospital from July 12. to September 30, 1999. This study used questionnaires that Kim, Jung Taek and Shin. Dong Kyun revised the measurement of STAI(State-Trait Anxiety Inventory) of Spielberger(1972) to measure their anxiety with using physical. spiritual. and informative support of the supportive nursing intervention, and measured blood pressure. pulse and respiration by physiological response of anxiety. After then. this study analyzed the frequency and percentage by using SPSS 7.5 program, $x^2-test$, t-test and ANCOVA. The results are as follows: First hypothesis : the point of STAI of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=22.943, p=.000). Second hypothesis : the sistolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=42.603. p=.000). Third hypothesis. the diastolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F= 18.482, p=.000). Fourth hypothesis: the pulse of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. Fifth hypothesis : The respiration of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. In the above-mentioned result. the supportive nursing intervention was considered to be useful intervention that raised the effect on patient's response of anxiety during emergency room staying.

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The Effect of Hand Massage Program on Anxiety in Patients with Ischemic Heart Diease (손마사지가 허혈성 심질환 환자의 불안에 미치는 효과)

  • Hyun, Kyung-Sun;Lee, Hyang-Yeon;Kong, Song-Cim;Yoon, Kyung-Ja;Kim, Hyun-Sub;Kim, Hoy-Nam;Choi, Ji-Won;Kim, Woon-Jong
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.340-349
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    • 2001
  • The purpose of this study was to investigate the effect of a hand massage program on anxiety, vital sign and pain in clients with ischemic heart disease. The design utilized for this study was quasi-experimental with a nonequivalent control group non-synchronized design The subjects were fifty-four patients, twenty-eight for the experimental and twenty-six for the control group, who were admitted with ischemic heart diease at a cardiac intensive care unit in K medical center of K university. This study was carried out from May, 1999 to March, 2000. The level of anxiety and pain measured by Visual Analogue Scale, systolic blood pressure, diastolic blood pressure and pulse rate were measured before and after hand massage, the state of Anxiety was measured by the Spielberger (1970) scale at admission and after hand massage for three days. The collected data were processed by using the SPSS PC program and analyzed using $\chi^2$-test and t-test. The result of this study are as follows : 1. The scores of VAS anxiety and State of anxiety of the experimental group were lower than those of the control group. 2. The degree of systolic blood pressure, diastolic blood pressure and pulse rate of the experimental group were lower than that of the control group. 3. The score of VAS pain of the experimental group was lower than that of the control group. The results suggested that hand massage can decrease VAS anxiety, State of anxiety, vital signs and VAS pain of patients who were admitted with ischemic heart disease at cardiac intensive care unit Therefore, it is proposed that hand massage is an appropriate nursing intervention to relieve anxiety of the patients who were admitted with ischemic heart disease at a cardiac intensive care unit.

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Reliability Evaluation for Prediction of Concrete Compressive Strength through Impact Resonance Method and Ultra Pulse Velocity Method (충격공진법과 초음파속도법을 통한 콘크리트 압축강도 예측의 신뢰성 평가)

  • Lee, Han-Kyul;Lee, Byung-Jae;Oh, Kwang-Chin;Kim, Yun-Yong
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.4
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    • pp.18-24
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    • 2015
  • Non-destructive testing (NDT) methods are widely used in the construction industry to diagnose the defects/strength of the concrete structure. However, it has been reported that the results obtained from NDT are having low reliability. In order to resolve this issue, four kinds of NDT test (ultrasonic velocity measurements by P-wave and S-wave and the impact resonance methods by longitudinal vibration and deformation vibration) were carried out on 180 concrete cylinders made with two kinds of mix proportions. The reliability of the NDT results was analyzed and compared through the measurement of the actual compressive strength of the concrete cylinders. The statistical analysis of the results was revealed that the ultrasonic velocity method by S-wave is having lowest coefficient of variation and also most capable of stable observation. Analytical equations were established to estimate the compressive strength of the concrete from the obtained NDT results by relating the actual compressive strength. Moreover the equation established by the ultrasonic velocity method by S-wave had the highest coefficient of determination. Further studies on the stability of non-destructive testing depending on various mixing conditions will be necessary in the future.

Autogeneous Shrinkage Characteristics of Ultra High Performance Concrete (초고성능 콘크리트의 자기수축 특성)

  • Kim, Sung-Wook;Choi, Sung;Lee, Kwang-Myong;Park, Jung-Jun
    • Journal of the Korea Concrete Institute
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    • v.23 no.3
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    • pp.295-301
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    • 2011
  • Recently, the use of UHPC made of superplasticizers, silica fume, and steel fibers has been increasing worldwide. Although UHPC has a very high strength as well as an excellent durability performance due to its dense microstructures, earlyage cracks may occur due to the high heat of hydration and autogenous shrinkage caused by low W/B and high unit cement content. The early-age shrinkage cracking of UHPC can be controlled by using the shrinkage reducers and expansive admixtures having autogenous shrinkage compensation effect. In this paper, ultrasonic pulse velocity of UHPC containing shrinkage reducers and expansive agents was measured to predict its stiffness change. Also, the effect of shrinkage reducers and expansive agents on the autogenous shinkage of UHPC was investigated through the shrinkage test of UHPC specimens. Furthermore, the material coefficients of autogenous shrinkage prediction model were determined using the autogenous shrinkage values of UHPC with age. Consequently, the test results showed that, by adding shrinkage reducers and expansive agents, the stiffness of UHPC was rapidly developed at early-ages and the autogenous shrinkage was considerably reduced.

Development and Characterization of High Frequency Ultrasonic Transducer Using PVDF and P(VDF-TrFE) (PVDF 및 P(VDF-TrFE)를 이용한 고주파수 수침용 초음파 탐촉자 개발 및 평가)

  • Kim, Ki-Bok;Kim, Byoung-Geuk;Lee, Seung-Seok
    • Journal of the Korean Society for Nondestructive Testing
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    • v.22 no.1
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    • pp.1-8
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    • 2002
  • The high frequency ultrasonic transducers using polyvinyliden fluoride(PVDF) and polyvinylidene fluoride trifluorethyylene(P(VDF-TrFE)) were developed. The characteristics of fabricated high frequency ultrasonic transducer such as beam diameter, high frequency ultrasonic detection field and amplitude of the first pulse echo signal from the test target in the water were analyzed. The high frequency ultrasonic detection field was affected by the length of coaxial cable between high frequency transducer and ultrasonic pulser/receiver. As the size of the test target increased, the high frequency detection field decreased and the amplitude of a reflection signal increased. The peak amplitude of the first pulse echo signal of P(VDF-TrFE) transducer was higher than that of PVDF transducer. The high frequency ultrasonic detection field of PVDF transducer was wider than that of P(VDF-TrFE) transducer. With C-scan testing, the developed high frequency ultrasonic transducer could detect the 30 to $100{\mu}m$ of hydrogen induced crack of steel specimen by C-scan testing.

A Study of brain Atlases in Hippocampus Volume Measurement Using IBASPM (IBASPM을 이용한 해마체적 측정에서 뇌 Atlases에 대한 고찰)

  • Kim, Ju-ho;Lee, Ju-won;Kim, Seong-hu
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.981-984
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    • 2014
  • Volumetric measurement of hippocampus using IBASPM, the 20's normal adults 10 people's brain images were acquired in order to assess the changes according to the type of the Atlas. Images was obtained using MPRAGE of a 3-D gradient echo pulse sequence on Head matrix coil of 1.5T MRI system. The results of Paired t-test using obtained volume of hippocampus depending on the type of the Atlas, Atlas69-Altas84, Atlas69-Atlas116(p=0.729, 0.729) in the left hippocampus and Atlas69-Atlas84, Atlas69-Atlas116(p=0.219, 0.219) in right hippocampal formation were no significant differences but in the area except this, there was significant difference(p=0.000). The volume of the hippocampus using Atlas84 and Atlas116, represented the same value and there was no significant difference. In the image analysis using the overlay of atlas image and original image, Atlas71 could be found that the area of hippocampus did mismatch. In the case of atlas used in this study, because it has been developed by the westerners, there are differences between brain of asian. It would be needed to development of new Atlas for high accuracy measurement of the volume of hippocampus.

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