• Title/Summary/Keyword: Restraints

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Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings (장기요양시설 및 요양병원 입소 치매대상자의 억제대 적용 관련 요인)

  • Lee, Haejung;Park, Myonghwa;Lee, Sung-Hwa;Lee, Mihyun;Go, Younghye;Kim, Chun-Gill;Kim, Jeong Sun;Kim, Kyung Sook;Lee, Young Whee;Lim, Young Mi;Song, Jun-Ah;Park, Young Sun;Youn, Jong Chul;Kim, Ki Woong;Hong, Gwi-Ryung Son
    • Journal of Korean Gerontological Nursing
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    • v.21 no.2
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    • pp.125-134
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    • 2019
  • Purpose: The purpose of this study was to investigate factors related to use of restraints for older adults with dementia in long-term care settings. Methods: This study analyzed secondary data from the Nationwide Survey on Dementia Care in Korea (NaSDeCK). Demographic characteristics, disease characteristics, and functional characteristics were analyzed. Data were analyzed with χ2 test, t-test, ANOVA, and logistic regression analysis. Results: Among participants, 8.2% experienced use of restraints. 'Strap' (78.3%) was the most commonly used restraint and 'Behavioral problem' (51.3%) was a major reason for the restraint. Persons who have low levels of daily activity and cognition deficits, higher levels of dependence, histories of falls within the past 3 months, and living in long-term hospitals have greater probability of restraint experience. Conclusion: Developing interventions for older adults who have a high risk of being restrained is essential to minimize unnecessary restraint use among older adults with dementia in long-term care settings. Further study exploring the interacting roles of organizational and staff factors related to use of physical restraints would provide more comprehensive perspectives in understanding this phenomenon.

Review of Cave Surveying Techniques

  • Worthington, Steve
    • Journal of the speleological society of Korea
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    • no.5
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    • pp.79-95
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    • 1997
  • The main purpose of this article is to compare different mapping techniques, so that an appropriate one may be chosen for a particular cave. Ultra-accurate techniques such as using tripods are not discussed here, as their application is limited to a small minority of caves. Most modem mapping is carried out under time restraints, due to the shortness of an expedition or the difficulty of a cave; thus, rapid mapping techniques are emphasized here.(omitted)

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Influence of Elastic Restraint and Tip Mass at Free End on Stability of Leipholz's Column (Leipholz 기둥의 안정성에 미치는 자유단의 탄성구속과 말단질량의 영향)

  • 윤한익;박일주;김영수
    • Journal of KSNVE
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    • v.7 no.1
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    • pp.91-97
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    • 1997
  • An analysis is presented on the stability of an elastic cantilever column having the elastic restraints at its free end, carrying an added tip mass, and subjected to uniformly distributed follower forces. The elastic restraints are formed by both a translational spring and a rotatory spring. For this purpose, the governing equations and boundary conditions are derived by using Hamilton's principle, and the critical flutter loads and frequencies are obtained from the numerical evaluation of the eigenvalue functions of this elastic system. The added tip mass increases as a whole the critical flutter load of the elastic cantilever column, but the presence of its moment of inertia of mass has a destabilizing effect. The existence of the translational and rotatory springs at the free end increases the critical flutter load of the elastic cantilever column. Nevertheless, their effects on the critical flutter load are not uniform because of their coupling. The translational spring restraining the free end of the cantilever column decreases the critical flutter load by coupling with a large value of tip mass, while by coupling with the moment of inertia of tip pass its effect on the critical flutter load is contrary. The rotatory spring restraining the free end of the cantilever column increases the critical flutter load by coupling with the tip mass, but decreases it by coupling with the moment of inertia of the tip mass.

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Effects of force fields for refining protein NMR structures with atomistic force fields and generalized-Born implicit solvent model

  • Jee, Jun-Goo
    • Journal of the Korean Magnetic Resonance Society
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    • v.18 no.1
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    • pp.24-29
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    • 2014
  • Atomistic molecular dynamics (MD) simulation has become mature enabling close approximation of the real behaviors of biomolecules. In biomolecular NMR field, atomistic MD simulation coupled with generalized implicit solvent model (GBIS) has contributed to improving the qualities of NMR structures in the refinement stage with experimental restraints. Here all-atom force fields play important roles in defining the optimal positions between atoms and angles, resulting in more precise and accurate structures. Despite successful applications in refining NMR structure, however, the research that has studied the influence of force fields in GBIS is limited. In this study, we compared the qualities of NMR structures of two model proteins, ubiquitin and GB1, under a series of AMBER force fields-ff99SB, ff99SB-ILDN, ff99SB-NMR, ff12SB, and ff13-with experimental restraints. The root mean square deviations of backbone atoms and packing scores that reflect the apparent structural qualities were almost indistinguishable except ff13. Qualitative comparison of parameters, however, indicates that ff99SB-ILDN is more recommendable, at least in the cases of ubiquitin and GB1.

Behavior and Ultimate Strength of Restrained Reinforced Concrete Columns (구속 철근콘크리트 기둥의 극한강도와 거동해석)

  • Park, Jae Woon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.12 no.4
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    • pp.23-31
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    • 1992
  • In this study, Behavior of Eccentrically Loaded Restrained Concrete Slender Columns are investigated the continuation. The paper is : nonlinear constitutive relations of reinforced concrete columns are formulated, the multivariable nonlinear equation formulated in this study is solved by the incremental iterative method, the solution scheme is suitable for computer application, the proposed method bas been compared with the numerical examples and other research results and is shown to be in good agreement Accordingly, the objectives of this investigation are to use the method developed to conduct a parametric study of the different variable (Rotational Restraints,Ratio of End Restraints. End Eccentricity, Ratio of End Eccentricities,Lateral Restraint, Concrete Strength, Ratio of Reinforcement. Yield Point of Reinforcement) influencing the behavior and the ultimate strength for columns. Chosen values for different parameters and their variations are based on values encountered in practice and on results of other analylitical studies.

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Effects of generalized-Born implicit solvent models in NMR structure refinement

  • Jee, Jun-Goo
    • Journal of the Korean Magnetic Resonance Society
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    • v.17 no.1
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    • pp.11-18
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    • 2013
  • Rapid advances of computational power and method have made it practical to apply the time-consuming calculations with all-atom force fields and sophisticated potential energies into refining NMR structure. Added to the all-atom force field, generalized-Born implicit solvent model (GBIS) contributes substantially to improving the qualities of the resulting NMR structures. GBIS approximates the effects that explicit solvents bring about even with fairly reduced computational times. Although GBIS is employed in the final stage of NMR structure calculation with experimental restraints, the effects by GBIS on structures have been reported notable. However, the detailed effect is little studied in a quantitative way. In this study, we report GBIS refinements of ubiquitin and GB1 structures by six GBIS models of AMBER package with experimental distance and backbone torsion angle restraints. Of GBIS models tested, the calculations with igb=7 option generated the closest structures to those determined by X-ray both in ubiquitin and GB1 from the viewpoints of root-mean-square deviations. Those with igb=5 yielded the second best results. Our data suggest that the degrees of improvements vary under different GBIS models and the proper selection of GBIS model can lead to better results.

Progressive failure of symmetrically laminated plates under uni-axial compression

  • Singh, S.B.;Kumar, Ashwini;Iyengar, N.G.R.
    • Structural Engineering and Mechanics
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    • v.5 no.4
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    • pp.433-450
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    • 1997
  • The objective of this work is to predict the failure loads, associated maximum transverse displacements, locations and the modes of failure, including the onset of delamination, of thin, flat, square symmetric laminates under the action of uni-axial compression. Two progressive failure analyses, one using Hashin criterion and the other using Tensor polynomial criteria, are used in conjunction with the finite element method. First order shear deformation theory and geometric nonlinearity in the von Karman sense have been employed. Five different types of lay-up sequence are considered for laminates with all edges simply supported. In addition, two boundary conditions, one with all edges fixed and other with mixed boundary conditions for $(+45/-45/0/90)_{2s}$ quasi-isotropic laminate have also been considered to study the effect of boundary restraints on the failure loads and the corresponding modes of failure. A comparison of linear and nonlinear results is also made for $({\pm}45/0/90)_{2s}$ quasi-isotropic laminate. It is observed that the maximum difference between the failure loads predicted by various criteria depend strongly on the laminate lay-ups and the flexural boundary restraints. Laminates with clamped edges are found to be more susceptible to failure due to the transverse shear and delamination, while those with the simply supported edges undergo total collapse at a load slightly higher than the fiber failure load.

Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients (억제대 적용해 대한 가족의 정서적 반응 측정 도구개발)

  • Lee, Eun-Nam;Ha, Su-Jin;Kang, Ji-Yeon
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.629-638
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    • 2008
  • Purpose: This was a methodological research to develop an instrument to assess the emotional response of family members of physically restrained patients. Methods: A primary instrument with 68 questions was developed based on literature review and semi-structured interviews with family members. A group of experts revised individual questions and removed 4 irrelevant questions. This secondary instrument, then, was tested with 199 family members of physically restrained patients in intensive care units of a university hospital. The validity and reliability of the instrument were tested by factor analysis. Results: After item analysis, 3 questions with a correlation coefficient under .30 were discarded and the questions with a factor loading under .45 on Varimax Rotation were also removed. After factor analysis on the final 37 questions, 7 factors were identified; avoidance, shock, helplessness, grudge, depression, anxiousness, and acceptance. The total variance explained was 55.63%. The reliability of this instrument was 0.93 of Cronbach's alpha. Conclusion: This instrument was statistically reliable and valid to measure family's emotional response to physical restraints of the patients. This instrument can be useful in assessing the effects of nursing interventions for family members of restrained patients.

A Lattice Model Study of Native Contact Restraints in Protein Folding

  • 오원석;신재민
    • Bulletin of the Korean Chemical Society
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    • v.17 no.9
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    • pp.808-813
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    • 1996
  • To explore protein folding mechanism, we simulated a folding pathway in a simplified 3×3×3 cubic lattice. In the lattice folding Monte Carlo simulations, each of the 28 possible native packing pairs that exist in the native conformation was used as a conformational restraint. The native packing restraints in the lattice model could be considered as a disulfide linkage restraint in a real protein. The results suggest that proteins denatured with a small disulfide loop can, but not always, fold faster than proteins without any disulfide linkage and than proteins with a larger disulfide loop. The results also suggest that there is a rough correlation between loop size of the native packing restraint and folding time. That is, the order of native residue-residue packing interaction in protein folding is likely dependent on the residue-residue distance in primary sequence. The strength of monomer-monomer pairwise interaction is not important in the determination of the packing order in lattice folding. From the folding simulations of five strong folding lattice sequences, it was also found that the context encoded in the primary sequence, which we do not yet clearly understand, plays more crucial role in the determination of detailed folding kinetics. Our restrained lattice model approach would provide a useful strategy to the future protein folding experiments by suggesting a protein engineering for the fast or slow folding research.

The Development and Evaluation of the Elbow Restraint on Patients in Intensive Care Unit (중환자실 환자의 팔꿈치 억제대 개발 및 적용 평가)

  • Lee, Ji Eun;Gu, Mee Ock
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.90-100
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    • 2011
  • Purpose: This paper was to develop an elbow restraint which can reduce the side effects of the wrist restraint which was frequently used in an intensive care unit and to evaluate its application. Methods: A nonequivalent control group non-synchronized design was used. Subjects were 38 patients (elbow restraint group: 18, wrist restraint group: 20) and 20 nurses who used both restraints in medical intensive care unit at G National University Hospital. Restraints were applied to subjects for 72 hours. Data were collected from December 1, 2009 through March 31, 2010. The data collected were analyzed using $x^2-test$, Fisher's exact test, t-test, and ANCOVA using SPSS 12.0 program. Results: Elbow restraint significantly decreased range of wrist motion reduction, swelling and significantly increased the convenience of wearing restraint compared to wrist restraint. Conclusion: The new elbow restraint are more efficient than the old wrist restraint, which have been used in an intensive care unit, in terms of convenience of restraint application, range of joint motion and prevention of swelling.