• Title/Summary/Keyword: fluid balance

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A Study on the Development of an Instrument for Evaluating the Quality of Nursing Care (간호의 질 평가도구 개발에 관한 일 연구)

  • 유지수
    • Journal of Korean Academy of Nursing
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    • v.7 no.2
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    • pp.11-21
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    • 1977
  • Many in nursing look back on Nursing Research history and proudly point to the fact that emphasis in nursing research has changed from studying the nurse to studying nursing practice. In recent years, much emphasis has been placed on seeking a method of evaluating the quality of nursing care. In spite of these attempts, however, an instrument for evaluating the quality of nursing care that is actually applicable in the clinical area has not been found. The Purposes of this study are as follows: 1) To develop the instrument to be used in evaluating the quality of nursing care provided in the Neuro - Surgery Constant Care Unit of Severance Hospital 2) To evaluate the quality of nursing care in the clinical area. 3) To provide the necessary information for improvement of quality of nursing care. The instrument for evaluating the quality of nursing care, developed by the investigator, was composed of 7 nursing goals and divided into 65 standards of nursing performance. The 7 nursing goal are as follows : 1) Maintenance of airway 2) Maintenance of fluid at electrolyte balance 3) Maintenance of elimination 4) Personal hygiene 5) Optimum activity 6) Prevention of accidents 7) Emotional care The study population defined was composed of all the case (51) who were admitted in the Neuro- Surgery Constant Care Unit of Severance Hospital from May 7-13, 1976. The observation method was used and the data was subjected to the %, X²-test, T-test, F-test and Correlation. The results of tile study were as follows : 1. Levels of nursing performance regarding nursing goals. Seven different nursing care indices were constructed in terms of nursing goals. The index scores were grouped arbitrarily into ,j categories such as "excellent", "good", "moderate", "incomplete", and "poor"based upon the investigator′s personal judgement. a. The nursing index of maintaining airway showed that 78% of the patients fell within the "excellent" and 22% of the patients, fell within the "good" category. b. The nursing index of maintaining fluid & electrolyte balance showed that 95% of the patients fell within the "excellent" and 5 % of the patients fell within the "good" category. c. The nursing index of maintaining elimination showed that 100% of the patients fell within the "excellent" category. d. The nursing index of personal hygiene revealed that 49% of the patients fell within the "excellent" and 51% of the patients fell within the "good" category. e. The nursing index of optimum activity showed that 63% of the patients fell within the "excellent" and 32% of the patients fell within tile "good" and 5% of patients fell within the "moderate" category. f. The nursing index of prevention of accidents showed that 100% of the patients foil within the "excellent" category. g. The nursing index of emotional cart revealed that 27% of the patients fell within the "excellent", 24 % of the patients fell within tile "good", 29 % of the patients fell within the "incomplete" category. From these findings it is disclosed that the quality of nursing care provided in the Neuro- Surgery Constant Care Unit of Severance Hospital was excellent. h. There were statistically significant differences between the nursing index of physical care and emotional care. (t=8.73, D. F. =100. p<0.01) It is revealed that more physical care then emotional care was carried out by nurses. 2. Levels of nursing performance regarding general characteristics of the patients. No significant differences were observed statistically with the nursing indices of nursing goals according to the sex (t=0.084, D. F. =12, p>0.05). Age (F=0.1251, D. F. : 3.18. p 〉0.05), absence or presence of operating experiences (t=0.6032, D. F. =12, p〉0.05, levels of consciousness (F=0.31, D. F. :3. 18, p >0.05) 3. Relationship between the levels of consciousness and the nursing index of each nursing goal. There was negative correlation between the levels of consciousness and the nursing index of maintaining airway (r=-0. 5449, p<0.01) and personal hygiene (r= -0.4075, p<0.01) There was positive correlation between the levels of consciousness and the nursing index of optimum activity (r=0.3936, p <0.01) and emotional care (r=0.7819, p〈0.01). There was slight correlation between the levels of consciousness and the nursing index of maintaining fluid & electrolyte balance (r=-0.3418, 0.010.05) and preventing accidents (r=0.1441, p>0.05.

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Sensitivity Analysis of Design Parameters of Air Tightness in Underground Lined Rock Cavern (LRC) for Compressed Air Energy Storage (CAES) (복공식 지하 압축공기에너지 저장공동 기밀시스템 설계변수의 민감도 해석)

  • Kim, Hyung-Mok;Rutqvist, Jonny;Ryu, Dong-Woo;Sun-Woo, Choon;Song, Won-Kyong
    • Tunnel and Underground Space
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    • v.21 no.4
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    • pp.287-296
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    • 2011
  • We performed a numerical modeling study of thermodynamic and multiphase fluid flow processes associated with underground compressed air energy storage (CAES) in a lined rock cavern (LRC). We investigated air tightness performance by calculating air leakage rate of the underground storage cavern with concrete linings at a comparatively shallow depth of 100 m. Our air-mass balance analysis showed that the key parameter to assure the long-term air tightness of such a system was the permeability of both concrete linings and surrounding rock mass. It was noted that concrete linings with a permeability of less than $1.0{\times}10^{-18}\;m^2$ would result in an acceptable air leakage rate of less than 1% with the operational pressure range between 5 and 8 MPa. We also found that air leakage could be effectively prevented and the air tightness performance of underground lined rock cavern is enhanced if the concrete lining is kept at a higher moisture content.

Influence of the Novel Urease Inhibitor Hydroquinone on Growing Lamb Nitrogen Utilization

  • Zhang, Y.G.;Shan, A.S.;Bao, J.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.7
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    • pp.992-997
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    • 2002
  • Two in vivo experiments were conducted to evaluate the effect of novel urease inhibitor hydroquinone (HQ) on ammonia release rate from urea hydrolysis, nitrogen balance, nutrient digestibility and efficiency of microbial protein synthesis. In Exp. 1, twelve crossbred cannulated lambs were randomly assigned within initial body weight block to one of four HQ treatments, which included 0 (control), 30, 60 or 80 mg HQ/kg DM intake. Ammonia concentration and pH of ruminal fluid were immediately measured at 0, 2, 4, 6 and 8 h after feeding. Increasing the dose of HQ tended (p<0.15) to linearly decrease NH3 formation. The ammonia peak concentration (2 h post-feeding) in animals receiving HQ was approximately one-half of that in animals not receiving HQ (p<0.01), and a relatively sustained ammonia release could be obtained at the dose of 30 or 60 mg HQ/kg DM. In Exp. 2, sixteen intact crossbred lambs (weight $40{\pm}0.8kg$) were used in a $2{\times}2$ factorial design experiment. The four rations consisting of soybean meal-based (SBM) or urea-based (Urea) nitrogen source with or without HQ (S1, S0, U1 and U0) were fed in digestion and N balance trials. Apparent digestibility of major nutrients except that of ADF was not affected by either nitrogen source or addition of HQ. Regardless of nitrogen source, supplementation of HQ significantly improved ADF digestibility (p<0.05). The various ration had no effects on N metabolism in the presence of HQ. There was significant difference between total purine derivatives (PD), estimated efficiency of microbial N synthesis (p<0.05) and urea-N excretion (p<0.01) in the urine for the SBM ration and for the Urea ration. However, HQ had little influence on efficiency of microbial N synthesis as proportion of daily intake of total tract digestible OM (p>0.05). No interactions between main nitrogen source and HQ were measured throughout the trial. Results of this study suggest that addition of HQ to ration may improve ADF digestion with having no negative effect on N metabolism and microbial protein production.

Development of a Numerical Simulator for Methane-hydrate Production (메탄 하이드레이트 생산 묘사를 위한 수치도구의 개발)

  • Shin, Hosung
    • Journal of the Korean Geotechnical Society
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    • v.30 no.9
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    • pp.67-75
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    • 2014
  • Methane gas hydrate which is considered energy source for the next generation has an urgent need to develop reliable numerical simulator for coupled THM phenomena in the porous media, to minimize problems arising during the production and optimize production procedures. International collaborations to improve previous numerical codes are in progress, but they still have mismatch in the predicted value and unstable convergence. In this paper, FEM code for fully coupled THM phenomena is developed to analyze methane hydrate dissociation in the porous media. Coupled partial differential equations are derived from four mass balance equations (methane hydrate, soil, water, and hydrate gas), energy balance equation, and force equilibrium equation. Five main variables (displacement, gas saturation, fluid pressure, temperature, and hydrate saturation) are chosen to give higher numerical convergence through trial combinations of variables, and they can analyze the whole region of a phase change in hydrate bearing porous media. The kinetic model is used to predict dissociation of methane hydrate. Developed THM FEM code is applied to the comparative study on a Masuda's laboratory experiment for the hydrate production, and verified for the stability and convergence.

Formulation of Mass Conservation and Linear Momentum Conservation for Saturated Porous Media in Arbitrary Lagrangian Eulerian(ALE) Description (포화된 다공질 매체의 질량 보존과 운동량 보존에 대한 Arbitrary Lagrangian Eulerian(ALE) 정식화)

  • Park, Tae-Hyo;Jung, So-Chan;Kim, Won-Cheul
    • Journal of the Korean GEO-environmental Society
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    • v.4 no.1
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    • pp.5-10
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    • 2003
  • The solids and the fluids in porous media have a relative velocity to each other. Due to physically and chemically different material properties and their relative velocity, the behavior of saturated porous media is extremely complicated. Thus, in order to describe and clarify the deformation behavior of saturated porous media, constitutive models for deformation of porous media coupling several effects need to be developed in frame of Arbitrary Lagrangian Eulerian(ALE) description. The aim of ALE formulations is to maximize the advantages of Lagrangian and Eulerian elements, and to minimize the disadvantages. Therefore, this method is appropriate for the analysis of porous media which are considered for the behavior of the solids and the fluids. For this reason, mass balance equations for saturated porous media are derived here in ALE description frames. ALE formulations of mass conservation for the solid phase and the fluid phase are expressed. Then, linear momentum balance equation for porous media as multiphase media is expressed.

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Partially Implicit Chebyshev Pseudo-spectral Method for a Periodic Unsteady Flow Analysis (부분 내재적 체비셰브 스펙트럴 기법을 이용한 주기적인 비정상 유동 해석)

  • Im, Dong Kyun
    • Journal of Aerospace System Engineering
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    • v.14 no.3
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    • pp.17-23
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    • 2020
  • In this paper, the efficient periodic unsteady flow analysis is developed by using a Chebyshev collocation operator applied to the time differential term of the governing equations. The partial implicit time integration method was also applied in the governing equation for a fluid, which means flux terms were implicitly processed for a time integration and the time derivative terms were applied explicitly in the form of the source term by applying the Chebyshev collocation operator. To verify this method, we applied the 1D unsteady Burgers equation and the 2D oscillating airfoil. The results were compared with the existing unsteady flow frequency analysis technique, the Harmonic Balance Method, and the experimental data. The Chebyshev collocation operator can manage time derivatives for periodic and non-periodic problems, so it can be applied to non-periodic problems later.

Shear behavior of foam-conditioned gravelly sands: Insights from pressurized vane shear tests

  • Shuying Wang;Jiazheng Zhong;Qiujing Pan;Tongming Qu;Fanlin Ling
    • Geomechanics and Engineering
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    • v.34 no.6
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    • pp.637-648
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    • 2023
  • When an earth pressure balance (EPB) shield machine bores a tunnel in gravelly sand stratum, the excavated natural soil is normally transformed using foam and water to reduce cutter wear and the risk of direct muck squeezing out of the screw conveyor (i.e., muck spewing). Understanding the undrained shear behavior of conditioned soils under pressure is a potential perspective for optimizing the earth pressure balance shield tunnelling strategies. Owing to the unconventional properties of conditioned soil, a pressurized vane shear apparatus was utilized to investigate the undrained shear behavior of foam-conditioned gravelly sands under normal pressure. The results showed that the shear stress-displacement curves exhibited strain-softening behavior only when the initial void ratio (e0) of the foam-conditioned sand was less than the maximum void ratio (emax) of the unconditioned sand. The peak and residual strength increased with an increase in normal pressure and a decrease in foam injection ratio. A unique relation between the void ratio and the shear strength in the residual stage was observed in the e-ln(τ) space. When e0 was greater than emax, the fluid-like specimens had quite low strengths. Besides, the stick-slip behavior, characterized by the variation coefficient of measured shear stress in the residual stage, was more evident under lower pressure but it appeared to be independent of the foam injection. A comparison between the results of pressurized vane shear tests and those of slump tests indicated that the slump test has its limitations to characterize the chamber muck fluidity and build the optimal conditioning parameters.

A computer simulation of transport phenomena in a roller kiln (로울러 킬른 내의 이동현상에 관한 전산모사)

  • 이성철;김병수
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.9 no.2
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    • pp.251-259
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    • 1999
  • A computer simulation was conducted for heat and momentum transfer in a roller kiln. Time-averaged Navier-Stokes equation conjugated with energy balance equation was numerically solved to predict the temperature distribution and fluid flow field in the roller kiln. A computer simulation was performed for a roller kiln for three cases. Firstly, when there are no ceramic materials in the roller kiln, the effect of natural convection was studied on the temperature distribution and fluid flow field. From the result, it was observed that air takes the heat of wall away from the roller kiln by natural convection and the heat was not transferred effectively. Secondly, with ceramic materials temperature difference of ceramic material from the borrom to the top of a ceramic material was about 255K in 5th zone and this is because the heat is transferred from the surface of a ceramic material to flowing air with relatively low temperature. Finally, we considered effect of radiation heat transfer. Temperature difference of ceramic material in 5th zone was about 300 K, due to radiation heat transfer on the ceramic material surfaces.

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Treatment of chronic kidney disease in children (소아의 만성신장질환의 치료)

  • Lee, Joo Hoon
    • Clinical and Experimental Pediatrics
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    • v.52 no.10
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    • pp.1061-1068
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    • 2009
  • The treatment of pediatric patients with chronic renal disease comprises management of nutritional imbalance, fluid, electrolyte, and acid-base disturbances, mineral bone disease, anemia, hypertension, and growth retardation. The treatment also includes administration of appropriate renal replacement therapy, if required. Adequate dietary intake of carbohydrates, fats, and proteins and caloric intake must be encouraged in such patients to ensure proper growth and development. In addition, fluid, electrolyte, and acid-base status must be regularly monitored and should be well maintained. Serum calcium, phosphorus, and parathyroid hormone levels must be maintained at their target range, which are determined on the basis of the glomerular filtration rate, to avoid the development of mineral bone disease. This can be achieved by using phosphorus binders and vitamin D analogues. An erythropoiesis-stimulating agent must be administered along with iron supplementation to maintain the hemoglobin level of the patients between 11-12 g/dL. Hypertension must be controlled with adequate water and sodium balance and appropriate antihypertensive agents. Administration of recombinant human growth hormone is recommended to improve the final adult heights.

Effects of rehydration fluid temperature and composition on body weight retention upon voluntary drinking following exercise-induced dehydration

  • Park, Sung-Geon;Bae, Yoon-Jung;Lee, Yong-Soo;Kim, Byeong-Jo
    • Nutrition Research and Practice
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    • v.6 no.2
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    • pp.126-131
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    • 2012
  • The purpose of this study was to determine the effects of beverage temperature and composition on weight retention and fluid balance upon voluntary drinking following exercise induced-dehydration. Eight men who were not acclimated to heat participated in four randomly ordered testing sessions. In each session, the subjects ran on a treadmill in a chamber maintained at $37^{\circ}C$ without being supplied fluids until 2% body weight reduction was reached. After termination of exercise, they recovered for 90 min under ambient air conditions and received one of the following four test beverages: $10^{\circ}C$ water (10W), $10^{\circ}C$ sports drink (10S), $26^{\circ}C$ water (26W), and $26^{\circ}C$ sports drink (26S). They consumed the beverages ad libitum. The volume of beverage consumed and body weight were measured at 30, 60, and 90 min post-recovery. Blood samples were taken before and immediately after exercise as well as at the end of recovery in order to measure plasma parameters and electrolyte concentrations. We found that mean body weight decreased by 1.8-2.0% following exercise. No differences in mean arterial pressure, plasma volume, plasma osmolality, and blood electrolytes were observed among the conditions. Total beverage volumes consumed were $1,164{\pm}388$, $1,505{\pm}614$, $948{\pm}297$, and $1,239{\pm}401$ ml for 10W, 10S, 26W, and 26S respectively ($P$ > 0.05). Weight retention at the end of recovery from dehydration was highest in 10S ($1.3{\pm}0.7kg$) compared to 10W ($0.4{\pm}0.5kg$), 26W ($0.4{\pm}0.4kg$), and ($0.6{\pm}0.4kg$) ($P$ < 0.005). Based on these results, carbohydrate/electrolyte-containing beverages at cool temperature were the most favorable for consumption and weight retention compared to plain water and moderate temperature beverages.