• Title/Summary/Keyword: positions

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Effects of changing position on cardiac output & on patient's discomforts after cardiac surgery (개심술을 받은 환자의 체위에 따른 심박출량 및 불편감에 관한 연구)

  • Yu Mi;Kwon Eun-Ok;Choi Yun-Kyoung;Kang Hyun-Ju;Oh Se-Eun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.256-270
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    • 2000
  • Invasive hemodynamic monitoring has become a valuable assessment parameters in critical care nursing in patients undergoing open heart surgery patients. During cardiac surgery, the Swan Ganz catheter is placed in the pulmonary artery. Critical care nurses routinely obtain cardiac output, cardiac index, and pulmonary arterial pressure in these patients. Traditionally, patients are positioned flat and supine for cardiac output measurement. Numerous studies have dealt with the effects of changing position on the hemodynamic variables. However, there are a few studies dealing with patients who undergo cardiac surgery in Korea. Thus, the purpose of this study was to determine the effects of changing position on cardiac output, PAP, CVP, BP, HR and discomfort in patients after cardiac surgery. A sample of 21 adults who had CABG and/or valve replacement with Swan Ganz catheters in place was studied. The data were collected in the cardiac ICU of a university hospital in Seoul during the period from July 28, 1999 to August 30. 1999. In this study, the independent variable is patient position in the supine, 30 degree, and 45 degree angles. Dependent variables are C.O., C.I., CVP, PAP, MAP, HR and patients' perceived discomforts. Subject discomfort was measured subjectively by visual analogue scale. Other hemodynamic data where collected by the thermodilution method and by direct measurement. The data were analyzed by percentile, t-test, ANOVA, Linear regression analysis using SPSS-/WIN program. The results are as follows : 1) Changes in cardiac output were absent in different angle positions, 0, 30. 45 degrees(F=.070, P=.932). Changes in cardiac index were absent in different angle positions, 0. 30, 45 degrees(P>.05). 2) Changes in central venous pressure were absent in different angle positions, 0, 30, 45 degree(P>.05). 3) PAP had no change in different angle 0, 30, 45 degree positions; systolic PAP(P>.05), diastolic PAP(P>.05). 4) Changes in systolic blood pressure were absent in different angle positions, 0, 30, 45 degree(P>.05). 5) Changes in heart rates were absent in different angle positions, 0, 30, 45 degree(P>.05). 6) Patients' perceived discomfort was absent in different angle positions, 0, 30, 45 degree(p<.05). In conclusion, critical care nurses can measure C.O., C.I., PAP, BP, & CVP in cardiac surgery patients at 30 degree or 45 degree positions. This can improve the patients' comfort.

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Analysis and Comparison of Community Structural Attributes by Topographic Positions and Aspects in the Natural Deciduous Forest (천연활엽수림의 지형적 위치와 사면방위에 따른 군집 구조적 속성 분석 및 비교)

  • Yang, Hee-Moon;Kim, Ji-Hong
    • Journal of Forest and Environmental Science
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    • v.18 no.1
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    • pp.73-86
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    • 2001
  • Taking account of the structural variation on species composition according to the different topographic positions and aspects, the forest community attributes such as species composition, species diversity index, and similarity coefficient were comparatively analyzed for the three topographic positions and the four aspects in the natural deciduous forest of Mt. Gari area. The results are as follows 1. The most dominant species in the overstory were Quercus mongolica in the mid-slope, the ridge, and all aspects areas, however, the stands of the topographic positions were less similar than the stands of the aspects in species composition, because of the appearance of the specific domonant species such as Juglans mandshurica in the valley area and Pinus densiflora in the ridge area. 2. Among the three topographic positions, the mid-slope area had greatest species diversity index in overstory, but the index of the valley had greater value than those of mid-slope and ridge in mid-story and understory. The north-east area among the aspects had greatest the index in all canopy layers. However, The stands of the aspects showed more smaller variation than the stands of the topographic positions. 3. The ridge area showed greatest similarity coefficient value with the mid-slope area, but showed least similarity coefficient value with the valley. However, similarity coefficient among the topographic positions had much smaller value than similarity coefficient among the aspects.

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Effect of hip positions in frontal plane on abdominal muscle activities during bridging exercise (교각운동시 이마면에서 엉덩관절 위치가 배근육 근활성도에 미치는 영향)

  • Lee, Won-Hwee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.224-230
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    • 2019
  • The purpose of this study is to investigate the effect of the hip positions in frontal plane on abdominal muscle activities during bridging exercise. Twenty six subjects who have healthy conditions were asked to perform bridging exercise in three starting positions which are hip abduction, neutral and hip adduction. We used surface electromyography to compare the activities of both external oblique, internal oblique and rectus abdominis muscle. We analyzed the data by using repeated one way ANOVA, The alpha level was set at 0.05. The results showed that the muscle activities of both sides of external oblique, and internal oblique were significantly different among three starting positions. The activity of both sides of rectus abdominis were insignificantly different among three positions. The muscle activities of both sides of external oblique muscle and left internal oblique in bridging exercise with hip adduction position were significantly greater than hip neutral positions. The muscle activity of right internal oblique in bridging exercise with hip abduction positions. Our results suggest that bridging exercise with hip adduction position is recommended to lumbar stabilization exercise and the factor of hip position is important for controlling exercise intensity when designing bridging exercise program.

The Effects of Tongue Positions on the Cervical Range of Motion (혀의 자세가 경추의 관절가동범위에 미치는 영향)

  • Han, Dong-Wook;Park, Min-Hee;Jeong, Yeon-Hee
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.29-34
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    • 2013
  • Purpose : This study was to investigate that tongue positions have effect on the cervical range of motion (ROM). Methods : 18 subjects, 20 to 25 years of age, were participated in this study. The tongue positions were neutral position, anterior protrusion, posterior protrusion, superior protrusion, inferior protrusion, left side protrusion and right side protrusion. The neck movements were right side flexion, left side flexion, right rotation and left rotation. The cervical range of motion measured by cervical range of motion instrument (CROM, C9266-49, USA). The changes were analyzed using the paired t-test. SPSSWIN (ver. 20.0) was used for data analysis and the significance level was chosen as ${\alpha}$=0.05. Results : In the lateral flexion, the angle of left lateral flexion increased in anterior protrusion(p<0.05) and right side protrusion(p<0.05) significantly. In the rotation, the angle of right rotation increased in anterior protrusion(p<0.05), posterior protrusion (p<0.05), superior protrusion(p<0.05), inferior protrusion(p<0.05), and left side protrusion (p<0.05) significantly. Conclusions : In conclusion, we found that the tongue positions affected some cervical movements.

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Role Adaptation Process of Elementary School Health Teachers: Establishing Their Own Positions (초등학교 보건교사의 역할적응 과정: 자기자리 만들어 가기)

  • Lee, Jeong Hee;Lee, Byoung Sook
    • Journal of Korean Academy of Nursing
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    • v.44 no.3
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    • pp.305-316
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    • 2014
  • Purpose: The purpose of this study was to explore and identify patterns from the phenomenon of the role adaptation process in elementary school health teachers and finally, suggest a model to describe the process. Methods: Grounded theory methodology and focus group interviews were used. Data were collected from 24 participants of four focus groups. The questions used were about their experience of role adaptation including situational contexts and interactional coping strategies. Transcribed data and field notes were analyzed with continuous comparative analysis. Results: The core category was 'establishing their own positions', an interactional coping strategy. The phenomenon identified by participants was confusion and wandering in their role performance. Influencing contexts were unclear beliefs for their role as health teachers and non-supportive job environments. The result of the adaptation process was consolidation of their positions. Pride as health teachers and social recognition and supports intervened to produce that result. The process had three stages; entry, growth, and maturity. Conclusion: The role adaptation process of elementary school health teachers can be explained as establishing, strengthening and consolidating their own positions. Results of this study can be used as fundamental information for developing programs to support the role adaptation of health teachers.

An Estimation Method of Node Position in Wireless Sensor Network (무선 센서 네트워크에서의 노드 위치 추정)

  • Rhim, Chul-Woo;Kim, Young-Rag;Kang, Byung-Wook
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.46 no.3
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    • pp.123-129
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    • 2009
  • It is important to locate nodes in the research of wireless sensor network. In this paper, we propose a method that estimates the positions of nodes by using adjacent node information and signal strength in wireless sensor network. With this method, we can find positions of nodes easily because we use Information that nodes have. And we can make a map for all the nodes because we can measure a relative position for an node whose position is not known based on anchor nodes whose positions are already known. In addition, we can confirm whether nodes are placed appropriately. We confirmed that we can locate positions of unknown nodes with small error through verifying the proposed method.

Optimal Position Selection of Microphones and Specters in Adoptive Noise Control System (능동소음제어 시스템의 마이크로폰 및 스피커 최적위치 선정)

  • 남현도;이홍원
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.18 no.1
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    • pp.90-97
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    • 2004
  • In this paper, the optimal position selection of error microphones and control speakers to attenuate interior noise from outside noise sources using active noise control techniques is presented. To get an optimal control characteristics of adaptive noise control systems, it is necessary to optimize the positions of microphones and speakers. New type of simulated annealing method has been proposed as searching techniques to find optimal speakers and microphones positions in which the sum of the squared pressures at microphone positions in an enclosure can be best minimized. Computer simulations and experiments have been performed to show the effectiveness of the proposed method.

A Study on the Great Principle of Pulse Diagnosis in the 『Nanjing』 (『난경(難經)』의 진맥(診脈) 대법(大法)에 관한 고찰)

  • Jang, Woochang;Kim, Yuna
    • Journal of Korean Medical classics
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    • v.33 no.4
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    • pp.83-105
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    • 2020
  • Objectives : This paper aims to examine the system, principle, and fundamentals of the great principle of pulse diagnosis in the 『Nanjing』. Methods : The system, principle, and fundamentals of pulse diagnosis in the 『Nanjing』 were examined within the book's description framework and logical structure in light of its relationship to the 『Huangdineijing』. Previous studies that follow pulse diagnosis of 『Nanjing』 and 『Wangshuhe Maijue』 were referenced. Results & Conclusions : The structure of pulse diagnosis in the 『Nanjing』 is systematically organized under the principle of the three positions and nine indicators as the great principle to which the yinyang and five viscera pulse theories are included. The great principle of the three positions and nine indicators is consisted of a system that allows for a multiple and comprehensive interpretation wherein the theories of yinyang and five elements are interweaved within the pulse diagnosis system, which is comprised of a great principle and particular principles. The theory follows that of the three yin three yang theory of the five circuits and six qi, its principles manifesting as the three positions and nine indicators and integration of pulse and symptoms.

An Application of Screw Motions for Mechanical Assemblies (기계부품들의 조립 및 해체과정 설계를 위한 스크류이론의 응용)

  • 김재정
    • Korean Journal of Computational Design and Engineering
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    • v.2 no.1
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    • pp.60-67
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    • 1997
  • CAD systems offer a variety of techniques for designing and rendering models of static 3D objects and even of mechanisms, but relatively few tools exist for interactively specifying arbitrary movements of rigid bodies through space. Such tools are essential, not only for artistic animation, but also, for planning and demonstrating assembly and disassembly procedure of manufactured products. A rigid body motion is a continuous mapping from the time domain to a set of positions. To relieve the designers from the burden of specifying this mapping in abstract mathematical terms, combinations of simple rigid motion primitives, such as linear translations or constant axis rotations, are often used. These simple motions are planar and thus ill-suited for approximating arbitrary motions in 3D-space. Instead, we propose the screw motion primitive, a special combination of linear translations and constant axis rotations, which has a simple geometric representation that can be automatically and unambiguously computed from the starting and ending positions of the moving body. Although, any two positions may be interpolated by an infinity of motions, we chose the screw motion for its relative generality and its computational advantages. The paper covers original algorithms for computing the screw motions from interpolated positions and envelopes of swept regions to predict collisions.

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An Acoustical Analysis of English Stops at the Initial and After-initial-/s/ Positions by Korean and American Speakers (한국인과 미국인의 초성 및 초성 /s/ 다음에 오는 영어 파열음 음향 분석)

  • Yang, Byunggon
    • Phonetics and Speech Sciences
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    • v.5 no.3
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    • pp.11-20
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    • 2013
  • The purpose of this study is to compare the acoustic parameters of English stop consonants at the initial and after-initial-/s/ positions in a message produced by 47 Korean and American speakers in order to provide better pronunciation skills of English stops for Korean learners. A Praat script was developed to obtain voice onset time (VOT), maximum consonant intensity (maxCi), and rate of rise (ROR) from six target words with stops at the positions in the message. Results show that VOT and maxCi were significantly different between the two language groups while ROR wasn't. The Korean speakers generally produced the stop consonants with longer VOTs and higher consonant intensity. From the comparison of consonant groups at the two different positions, the Korean participants did not distinguish them as clearly as the American participants did at the after-initial-/s/ position. Finally a comparison of each language and sex group revealed that the major difference was attributed to stop consonants in the after-/s/ position. The author concluded that Korean speakers should be careful not to produce all the stops with longer VOTs and higher intensity. Further studies would be desirable to examine how Americans evaluate Korean speakers' English proficiency with modified acoustic values of English stops.