• Title/Summary/Keyword: Back Support

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Traumatic Coronary Artery Dissection in a Young Woman after a Kick to Her Back

  • Ipek, Emrah;Ermis, Emrah;Demirelli, Selami;Yildirim, Erkan;Yolcu, Mustafa;Sahin, Bingul Dilekci
    • Journal of Chest Surgery
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    • 제48권4호
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    • pp.281-284
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    • 2015
  • We present the case of a 38-year-old woman admitted to our outpatient clinic with accelerating back pain and fatigue following a kick to her back by her husband. Upon arrival, we detected ST segment elevation in the D1, aVL, and V2 leads and accelerated idioventricular rhythm. She had pallor and hypotension consistent with cardiogenic shock. We immediately performed coronary angiography and found a long dissection starting from the mid-left main coronary artery and progressing into the mid-left anterior descending (LAD) and circumflex arteries. She was then transferred to the operating room for surgery. A saphenous vein was grafted to the distal LAD. Since the patient was hypotensive under noradrenaline and dopamine infusions, she was transferred to the cardiovascular surgery intensive care unit on an extracorporeal membrane oxygenator and intra-aortic balloon pump. During follow-up, her blood pressure remained low, at approximately 60/40 mmHg, despite aggressive inotropic and mechanical support. On the second postoperative day, asystole and cardiovascular arrest quickly developed, and despite aggressive cardiopulmonary resuscitation, she died.

An Enhanced Message Priority Mechanism in IEEE 802.11p Based Vehicular Networks

  • Liu, Chang;Chung, Sang-Hwa;Jeong, Han-You;Jung, Ik-Joo
    • Journal of Information Processing Systems
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    • 제11권3호
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    • pp.465-482
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    • 2015
  • IEEE 802.11p is a standard MAC protocol for wireless access in vehicular environments (WAVEs). If a packet collision happens when a safety message is sent out, IEEE 802.11p chooses a random back-off counter value in a fixed-size contention window. However, depending on the random choice of back-off counter value, it is still possible that less important messages are sent out first while more important messages are delayed longer until sent out. In this paper, we present a new scheme for safety message scheduling, called the enhanced message priority mechanism (EMPM). It consists of the following two components: the benefit-value algorithm, which calculates the priority of the messages depending on the speed, deceleration, and message lifetime; and the back-off counter selection algorithm, which chooses the non-uniform back-off counter value in order to reduce the collision probability and to enhance the throughput of the highly beneficial messages. Numerical results show that the EMPM can significantly improve the throughput and delay of messages with high benefits when compared with existing MAC protocols. Consequently, the EMPM can provide better QoS support for the more important and urgent messages.

A Case of Dural Ectasia with Low Back Pain and Sciatica Treated with Integrative Korean Medical Treatment

  • Kwon, Oh-Hoon;Kim, Sang-Gyun;Park, Ju-Hun;Yoo, Dong-Hwi;Choi, Ki-Hoon;Choi, Ki-Won;Ha, Do-Hyung;Cho, Hyun-Woo
    • Journal of Acupuncture Research
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    • 제36권3호
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    • pp.182-185
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    • 2019
  • Dural ectasia is defined as ballooning or expansion of the dural sac surrounding the spinal cord. This report describes a rare case of low back pain and sciatica, suspected as being dural ectasia. The patient was hospitalized for 45 days, and underwent integrative Korean medical treatment, including pharmacopuncture, acupuncture, herbal medicine, Chuna therapy, cupping therapy, and physiotherapy. The effect of the treatment was evaluated using the numerical rating scale, Oswestry disability index, European quality of life 5 dimensions, and subjective symptoms. After inpatient treatment, the pain the patient experienced was significantly reduced and the evaluation indices improved. This case report suggested that integrative Korean medical treatment could be an effective therapeutic choice for low back pain and sciatica, with dural ectasia. Further clinical studies are needed to support this observation.

LNG선의 Deck Pillar부 이면의 보강재 용접 시의 변형 해석 (Analysis of Deformation Induced by Fillet Welding of Stiffener on Back Side of Deck Pillar in LNG Carrier)

  • Kim Sang-Il
    • 대한용접접합학회:학술대회논문집
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    • 대한용접접합학회 2004년도 춘계 학술발표대회 개요집
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    • pp.237-239
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    • 2004
  • This paper presents the analysis results of deformation induced by welding of stiffeners which will be attached for structural reinforcements of deck pillar support in LNG carrier. (omitted)

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종합병원 입원노인의 회복력과 가족지지가 무망감에 미치는 영향 (The Effects of Resilience and Family Support on the Hopelessness of Elderly Inpatients in General Hospitals)

  • 조정의;하영미
    • 가정간호학회지
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    • 제23권2호
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    • pp.129-138
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    • 2016
  • Purpose: The purpose of this study was to examine the relationships between resilience, family support, and hopelessness, as well as to identify the effects of resilience and family support on the hopelessness of elderly inpatients in general hospitals. Methods: A total of 177 elderly persons were recruited from three general hospitals. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson;s correlation coefficient, and multiple regression analysis. Results: The score on the hopelessness of hospitalized elderly persons was $2.88{\pm}0.88$ (range: 1-5). Multiple regression analysis results showed that participants; hopelessness was significantly influenced by resilience and family support, explaining 35.4% of the total variance. Conclusion: Based on the findings of this study, there is a need for the development of a resilience and family support program, aimed at reducing hopelessness among elderly persons, in order to promote their mental health.

안전한 홈네트워크 서비스를 위한 계층적 분산 침입탐지에 관한 연구 (A Study on Hierarchical Distributed Intrusion Detection for Secure Home Networks Service)

  • 유재학;최성백;양성현;박대희;정용화
    • 정보보호학회논문지
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    • 제18권1호
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    • pp.49-57
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    • 2008
  • 본 논문에서는 구조적으로 분산 침입탐지시스템의 구조를 계승하면서 동시에 홈네트워크의 환경을 최대한 고려하여 HNHDIDS(Home Network Hierarchical Distributed Intrusion Detection System)로 명명된 새로운 계층적 분산 침입탐지 시스템을 제안한다. 제안된 시스템은 단일 클래스 support vector machine(support vector data description)과 지역적 에이전트(agent)들을 계층적으로 결합한 구조로써, 홈네트워크의 환경을 위하여 최적화되었다. 만족스러운 침입 탐지율과 안전한 FNR(false negative rate) 수치 등을 실험을 통하여 확인함으로써 제안된 시스템이 홈네트워크 환경에 적합함을 검증하였다.

Out-of-plane buckling and bracing requirement in double-angle trusses

  • Chen, Shaofan;Su, Mingzhou
    • Steel and Composite Structures
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    • 제3권4호
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    • pp.261-275
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    • 2003
  • Truss members built-up with double angles back-to-back have monosymmetric cross-section and twisting always accompanies flexion upon the onset of buckling about the axis of symmetry. Approximate formulae for calculating the buckling capacity are presented in this paper for routine design purpose. For a member susceptible only to flexural buckling, its optimal cross-section should consist of slender plate elements so as to get larger radius of gyration. But, occurrence of twisting changes the situation owing to the weakness of thin plates in resisting torsion. Criteria for limiting the leg slenderness are discussed herein. Truss web members in compression are usually considered as hinged at both ends for out-of-plane buckling. In case one (or both) end of member is not supported laterally by bracing member, its adjoining members have to provide an elastic support of adequate stiffness in order not to underdesign the member. The stiffness provided by either compression or tension chords in different cases is analyzed, and the effect of initial crookedness of compression chord is taken into account. Formulae are presented to compute the required stiffness of chord member and to determine the effective length factor for inadequately constrained compressive diagonals.

경력 단절 기혼 여성의 재취업 욕구 관련 요인 (Factors Related to the Desire of Married, "Career-interrupted" Women to be Re-employed)

  • 권희경
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.87-98
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    • 2010
  • The purpose of the present study was to examine the desire of married women to be re-employed and the factors related to this desire. The study gathered information from 240 women who gave up their jobs and careers after marriage. Information included their career history, current psycho-social condition, and family situation. Multiple regression and covariation structure analyses indicated that the desire of married women to go back to paid work was influenced by family economic condition, psycho-social condition, and child care situation. Specifically, the study found that family's monthly income and the age of the last child were negatively related to the women's desire for re-employment. On the other hand, economic pressure and achievement motivation were positively related to the women's desire. Finally, the study found that socio-economic background and external social support were not significantly related to the women’s wish to go back to the workforce.

웹 기반 자동차용 스틸 풀리 설계 지원 시스템 (Web-based Design Support System for Automotive Steel Pulley)

  • 김형중;이경태;천두만;안성훈;장재덕
    • 한국자동차공학회논문집
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    • 제16권6호
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    • pp.39-47
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    • 2008
  • In this research, a web-based design support system is constructed for the design process of automotive steel pulley to gather engineering knowledge from pulley design data. In the design search module, a clustering tool for design data is proposed using K-means clustering algorithm. To obtain correlational patterns between design and FEA (Finite Element Analysis) data, a Multi-layer Back Propagation Network (MBPN) is applied. With the analyzed patterns from a number of simulation data, an estimation of minimum von mises can be provided for given design parameters of pulleys. The case study revealed fast estimation of minimum stress in the pulley within 12% error.