• Title/Summary/Keyword: Early loading

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Comparison on Analgesic Effect of Morphine and Meperidine with Patient-Controlled Analgesia for the Pain Relief after Cesarean Section (제왕절개술후 통증조절을 위해 PCA를 이용한 Morphine과 Meperidine의 제통효과 비교)

  • Lee, Byung-Ho;Lee, Chul-Woo;Kim, Chang-Jae;Chung, Mee-Young;Park, Dong-Sook;Chea, Jun-Seuk
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.166-171
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    • 1996
  • The purpose of this study is to compare the postoperative analgesic effect of morphine and meperidine, employing intravenous patient controlled analgesia after cesarean section. Among fifty nine parturients undergoing cesarean section with general anesthesia, 32 were administered morphine designated as 'morphine group', and 27 parturient administered meperidine as 'meperidine' group, during 48 hours after commencement of PCA. Doses administered, based on potency for this setting, were equivalent to 1 mg morphine or 10 mg meperidine. Loading dose was administered when parturient first complained of pain after cesarean section. This was followed with bolus dose, 1 mg for morphine group and 10 mg for meperidine group, with a lockout interval of 8 minutes between doses wherever parturient requested additional analgesia. Visual analog scale(VAS) pain scores during rest were significantly lower at only 1 and 2 hour for the meperidine group, than morphine group. Loading dose and cumulative dose at 1, 2 and 3 hours were significantly lower for meperidine group than the morphine group. There were no significant difference in total dose and hourly dose for 48 hours and cumulative dose at 6, 12, 24, and 48 hours between both groups. More than 90% of the parturients from both groups were satisfied with the analgesic effects of pain relief. Morphine group experienced side effects such as: pruritus, sedation and dizziness. Meperidine group had sedation, dizziness, nausea and local irritation. Neither group required any specific treatment for any of the above side effects. We conclude that meperidine had greater analgesic effect at early stage of post-operative period.

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A Review of Effects of Osteoarthritic Patient with a Varus Deformity of the Knee on Laterally Wedged Insole (외측 쐐기 깔창이 골관절염 환자의 내반슬에 미치는 영향에 관한 고찰)

  • Lee, Sang-Yong;Shin, Hyung-Soo;Bae, Sung-Soo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.11 no.1
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    • pp.65-73
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    • 2005
  • Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial osteotomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and valgus heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that valgus heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritic patients with a varus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported in dynamic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.

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Flexural Strengthening Characteristic of Sleeper Member Traditional Wooden Architecture (전통 목구조 멍에 부재의 휨 보강 특성)

  • Kim, Jeong-Sup;Cho, Cheol-Hee;Shin, Young-Seok;Cho, Youn-Hee
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.2
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    • pp.145-152
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    • 2010
  • This study investigates experimentally flexural behavior and CFB(Carbon Fiber Bar) reinforcing effects of timber sleeper in traditional storied tower house. As a test result, standard sleepers without CFB(Carbon Fiber Bar) reinforcement show flexural cracks at the bottom member at the beginning of loading stage and leads to fracture. However, reinforced specimens with CFB show initial shrinkage at the upper part of specimen by compression, instead of flexural cracks at the bottom, and finally show compressive failure or fracture after failure of CFB and it proves that reinforcing effects by CFB are exerted from early loading. Reinforced specimens showed higher strength in yield strength by 6%~38%, and ultimate strength by 8%~17%, than those of standard specimens. Reinforced specimen is considered that specimen with flexural reinforcement using CFB can expect flexural deflection control effect. Reinforced specimen shows higher ductile coefficient increase of average 141% compared than standard specimens and it proves that higher structural ductile behavior can be expected in reinforced specimens.

EFFECT OF SURFACE DEFECTS AND CROSS-SECTIONAL CONFIGURATION ON THE FATIGUE FRACTURE OF NITI ROTARY FILES UNDER CYCLIC LOADING (전동식 니켈 티타늄 파일의 표면 결함 및 단면 형태가 반복응력 하에서 피로 파절에 미치는 영향)

  • Shin, Yu-Mi;Kim, Eui-Sung;Kim, Kwang-Man;Kum, Kee-Yeon
    • Restorative Dentistry and Endodontics
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    • v.29 no.3
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    • pp.267-272
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    • 2004
  • The purpose of this in vitro study was to evaluate the effect of surface defects and cross-sectional configuration of NiTi rotary files on the fatigue life under cyclic loading. Three NiTi rotary files ($K3^{TM},{\;}ProFile^{\circledR},{\;}and{\;}HERO{\;}642^{\circledR}$) with #30/.04 taper were evaluated. Each rotary file was divided into 2 subgroups : control (no surface defects) and experimental group (artificial surface defects), A total of six groups of each 10 were tested. The NiTi rotary files were rotated at 300rpm using the apparatus which simulated curved canal (40 degree of curvature) until they fracture. The number of cycles to fracture was calculated and the fractured surfaces were observed with a scanning electron microscope. The data were analyzed statistically. The results showed that experimental groups with surface defects had lower number of cycles to fracture than control group but there was only a statistical significance between control and experimental group in the $K3^{TM}$ (p<0.05), There was no strong correlation between the cross-sectional configuration area and fracture resistance under experimental conditions. Several of fractured files demonstrated characteristic patterns of brittle fracture consistent with the propagation of pre-existing cracks. This data indicate that surface defects of NiTi rotary files may significantly decrease fatigue life and it may be one possible factor for early fracture of NiTi rotary files in clinical practice.

Numerical study on the structural performance of corrugated low yield point steel plate shear walls with circular openings

  • Shariati, Mahdi;Faegh, Shervin Safaei;Mehrabi, Peyman;Bahavarnia, Seyedmasoud;Zandi, Yousef;Masoom, Davood Rezaee;Toghroli, Ali;Trung, Nguyen-Thoi;Salih, Musab NA
    • Steel and Composite Structures
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    • v.33 no.4
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    • pp.569-581
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    • 2019
  • Corrugated steel plate shear wall (CSPSW) as an innovative lateral load resisting system provides various advantages in comparison with the flat steel plate shear wall, including remarkable in-plane and out-of-plane stiffnesses and stability, greater elastic shear buckling stress, increasing the amount of cumulative dissipated energy and maintaining efficiency even in large story drifts. Employment of low yield point (LYP) steel web plate in steel shear walls can dramatically improve their structural performance and prevent early stage instability of the panels. This paper presents a comprehensive structural performance assessment of corrugated low yield point steel plate shear walls having circular openings located in different positions. Accordingly, following experimental verification of CSPSW finite element models, several trapezoidally horizontal CSPSW (H-CSPSW) models having LYP steel web plates as well as circular openings (for ducts) perforated in various locations have been developed to explore their hysteresis behavior, cumulative dissipated energy, lateral stiffness, and ultimate strength under cyclic loading. Obtained results reveal that the rehabilitation of damaged steel shear walls using corrugated LYP steel web plate can enhance their structural performance. Furthermore, choosing a suitable location for the circular opening regarding the design purpose paves the way for the achievement of the shear wall's optimal performance.

Research on hysteretic characteristics of EBIMFCW under different axial compression ratios

  • Li, Sheng-cai;Lin, Qiang
    • Earthquakes and Structures
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    • v.22 no.5
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    • pp.461-473
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    • 2022
  • Energy-saving block and invisible multiribbed frame composite wall (EBIMFCW) is an important shear wall, which is composed of energy-saving blocks, steel bars and concrete. This paper conducted seismic performance tests on six 1/2-scale EBIMFCW specimens, analyzed their failure process under horizontal reciprocating load, and studied the effect of axial compression ratio on the wall's hysteresis curve and skeleton curve, ductility, energy dissipation capacity, stiffness degradation, bearing capacity degradation. A formula for calculating the peak bearing capacity of such walls was proposed. Results showed that the EBIMFCW had experienced a long time deformation from cracking to failure and exhibited signs of failure. The three seismic fortification lines of the energy-saving block, internal multiribbed frame, and outer multiribbed frame sequentially played important roles. With the increase in axial compression ratio, the peak bearing capacity and ductility of the wall increased, whereas the initial stiffness decreased. The change in axial compression ratio had a small effect on the energy dissipation capacity of the wall. In the early stage of loading, the influence of axial compression ratio on wall stiffness and strength degradation was unremarkable. In the later stage of loading, the stiffness and strength degradation of walls with high axial compression ratio were low. The displacement ductility coefficients of the wall under vertical pressure were more than 3.0 indicating that this wall type has good deformation ability. The limit values of elastic displacement angle under weak earthquake and elastic-plastic displacement angle under strong earthquake of the EBIMFCW were1/800 and 1/80, respectively.

Calculation of Creep Coefficient for Concrete Structures Applying Time Step Analysis for Relative Humidity and Temperature (상대습도 및 온도에 대한 시간 단계 해석을 적용한 콘크리트 구조의 크리프계수 산정 )

  • Kyunghyun Kim;Ki Hyun Kim;Inyeol Paik
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.27 no.5
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    • pp.75-83
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    • 2023
  • As part of a study to analyze the excessive camber occurring in prestressed concrete railway bridges, this paper presents a calculation method and analysis results for the creep coefficient which defines the increase in camber of a concrete structure over time. Using the creep coefficient formula of the design code, the coefficient is obtained by applying the climatic conditions (relative humidity and temperature) of 12 regions in Korea. The effects of differences in climatic conditions by region and starting time of load on the creep coefficient are analyzed. In order to properly calculate the creep, most of which occurs in the early stages of loading, a detailed analysis is performed by applying a time step analysis method to consider varying climate conditions through loaded period. The creep coefficient obtained by applying the average climate conditions of the region is similar to the average of the creep coefficients obtained by time step analysis. Through time step analysis, it is shown that the offset and overlap effects of relative humidity and temperature on the creep coefficient and the climate effect at the time of initial loading can be appropriately represented.

Risk indicators associated with peri-implant diseases: a retrospective cross-sectional study of Colombian patients with 1 to 18 years of follow-up

  • Ana Maria Ortiz-Echeverri;Carolina Gallego-Gonzalez;Maria Catalina Castano-Granada;Sergio Ivan Tobon-Arroyave
    • Journal of Periodontal and Implant Science
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    • v.54 no.3
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    • pp.161-176
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    • 2024
  • Purpose: Peri-implant mucositis (PIM) and peri-implantitis (PI) are multicausal conditions with several risk factors contributing to their pathogenesis. In this study, we retrospectively investigated risk variables potentially associated with these peri-implant diseases (PIDs) over a follow-up period of 1 to 18 years. Methods: The study sample consisted of 379 implants placed in 155 patients. Single-visit clinical and radiographic evaluations were employed to determine the presence or absence of PIDs. Parameters related to the patient, site, surgery, implant, and prosthetic restoration were documented. The relationships between risk variables and the occurrence of PIDs were individually examined and adjusted for confounders using multivariate binary logistic regression models. Results: The prevalence rates of PIM and PI were 28.4% and 36.8% at the patient level and 33.5% and 24.5% at the implant level, respectively. Poor oral hygiene, active gingivitis/periodontitis, preoperative alveolar ridge deficiency, early or delayed implant placement, implant length of 11.0 mm or less, and poor restoration quality were strong and independent risk indicators for both PIDs. Furthermore, a follow-up period of more than 5 years and a loading time of more than 4 years were important indicators for PI. Simultaneously, age and smoking status acted as modifiers of the effect of mesiodistal (MD) and buccolingual (BL) widths of restoration on PI. Conclusions: In this study population, oral hygiene, periodontal status, preoperative alveolar ridge status, implant placement protocol, implant length, and the quality of coronal restoration appear to be robust risk indicators for both PIM and PI. Additionally, the length of follow-up and functional loading time are robust indicators of PI. Furthermore, the potential modifying relationships of age and smoking status with the MD and BL widths of restoration may be crucial for the development of PI.

The Shock and Fracture Analysis of Ship Structure Subject to Underwater Shock Loading (수중충격하중을 받는 선체구조의 충격 및 파손 해석)

  • Kie-Tae Chung;Kyung-Su Kim;Young-Bok Kim
    • Journal of the Society of Naval Architects of Korea
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    • v.32 no.1
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    • pp.118-131
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    • 1995
  • The shock fracture analysis for the structures of navy vessels subject to underwater explosions or of high speed vessels frequently subject to impact loads has been carried out in two steps such as the global or macro analysis and the fine or micro analysis. In the macro analysis, Doubly Asymptotic Approximation(DAA) has been applied. The three main failure modes of structure members subject to strong shock loading are late time fracture mode such as plastic large deformation mainly due to dynamic plastic buckling, and the early time fracture mode such as tensile tearing failure or transverse shear failure. In this paper, the tensile tearing failure mode is numerically analyzed for the micro analysis by calculating the dynamic stress intensity factor $K_I(t)$, which shows the relation between stress wave and crack propagation on the longitudinal stiffener of the model. Especially, in calculating this factor, the numerical caustic method developed from shadow optical method of caustic well known as experimental method is used. The fully submerged vessel is adopted for the macro analysis at first, of which the longitudinal stiffener, subject to early shock pressure time history calculated in macro analysis, is adopted for the micro analysis.

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Identification of Bovine Pregnancy-Specific Whey Proteins using Two-Dimensional Gel Electrophoresis

  • Han, Rong-Xun;Choi, Su-Min;Kim, Myung-Youn;Quan, Yan Shi;Kim, Baek-Chul;Diao, Yun Fei;Koqani, Reza;Park, Chang-Sik;Jin, Dong-Il
    • Reproductive and Developmental Biology
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    • v.32 no.4
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    • pp.255-261
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    • 2008
  • The early diagnosis of bovine pregnancy is an essential component of successful reproductive planning on farms, because lack of bovine pregnancy over the long term results in reproductive failure and low milk yield-the latter of which is a special concern on dairy farms. This study was designed to identify early pregnancy-specific whey proteins in bovine, by comparing milk samples collected from cattle during pregnancy (Days 30 and 50) and from non-pregnant cattle. In this study, differentially expressed proteins in five pregnant and five non-pregnant Holstein dairy cattle were investigated and compared, using proteomics analysis. The first dimension was applied to a pH $3.0{\sim}10.0$ strip, by loading a 2-mg milk protein sample. After the second-dimension separation was performed, the gels were stained with colloidal Coomassie brilliant blue. The stained gels were scanned and the images were analyzed, to detect variations in protein spots between non-pregnant and pregnant cattle milk protein spots, using ImageMaster, this was followed by analysis with MALDI TOF-MS. Analysis of the 2-DE gel image resulted in a total of approximately $500{\sim}600$ protein spots, of which 12 spots were differentially expressed, six spots were up-regulated, and four spots were down-regulated; two spots were identified as pregnancy-specific proteins. These proteins were identified as lactoferrin, NA-DH dehydrogenase subunit 2, albumin, serum albumin precursor and transferrin. Our results via 2-D PAGE analysis revealed composite profiles of several milk proteins related to early bovine pregnancy, implying the possible use of these milk proteins in the early detection of bovine pregnancy.