• CELLMED
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• v.12 no.1
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• pp.2.1-2.9
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• 2022

The study has been carried out for the comparative analysis of relevant literature in order to highlight the present topic "Clinical study on effect on Virechana karma (therapeutic purgation)". Total no. of 40 cases has been selected from OPD and IPD of Panchakarma department, through proper history taking and clinical examination prior to VirechanaKarma. Only VirechanaKarmaYogya subjects were selected for the VirechanaKarma. Analysis of VirechanKarma on the basis of Vegiki (purgative bouts), Maniki (quantity), Langiki (clinical features) and Aantiki (end product) features were done in this study. In this study a highly significant relief was found in patients i.e. p<0.001 due to Virechana mainly vitiated PittaDosha (the heat energy in the body) and secondary Kaphadosha (mucus) and VataDosha (subtle energy associated with movement) are being expelled out which might have accounted for better relief in VirechanYogya (indicated) individuals (Pitta Pradhan Vyadhi (vitiated pitta), RaktajRoga (hemopoietic diseases), ShodhanYogyaAvastha (detoxification), etc.) in the above group of patients. VirechanaDravyas have properties like Tikshna (hyperfunction), Sukshma(subtle), Ushna (heat), etc. are described in Ayurvedic classics which play a vital role in the mode of action of VirechanaKarma has also been explained under probable mode of action.

• Steel and Composite Structures
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• v.47 no.3
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• pp.339-353
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• 2023

The primary objective of the current study is to optimize and evaluate the seismic performance of steel momentresisting frame (MRF) structures considering soil-structure interaction (SSI) effects. The structural optimization is implemented in the context of performance-based design in accordance with FEMA-350 at different confidence levels from 50% to 90% by taking into account fixed- and flexible-base conditions using an efficient metaheuristic algorithm. Nonlinear response-history analysis (NRHA) is conducted to evaluate the seismic response of structures, and the beam-on-nonlinear Winkler foundation (BNWF) model is used to simulate the soil-foundation interaction under the MRFs. The seismic performance of optimally designed fixed- and flexible-base steel MRFs are compared in terms of overall damage index, seismic collapse safety, and interstory drift ratios at different performance levels. Two illustrative examples of 6- and 12-story steel MRFs are presented. The results show that the consideration of SSI in the optimization process of 6- and 12-story steel MRFs results in an increase of 1.0 to 9.0 % and 0.5 to 5.0 % in structural weight and a slight decrease in structural seismic safety at different confidence levels.

• Steel and Composite Structures
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• v.47 no.4
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• pp.467-488
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• 2023

Seismic retrofit of an existing steel-reinforced concrete hospital building that features innovative use of a continuous energy-dissipative steel column (CEDC) system is presented in this paper. The special system has been adopted to provide an efficient solution taking into account the difficulties of applying traditional intervention techniques to minimize the impact on architectural functionality and avoid the loss of building function and evacuation during the retrofit implementation. The lateral stiffness and strength of the CEDC system were defined based on the geometric and mechanical properties of the steel strip dampers. The hysteretic behavior under cyclic loadings was defined using a simplified numerical model. Its effectiveness was validated by comparing the results of full-scale experimental data available from the literature. All the main design considerations of the retrofitting plan are described in detail. The effectiveness of the proposed retrofitting system was demonstrated by nonlinear time-history analyses under different sets of earthquake-strong ground motions. The analysis results show that the CEDC system is effective in controlling the deformation pattern and significantly reducing damage to the existing structure during major earthquakes.

• Structural Engineering and Mechanics
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• v.86 no.4
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• pp.503-518
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• 2023

In tall constructions, the outriggers are regarded as a structural part capable of effectively resisting lateral loads. This study analyses the efficacy of hybrid outrigger system in high rise RCC building for various structural parameters identified. For variations in α, which is defined as the ratio of the relative flexural stiffness of the core to the axial rigidity of the column, static and dynamic analyses of hybrid outrigger system having a virtual and a conventional outrigger at two distinct levels were conducted in the present study. An investigation on the optimal outrigger position was performed by taking the results from absolute maximum inter storey drift ratio (ISD_max), roof acceleration (acc_roof), roof displacement (disp_roof), and base bending moment under both wind and seismic loads on analytical models having 40, 60 and 80 storeys. An ideal performance index parameter was introduced and was utilized to obtain the optimal position of the hybrid outrigger system considering the combined response of ISD_max, acc_roof, disp_roof and, criteria required for the structure under wind and seismic loads. According to the behavioural study, increasing the column area and outrigger arm length will maximise the performance of the hybrid outrigger system. The analysis results are summarized in a flowchart which provides the optimal positions obtained for each dependent parameter and based on ideal performance index which can be used to make initial suggestions for installing a hybrid outrigger system.

• Coupled systems mechanics
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• v.12 no.3
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• pp.277-295
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• 2023

Unsymmetrical high-rise buildings (HRBs) subjected to earthquake represent a difficult challenge to structural engineering, especially taking into consideration the effect of soil-structure interaction (SSI). L-shape in plan HRBs suffer from big straining actions when are subjected to an earthquake (in x- or y-direction, or both x- and y- directions). Additionally, the disastrous effect of seismic pounding may appear between two adjacent unsymmetrical HRBs. For two unsymmetrical L-shape in plan HRBs subjected to earthquake in three different direction cases (x, y, or both), including the SSI effect, different methods are investigated to mitigate the seismic pounding and thus protect these types of structures under the earthquake effect. The most effective technique to mitigate the seismic pounding and help in seismically protecting these adjacent HRBs is found herein to be the use of a combination of pounding tuned mass dampers (PTMDs) all over the height (at the connection points) together with tuned mass dampers (TMDs) on the top of both buildings.

• Journal of Korean Neurosurgical Society
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• v.65 no.3
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• pp.370-379
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• 2022

Abusive head trauma (AHT) is the most severe form of physical abuse in children. Such injury involves traumatic damage to the head and/or spine of infants and young children. The term AHT was introduced to include a wider range of injury mechanisms, such as intentional direct blow, throw, and even penetrating trauma by perpetuator(s). Currently, it is recommended to replace the former term, shaken baby syndrome, which implicates shaking as the only mechanism, with AHT to include diverse clinical and radiological manifestations. The consequences of AHT cause devastating medical, social and financial burdens on families, communities, and victims. The potential harm of AHT to the developing brain and spinal cord of the victims is tremendous. Many studies have reported that the adverse effects of AHT are various and serious, such as blindness, mental retardation, physical limitation of daily activities and even psychological problems. Therefore, appropriate vigilance for the early recognition and diagnosis of AHT is highly recommended to stop and prevent further injuries. The aim of this review is to summarize the relevant evidence concerning the early recognition and diagnosis of AHT. To recognize this severe type of child abuse early, all health care providers maintain a high index of suspicion and vigilance. Such suspicion can be initiated with careful and thorough history taking and physical examinations. Previously developed clinical prediction rules can be helpful for decision-making regarding starting an investigation when considering meaningful findings. Even the combination of biochemical markers may be useful to predict AHT. For a more confirmative evaluation, neuroradiological imaging is required to find AHT-specific findings. Moreover, timely consultation with ophthalmologists is needed to find a very specific finding, retinal hemorrhage.

• Korean Journal of Clinical Pharmacy
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• v.34 no.2
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• pp.79-99
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• 2024

Background: There was an important revision of the Korean Clinical Practice Guideline for Stroke (KCPGS) for antithrombotic therapy in patients with acute ischemic stroke in 2022. This review is to provide an updated information in this revision. Methods: The revision history by year after the first announcement was examined for each topic, focusing on antithrombotic therapy during acute phase which was revised in 2022. We compared before and after the revision, and investigated the clinical outcomes presented as evidence. It was also compared with the current U.S. guidelines. Results: The major changes about antiplatelet therapy are a clause stating that dual antiplatelet therapy with clopidogrel and aspirin initiated within 24 hours from the stroke onset and maintained for up to 21-30 days is recommended as an acute treatment, as well as the clause that antithrombotic therapy may be initiated within 24 hours after intravenous thrombolytics and that the use of glycoprotein IIb/IIIa receptor antagonists can be considered in highly selected patients as rescue therapy taking into account of benefit and risk. The change to the use of anticoagulants is that it may be reasonable to start oral anticoagulant between 4 and 14 days after stroke onset for patients with acute ischemic stroke and atrial fibrillation. Conclusions: It will be helpful in improving health outcomes for clinical pharmacists to be aware of the latest information for antithrombotic therapy and to actively use it in pharmaceutical care of stroke patients.

• Nuclear Engineering and Technology
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• v.56 no.2
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• pp.611-623
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• 2024

The ISP-47 TOSQAN experiment was analyzed with containmentFOAM which is an open-source CFD code based on OpenFOAM. The containment phenomena taking place during the experiment are gas mixing, stratification and wall condensation in a mixture composed of steam and non-condensable gas. The k-ω SST turbulence model was adopted with buoyancy turbulence models. The wall condensation model used is based on the diffusion layer approach. We have simulated the full TOSQAN experiment which had a duration 20000 s. Sensitivity studies were conducted for the buoyancy turbulence models with SGDH and GGDH and there were not significant differences. All the main features of the experiments namely pressure history, temperature, velocity and gas species evolution were well predicted by containemntFOAM. The simulation results confirmed the formation of two large flow stream circulations and a mixing zone resulting by the combined effects of the condensation flow and natural convection flow. It was found that the natural convection in lower region of the vessel devotes to maintain two large circulations and to be varied the height of the mixing zone as result of sensitivity analysis of non-condensing wall temperature. The computational results obtained with the 2D mesh grid approach were comparable to the experimental results.

• Clinical and Experimental Vaccine Research
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• v.13 no.2
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• pp.166-170
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• 2024

The coronavirus disease 2019 (COVID-19) vaccine was developed to provide immunity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was first reported in 2019. The vaccine has proven to be effective in reducing severity and mortality and preventing infection. Henoch-Schönlein purpura is an autoimmune vasculitis (immunoglobulin A vasculitis). Historically, vaccines have been administered primarily to children, and Henoch-Schönlein purpura has often been reported in children following vaccination. However, since the start of COVID-19 vaccination, an increasing number of cases have been reported in adults. Here, we report a case of a patient who developed hematuria and proteinuria after receiving the messenger RNA COVID-19 vaccine. A 22-year-old man presented to the hospital with a lower extremity rash, bilateral ankle pain, and abdominal pain 18 days after receiving the COVID-19 vaccine. The man had no significant medical history and was not taking any medications. Laboratory tests showed normal platelet counts but elevated white blood cell counts and C-reactive protein and fibrinogen levels. He was treated with the non-steroidal anti-inflammatory drugs, pheniramine and prednisolone. At 40 days after starting treatment, C-reactive protein levels were within normal limits, and no hematuria was observed. Treatment was terminated when the purpura disappeared. This report is intended to highlight the need for further research to be proactive and carefully monitor for conditions associated with the COVID-19 vaccine.

• Journal of Science of Art and Design
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• v.11
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• pp.79-108
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• 2007

"Printing is an Art of reproduction & a Technique of However printing has extended its limitation from a genre of reproduction itself and now it stands on the turning point as an art such as painting or sculpture which expresses artist's originality. Early Printing has had relations in depth with press printing in terms of information recording, preservation, and transmission. It was acknowledged value in a way of information satisfaction different from how it is valued as a pure art today. But, later printing has transferred its function from a mean of reproduction to pure art due to the development of printing skills and photography invention. It can be said that the concept of modern printing is taking over its genealogy as a creative work not as just printing. Also its expression capability is widen to dimensional printing and high-tech multimedia from original tradition techniques. As we discussed above, modern painting is very open to various changes. This modern painting aspect can be seen as an extended interpretation of 'board' concept. This dissertation raises a question why monotype and monoprint couldn't secure its position in printing history in spite of numerous artists' tryouts in its way. Monotype and monoprint fundamentally based on intaglio technique in its history. Yet, its systematic study hasn't been worked out. This is because of the lack of recognition of monotype and monoprint's originality as printing. Especially in monoprint, it has known as an early stage in copperplate printing process which is an attempt to solve the technique limitation or trial work for edition. Likewise the reason why monotype and monoprint remains at the edge of printing border ambiguously is because of conceptual, technical characteristics which are against traditional printing. In traditional printing, the concept of board is important as a method of reproduction. Different from the fact, monotype and monoprint accept the form of medium 'board' conceptually out of limited condition as mentioned. Thus monotype and monoprint hasn't stand out for several reasons until late 20th century when it started come out to public as people starts to have interests that works from famous artists are actually based on monotype and monoprint. This dissertation likes to step into the monotype and monoprint theoretically which is not well known in domestic and try to study the meaning of monotype and monoprint as a printing medium which is also hasn't been considered sincerely. For this study the process follow as below. First, look into how monotype and monoprint has a concept and history. Next, check differences through comparison with traditional printing and how printing can be understood in what aspects at the same time. After, verify how monotype and monoprint have influence on the acceptance of extended concept of 'board'. This study will show the expressional possibility of monotype and monoprint which has already known as 'tableau printing' in today's situation where adventurous experiments of printing medium are going on with the development of technology.