• Title/Summary/Keyword: Internal Motor

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Transient Hypoglossal Nerve Palsy after Open Reduction of Zygomatic Complex Fracture (관골복합골절 수술 후 발생한 일시적 설하신경 마비의 증례보고)

  • Kim, Jee Wook;Kim, Woo Seob;Kwon, Nam Ho;Kim, Han Koo;Bae, Tae Hui
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.80-83
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    • 2009
  • Purpose: Isolated hypoglossal nerve palsy is a rare manifestation of various underlying disease. This article presents a rare complication of general anesthesia associated with an surgical procedure on a case of zygomatic fracture. Methods: An 18-year-old female patient was referred to our department by painful swelling on her left zygomatic area after the traffic accident. Left zygomatic complex fracture was identified on the simple x-ray and facial bone CT scan, and the fracture was treated with open reduction and internal fixation under general anesthesia. On the first postoperative day, she complained of difficulty in swallowing solid food, dysarthria and deviated tongue to her right side. There was no abnormal findings on the neurological examination, brain MRI and routine chemistry. She was diagnosed with transient hypoglossal nerve palsy and dexamethasone with multi-vitamins was administrated intravenously for 5 days. Results: The symptoms were completely resolved by the ninth postoperative day and the patient was discharged without any other complications. Conclusion: The hypoglossal(cranial nerve XII)nerve supplies motor innervation to all of the ipsilateral extrinsic and intrinsic tongue muscles. The hypoglossal nerve damage may caused by the compression between the airway and the hyoid bone during the endotracheal intubation, and direct trauma due to excessive pressure or neck extension. We described a rare case of unintended injury to hypoglossal nerve and care must be taken not to cause the hypoglossal nerve damage especially in facial plastic surgery with excessive neck extension under general anesthesia.

Effect of Sophora Subprostrata Fractions on Focal Ischemic Brain Damage Induced by Middle Cerebral Artery Occlusion in Rats(I) (광두근(廣豆根) 분획물이 중대뇌동맥폐쇄(中大腦動脈閉鎖)에 의한 뇌허혈손상에 미치는 효과(I) - 행동평가를 기준으로)

  • Choi, Moon-Seok;Kim, Youn-Sub
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.760-764
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    • 2005
  • This research was performed to investigate protective effect of Sophora Subprostrata fractions against focal ischemic brain damage after middle cerebral artery(MCA) occlusion. Rats were divided into six groups: MCA-occluded group(Control); each administered groups with Sophora Subprostrata total phase(Total), Sophora Subprostrata Aqueous phase (Aqueous), Sophora Subprostrata BuOH phase(BuOH), and Sophora Subprostrata Alkaloid phase(Alkaloid) after MCA-occlusion; sham-operated group(Sham). The right MCA was occluded by A poly-L-lysine coated 4-0 nylon suture thread through the internal carotid artery permanently. Sophora Subprostrata and fractions were administered orally(5mg/ml) for 7 days after MCA-occlusion. The behavior of ischemic rats were examined at 24 hours, 3, 5 and 7 days after MCA-occlusion from the views of 4 different aspects: posture & balance tests(4 subtests), reflex tests(6 subtests), muscle-tone tests(3 subtests), and foot-fault test. The results showed that 1) in muscle tone test, Sophora Subprostrata total phase only increased reduced muscle tone function from 3 to 7 days, 2) in reflex test, Sophora Subprostrata total and Aqueous phase increased fast recovery from 24 hours and 3 days, 3) in posture & balance test, Sophora Subprostrata total and Aqueous phase increased fast recovery from 24 hours, and Sophora Subprostrata BuOH and Alkaloid phase increased posture & balance function from 3 days, but 4) in motor function test, Sophora Subprostrata did not show effective recovery compared with control group. In conclusion, Sophora Subprostrata has protective effects against brain damage at the early stage of focal cerebral ischemia. Sophora Subprostrata total and Aqueous phase produced more pronounced protective effect against focal ischemic brain damage.

A Study on filament Winding Process of A CNG Composite Pressure Vessel (필라멘트 와인딩 압력용기의 최적설계와 CNG자동차 연료 충진용기 개발)

  • Kim, Eui-Soo;Kim, Ji-Hoon;Park, Yoon-So;Kim, Chul;Choi, Jae-Chan
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.10a
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    • pp.933-937
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    • 2002
  • The fiber reinforced composite material is widely used in the multi-industrial field where the weight reduction of the infrastructure is demanded because of their high specific modulus and specific strength. Pressure vessels using this composite material in comparison with conventional metal vessels can be applied in the field where lightweight and the high pressure are demanded from the defense and aerospace industry to rocket motor case due to the merits which are energy cutdown the weight reduction and decrease of explosive damage preceding to the sudden explosion which is generated by the pressure leakage condition). In this paper, for nonlinear finite element analysis of E-glass/epoxy filament winding composite pressure vessel receiving an internal pressure, the standard interpretation model is developed by using the ANSYS, general commercial software, which is verified as the accuracy and useful characteristic of the solution based on Auto LISP and ANSYS APDL. Both the preprocessor for doing exclusive analysis of filament winding composite pressure vessel and postprocessor that simplifies result of analysis have been developed to help the design engineers.

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Start and Stop Characteristics of Single-Rod Electro-Hydrostatic Actuator (전동기 일체형 편로드 유압액추에이터의 기동 및 정지특성해석)

  • Jung, Gyu-Hong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.11
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    • pp.1483-1490
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    • 2011
  • Electro-hydrostatic actuators(EHAs), which are usually composed of a direct motor-driven hydraulic pump and a cylinder, have been widely adopted as aircraft actuation systems because of their benefits in terms of improved efficiency, weight savings and the fact that they use a standalone power source. Since the recent trend in construction vehicles has been focus on energy savings in their hydraulic systems, EHAs are expected to be potential substitutes for conventional power transmission, since they are capable of energy recovery as well as highly efficient pump control. In this paper, the start and stop characteristics of EHAs were investigated through cracking pressure analysis of the pilot-operated check valve(PCV), which enables the cylinder to standstill against an external load with no holding effort from the hydraulic pump. A mathematical model that includes the load dynamics and the EHA's internal hydraulic circuit was derived for simulation with the MATLAB Simulink package. This model verified the PCV's opening and closing sequence, which in turn affects the EHA's start and stop characteristics.

A Study of Bi-Jeung in the Mid-Chosun Dynasty: Based on the Seungjeongwon Ilgi (조선 중기의 비증(痺症)에 대한 연구: 승정원일기(承政院日記)를 중심으로)

  • Cho, Woo-Young;Jung, Jae-Young;Chung, Seok-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.111-118
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    • 2015
  • Objectives Through the clinical records of Seungjeongwon Ilgi, we reviewed the usage of Bi-Jeung to know the concept of the word and studied therapeutic strategies for managing Bi-Jeung. Methods We investigated the clinical records of the mid-Chosun dynasty containing the key word "Bi" from electronic database (Seungjeongwon Ilgi). Results Of 4,039 records, 249 articles thought to have medicinal value were lastly selected. We subdivided the cases into 13 categories according to time, the connection of contents and the change of associated symptoms. "Bi" was not used alone but used in combination with body parts or other symptoms. Etiological causes of "Bi" involved dampness, phlegm, fire, heat and qi disorders. We suggested that "Bi" of the mid-Chosun dynasty meant a symptom group mainly of sensory impairment and additionally pain or motor disturbance. Among the 22 herbal medicine formulas used, 15 were based on internal medical pattern identifications and 7 were symptomatic treatments. Acupuncture and moxibustion therapy were primarily applied to adjacent acupoints. In addition, External therapies were used together, such as washing therapy, plaster therapy, cupping therapy and thermotherapy. Conclusions "Bi" principally indicated sensory impairment on limbs and the main etiological cause was considered to be dampness. Herbal medicine, acupuncture, moxibustion and external therapies were used to cure Bi-Jeung.

Analysis and measurement of low frequency magnetic field according to internal position of electric railway train (전기철도차량 객실 내부 위치에 따른 극저주파 자계 측정 및 분석)

  • Jang, Dong-Uk;Han, Moon-Seob
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.489-494
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    • 2008
  • The measurement of magnetic field is performed about DC and AC magnetic field in electric railway line. The test point is cap, on the converter/inverter box, on the traction motor and on the SIV, the height of measurement is bottom and 60 cm height. In case of AC magnetic field, the selected specific frequency is measured on the converter/inverter box. The AC magnetic field is checked and analysis through BNC output, DAQ cad and notebook PC.

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A Clinical Case Study on the Long Term Respiration Management of Amyotrophic Lateral Sclerosis Patient with Respiratory Failure (호흡부전을 동반한 근위축성 측삭 경화증 환자의 장기적 호흡관리 1례)

  • Lee, Jong Cheol;Jeong, Ho Hyun;Cha, Eun Hye;Park, Man Yong;Kim, Tae Ho;Song, Bong Keun;Son, Il Hong;Kim, Sung Chul
    • Journal of Acupuncture Research
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    • v.31 no.3
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    • pp.67-73
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    • 2014
  • Objectives : Amyotrophic lateral sclerosis(ALS) is a progressive neurodegenerative disorder characterized by a selective death of motor neuron, leading to respiratory insufficiency. The purpose of this study was to assess the long term respiratory management of ALS patient with respiratory failure. Methods : One ALS patient applying a non-invasive BIPAP ventilator as well as Korean medical treatment such as acupuncture, pharmacopuncture and herbal medicine was measured on $SpO_2$, $EtCO_2$, Vte(expiratorytidalvolume) for 2 years 7 months. Results : The $SpO_2$, $EtCO_2$ of ALS patient were maintained in the normal range for 2 years 7 months. The Vte of ALS patient also wasn't worse in this study. Conclusions : In this study, the long term respiration management, combined administration of Korean medical treatment and non-invasive BIPAP ventilator, could be effective in ALS patient with respiratory failure.

A Clinical Case of Oriental Medical Treatment for the Paraplegia after Lumbar Epidural Nerve Block (요추 경막외 차단술 후 발생한 하지마비의 한의학적인 치료 효과 - 증례 보고 -)

  • Yu, Deok-Seon;Kim, So-Yeon;Kim, Dong-Eun;Jung, Il-Min;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.219-228
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    • 2009
  • Objectives : This study was performed to report the effect of oriental medical treatment in the paraplegia and pain after epidural nerve block. Methods : A 39-year-old woman who underwent epidural nerve block at a local clinic was admitted with motor weakness of lower limbs, severe lower radiating pain and decreased sensation when voiding and defecating. We treated her by acupuncture, a herbal medicine, a bee venom injection, moxibustion and cupping treatment and physical theraphy from 11th July 2008 to 14th October 2008. Results : After treatment, most symptoms decreased, VAS(Visual Analog Scale) score changed from 9 to 2. and examinated muscle power changed from 2-3 to 4-5. Conclusions : Our study suggested that oriental medical treatments are significantly effective in the paralplegia and pain after epidural nerve block. And further studies will be aid to identify underlying mechanism of treatment.

DC Characteristics Analysis of Various AC loads for Hybrid Distribution (하이브리드 급전을 위한 다양한 가정용 교류부하의 직류특성연구)

  • Lee, Young-Jin;Han, Dong-Ha;Choi, Jung-Muk;Jeong, Byong-Hwan;Kim, Dong-Jin;Choe, Gyu-Ha
    • The Transactions of the Korean Institute of Power Electronics
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    • v.15 no.3
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    • pp.207-217
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    • 2010
  • Recently, the use of DC power increased due to the increased use of digital load. Power factor of input current decrease and input current harmonics increase, and conversion loss which is occurred in the AC / DC converter is a problem to provide the proper DC voltage to the device equipped with an internal AC / DC converter. Hybrid system supplies the AC power and DC power to AC load (motor load and the transformer load) and DC loads (computers, TV, LED fluorescent light) at the same time it supplies the renewable energy and utility energy taken power from Utility to user for improving the efficiency and renewable energy improvements in ease of use. This paper studies DC characteristics of traditional AC load for Hybrid distributions.

Pulsatile Pressure Distribution on the Snubber of Reciprocating Compressor (왕복동식 압축기의 스너버내 맥동압 분포)

  • Lee, Gyeong-Hwan;Rahman, Mohammad-Shiddiqur;Chung, Han-Shik;Jung, Hyo-Min
    • Proceedings of the SAREK Conference
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    • 2007.11a
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    • pp.606-611
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    • 2007
  • Pulsation is an inherent phenomenon in reciprocating compressors. It interacts with piping to cause vibrations and performance problems. Indiscriminately connecting to a compressor can be dangerous and cost money in the form of broken equipment and piping, poor performance, inaccurate metering, unwanted vibration, and sometimes noise. Piping connected to a compressor can materially affect the performance and response. To minimize these detrimental effects, reciprocating compressor system should be equipped by pulsation suppression system. This study discusses pressure pulsation phenomena occurred in a reciprocating compressor system. An experiment applied air compressor unit, as pulsating pressure generator, has been done. The compressor was connected sequentially to a snubber model and pressure tank. Sensor probes were placed on the inlet and outlet pipes of snubber. Compressor was driven by a motor controlled by a frequency regulator. The experiment was conducted by adjusting the regulator at 40Hz. General information about an internal gas flow can be achieved by numerical analysis approach. Information of the velocity, pressure and turbulence kinetic energy distribution are presented in this paper. Based on this result, the design improvement might be done.

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