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Clinical review of Typhoid Fever Patients (장티브스에 관한 임상적 관찰)

  • 최정신
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.60-71
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    • 1976
  • The author reviewed the medical records of 96 typhoid fever patients who were diagnosed, admitted, and treated at Sea grave Memorial Hospital from January 1 , 1973 through August 31, 1975. Diagnosis was determined by clinical observation, aerology and bacteriology, eighty patients were treated medically, the remaining 16 patients required surgical intervention. The following results were obtained: 1) The age distribution of the patients revealed that 33.3% wert between 10 and 19 years old 21.9% were between 20 and 29, and 19.8% were between 30 and 39. The majority of patients were from these more active age groups. Male to female sex ratio was 1.3 : 1 2) Seasonal distribution was observed. Most illness occurred in the summer and autumn month 5. 3) 84. 3%of the patients came from farm families. 4) Duration between onset and admission averaged 16.0 days. The group without compilations was admitted after an average of 15. 1 days; The group with complications was ad-matted after an average of 19.4 days. 5) Methods of treatment before admission were as follows: 10.4% at medical clinics, 61, 5% at pharmacies (antibiotics 47.9%, other. drugs 13.5%), 7.3% by herb medications, 20.8% had no treatment. 6) Main clinical symptoms were as follows: fever 93.8%, headache 47.9%, abdominal pain 47.9%, chills 38.5%, cough 36.5%, general weakness 26.0%, nausea e vomiting 24.0% and generalized pain 21.9%. 7) Temperature of patients on admission: 22.9% were 39f or more, 67.6% were between 37℃ and 38℃, and 9.4% were 37℃ or less. 8) Occurrence of intensional bleeding after onset of disease averaged 9.3 days; perforation occurred at an average of 19. 1 days. 9) Interval between onset of major complication and surgical intervention averaged 2.8 days. 10) Among the 68 patients who underwent the bacteriological test the positive rate was 44.1% (30). The positive ,ales to, each separate culture method were as follows: 20.4% in the blood culture, 40.4% in the stool culture and 6.7% in the urine culture. Among these bacteriological positive patients 15 patients had a negative results or less than 160 titer of vidal reaction. 11) The initial vidal test of the total group showed a counts of 160 titer or more in 60.4% and less than 160 titer in 39.6%, 12) W. B. C. Counts in the uncomplicated group indicated that 32.5% were 6,000/㎣ or less, 47.5% were between 6,000 and 10,000, arid 20.0% were 10,000/㎣ or more. In the complicated group, 37.6% were 6,000/㎣ or less, 25,0% were 6,000-10,000/㎣ and 37.6% were 10,000/㎣ or more. 13) Duration of hospital stay of the patients averaged 6.4 days in the uncomplicated group and 12.7 days in the complicated group. 14) Subdiaphragmatic free air simple X-ray was found in 91.7% of the perforated cases. 15) Duration of antibiotic therapy until an febrile state was attained averaged 4.8 days in the uncomplicated group and 6.5 days in the complicated group. 16) Operative procedures were as follows: one layer simple closure of their perforation with or without debasement in 56.3%, drainage only in 6.3%, small bowel resection with primary anastomosis in 18.8% , externalization in 6.3%, cholecystectomy in 6.3%, The clinical findings of this study suggest the following recommendations. According to Top's report; 1% of typhoid fever patients treated with chlorarnphenicol and 2% of patients treated with other drugs become chronic carriers. Therefore, importance should be given to the strict control of these carriers. Immunization, improvement of sanitation and living standards are all needed for the prevention and treatment of disease, but a more serious problem is a lack of knowledge on the part of patients and their families. Thus it is most urgent to enlighten the citizens about the transmission and hygiene related to contagious disease. Legal restriction of sale of antibiotics at drug stores without a physician's prescription is an urgent matter for public health administrators. An even more important nursing responsibility is the reemphasis on health education both in the clinical setting and in the home.

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Characteristics of Quercus mongolica Dominant Community on the Ridge of the Nakdong-Jeongmaek -Focusing on the Baekbyeongsan, Chilbosan, Baegamsan, Unjusan, Goheonsan, Gudeoksan- (낙동정맥 마루금 일대의 신갈나무우점군락 특성 -백병산, 칠보산, 백암산, 운주산, 고헌산, 구덕산을 중심으로-)

  • Kang, Hyun-Mi;Kim, Dong-Hyo;Park, Seok-Gon
    • Korean Journal of Environment and Ecology
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    • v.34 no.4
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    • pp.318-333
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    • 2020
  • The Nakdong-Jeongmaek extends north and south from Taebaek-si of Gangwon-do to Busan metropolitan city and includes a wide range of forest zone from temperate to the warm-temperature forest. The purpose of this study was to analyze the vegetation structural characteristics of the Quercus mongolica-dominant community, which was distributed in the largest area in Baekdudaegan and Jeongmaek, by region and communities in the Nakdong-Jeongmaek. For the study, a representative 6 sites were selected: Baekbyeongsan, Chilbosan, Baegamsan, Unjusan, Goheonsan, and Gudeoksan. The survey of the 6 sites showed that the canopy had over 85% the importance percentage of Quercus mongolica. In the understory, Rhododendron schlippenbachii, Fraxinus sieboldiana, etc. were located and Fraxinus sieboldiana, Lespedeza maximowiczii, Tripterygium regelii and so on were found in the shrub. The importance percentage of 4 communities of Quercus mongolica, which were separated by TWINSPAN, in the canopy was more than 80%, and the dominant species in the understory and shrub were the same. Currently, Quercus mongolica has been identified as the understory following the canopy, and the Quercus mongolica-dominant community is expected to continue unless there are external factors. In the temperate forest regions in Korea, Quercus spp.and Carpinus laxiflora form the major forest physiognomy in the natural forest state. Based on these characteristics, the Quercus mongolica-dominant community on the ridge of the Nakdong-Jeongmaek is considered to have characteristics of temperate forests in Korea. The Quercus mongolica community is a representative cool-temperate deciduous forest and known as a climatic climax in the upper section of the mountains in the Korean Peninsula. Trees of the same species should be distributed at each layer to maintain the dominant species' status in the canopy's climax forest. Therefore, the Quercus mongolica community is considered the climax forest in the ridge of the Nakdong-Jeongmaek.

In Vitro Evaluation of Shear Bond Strengths of Zirconia Cerami with Various Types of Cement after Thermocycling on Bovine Dentin Surface (지르코니아 표면 처리와 시멘트 종류에 따른 치면과의 전단 결합 강도 비교 연구)

  • Cho, Soo-Hyun;Cho, In-Ho;Lee, Jong-Hyuk;Nam, Ki-Young;Kim, Jong-Bae;Hwang, Sang-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.3
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    • pp.249-257
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    • 2007
  • State of problem : The use of zirconium oxide all-ceramic material provides several advantages, including a high flexural strength(>1000MPa) and desirable optical properties, such as shading adaptation to the basic shades and a reduction in the layer thickness. Along with the strength of the materials, the cementation technique is also important to the clinical success of a restoration. Nevertheless, little information is available on the effect of different surface treatments on the bonding of zirconium high-crystalline ceramics and resin luting agents. Purpose : The aim of this study was to test the effects of surface treatments of zirconium on shear bond strengths between bovine teeth and a zirconia ceramic and evaluate differences among cements Material and methods : 54 sound bovine teeth extracted within a 1 months, were used. They were frozen in distilled water. These were rinsed by tap water to confirm that no granulation tissues have left. These were kept refrigerated at $4^{\circ}C$ until tested. Each tooth was placed horizontally at a plastic cylinder (diameter 20mm), and embedded in epoxy resin. Teeth were sectioned with diamond burs to expose dentin and grinded with #600 silicon carbide paper. To make sure there was no enamel left, each was observed under an optical microscope. 54 prefabricated zirconium oxide ceramic copings(Lava, 3M ESPE, USA) were assigned into 3 groups ; control, airborne-abraded with $110{\mu}m$ $Al_2O_3$ and scratched with diamond burs at 4 directions. They were cemented with a seating force of 10 ㎏ per tooth, using resin luting cement(Panavia $F^{(R)}$), resin cement(Superbond $C&B^{(R)}$), and resin modified GI cement(Rely X $Luting^{(R)}$). Those were thermocycled at $5^{\circ}C$ and $55^{\circ}C$ for 5000 cycles with a 30 second dwell time, and then shear bond strength was determined in a universal test machine(Model 4200, Instron Co., Canton, USA). The crosshead speed was 1 mm/min. The result was analyzed with one-way analysis of variance(ANOVA) and the Tukey test at a significance level of P<0.05. Results : Superbond $C&B^{(R)}$ at scratching with diamond burs showed the highest shear bond strength than others (p<.05). For Panavia $F^{(R)}$, groups of scratching and sandblasting showed significantly higher shear bond strength than control group(p<.05). For Rely X $Luting^{(R)}$, only between scratching & control group, significantly different shear bond strength was observed(p<.05). Conclusion : Within the limitation of this study, Superbond $C&B^{(R)}$ showed clinically acceptable shear bond between bovine teeth & zirconia ceramics regardless of surface treatments. For the surface treatment, scratching increased shear bond strength. Increase of shear bond strength by sandblasting with $110{\mu}m$ $Al_2O_3$ was not statistically different.

A Study on the Engineering Behaviour of Prebored and Precast Steel Pipe Piles from Full-Scale Field Tests and Finite Element Analysis (실규모 현장시험 및 유한요소해석을 통한 강관매입말뚝의 공학적 거동에 대한 연구)

  • Kim, Jeong-Sub;Jung, Gyoung-Ja;Jeong, Sang-Seom;Jeon, Young-Jin;Lee, Cheol-Ju
    • Journal of the Korean GEO-environmental Society
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    • v.19 no.4
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    • pp.5-16
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    • 2018
  • In the current study, the engineering behaviour of prebored and precast steel pipe piles was examined from a series of full-scale field measurements by conducting static pile load tests, dynamic pile load tests (EOID and restrike tests) and Class-A and Class-C1 type numerical analysis. The study includes the pile load - settlement relations, allowable pile capacity and shear stress transfer mechanism. Compared to the allowable pile capacity obtained from the static pile load tests, the dynamic pile load tests and the numerical simulation showed surprisingly large variations. Overall among these the restrike tests displayed the best results, however the reliability of the predictions from the numerical analysis was lower than those estimated from the dynamic pile load tests. The allowable pile capacity obtained from the EOID tests and the restrike tests indicated 20.0%-181.0% (avg: 69.3%) and 48.2%-181.1% (avg: 92.1%) of the corresponding measured values from the static pile loading tests, respectively. Furthermore, the computed results from the Class-A type analysis showed the largest scatters (37.1%-210.5%, avg: 121.2%). In the EOID tests, a majority of the external load were carried by the end bearing pile capacity, however, similar skin friction and end bearing capacity in magnitude were mobilised in the restrike tests. The measured end bearing pile capacity from the restrike tests were smaller than was measured from the EOID tests. The present study has revealed that if the impact energy is not sufficient in a restrike test, the end bearing pile capacity most likely will be underestimated. The shear stresses computed from the numerical analysis deviated substantially from the measured pile force distributions. It can be concluded that the engineering behaviour of the pile is heavily affected if a slime layer exists near the pile tip, and that the smaller the stiffness of the slime and the thicker the slime, the greater the settlement of the pile.

A Study on Seismic Liquefaction Risk Map of Electric Power Utility Tunnel in South-East Korea (국내 동남권 지역의 전력구 지반에 대한 지진시 액상화 위험도 작성 연구)

  • Choi, Jae-soon;Park, Inn-Joon;Hwang, Kyengmin;Jang, Jungbum
    • Journal of the Korean GEO-environmental Society
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    • v.19 no.10
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    • pp.13-19
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    • 2018
  • Following the 2016 Gyeongju earthquake, the Pohang Earthquake occurred in 2017, and the south-east region in Korea is under the threat of an earthquake. Especially, in the Pohang Earthquake, the liquefaction phenomenon occurred in the sedimentation area of the coast, and preparation of countermeasures is very important. The soil liquefaction can affect the underground facilities directly as well as various structures on the ground. Therefore, it is necessary to identify the liquefaction risk of facilities and the structures against the possible earthquakes and to prepare countermeasures to minimize them. In this study, we investigated the seismic liquefaction risk about the electric power utility tunnels in the southeast area where the earthquake occurred in Korea recently. In the analysis of seismic liquefaction risk, the earthquake with return period 1000 years and liquefaction potential index are used. The liquefaction risk analysis was conducted in two stages. In the first stage, the liquefaction risk was analyzed by calculating the liquefaction potential index using the ground survey data of the location of electric power utility tunnels in the southeast region. At that time, the seismic amplification in soil layer was considered by soil amplification factor according to the soil classification. In the second stage, the liquefaction risk analysis based on the site response analyses inputted 3 earthquake records were performed for the locations determined to be dangerous from the first step analysis, and the final liquefaction potential index was recalculated. In the analysis, the site investigation data were used from the National Geotechnical Information DB Center. Finally, it can be found that the proposed two stage assessments for liquefaction risk that the macro assessment of liquefaction risk for the underground facilities including the electric power utility tunnel in Korea is carried out at the first stage, and the second risk assessment is performed again with site response analysis for the dangerous regions of the first stage assessment is reasonable and effective.

Evaluation of Field Applicability with Coal Mine Drainage Sludge as a Liner: Part II: Effect of Freezing/Thawing in CMDS Mixed Liner (차수재로의 광산슬러지 재활용 적용성 평가: Part II: 동결/융해에 의한 광산슬러지 혼합 차수재의 거동)

  • Lee, Jai-Young;Bae, Sun-Young;Park, Kyoung-Joo
    • Journal of the Korean Geosynthetics Society
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    • v.10 no.2
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    • pp.73-79
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    • 2011
  • Based on the results of Part 1 of our two-parts paper, the possibility on field applicability of CMDS(Coal Mine Drainage Sludge) mixed with bentonite and cement as a liner in landfill sites was investigated. The optimum moisture content that met the landfill liner condition was obtained when the ratio of CMDS: bentonite: cement was 1: 0.5: 0.3 in a lab-scale. The relative compaction was measured in 90.1%, which results for construction field have been generally acceptable. In this study, a large-scale Lysimeter($1.0m{\times}1.5m{\times}2.0m$) was used to simulate the effects of the layer on the freeze/thaw by -20 average temperature. The mixture after freezing/thawing showed compressive strength more than $5kg/cm^2$, which was satisfied with EPA standards. Initial permeability of CMDS was $7.10{\times}10^{-7}cm/s$ and permeability its mixture after freezing/thawing was increased to $9.80{\times}10^{-7}cm/s$. The change of temperature in the layers rises and falls with linear and temperature gradient keep maintain the present state. Moisture contents in the layers have not been radically changed. Through the leaching test determined by KSLT method, it was found that heavy metals excluding Zn and Ni were not leached out or leached out less than the standards during 7 cycles of freezing/thawing process. Since it shows the increased permeability about 1.5 times and slight change in moisture content, but it was satisfied with EPA standar through 7 cycles of freezing/thawing process, this mixture can be applied as a liner in landfill final cover system.

THE STUDY ON THE MICROLEAKAGE PATTERN OF FLOWABLE COMPOSITE RESIN RESTORATIONS ACCORDING TO THE TYPE OF ADHESIVE MATERIALS (접착제에 따른 유동성 복합 레진 수복물의 미세누출 양상에 관한 연구)

  • Park, Ji-Eun;Kim, Jong-Soo;Yoo, Seung-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.456-468
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    • 2008
  • This study was performed to evaluate the quality of newly offered dentin bonding system($AdheSE^{(R)}$ One) by comparing the degree of microleakage measured with those of several conventional adhesive materials(AQ Bond Plus and $Adper^{TM}$ Single Bond 2). The quality of hybrid layer and resin tags was analyzed by observing restoration/ tooth interface under SEM. All-in-one system is in the limelight for having advantage of reducing chair time of children with difficult behavior pattern. Therefore the possibility of clinical application of All-in-one system was evaluated. The results obtained are as follows; 1. At the enamel margin, group II(AQ Bond Plus) showed the highest value of microleakage, and the other groups showed decreased value in order of group III($AdheSE^{(R)}$ One) and I($Adper^{TM}$ Single Bond 2). There was statistically significant difference between group II and the others(p<0.05), and no statistical difference was found between group I and III. 2. At the dentin margin, microleakage value was increased in order of group II, I, III and significant difference between all groups(p<0.05). 3. In group I and III, microleakage value measured at the enamel margin was significantly lower than that seen at the dentin margin(p<0.05), and there was no statistical difference in group II. 4. Resin tags observed under SEM were very weak and tangled in group II and III while the strong and thick tags were observed in group I. In conclusion, careful case selection and accurate clinical application is recommended in using AQ Bond Plus and $AdheSE^{(R)}$ One, giving consideration of the results showing its higher microleakage and weaker strength than $Adper^{TM}$ Single Bond 2.

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Characterization of SEI layer for Surface Modified Cathode of Lithium Secondary Battery Depending on Electrolyte Additives (전해질 첨가제에 따른 graphite 음극의 SEI분석 및 전기 화학적 특성 고찰)

  • Lee, Sung Jin;Cha, Eun Hee;Lim, Soo A
    • Journal of the Korean Electrochemical Society
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    • v.19 no.3
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    • pp.69-79
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    • 2016
  • Lithium ion battery with high energy density is expanding its application area to electric automobile and electricity storage field beyond existing portable electric devices. Such expansion of an application field is demanding higher characteristic and stable long life characteristic of an anode material, the natural graphite that became commercialized in lithium ion battery. This thesis produced cathode by using natural graphite anode material, analyzed creation of the cathode SEI film created due to initial reaction by using electrolyte additives, VC (vinylene carbonate), VEC (vinyl ethylene carbonate), and FEC (fluoroethylene carbonate), and considered correlation with the accompanying electrochemical transformation. This study compared and analyzed the SEI film variation of natural graphite cathode according to the electrolyte additive with SEI that is formed at the time of initial filling and cathode of $60^{\circ}C$ life characteristic. At the time of initial filling, the profile showed changes due to the SEI formation, and SEI was formed in No-Additive in approximately 0.9 V through EVS, but for VC, VEC, and FEC, the formation reaction was created above 1 V. In $60^{\circ}C$ lifespan characteristic evaluation, the initial efficiency was highest in No-Additive and showed high contents percentage, but when cycle was progressed, the capacity maintenance rate decreased more than VC and FEC as the capacity and efficiency at the time of filling decreased, and VEC showed lowest performance in efficiency and capacity maintenance rate. Changes of SEI could not be verified through SEM, but it was identified that as the cycle of SEI ingredients was progressed through FT-IR, ingredients of Alkyl carbonate ($RCO_2Li$) affiliation of the $2850-2900cm^{-1}$ was maintained more solidly and the resistance increased as cycle was progressed through EIS, and specially, it was identified that the resistance due to No-Additive and SEI of VEC became very significant. Continuous loss of additives was verified through GC-MS, and the loss of additives from partial decomposition and remodeling of SEI formed the non-uniform surface of SEI and is judged to be the increase of resistance.

Survey of ICT Apply to Plastic Greenhouse, Rack·Pinion Adaption to Single Span and CFD Analysis (온실 ICT융복합 실태조사와 복숭아형 랙피니언천창 적용 단동온실 및 CFD 유동해석)

  • Cho, Kyu Jeong;Kim, Ki Young;Yang, Won Mo
    • Journal of Bio-Environment Control
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    • v.24 no.4
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    • pp.308-316
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    • 2015
  • This study was conducted to investigate the situation of ICT apply to plastic greenhouse, and the results be apply to design of new one. A CFD analysis were conducted to monitering the ventilation and energy saving of the single span greenhouse newly designed. The causes of delay to apply ICT to plastic greenhouse are the high cost for installation(24%), insufficiency of after services(19%), often disorder(16%), unskillful management of soft ware(15%), insufficient ICT efficiency(13%) and unsatisfying of income increase(12%). The parts of problem occurred in ICT plastic greenhouse are the structure, actuator, environmental control system and sensor(approximate 14%, respectively), remote control technique(13%), plant management technique(12%), energy saving technique(10%) and utilization of software(8%). In the condition of lateral window closed, the average wind speed changed to slow, but it was faster in the condition of leeward side window opened than in the condition of lee and winward side window opened. The air movement in the condition of lateral window closed occur by air moving fan not by out air. It is not affect the room temperature but effective the uniformity of room temperature. The average temperature of low height greenhouse was uniform than high height one. The average temperature in condition of 3rd curtain opened become same with outside temperature after 2 hours, but take more 5 hours in condition of 3rd curtain closed.

On the penecontemporaneous deformation structures of the Sinri area at the mid western boundary of the Jinan Basin (진안분지 서변 중앙부 신리지역의 준퇴적동시성 변형구조)

  • Lee Young-Up
    • The Korean Journal of Petroleum Geology
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    • v.6 no.1_2 s.7
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    • pp.8-19
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    • 1998
  • In the Sinri area located at the mid western boundary of the Jinan basin, the Manduksan Formation which mainly consists of coarse sandstone narrowly intercalated with shale and the alternation of sand and shale and the Dalgil Formation mainly of shale are distributed. It consists of four lithofacies, such as coarse sandstone, interbedded sandstone/shale, shale and volcanic rock lithofacies. All sediments are interpreted to be deposited by turbidity currents and free fallouts in a lacustrine basin. In these rocks many penecontemporaneous defomation structures are observed such as fold and thrust fault at large scale, and swelling, boudin structure, flame structure, load structure, ptygmatic fold and convolute bedding at small scale. All these structures are developed between upper and lower undisturbed sedimentary strata. Two large folds are similar folds, but lower one gradually developed into concentric shape. The swelling structures by convergence of the sediments are observed in the hinge area and the boudin structures are developed in the limb. The thrust faults including minor folds and sandstone lobes show duplex structure with asymmetric and kink fold on and below in front of the detached sandstone layer. Development of the swellings, boudins and lobes indicates the flexbility of the sediments during deformational episodes. The folds and thrust faults rarely contain fractures relative their scales and lithologies. This feature also indicates the retrievability of sediments during deformation. At the flanks of the thrust faults the normal faults are formed contemporaneously. The deformation structures at small scale such as flame structures, load structures, ptygmatic folds and convolute beddings are syndepositional and penecontemporaneous, which show the effects of tectonic movements. All these deformed sedimentary structures of the Sinri area suggest the continuing tectonic movements during and/or after deposition.

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