• 제목/요약/키워드: Negative Tension

검색결과 147건 처리시간 0.023초

Extensive Tension Pneumocephalus Caused by Spinal Tapping in a Patient with Basal Skull Fracture and Pneumothorax

  • Lee, Seung-Hwan;Koh, Jun-Seok;Bang, Jae-Seung;Kim, Myung-Chun
    • Journal of Korean Neurosurgical Society
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    • 제45권5호
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    • pp.318-321
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    • 2009
  • Tension pneumocephalus may follow a cerebrospinal fluid(CSF) leak communicating with extensive extradural air. However, it rarely occurs after diagnostic lumbar puncture, and its treatment and pathophysiology are uncertain. Tension pneumocephalus can develop even after diagnostic lumbar puncture in a special condition. This extremely rare condition and underlying pathophysiology will be presented and discussed. The authors report the case of a 44-year-old man with a basal skull fracture accompanied by pneumothorax necessitating chest tube suction drainage, who underwent an uneventful lumbar tapping that was complicated by postprocedural tension pneumocephalus resulting in an altered mental status. The patient was managed by burr hole trephination and saline infusion following chest tube disengagement. He recovered well with no neurologic deficits after the operation, and a follow-up computed tomography (CT) scan demonstrated that the pneumocephalus had completely resolved. Tension pneumocephalus is a rare but serious complication of lumbar puncture in patients with basal skull fractures accompanied by pneumothorax, which requires continuous chest tube drainage. Thus, when there is a need for lumbar tapping in these patients, it should be performed after the negative pressure is disengaged.

Reinforced fibrous recycled aggregate concrete element subjected to uniaxial tensile loading

  • Hameed, R.;Hasnain, K.;Riaz, M. Rizwan;Khan, Qasim S.;Siddiqi, Zahid A.
    • Advances in concrete construction
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    • 제9권2호
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    • pp.195-205
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    • 2020
  • In this study, effect of recycled aggregates and polypropylene fibers on the response of conventionally reinforced concrete element subjected to tensile loading in terms of tension stiffening and strain development was experimentally investigated. For this purpose, concrete prisms of 100 × 100 mm cross section and 500 mm length having one central deformed steel re-bar were cast using fibrous and non-fibrous Recycled Aggregate Concrete (RAC) with varying percentages of recycled aggregates (0%, 25%, 50%, 75% and 100%) and tested under uniaxial tensile load. For all fibrous RAC mixes, polypropylene fibers were used at constant dosage of 3.15 kg/㎥. Effect of recycled aggregates and fibers on the compressive strength of concrete was also explored in this study. Through studying tensile load versus global axial deformation of composite and strain development in concrete and steel, it was found that replacement of natural aggregates with recycled aggregates in concrete negatively affected the cracking load, tension stiffening and strain development, and this negative effect was observed to be increased with increasing contents of recycled aggregates in concrete. The results of this study showed that it was possible to minimize the negative effect of recycled aggregates in concrete by the addition of polypropylene fibers. Reinforced concrete element constructed using concrete containing 50% recycled aggregates and polypropylene fibers exhibited cracking behavior, tension stiffening and strain development response almost similar to that of concrete element constructed using natural aggregate concrete without fiber.

Analytical study of composite steel-concrete beams with external prestressing

  • Turini, Thiago T.;Calenzani, Adenilcia F.G.
    • Structural Engineering and Mechanics
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    • 제82권5호
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    • pp.595-609
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    • 2022
  • Prestressed composite steel-concrete beams are still a technology restricted to repair sites of large-scale structures and spans. One of the reasons for that is the absence of standard frameworks and publications regarding their design and implementation. In addition, the primary normative codes do not address this subject directly, which might be related to a scarcity of papers indicating methods of design that would align the two technics, composite beams and external prestressing. In this context, this paper proposes methods to analyze the sizing of prestressed composite beams submitted to pre-tension and post-tension with a straight or polynomial layout cable. This inquiry inspected a hundred and twenty models of prestressed composite beams according to its prestressing technology and the eccentricity and value of the prestressing force. The evaluation also included the ratio between span and height of the steel profile, thickness and typology of the concrete slab, and layout of the prestressing cables. As for the results, it was observed that the eccentricity of the prestressing force doesn't significantly influence the bending resistance. In prestressed composite beams subjected to a sagging moment, the ratio L/d can reach 35 and 30 for steel-concrete composite slabs and solid concrete slabs, respectively. Considering the negative bending moment resistance, the value of the L/d ratio must be less than or equal to 25, regardless of the type of slab. When it comes to the value of the prestressing force, a variation greater than 10% causes a 2.6% increase in the positive bending moment resistance and a 4% decrease in the negative bending moment resistance. The pre-tensioned composite beams showed a superior response to flexural-compression and excessive compression limit states than the post-tensioned ones.

An analytical solution of bending thin plates with different moduli in tension and compression

  • He, Xiao-Ting;Hu, Xing-Jian;Sun, Jun-Yi;Zheng, Zhou-Lian
    • Structural Engineering and Mechanics
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    • 제36권3호
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    • pp.363-380
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    • 2010
  • Materials which exhibit different elastic moduli in tension and compression are known as bimodular materials. The bimodular materials model, which is founded on the criterion of positive-negative signs of principal stress, is important for the structural analysis and design. However, due to the inherent complexity of the constitutive relation, it is difficult to obtain an analytical solution of a bimodular bending components except in particular simple problems. Based on the existent simplified model, this paper solves analytically bending thin plates with different moduli in tension and compression. By using the continuity conditions of stress components in unknown neutral layer, we determine the location of the neutral layer, and derive the governing differential equation for deflection, the flexural rigidity, and the internal forces in the thin plate. We also use a circular thin plate with bimodulus to illustrate the application of this solution derived in this paper. The results show that the introduction of different moduli has influences on the flexural stiffness of the bending thin plate.

Effect of Dissolved and Colloidal Contaminants of Newsprint Machine White Water on Water Surface Tension and Paper Physical Properties

  • Consultant, Seika-Tay
    • 한국펄프종이공학회:학술대회논문집
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    • 한국펄프종이공학회 1999년도 Proceedings of Pre-symposium of the 10th ISWPC
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    • pp.61-69
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    • 1999
  • Contaminants such as fatty acids, triglycerides, resin acids and foam collected from a high yield sulfite weak liquor storage tank lowered the water surface tension and reduced inter-fibre bonding but also tended to benefit sheet opacity. Some common wet end additives such as defoamers and dispersants gave similar results. Lignosulfonate and naphthalene sulfonate showed little if any negative effect on both surface tension and sheet strength properties. Among the natural wood extractives. fatty acids were identified to be most detrimental followed by triglycerides and then resin acids. In order to alleviate the detrimental impact of these contaminants, membrane separation, air floatation and ozone treatment were carried out on paper machine white water samples. The effect of these treatments on removal of fatty and resin acids was quantified by a GC-Mass analysis. Reverse osmosis with a 1000 molecular weight cut off membrane failed to totally reject fatty and resin acids, but markedly reduced losses of sheet properties due to contaminants. Ozone treatment resulted in a significant increase of the surface tension and air floatation was considered to be a practical and useful method for removing fatty and resin acids from the machine white water.

반려견 정서상태에 따른 객관적 진단 도구의 신뢰도와 타당도 연구 (Reliability and Validity of Objective Diagnosis Tools According to the Emotional State of Companion Canine)

  • 최인학;박영인;정태호
    • 한국환경과학회지
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    • 제33권4호
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    • pp.279-282
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    • 2024
  • This study aimed to verify the results of emotional analysis with respect to canine behavior as reported in the existing animal behavior field based on the dog vestibular emotional reflex (VER) principle, and to evaluate humans and animals based on empathy gained through true communication rather than human-centered interpretation. A total of 200 canines were divided into non-daily and daily situation groups (n=100 each). To assess the psychological and emotional state of each group, these changes were applied to the principle of VER, and six measurement values were selected: positive emotion (balance and energy), negative emotion (tension/anxiety and stress), and body condition (inhibition and neuroticism). The results showed a statistically significant difference (p<0.05) in positive emotions, negative emotions, and body conditions between the two groups. In addition, balance, energy, tension/anxiety, inhibition, and neuroticism were higher in the non-daily situation group than in the daily situation group, with an exception for stress. Compared with the canine daily situation groups, canine in the non-daily situation groups instinctively observed their surroundings to cope with possible threats, had decreased concentration, and elevated vitals due to high-intensity anxiety. This can be perceived as a state of immediate reaction to possible situations/threats. In conclusion, it was confirmed through Vibra Image technology that canine instability mainly affects three factors: positive emotion, negative emotion, and physical condition.

알코올중독자 자녀의 삶에 대한 역설적 대처 (The Paradoxical Coping In Life of Children of Alcoholics)

  • 김명아
    • 한국보건간호학회지
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    • 제17권2호
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    • pp.299-316
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    • 2003
  • A phenomenological methodology was used to identify the life of children living with alcoholic parents. Nine adolescents participated in the in-depth interviews, done between October and December 2001. The Colaizzi's method was used for data analysis. The results of this study are as follows. One theme and thirteen meanings were identified, The one theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectations about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

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횡격막허니아에 병발한 긴장성기흉 1례 (Tension Pneumothorax in a Dog with Diaphragmatic Hernia)

  • 김현석;윤수경;손원균;장민;황혜신;조상민;신지원;김완희;윤정희;이인형
    • 한국임상수의학회지
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    • 제33권4호
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    • pp.237-242
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    • 2016
  • A 1.86 kg, 3-year-old, female, Maltese was presented to the Veterinary Medical Teaching Hospital of Seoul National University after being hit by a car. The patient was diagnosed with urinary bladder rupture, diaphragmatic hernia and fracture of ilium, tibia and fibula. Repair surgery was performed after stabilizing treatment. During the surgery, hypoxia was identified and it worsened after positive pressure ventilation (partial pressure of oxygen in arterial blood ($PaO_2$): 52 mmHg, pulse oximetry ($SpO_2$): 87%, arterial hemoglobin oxygen saturation ($SpO_2$): 85.8%). In addition to hypoxia, blood pressure decreased to 30 mmHg. Positive pressure ventilation was discontinued because hypoxia and hypotension were aggravated. After suturing the diaphragm, air was withdrawn to form negative pressure within the thorax. However, negative pressure was not attained despite continuous withdrawal of air. A thoracostomy tube was placed because tension pneumothorax was strongly suspected. The patient recovered through close monitoring with the tube for 3 days. Due to limitation of evaluation of the lung, predicting occurrence of tension pneumothorax is difficult in patient of diaphragmatic hernia. Therefore, it is recommended that indicators of tension pneumothorax should be closely monitored during diagnosis and repair procedures of diaphragmatic hernia.

노인요양시설 간호사의 실무 경험 (Nurses' Experience of Practice in Nursing Homes)

  • 정승은;이순희
    • 간호행정학회지
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    • 제15권1호
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    • pp.116-127
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    • 2009
  • Purpose: This article aimed to identify nurses' experience of practice in nursing homes. Method: Using phenomenological approach for qualitative research, the participants were 8 nurses who were working at nursing homse in C city. The data was analyzed by using phenomenological methodology by Colaizzi. Results: Five theme clusters were derived from the data. They were: burden (independent decision making in clinical situations, tension of as a multifunctional member); lowered self-esteem (exhaustion, relative self-evaluation is low, comparing with others); conflict (negative image of elderly, communication break with elderly family, monitoring of nursing home staff); worth (slight improvement of elderly health state, trust and recognition, intimacy); and self-reflection (need for knowledge extension, effort towards enhancing virtue, perception of importance in their health management). Conclusion: The results showed that nursing home nurses experienced negative aspects of various nursing practice, suggesting the ways to solve their negative experience.

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Relatoinship between Sarcoplasmic Reticular Calcium Release and $Na^+-Ca^{2+}$ Exchange in the Rat Myocardial Contraction

  • Kim, Eun-Gi;Kim, Soon-Jin;Ko, Chang-Mann
    • The Korean Journal of Physiology and Pharmacology
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    • 제4권3호
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    • pp.197-210
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    • 2000
  • Suppressive role of $Na^+-Ca^{2+}$ exchange in myocardial tension generation was examined in the negative frequency-force relationship (FFR) of electric field stimulated left atria (LA) from postnatal developing rat heart and in the whole-cell clamped adult rat ventricular myocytes with high concentration of intracellular $Ca^{2+}$ buffer (14 mM EGTA). LA twitch amplitudes, which were suppressed by cyclopiazonic acid in a postnatal age-dependent manner, elicited frequency-dependent and postnatal age-dependent enhancements after $Na^+-reduced,\;Ca^{2+}-depleted$ (26 Na-0 Ca) buffer application. These enhancements were blocked by caffeine pretreatment with postnatal age-dependent intensities. In the isolated rat ventricular myocytes, stimulation with the voltage protocol roughly mimicked action potential generated a large inward current which was partially blocked by nifedipine or $Na^+$ current inhibition. 0 Ca application suppressed the inward current by $39{\pm}4%$ while the current was further suppressed after 0 Na-0 Ca application by $53{\pm}3%.$ Caffeine increased this inward current by $44{\pm}3%$ in spite of 14 mM EGTA. Finally, the $Na^+$ current-dependent fraction of the inward current was increased in a stimulation frequency-dependent manner. From these results, it is concluded that the $Ca^{2+}$ exit-mode (forward-mode) $Na^+-Ca^{2+}$ exchange suppresses the LA tension by extruding $Ca^{2+}$ out of the cell right after its release from sarcoplasmic reticulum (SR) in a frequency-dependent manner during contraction, resulting in the negative frequency-force relationship in the rat LA.

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