• Title/Summary/Keyword: Onset Condition

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Left Ventricular Function Changes Under Normothermic Krebs Perfusate in Newborn Piglet (신생 돼지심장에서 상온의 Krebs 용액 관류에 따른 좌심실 기능의 변화)

  • O, Bong-Seok;Na, Guk-Ju;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1067-1073
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    • 1990
  • To clarify the changes of left ventricular function under normothermia, the time interval between the onset of ischemia and the beginning of contracture of left ventricle[TIC] were recorded in newborn piglet. Myocardial performance was assessed using intraventricular balloon to determine compliance and systolic function after 5 to 10 minutes interval per-fusing normothermic substrate free Krebs solution as a perfusate. The time to onset TIC was 29.5\ulcorner1.7 minutes and peak ischemic contracture was 46.7\ulcorner4.0 minutes[p<0.01]. In myocardial performance, systolic function of left ventricle[defined as cardiac contractility] was kept until 25 minutes of perfusion, but was decreased abruptly after 30 minutes of perfusion[p<0.0018] and diastolic function of left ventricle[defined as diastolic compliance] was kept until 15 minutes of perfusion, but was decreased after 20 minutes of perfusion [p=0.00\ulcorner9]. This study demonstrated maximal time of the tolerance to normothermic global ischemia and functional changes of left ventricle using Krebs perfusate under the same condition.

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Influence of Room Temperature and Strain Aging on the COD for a Small Fatigue Crack (室溫時效 및 變形時效가 微小 疲勞크랙의 開口變位에 미치는 影響)

  • 김민건
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.19 no.2
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    • pp.402-407
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    • 1995
  • The effects of room temperature and strain aging treatment are discussed on the critical condition for the onset of growth of non-propagating cracks on 0.15% C low carbon steel, with special emphasis on the length of the critical non-propagating crack and on the crack opening displacement(COD) at the crack tip. It is found from the experimental analysis that room temperature and strain aging of a fatigue pre-cracked specimen introduced the closure of a crack tip of the pre-crack and the reduction of crack opening displacement at the wake of crack, together with an improvement in crack growth resistance of the microstructure. This may cause an increase in the endurance limit of the specimen, through the enhancement of effective stress for the onset of growth of the critical non-propagating crack.

Very Long Chain Acyl-coenzyme A Dehydrogenase Deficiency: A Review of Pathophysiology, Clinical Manifestations, Diagnosis, and Treatment (장쇄 수산화 아세틸코에이 탈수소효소 결핍증에 대한 고찰)

  • Kang, Seokjin
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.22 no.1
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    • pp.21-27
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    • 2022
  • Very long-chain acyl-coenzyme A dehydrogenase (VLCAD) deficiency (VLCADD) leads to a defective 𝛽-oxidation, specifically during prolonged fasting, infection, or exercise. Patients with VLCADD usually suffer from cardiomyopathy, hypoketotic hypoglycemia, hepatic dysfunction, exercise intolerance, muscle pain, and rhabdomyolysis, and sometimes succumb to sudden death. VLCADD is generally classified into three phenotypes: severe early-onset cardiac and multiorgan failure, hypoketotic hypoglycemia, and later-onset episodic myopathy. Diagnostic evaluation comprises acylcarnitine analysis, genetic analysis, and VLCAD activity assay. In the acylcarnitine analysis, the key metabolites are C14:1, C14:2, C14, and C12:1. A C14:1 level >1 mmol/L strongly suggests VLCADD. Various treatment recommendations are available for this condition. Dietary management includes decreasing fat content, increasing medium-chain triglyceride levels, and decreasing fasting periods. Supplementation with L-carnitine is controversial. Triheptanoin (a seven-carbon fatty acid triglyceride) treatment demonstrates improvement of cardiac functions. Bezafibrate may improve the quality of life of patients with VLCAD.

Actual Physical Symptom and Stress in Caregivers of Patients with Cerebrovascular Disease (뇌혈관질환 환자를 돌보는 가족원의 신체증상과 스트레스)

  • 김희승;박현애;오미정
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.695-704
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    • 1998
  • This study aims for examines the actual physical symptom and stress in caregivers of patients with cerebrovascular disease. The data were collected by a survey conducted from August to September, 1997 which included 65 caregivers of cerebrovascular disease patients in 4 hospitals located in Seoul. The caregiver's stress was measured by Choi (1992)'s instrument and the actual physical symptoms were investigated. The data were analyzed using ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression. The results were as follows : 1. The mean number of caregiver's physical symptom was 3.5. There were significantly higher number of physical symptom in women, those of who have a religious affiliation, those of who perceive their own health status perceived as bad, and those of who perceived their patients disease condition as serious than in their counterparts. Also, the number of caregiver's physical symptom was significantly higher in caregivers whose patients have a paralysis sypmtom and the disease onset as accident than in caregivers whose patients have no paralysis symptom and the disease onset as spontaneous. 2. The average of caregiver's stress was 57.9. The caregiver's stress was the highest in between the ages of 50 and 59. There were also significantly higher level of stress in women, those of who perceived the disease condition of their patients as serious than in their counterparts. 3. The most common caregiver's physical symptom was fatigue(87.7%). This was followed by insomnia(58.5%) and muscle pain(47.7%). 4. Caregiver's physical sypmtom was positively correlated with caregiver's stress and negatively correlated with patient's activity of daily life. 5. The most important vairable affecting the caregiver's physical symtom was patient's activity of daily life which accounted for 12.7% of the total variance in stepwise multiple regression analysis. The most important vairable affecting the caregiver's stress was the patient disease condition perceived by the caregiver that accounted for 12.1% of the total variance.

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Effects of Step Length Change on Kinetic Characteristics While Stepping Over an Obstacle From a Position of Quiet Stance in Young and Elderly Adults: A Preliminary Study

  • Kim, Hyeong-Dong
    • Physical Therapy Korea
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    • v.14 no.4
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    • pp.66-74
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    • 2007
  • The aim of the present study was to investigate age-related differences in stepping behavior in response to sensory perturbations of postural balance. The participants for this study were 2 healthy elderly adults (mean age=76.0) and 2 younger adults (mean age=25.5). Subjects were asked to step over a 10 cm high obstacle at self-paced speed with the right limb to land on the primary target (normal step length) that is 10 cm in diameter. However, if, during movement, the light was illuminated, then the subject had to step on the secondary target (long step length). It was planned that the onset of the light would be prior to peak Fx of swing limb, between swing peak Fx and swing toe-off, and after swing toe-off. In the younger adults these secondary visual cues were provided at mean times of 240 ms (standard deviation (SD)=11), 402 ms (SD=13), and 476 ms (SD=88) following the movement onset. Corresponding mean times for the healthy elderly were 150 ms (SD=67), 352 ms (SD=39), and 562 ms (SD=115). Results showed great changes in both group and visual cue condition in Fx ground reaction forces and temporal events following the swing toe-off. Swing limb acceleration force (Fx) and stance peak Fx1 was much greater in the young adults compared to the older adults. Both young and older adults increased stance peak Fx2 in the visual cue condition compared to normal stepping. There was no difference in stance peak Fx2 between the visual cue conditions in both groups. Similarly, the time to stance peak Fx2 was much longer for the visual cue condition than for the normal stepping. It was not different between the visual cue conditions in the young adults, but in the elderly mid and late cue was much greater than early cue. In addition, time to stance peak Fx2 and swing and stance time were much longer in the older adults compared to the young adults for the visual cue conditions. These results suggest that unlike young adults, elderly adults did not flexibly modify their responses to unexpected changes in step length while stepping over obstacles.

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A Study on Dynamic Characteristics of Synchronously Controlled Hydrodynamic Journal Bearing (동기 제어되는 동압 베어링의 동특성에 관한 연구)

  • Rho, Byoung-Hoo;Kim, Kyung-Woong
    • Proceedings of the KSME Conference
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    • 2001.06c
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    • pp.311-315
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    • 2001
  • In this paper synchronous whirl of bearing is employed as control algorithm of actively controlled hydrodynamic journal bearing to suppress the whirl instability and unbalance response of a rotor-bearing system. Also, the cavitation algorithm implementing the Jakobsson-Floberg-Olsson boundary condition is adopted to predict cavitation regions in the fluid film more accurately than conventional analysis which uses the Reynolds condition. The stability and unbalance responses of a rotor-bearing system are investigated for various control gain and phase difference between the bearing and journal motion. It is shown that the unbalance response of a rotor-bearing system can be greatly improved by synchronous whirl of the bearing, and there is an optimum phase difference, which gives the minimum unbalance response of the system, at given operating condition. It is also found that the speed at onset of instability can be greatly increased by synchronous whirl of the bearing.

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Condition assessment of steel shear walls with tapered links under various loadings

  • He, Liusheng;Kurata, Masahiro;Nakashima, Masayoshi
    • Earthquakes and Structures
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    • v.9 no.4
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    • pp.767-788
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    • 2015
  • A steel shear wall with double-tapered links and in-plane reference was developed for assisting the assessment of the structural condition of a building after an earthquake while maintaining the original role of the wall as a passive damper device. The double-tapered link subjected to in-plane shear deformation is designed to deform torsionally after the onset of local buckling and works as an indicator of the maximum shear deformation sustained by the shear wall during an earthquake. This paper first examines the effectiveness of double-tapered links in the assessment of the structural condition under various types of loading. A design procedure using a baseline incremental two-cycle loading protocol is verified numerically and experimentally. Meanwhile, in-plane reference links are introduced to double-tapered links and greatly enhance objectivity in the inspection of notable torsional deformation with the naked eye. Finally, a double-layer system, which consists of a layer with double-tapered links and a layer with rectangular links made of low-yield-point steel, is tested to demonstrate the feasibility of realizing both structural condition assessment and enhanced energy dissipation.

Three Cases of Psoriasis (乾癬患者의 治驗 3例)

  • Kim, Jung-Ho;Chae, Byeong-Yun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.3 no.1
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    • pp.127-134
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    • 1990
  • Psoriasis is a common chronic recurrent inflammatory disease of the skin characterized by round, circumscribed, erythematous dry scaling patches of various sizes, covered by grayish white or silvery white. imbricated and lamella scales. Three cases of psoriasis has onset from 6 months to 35 years. These patients has been treated with western medicine. But they could not expect to improve condition. We experienced three cases of psoriasis that have a result of effect with Oriental Herb medicine.

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A Case of Miller Fisher Syndrome (Miller Fisher 증후군 1례에 대한 임상적 고찰)

  • 정은정;최동준;고창남;조기호;김영석;배형섭;이경섭
    • The Journal of Korean Medicine
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    • v.20 no.4
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    • pp.98-105
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    • 2000
  • Miller Fisher syndrome is characterized by acute external ophthalmoplegia, ataxia and areflexia in the abscence of significant motor or sensory deficit in the limbs and usually results in a complete recovery. Most cases have anteceding events like upper respiratory infection or other viral infections. Its accurate anatomic lesion sites and pathogenesis is still unknown. Recently we experienced a 47 year-old man who had a sudden onset of complete total ophthalmoplegia, ataxia, diplopia and whose condition was improved through Oriental medical treatment.

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Characteristics of Antidiabetic Effect of Dioscorea rhizoma(1) - Hypoglycemic Effect - (산약의 항당뇨 특성 연구(1) - 혈당 강하 효과 -)

  • Kang, Tong-Ho;Choi, Sang-Zin;Lee, Tae-Ho;Son, Mi-Won;Kim, Sun-Yeou
    • The Korean Journal of Food And Nutrition
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    • v.21 no.4
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    • pp.425-429
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    • 2008
  • Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Type 1 diabetes, or juvenile-onset diabetes, results from a cellular-mediated autoimmune destruction of the ${\beta}$-cells of the pancreas. Type 2 diabetes, or adult-onset diabetes, is a term used for individuals who have insulin resistance, a condition that makes it harder for the cells to properly use insulin, and usually have relative insulin deficiency. The diabetes causes the onset of chronic complications and diabetic neuropathy is one of the most debilitating complications. In this study, the hypoglycemic effect and the preventive effect of diabetic complications of Dioscorea rhizoma extract(DRE) were examined in rodent model. We investigated the glucose tolerance test and long term hypoglycemic effect of DRE in Type 1 streptozotocin-induced diabetic rats and Type 2 diabetic db/db mice. DRE showed a hypoglycemic effect on blood glucose levels than that of control group in Type 1 streptozotocin-induced diabetic rats and Type 2 diabetic db/db mice. On the basis of our results, we conclude that long-term use of DRE might help decrease blood glucose level and prevention of diabetes-associated complication.