• Title/Summary/Keyword: Tilting Bed

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The Effects of Exercise Therapy and Transcutaneous Electrical Nerve Stimulation for the Alleviation of Low Back Pain After Coronary Angiography (관동맥 조영술 후 요통완화를 위한 운동요법과 경피적 전기 신경자극의 효과)

  • Hahn, Sook-Won
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.222-232
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    • 2002
  • Background and Purpose: After the coronary angiography procedure, patients are required to remain on bed rest to reduce the risk of bleeding and hematoma formation at the puncture site. This prolonged bed rest in the supine position is difficult for many patients, who frequently complain of low back pain. The purpose of the study was to determine whether a specially designed exercise therapy and transcutaneous electrical nerve stimulation (TENS) had an effect on the alleviation of low back pain. Method: Sixty-two patients were assigned to one of three groups : specially designed exercise therapy plus TENS plus general nursing care (exercise group N=21), general nursing care plus TENS (TENS group, N=23) or general nursing care (control group, N=18). The exercise therapy consisted of five movements including stretching, pelvic tilting, knee to chest, modified situps and trunk rotation with minimizing the motion of the puncture site. The severity of low back pain was assessed by a visual analogue scale(VAS) every two hours. The use of analgesic and any development of bleeding or other complications were monitored as well. The level of serum ${\beta}$-endorphin was determined before and after the three interventions. Result: The pain score of the exercise group was significantly lowered compared to that of the other groups. There was no difference in the serum ${\beta}$-endorphin level among three groups. Analgesic were less frequently taken by the exercise group. However the incidence of bleeding complications was not significantly different among the three groups. Conclusion: Exercise therapy is more effective than general care or TENS in alleviating low back pain of the patients with coronary angiography.

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DaVinci SP-based simultaneous bilateral partial nephrectomy from the midline transperitoneal approach: a case report

  • Young Hwii Ko;Jong Gyun Ha;Jae Yoon Jang;Yeung Uk Kim
    • Journal of Yeungnam Medical Science
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    • v.41 no.1
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    • pp.48-52
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    • 2024
  • While simultaneous bilateral partial nephrectomy with a conventional multiport robot has been consistently reported since the 2010s, the introduction of the DaVinci SP system (Intuitive Surgical, Sunnyvale, CA, USA) could provide a novel way to perform surgery on bilateral kidneys while innovatively reducing the number of incisions. In our first report worldwide, the patient with bilateral small renal mass (2.0 cm for the left and 1.5 cm for the right side) and preoperative normal renal function was placed in the lateral decubitus position on an inverted bed. After tilting the bed to be as horizontal as possible, a 4-cm incision was made in the lower part of the umbilicus for the floating trocar technique. The partial nephrectomy was performed reliably as with the conventional transperitoneal approach, and then the patient could be repositioned to the contralateral side for the same procedure, maintaining all trocars. Total operation time (skin to skin), total console time, and the left- and right-side warm ischemic times were 260, 164, 27, and 23 minutes, respectively, without applying the early declamping technique. The estimated blood loss was 200 mL. The serum creatinine right after the operation, on the first day, 3 days, and 90 days after surgery were 0.92, 0.77, 0.79, and 0.81 mg/dL, respectively. For 90 days after the procedure, no complications or radiologic recurrence were observed. Further clinical studies will reveal the advantages of using the DaVinci SP device for this procedure over traditional multiport surgery, maximizing the benefit of a single port-based approach.

FEM Modeling Automation of Machine Tools Structure (공작기계 구조물의 전산 모델링 자동화)

  • Lee, Chan-Hong;Ha, Tae-Ho;Lee, Jae-Hak
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.10
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    • pp.1043-1049
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    • 2012
  • The FEM analysis of machine tools is the general analysis process to evaluate machine performance in the industry for a long time. Despite advances in FEM software, because of difficult simplicity of CAD drawing, little experience of joints stiffness modeling and troublesome manual contact area divide for bindings, the industry designers think the FEM analysis is still an area of FEM analysis expert. In this paper, the automation of modeling process with simplicity of drawing, modeling of joints and contact area divide is aimed at easy FEM analysis to enlarge utilization of a virtual machine tools. In order to verify the effects of modeling automation, a slant bed type model with tilting table is analyzed. The results show FEM modeling automation method only needed 45 minutes to complete the whole modeling process, while manual modeling method requires almost one month with 8200 calculations for coordinate transformations and stiffness data input.

Marine Terrace of the Jinha-Ilgwang Area, Southeast Korea (진하-일광 지역의 해안 단구)

  • 최성자
    • Economic and Environmental Geology
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    • v.36 no.3
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    • pp.233-242
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    • 2003
  • The southeasternmost coastal area of the Korean peninsula has been regarded as a seismologically stable area as neither Quaternary faults nor earthquake activity has been reported. To clarify whether the active tectonic movement has occurred or not, a digital marine terrace mapping and fracture mapping have been done in the coastal area. Bed rocks are composed of the Cretaceous volcanic and sedimentary rocks and the Paleogene granite. Wave-cut platform in the area is smaller and narrower relative to that of the northern coastal area. Most of the platforms in the area have little Quaternary sediment. The platforms except the Holocene terrace (1 st terrace) can be divided into three steps. The lowest platform (2nd terrace) has an altitude of 8-11 m. The broad middle one (3rd terrace) is 17 to 22 m high. The highest terrace (4th terrace) is a narrow and sporadic bench with an altitude of about 44 m high. The lowest terrace is correlated to the 2nd terrace of the northern area, which corresponds to the oxygen isotopic stage 5a. The uplift rate calculated from a graphic method is 0.19 m/ky. This low uplift is typical of an intra-plate, suggesting that the area is tectonically stable. The elevation of the platforms tends slightly lower from the north to the south in the survey area. The decreasing altitude of the platforms towards the south is interpreted to result from a local block tilting during the Latest Pleistocene. This also indicates that the eastern coast of the Korean peninsula has been suffering a subsidence to the south.

Architecture and Depositional Style of Gravelly, Deep-Sea Channels: Lago Sofia Conglomerate, Southeyn Chile (칠레 남부 라고 소피아 (Lago Sofla) 심해저 하도 역암의 층구조와 퇴적 스타일)

  • Choe Moon Young;Jo Hyung Rae;Sohn Young Kwan;Kim Yeadong
    • The Korean Journal of Petroleum Geology
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    • v.10 no.1_2 s.11
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    • pp.23-33
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    • 2004
  • The Lago Sofia conglomerate in southern Chile is a lenticular unit encased within mudstone-dominated, deep-sea successions (Cerro Toro Formation, upper Cretaceous), extending from north to south for more than $120{\cal}km$. The Lago Sofia conglomerate is a unique example of long, gravelly deep-sea channels, which are rare in the modern environments. In the northern part (areas of Lago Pehoe and Laguna Goic), the conglomerate unit consists of 3-5 conglomerate bodies intervened by mudstone sequences. Paleocurrent data from these bodies indicate sediment transport to the east, south, and southeart. The conglomerate bodies in the northern Part are interpreted as the tributary channels that drained down the Paleoslope and converged to form N-S-trending trunk channels. In the southern part (Lago Sofia section), the conglomerate unit comprises a thick (> 300 m) conglomerate body, which probably formed in axial trunk channels of the N-5-trending foredeep trough. The well-exposed Lago Sofia section allowed for detailed investigation of sedimentary facies and large-scale architecture of the deepsea channel conglomerate. The conglomerate in Lago Sofia section comprises stratified conglomerate, massive-to-graded conglomerate, and diamictite, which represent bedload deposition under turbidity currents, deposition by high-density turbidity currents, and muddy debris flows, respectively. Paleocurrent data suggest that the debris flows originated from the failure of nearby channel banks or slopes flanking the channel system, whereas the turbidity currents flowed parallel to the orientation of the overall channel system. Architectural elements produced by turbidity currents represent vertical stacking of gravel sheets, lateral accretion of gravel bars, migration of gravel dunes, and filling of channel thalwegs and scoured hollows, similar to those in terrestrial gravel-bed braided rivers. Observations of large-scale stratal pattern reveal that the channel bodies are offset stacked toward the east, suggestive of an eastward migration of the axial trunk channel. The eastward channel migration is probably due to tectonic tilting related to the uplift of the Andean protocordillera just west of the Lago Sofia deep-sea channel system.

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