• 제목/요약/키워드: common shock

검색결과 223건 처리시간 0.029초

전자기식 체외충격파쇄석술시 하부요관 결석 환자에 대해 적합한 충격강도와 C-arm 총 가동시간 (The Optimal Shock Intensity and C-arm Total Running Time in Patients with Inferior Ureter Stones during Electromagnetic of ESWL)

  • 박정규;조의현
    • 한국방사선학회논문지
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    • 제8권7호
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    • pp.461-466
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    • 2014
  • 체외 충격파 쇄석술시 쇄석기종에 따라 각각 장단점이 있으며, 전 처치로 인한 여러 가지 부작용이 보고되고 있다. 이에 전자기식 ESWL시 하부결석환자에서 적합한 충격파의 강도를 찾아보고, C-arm의 총 가동시간을 측정해 보았다. 본 연구는 2014년 1월부터 6월까지 경북지역 일개시의 C대학병원에서 전 처치를 시행하지 않고 ESWL을 받은 65명의 환자를 대상으로 하였다. 성비는 남자가 48명, 여자가 17명으로 남자가 더 많았으며, 연령은 50대가 가장 많았다. 하부요로결석의 발생은 왼쪽이 더 많았으며, 결석의 크기는 5mm 이하가 39명으로 가장 많았다. 적합한 충격강도는 1의 강도이며 통증을 호소하는 경우 C의 강도로 전환하여 충격을 가할 수 있다. 또한 C-arm의 총 가동시간은 $241.73{\pm}30.37$초로 나타났으며, 이것은 하부요로결석의 크기와 유의한 차이를 보였다(p<0.05). 따라서, ESWL시 전처치를 시행하지 않고 시술을 할 경우 요관 결석의 부위에 따라 적합한 충격강도와 충격빈도의 기준이 필요로 하며, C-arm 총 가동시간도 요관 결석의 발생부위에 따라 방사선으로 인한 피폭을 최소화하기 위한 총 가동시간에 대한 기준이 필요할 것으로 사료된다.

체외충격파 시술 후 내원한 족저근막염 환자 치험 1례 (Clinical Case Study on Plantar Fasciitis after Extracorporeal Shock Wave Treatment)

  • 추민규;최진봉;김환영;정일문
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.232-236
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    • 2009
  • Plantar fasciitis is most common cause of heel pain which starts anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pain which incur the degenerative changes with elastic fiber weakness. We treated one patient after extracorporeal shock wave treatment. We diagnosed him with X-ray and treated her conservative maneuver as to oriental medical method. We measured Vas(Visual analogue scale) and thermographic picture of both leg. Visual analogue scale is from 10 to 4 and thermographic picture of both leg were improved in cases.

DEVELOPMENT OF THE ALTERNATE PRESSURIZED THERMAL SHOCK RULE (10 CFR 50.61a) IN THE UNITED STATES

  • Kirk, Mark
    • Nuclear Engineering and Technology
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    • 제45권3호
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    • pp.277-294
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    • 2013
  • In the early 1980s, attention focused on the possibility that pressurized thermal shock (PTS) events could challenge the integrity of a nuclear reactor pressure vessel (RPV) because operational experience suggested that overcooling events, while not common, did occur, and because the results of in-reactor materials surveillance programs showed that RPV steels and welds, particularly those having high copper content, experience a loss of toughness with time due to neutron irradiation embrittlement. These recognitions motivated analysis of PTS and the development of toughness limits for safe operation. It is now widely recognized that state of knowledge and data limitations from this time necessitated conservative treatment of several key parameters and models used in the probabilistic calculations that provided the technical of the PTS Rule, 10 CFR 50.61. To remove the unnecessary burden imposed by these conservatisms, and to improve the NRC's efficiency in processing exemption and license exemption requests, the NRC undertook the PTS re-evaluation project. This paper provides a synopsis of the results of that project, and the resulting Alternate PTS rule, 10 CFR 50.61a.

흉부외상 811례 의 임상적 고찰 (A Clinical Evaluation of 811 Chest Traumas)

  • 조규도
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.352-359
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    • 1985
  • A clinical evaluation was performed on 811 cases of chest trauma who were admitted and treated at the department of thoracic & cardiovascular surgery, Catholic Medical College, during the past 19 years from Jan. 1966 to Dec. 1984. 1. The overall incidence rate of male to female was 3:1. 2. The common age groups were 4th, 5th, and 3rd decades. 3. The most common cause of chest trauma was stab in penetrating wound and traffic accidents in non penetrating wound. 4. The most common injury from non penetrating chest trauma was rib fracture [81.3%], and the incidence rate of flail chest was 14.5% of all cases of rib fractures. 5. The incidence rate of hemo-pneumothorax was 50.4% in non penetrating wounds, and 55.2% in penetrating wounds. 6. The most common method of surgical treatment was CTD [33.5%], and open thoracotomy was performed in 67 cases [8.3%]. 7, The overall mortality was 3.3% [27 cases], and common causes of the death were shock and respiratory insufficiency.

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Characterization of a Low Molecular Weight Heat-Shock Protein cDNA Clone from Nicotiana tabacum

  • Park, Soo-Min;Joe, Myung-Kuk;Hong, Choo-Bong
    • 한국식물학회:학술대회논문집
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    • 한국식물학회 1999년도 춘계학술발표대회:발표논문요지록
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    • pp.18-18
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    • 1999
  • We characterized a cDNA clone for a low molecular weight heat-shock protein (LMW HSP) from tobacco named TLHS-l. Nucleotide sequence determination of TLHS-1 identified an open reading frame for 159 amino acids. To the upstream of the open reading frame, a sequence of 124 nucleotides was determined. To the 3' downstream of the open reading frame, 212 nucleotides were identified which carried poly(A)-tail. Comparison of the open reading frame and hydropathy plot of TLHS-1 with the previously reported class I LMW HSPs showed high identity which classified TLHS-1 as a class I LMW HSP cDNA clone. We proposed that there are six consensus regions in class I LMW HSPs. RNA blot hybridization for TLHS-1 showed a typical expression pattern of heat-shock-inducible gene from three common tobacco cultivars. The open reading frame of TLHS-1 was overexpressed in Escherichia coli. TLHS-1 protein confers thermal protection of other proteins in vitro and in vivo. Thermal induced aggregation of citrate synthase was reduced by purified TLHS-1 protein, and thermal death rate at $50^{\circ}C$ was reduced in E. coli expressing TLHS-l. From these data, we can expect that TLHS-1 acts as a molecular chaperone.perone.

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저압 지중함에서 감전사고 방지를 위한 대책연구 (Countermeasures for Preventing Electric Shock in Low-Voltage Handhole)

  • 김종민;한운기;방선배;김한상
    • 전기학회논문지P
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    • 제56권4호
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    • pp.195-200
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    • 2007
  • This paper describes the countermeasures for preventing the electric shock which can be occurred in the low-voltage handhole underwater. Low-voltage handholes were designed and made for the test in the testing field. Which were installed 4 cases. a metal handhole cover was employed in case 1; FRP(Fiber glass Reinforced Plastic) handhole cover in case 2; an insulated rubber was put on the joint of the cables in case 3; the exposed conductors(cover, frame etc) were commoned and grounded in case 4. Thus, an ground potential near the low-voltage handhole was measured and evaluated quantitatively for the 4 cases. The measured results show that the potential of case 2.3 were lower than that of case 1 because the insulated rubber and the FRP cover prevented direct contact to the fault point. The case 4 is the lowest among the 4 cases because the common and grounding helps the fault current release into the ground, which makes the ground potential rise lower. As a result, although each case has the defects, these ways can effectively lower the electric shock risk in the low-voltage handhole.

충격 전달에 의한 Gap Test의 폭굉 반응 해석 (A Study on Shock-induced Detonation in Gap Test)

  • 김보훈;강원규;장승교;박정수;여재익
    • 한국추진공학회지
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    • 제20권2호
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    • pp.75-85
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    • 2016
  • 감쇠기를 사이에 두고 여폭약과 수폭약으로 충전된 파이로 착화기는 격벽의 압력 감쇠 현상과 고에너지 물질의 충격 점화 특성을 갖는다. 고폭약의 폭굉 반응 및 비반응 물질 통과에의 폭압 감쇠와 더불어 격벽의 형상 변화를 모사하기 위해서는 충격 전달에 의한 gap test의 폭굉 모델링이 필요하다. 본 연구에서는 오일러리안 레벨셋 기법이 적용된 다중물질 하이드로 코드를 사용하여 pentolite 작약과 열폭압 RDX의 폭발 반응 및 PMMA gap을 통과하는 충격파 전달을 해석함으로써 화약-격벽간 상호작용 및 임계 두께, 음향 임피던스, go/no-go 기폭 점화에 대한 특성을 정량화하였다.

Evolution of particle acceleration and instabilities in galaxy cluster shocks

  • van Marle, Allard Jan;Ryu, Dongsu;Kang, Hyesung;Ha, Ji-Hoon
    • 천문학회보
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    • 제43권2호
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    • pp.42.2-43
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    • 2018
  • When galaxy clusters interact, the intergalactic gas collides, forming shocks that are characterized by a low sonic Mach number (~3) but a comparatively high Alfvenic Mach number (~30). Such shocks behave differently from the more common astrophysical shocks, which tend to have higher sonic Mach numbers. We wish to determine whether these shocks, despite their low sonic Mach number, are capable of accelerating particles and thereby contributing to the cosmic ray spectrum. Using the PIC-MHD method, which separates the gas into a thermal and a non-thermal component to increase computational efficiency, and relying on existing PIC simulations to determine the rate at which non-thermal particles are injected in the shock, we investigate the evolution of galaxy cluster shocks and their ability to accelerate particles. Depending on the chosen injection fraction of non-thermal particles into the shock, we find that even low-Mach shocks are capable of accelerating particles. However, the interaction between supra-thermal particles and the local magnetic field triggers instabilities and turbulence in the magnetic field. This causes the shock to weaken, which in turn reduces the effectiveness of the supra-thermal particle injection. We investigate how this influences the shock evolution by reducing the particle injection rate and energy and find that a reduction of the particle injection fraction at this stage causes an immediate reduction of both upstream and downstream instabilities. This inhibits particle acceleration. Over time, as the instabilities fade, the shock surface straightens, allowing the shock to recover. Eventually, we would expect this to increase the efficiency of the particle injection and acceleration to previous levels, starting the same series of events in an ongoing cycle of increasing and decreasing particle acceleration.

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전완부 총 신근 건 기시부의 석회화 건염 - 2예 보고 - (Calcific Tendinits at the Origin of Common Extensor Tendons of the Forearm - A Report of Two Cases -)

  • 김영규;조승현;문성훈;김남기
    • Clinics in Shoulder and Elbow
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    • 제14권1호
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    • pp.84-88
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    • 2011
  • 목적: 전완부 총 신근 건 기시부 생긴 석회화 건염 2예를 보고하고자 한다. 대상 및 방법: 좌측 주관절 굴곡 구축과 통증을 주소로 내원한 42세 여자 환자로 단순 방사선 및 자기공명영상 촬영 후 전완부 총 신근 건 기시부의 석회화 건염 진단 하에 수술적 제거술을 시행하였다. 우측 주관절의 급성 통증 및 운동 제한을 주소로 내원한 25세 여자 환자로 단순 방사선 사진상 전완부 총 신근 건 기시부에 석회화 건염 보여 체외충격파 치료를 시행하였다. 결과: 2예 모두 치료 후 통증의 소실과 운동 범위의 완전 회복을 보였다. 결론: 주관절 외측부에 통증 및 운동 범위 제한을 유발하는 질환의 감별진단에 총 신근 건 기시부의 석회화 건염이 고려되어야 한다.

흉부손상 76례에 대한 임상적 관찰 (A clinical evaluation of 76 chest injuries)

  • 윤갑진
    • Journal of Chest Surgery
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    • 제17권1호
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    • pp.110-117
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    • 1984
  • A clinical evaluation was performed on 76 cases of chest injury experienced at department of Chest Surgery, Capital Armed Forces General Hospital during the past 3 years period from January 1981 to August 1983. 1.The most common cause of the chest trauma was gun shot by which 26 cases were injured among 44 cases [57.9%] of penetrating injury. Remaining 32 cases [42.1%] were injured by non-penetrating blunt trauma. 2.Hemopneumothorax was observed in 60 cases [78.9%], those were caused by both penetrating [65%] and non-penetrating [35%] injuries. 3.Rib fracture was found in 58.7% of total cases and with rib fracture, clavicle fracture was combined at 19.6% and sternal fracture, at 8.7%. 4.Most common symptoms were chest pain and dyspnea, and most common signs were breath sound diminution and subcutaneous emphysema. 5.Common site of rib fracture was from 4th rib to 8th rib [69.4%]. 6.In 58 cases [76.3%], patients were treated with operation including open thoracotomy [25 cases]. 7.Overall mortality was 5.3%[4 cases] and causes of death were septic shock and respiratory failure.

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