• Title/Summary/Keyword: lining response

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Nursing Interventions of the Lupus Patient (루푸스(Lupus) 환자의 간호중재)

  • Kim, Myung-Ja;Sohng, Kyeong-Yae
    • Journal of muscle and joint health
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    • v.2 no.2
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    • pp.197-208
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    • 1995
  • The purpose of this study is to describe specific system manifestations and suggested nursing interventions in patients with lupus. Lupus is a chronic, inflammatory, multisystemic disorder of the immune system. Antibodies are formed which react against the person's own normal tissue. This abnormal response can be very damaging and leads to the many manifestations of the lupus. Lupus can affect any part of the body, and patients experience symptoms in organs involved. So lupus patients have integumentary, blood, central nervous system, eye, gastrointestinal, musculoskeletal, kidney, heart and lining membranes, reproductive system involvement. The courses are unpredictable and very individualized. Lupus varies greatly in severity from mild cases requiring minimal interventions to those in which significant damage occurs to vital organs such as the lungs, heart, kidney and brain which ultimately can be fatal. In addition to direct physical care, the nursing professional has an excellent position from which to support the lupus patient. Patients need assistance with receiving current, accurate information about the disease process and also to be helped in developing realistic expectations and goals. Nursing interventions for the patient with lupus is challenge drawing on at the resources, knowledge and strengths the nursing teams have to offer. Because of the unpredictable, highly individualized and frequently changing the nature of the disease itself as well as the intricacy of the patient's needs. The nurse has a key role in its management. The patient and nurse, working together, have much to offer each other. These are of inestimable value to the patient. As the nurse listens to the patient and learns what problems the patient perceives, can guide the patient in a self-help program that allows to adapt to living with a chronic illness.

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Estimation of Shape of Voids behind Concrete Tunnel Linings Using Radar of Three Dipole Antenna Type (3 다이폴 안테나 방식 레이더에 의한 콘크리트 터널 라이닝 배면 공동의 형상 추정)

  • Park Seok-Kyun
    • Journal of the Korea Concrete Institute
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    • v.17 no.2 s.86
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    • pp.221-227
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    • 2005
  • The presence of voids behind tunnel linings is very likely to result in settlement or structural collapse. One proposed method of detecting such voids by non-destructive method is radar. More than effectively judging the existence of voids behind tunnel linings, this study aims to develop the analysis algorithm of radar capable of estimation of the shape of specific voids. To acquire directional information and estimate the shape of three-dimensional voids, the radar of three-dipole antenna type is used. As a foundation to this ongoing research, an investigation of microwave polarization methods using three-dipole antenna carried out with various void orientations and void geometries. As a result, it is clarified that the response of four microwave polarization modes depends on void geometry and thus there is a possibility of identifying the geometry and orientation (the shape) of specific voids using radar of three-dipole antenna type.

Numerical modeling of two parallel tunnels interaction using three-dimensional Finite Elements Method

  • Nawel, Bousbia;Salah, Messast
    • Geomechanics and Engineering
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    • v.9 no.6
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    • pp.775-791
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    • 2015
  • Due to the extension of communication ways (metro, highways, railways), hence, to improve traffic flow imposes often the difficult crossing that generally drive to the construction of underground works (tunnel, water conveyance tunnel...) plays a major role in the redevelopment of urban areas. This study is focused on the assessment of the interaction response of parallel tunnels, so this study uses the results from the simulation of two tunnels to illustrate a few observations that may aid in practical designs. In this article, simultaneous drilling of highway's twin tunnels is simulated by means of Finite Element Method (FEM) implemented in Plaxis program. So the treated subject appears in a setting of geotechnical where one can be to construct several tunnels sometimes in a ground of weak mechanical characteristics. The objective of this study is to simulate numerically the interaction effects caused by construction of two parallels tunnels. This is an important factor in the study of the total answer of the problem interaction between parallels underground works. The importance of the effects transmitted is function of several parameters as the type of the works, and the mechanical characteristics (tunnel size, depth, and the relative position between two tunnels, lining thickness...). This article describes numerical analyses of two parallels tunnels interaction. This study will be applied to a real case of a section tunnel T4 of the highway East-West (Algeria); the study presented below comprises a series of numerical simulations of two tunnels using the computer program Plaxis which is used in the analyses is based on Finite Element Method.

A preliminary numerical analysis on the behaviour of tunnel under construction in fracture zone considering seismic load (지진 하중을 고려한 단층파쇄대에서의 시공 중 터널 거동 분석에 관한 수치해석적 연구)

  • Oh, Dong-Wook;Hong, Soon-Kyo;Kim, Dae-Kon;Lee, Yong-Joo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.21 no.2
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    • pp.279-299
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    • 2019
  • Recently occurred earthquake Gyeongju and Pohang served as a momentum to remind that Korean peninsular is not a safety zone from earthquake anymore. The importance of seismic design, therefore, have been realized and researches regarding design response spectrum have been actively carried out by many researchers and engineers. Current tunnel seismic design method is conducted to check safety of tunnel structure by dynamic numerical analysis with condition of completed lining installation, so, it is impossible to consider safety of tunnel behavior under construction. In this study, therefore, dynamic numerical analysis considering seismic wave propagations has been performed after back analysis using results from field monitoring of tunnel under construction in fractured zone and 1st reinforcement (shotcrete, rockbolt) behaviour are analyzed. Waves are classified by period characteristic (short and long). As a result, the difference depending on period characteristic is minor, and increasements of displacement are obtained at crown displacement due to seismic wave is 28~31%, 14~16% at left side of tunnel in the fractured zone, 13~27% at right side of tunnel in the bed rock, respectively. In case of shotcrete axial force is increased 113~115% at tunnel crown, 102% at left side, 106~110% at right side, respectively. Displacement and axial force of rockbolts which are selected by type of anchored grounds (only fractured zone, fractured zone and bed rock, only bedrock) are analyzed, as a result, rockbolt which is anchored to fractured zone and bed rock at the same time are weaker than any other case.

The effect of local application of thymoquinone, Nigella sativa's bioactive component, on bone healing in experimental bone defects infected with Porphyromonas gingivalis

  • Batug, Ayse Yilmaz;Tomruk, Ceyda Ozcakir;Guzel Elif;Ozdemir, İlkay;Duygu, Gonca;Kutan, Esma;Ulker, Gul Merve Yalcin;Arici, Fatma Ozen
    • Journal of Periodontal and Implant Science
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    • v.52 no.3
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    • pp.206-219
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    • 2022
  • Purpose: This study was performed to evaluate the influence of local application of thymoquinone (TQ) on bone healing in experimental bone defects infected with Porphyromonas gingivalis (PG). Methods: Forty-two female rats were randomly divided into 6 groups. A bone defect was created on the right tibia of all animals. The PG, PG/collagen membrane (COL) and PG/TQ/COL groups were infected with PG. In the COL and PG/COL groups, the defects were covered with a COL; in the TQ/COL and PG/TQ/COL groups, the defects were covered with a TQ-containing COL. After 28 days, all animals were sacrificed. Quantitative measurements of new bone formation and osteoblast lining, as well as semiquantitative measurements of capillary density and tissue response, were analyzed. Furthermore, the presence of bacterial infections in defect areas was evaluated. Results: The new bone formation, osteoblast number, and capillary density were significantly higher in the TQ groups than in the control groups (P<0.001, P<0.001, and P<0.01, respectively). In a comparison between the TQ/COL group, with a TQ-containing COL (TQ/COL), and the PG-infected TQ-containing COL (PG/TQ/COL) group, the newly formed bone and capillary density were higher in the TQ/COL group (P<0.01). When the control group was compared to the PG, PG/COL, and PG/TQ/COL groups in terms of tissue response, the differences were statistically significant (P<0.001, P=0.02, and P=0.041, respectively). The intensity of the inflammatory cell reaction was higher in the PG, PG/COL, and PG/TQ/COL groups (P<0.05). Conclusions: Within the limitations of this study, the local application of a TQ-containing COL positively affected bone healing even if the bone defects were infected. The results suggest that TQ increased angiogenesis and showed promise for accelerating bone defect healing. Further research is warranted to support these findings and reach more definitive conclusions.

CASE REPORT OF UNICYSTIC AMELOBLASTOMA (단방성 법랑모세포종 환아에 대한 증례 보고)

  • Choi, Seo-Jung;Park, Ho-Won;Kim, Soung-Min
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.463-468
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    • 2002
  • The unicystic ameloblastoma deserves separate consideration on the basis of its clinical, radiologic, and pathologic features and its response to treatment. It refers to those cystic lesions that show clinical, radiographic, or gross features of a jaw cyst, but on histologic examination show a typical ameloblastomatous epithelium lining part of the cyst cavity. The lesion is most commonly found on the mandible posterior area, and often asymptomatic, although large lesions may cause a painless swelling of the jaws. The lesion typically appears as a circumscribed radiolucency that surrounds the crown of an unerupted molar. These are usually considered to be a dentigerous, residual cyst on the relationship of the lesion to teeth in the area. Three histopathologic variants of unicystic ameloblastoma may be seen. 1) Luminal type, 2) Intraluminal type, 3) Mural type. In this case, these tumor was treated as cysts by enucleation with iliac bone graft, and the diagnosis of ameloblastoma is made after microscopic examination of the presumed cyst.

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Modeling the Effect of Water, Excavation Sequence and Reinforcement on the Response of Tunnels

  • Kim, Yong-Il
    • Journal of the Korean Geotechnical Society
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    • v.15 no.3
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    • pp.161-176
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    • 1999
  • A powerful numerical method that can be used for modeling rock-structure interaction is the Discontinuous Deformation Analysis (D D A) method developed by Shi in 1988. In this method, rock masses are treated as systems of finite and deformable blocks. Large rock mass deformations and block movements are allowed. Although various extensions of the D D A method have been proposed in the literature, the method is not capable of modeling water-block interaction, sequential loading or unloading and rock reinforcement; three features that are needed when modeling surface or underground excavation in fractured rock. This paper presents three new extensions to the D D A method. The extensions consist of hydro-mechanical coupling between rock blocks and steady water flow in fractures, sequential loading or unloading, and rock reinforcement by rockbolts, shotcrete or concrete lining. Examples of application of the D D A method with the new extensions are presented. Simulations of the underground excavation of the \ulcornerUnju Tunnel\ulcorner in Korea were carried out to evaluate the influence of fracture flow, excavation sequence and reinforcement on the tunnel stability. The results of the present study indicate that fracture flow and improper selection of excavation sequence could have a destabilizing effect on the tunnel stability. On the other hand, reinforcement by rockbolts and shotcrete can stabilize the tunnel. It is found that, in general, the D D A program with the three new extensions can now be used as a practical tool in the design of underground structures. In particular, phases of construction (excavation, reinforcement) can now be simulated more realistically.

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Concerning the Formation of the Acquired Cholesteatoma (상고실 진주종의 형성에 관하여)

  • 장인원;이종원;정종진;조용범;국태진;이정헌;염시경;김종욱;조재식
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.39.3-40
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    • 1981
  • Concerning the pathogenesis of acquired cholesteatoma in attic, there has been postulated theories by immigration from the Shrapnell's portion of the tympanic membrane, posterosuperior quardrant of the deep meatal skin and invagination of the margin of the central perforation. Otherwise, squamous metaplasia of the epithelium lining the middle ear cleft has been supported as a possible cause of cholesteatoma. Clinically, there has been known of the facts that cholesteatoma is formed in the attic but the pathogenesis concerning the acquired cholesteatoma is not still exactly reported. Recently, authors analyzed 170 cases of cholesteatomatous middle ear performed the operation to the middle ear cleft. On the operation finding, when the primary focus of the cholesteatoma was in the attic, we observed two types of perforation, marginal and central perforation in the Shrapnell's portion, and retraction to the Prussak's space, bony defect on the Rivinus notch. Among 36 cases of the cholesteatoma, the perforation of the Shrapnell's portion are 5 cases. Bony defect on the Rivinus notch and marginal perforation on the posterosuperior quadrant of the Shrapnell's portion are 21 cases. Among these cases, 3 cases are combined with central perforation of the Shrapnell's portion. Conclusively, the reasons that cholesteatoma is favorable site in the attic: 1) Excretion of the inflammatory discharge in the attic is difficult because of the distance of the E-tube. 2) The Shrapnell's portion has less collagen fiber than the pars tensa and it is thin because the elastic fibers are rich in it. It is easy to retract within the Prussak's space to the cases of keratinizing hyperplasia. 3) The epidermis attached at the Rivinus notch of the superior portion on the Shrapnell's portion is invaginated through the destructed bony wall of the Rivinus notch and the margin of the tympanic membrane in the response to the keratinizing hyperplasia.

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A Study on the Correlation between SLC25A26 Polymorphism and Gastritis and Gastric Ulcers in Koreans (한국인의 SLC25A26 유전자 다형성과 위염, 위궤양과의 상관성에 관한 연구)

  • Soyeun PARK;Dahyun HWANG
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.4
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    • pp.291-297
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    • 2023
  • Gastritis is an inflammation of the gastric mucosa and gastric ulcers are a break in the mucosa of the stomach lining. Past research on gastritis and gastric ulcers has been mainly conducted from the perspective that environmental factors are the primary cause of these gastric diseases. However, recently the importance of genetic factors has been emphasized due to current developments in genetic research. The SLC25A26 gene is believed to be associated with the accumulation of reactive oxygen species. Oxidative stress promotes an inflammatory response, which increases the production of free radicals and causes cellular damage, and these lead to the development of gastric diseases. In this study, the correlation between SLC25A26 and gastric diseases was analyzed. Polymorphisms in SLC25A26 were analyzed in 1,369 domestic gastric disease patients and 7,471 healthy controls. As a result, 11 single nucleotide polymorphisms (SNPs) (in the genotype) and 13 SNPs (in the imputation) showed statistical significance (P<0.05), and high relative risk of gastric diseases. Among them, the rs13874 allele of SLC25A26 showed a highly significant association with gastric diseases. In the genotype-based mRNA expression analysis, the minor allele (C) group showed increased mRNA expression and this could increase oxidative stress. In conclusion, SLC25A26 polymorphisms are associated with gastric diseases. These results may provide a basis for new guidelines for gastric disease management in the Korean population.