• Title/Summary/Keyword: off-body

검색결과 663건 처리시간 0.029초

Preoperative Corticosteroid Use and Early Postoperative Bronchial Anastomotic Complications after Lung Transplantation

  • Kim, Ha Eun;Paik, Hyo Chae;Kim, Song Yee;Park, Moo Suk;Lee, Jin Gu
    • Journal of Chest Surgery
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    • 제51권6호
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    • pp.384-389
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    • 2018
  • Background: Airway anastomotic complications are a leading cause of mortality after lung transplantation. Among the factors that cause airway complications, preoperative steroid use has been considered to be related with postoperative airway healing. We analyzed the influence of preoperative steroid use on postoperative airway complications. Methods: The medical records of 66 double-lung transplant recipients from January 2014 to December 2015 were reviewed. Forty patients were prescribed steroids preoperatively. The daily steroid dose was standardized using the patient's body mass index (BMI). Patients who received preoperative steroids were sub-divided into high-dose (HD) and low-dose (LD) groups (cut-off value, 1.6 mg/BMI/day). Results: Thirteen patients suffered from airway complications postoperatively (bronchopulmonary fistula, 9; bronchial stenosis, 4). There was a tendency for early development of airway complications in the steroid use group compared to the non-steroid use group, but it was not significant (percentage free from airway complications in year 1: non-steroid group, 90.9% vs. steroid group, 79.2%; p=0.43). The percentage of patients in the LD and HD groups who were free from airway complications in year 1 was not significantly different (84.0% vs. 77.8%, p=0.39). Conclusion: The airway complication rate did not vary significantly according to steroid use. Additionally, in patients who received preoperative steroids, the dose did not affect the rate of development of airway complications.

Convergence Study on Durability due to the Configuration of Front Under Cover of Off-road SUV (오프로드용 SUV의 프론트 언더커버 형상에 따른 내구성에 대한 융합 연구)

  • Choi, Gye-Gwang;Cho, Jae-Ung
    • Journal of the Korea Convergence Society
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    • 제10권7호
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    • pp.149-154
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    • 2019
  • This paper is to study the durability through structural analysis on the front undercover of SUV car for offroad. It was investigated which model became structurally best by analyzing three kinds of models which are similar to the configuration of undercover for the protection of the part under car body which has been used really. The models of undercover were designed through CATIA program and analyzed by using ANSYS program as three kinds of models A, B and C. Through the analysis results, model B was expressed to have the best durability as model B has the least equivalent stress and the longest fatigue life among three models. As the design data with the durability of undercover obtained on the basis of this study result are utilized, the esthetic sense can be shown by being grafted onto the machine or structure at real life.

A study on the design using characteristic the Joseon dynasty Dap-ho (조선시대 답호의 조형특성을 응용한 디자인 연구)

  • Yeom, Soon Jeong;Kim, Eun Jung
    • Journal of the Korea Fashion and Costume Design Association
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    • 제21권1호
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    • pp.87-101
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    • 2019
  • The sleeve is closely connected with activity in terms of costume. As a kind of overcoat, Dap-ho of the Joseon Dynasty is short-sleeved or sleeveless. Dap-ho, with simple sleeves is convenient for layering and taking off and since it is easily adjustable using a gusset, a slit, or coat string, and this can be applied to layered look-related designs. This study aims to suggest a design item, which sustains the existence of traditional costumes and facilitates diverse layered looks and co-ordination, using the formative elements of Dap-ho. For this study, theoretical backgrounds and relics of Dap-ho of the Joseon Dynasty were analyzed, based on the previous studies, ancient literature, "The Annals of the Joseon Dynasty", and relics preserved in museums. The analysis targeted nine relics that show the birth and death years and the constructive changes in shapes, colors, materials of Dap-ho. Formative elements of Dap-ho were applied to the designing and the manufacturing of clothes for middle-aged women in their fifties and the research conclusions are as follows. First, from a morphological perspective, the silhouette, gusset, slit, and the indirectly attached coat string of Dap-ho are good to be used as various design items for covering the body shapes of middle-aged women, and the short-sleeved or sleeveless type is convenient to be layered. Second, when it comes to the material, it is possible to emphasize a traditional image and practicality at the same time by mixing and matching the Hanbok cloth and cotton. Third, in relation to the colors, the coexistence-based color arrangement method considering the theory of Yin and Yang can be applied to modern clothes and this makes it possible to express a traditional image in a harmonious way.

The status and future prospects of the space foods (우주식품 현황과 미래 전망)

  • Kim, Sung-Soo;Yang, Ji-won
    • Food Science and Industry
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    • 제49권4호
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    • pp.40-63
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    • 2016
  • John Glenn, America's first man to eat anything in the near-weightless environment of Earth orbit, found the task of eating fairly easy. With improved packaging came improved food quality and menus. By the time of the Apollo Program, the quality and variety of food increased even further. Apollo astronauts were the first to have hot water, which made rehydrating foods easier and improved the food's taste. Thermostabilized pouches were also introduced on Apollo. The task of eating in space got a big boost in Skylab. It also had a food freezer and refrigerator a convenience offered by no other vehicle before or since. Two different food systems will be used for future long-duration missions to other planets, one for traveling to and from the distant body and one for use on the surface of the moon or Mars. The transit food system will be similar to the space station food system with the exception that products with three-to five-year shelf lives will be needed. Thus, this part of the trip will be similar to what occurs aboard space missions now. The surface food system, be it lunar or planetary, will be quite different. It will be similar to a vegetarian diet that someone could cook on Earth. Once crew members arrive on the surface and establish living quarters, they can start growing crops. Once the crops are processed into edible ingredients, cooking will be done in the spacecraft's galley to make the food items. Disposal of used food packaging will be an issue since there will be no Progress vehicles to send off and incinerate into the Earth's atmosphere. Packaging materials will be used that have less mass but sufficient barrier properties for oxygen and water to maintain shelf life as those now in use.

The Poetics of Hybridity of Gloria Anzaldúa's The Borderlands/La Frontera: The New Mestiza in Multicultural Society (다문화 사회에서의 글로리아 안잘두아의 『경계지대들/경계선에서: 새로운 메스티자』의 혼성성의 시학)

  • Jung, Sun-Kug
    • English & American cultural studies
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    • 제10권2호
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    • pp.231-266
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    • 2010
  • This paper explores hybridity and hybridized relations that see mixings and crossings as the first moment of multicultural society. References to hybridity often assume that the definition and orientation of the term are located within biology; that is, hybridity constitutes a mixing of two formally discrete objects. In this regard, there seems to be a dialectical preoccupation with purity that goes hand in hand with discussions of hybridity. This dialectical reference to hybridity privileges whole, complete entities as the original instance before mixing, and in this way purity becomes reified. My analysis of hybridity foregrounds mixings that occur at the level of the social, not exclusively at the level of the biological. Hybridity contexts the myth of monoculturalism in the United States and foregrounds multiculturalism as the initial context around which difference has begun to be conceived. In destabilizing the myth of racial origins, this paper attempts to establish a retroactive construction of purity, which is historically, ideologically, and ethnically examined in Gloria Anzaldua's Borderlands/ La Frontera: The New Mestiza. Through this work composed of disparate narratives discourses, Anzaldua employs physical differences to ward off the colonial desire that has defined others as objects which are to be controlled. In this regard, this paper pursues the way that physical differences could be repositioned in terms of 'hybridity' that has been related to the cultural, historical, economical significations of borderlands. The space of borderlands is also a place marked psychologically; it will turn differences mobilized in the borderland into an acute consciousness that makes us recognize 'otherness' within ourselves. In sum, this paper attempts to elaborate the productive and creative interactions among disparate languages, classes, genders, and ideas, which will draw attention to their own interlocking nature.

Evaluation of Clinical Usefulness of Gamma Glutamyl Transferase as a Surrogate Marker for Metabolic Syndrome in Non Obese Adult Men (비만하지 않은 성인 남성에서 대사증후군의 대리 표지자로서 감마 글루타밀 전이효소의 임상적 유용성 평가)

  • Shin, Kyung-A;Kim, Eun Jae
    • Journal of Convergence for Information Technology
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    • 제10권12호
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    • pp.146-155
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    • 2020
  • This study was to evaluate the usefulness of gamma glutamyl transferase (GGT) as a surrogate marker predicting metabolic syndrome. 7,155 non obese men over the age of 20 were studied as subjects. The criteria for diagnosing MetS were the National Cholesterol Education Program - Third Adult Treatment Panel (NCEP-ATP III). The risk of developing MetS according to GGT was conducted logistic regression analysis, and the ROC (receiver operating characteristic) curve was obtained to confirm GGT ability to predict the risk of MetS. Regardless of age and body mass index, MetS had a 7.09 times higher risk of onset in the fourth quartile than in the first quartile of GGT (p<0.001). The AUC (area under the curve) of GGT for the diagnosis of MetS was 0.715, and the cutoff value of GGT was 40.0 U/L, the sensitivity was 65.0%, and the specificity was 70.2%. Therefore, GGT is considered to be a useful diagnostic index for diagnosing MetS.

Analysis of EMG Patterns during Ski Jumping using Training Simulator - Case Study for Ski Jumping Youth National Athletes - (훈련 시뮬레이터를 이용한 스키점프 도약 시 발생되는 EMG 패턴 분석 - 스키점프 유소년 국가대표 사례 연구 -)

  • Kim, Heungsoo;Yoon, Sukhoon
    • Korean Journal of Applied Biomechanics
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    • 제32권2호
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    • pp.43-48
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    • 2022
  • Objective: The purpose of this study was to verify the effectiveness among simulating ski jumping trainings by comparing with actual ski jump. Method: Three healthy youth national athletes were recruited for this study (age: 13.70 ± 0.9 yrs, height: 169.30 ± 0.9 cm, jumping caree: 5.3 ± 0.9 yrs). Participants were asked to performed ski jumping with 3 simulating and one actual situation. A 3-dimensional motion analysis with 5 channels of EMG was performed in this study. Muscle activations of Rectus Femoris [RF], Tibialis Anterior [TA], Thoracis [TH], Gluteus maximus [GM], and Gastronemius [GL] were achieved with sampling rate of 2,000 Hz during each jump. Results: In the case of S1 in the actual jumping motion, the deviation of the muscle activity peak did not appear each trial, and the jump timing was consistent. For S2, the timing of the muscles peak activation which can maintain the posture of the upper body and ankles appeared at the beginning. In the case of S3, the part maintaining the ankle posture at the beginning appeared, but it could be expected that it would progress in the vertical direction due to the activation of GL at the time of jumping. Conclusion: The muscle activation peak before the take-off point showed a different pattern for each athlete, and individual differences were large. In addition, it was attempted to confirm the actual jump with simulation jump, and it was found that not only the difference in patterns but also the fluctuations in the timing of each muscle activation peak were large.

Incidence of exercise-associated hyponatremia during a high-altitude 161-km ultramarathon

  • Khodaee, Morteza;Saeedi, Anahita;Harris-Spinks, Christine;Hew-Butler, Tamara
    • Korean Journal of Exercise Nutrition
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    • 제25권3호
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    • pp.16-22
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    • 2021
  • [Purpose] Exercise-associated hyponatremia (EAH) is a well-known condition among endurance athletes at low altitudes. The incidence of EAH during ultramarathons at high altitudes warrants further investigation. This prospective observational study was conducted on the participants of the Leadville Trail 100 run, a 161-km race held at a high altitude (2,800 m-3,840 m). [Methods] Venous blood samples were collected before and immediately after the race. The participants completed an electronic survey after the race. Our main outcome measure was the post-race serum sodium ([Na+]) level. [Results] Of the 672 athletes who started the race, 351 (52%) successfully completed the event within the 30-hour cut-off. Post-race blood samples were collected from 84 runners (66 finishers). Both pre- and post-race blood samples were collected from 37 participants. Twenty percent of the post-race participants had EAH. Only one post-race participant had a [Na+] level of <130 mmol/L. All participants with EAH were asymptomatic. One participant had an abnormal pre-race [Na+] level (134 mmol/L). Female participants had a significantly higher rate of EAH than male participants (40% vs. 16%; p=0.039). Age, body mass index, weight changes, race completion status, nonsteroidal anti-inflammatory drug use, and urine specific gravity were not associated with the development of EAH. Lower postrace [Na+] levels were associated with higher serum creatine kinase values (R2=0.1, p<0.005). [Conclusion] High altitude (3,840 m peak) does not appear to enhance the incidence of EAH after an ultramarathon footrace. This suggests that ambient temperature (low temperatures reduce risk), sex (female predilection), endurance running, and overhydration are more prominent risk factors for EAH than high altitude.

Endovascular Treatment of Congenital Portosystemic Shunt: A Single-Center Prospective Study

  • Ponce-Dorrego, Maria-Dolores;Hernandez-Cabrero, Teresa;Garzon-Moll, Gonzalo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권2호
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    • pp.147-162
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    • 2022
  • Purpose: To design a prospective study on endovascular closure of congenital portosystemic shunts. The primary endpoint was to assess the safety of endovascular closure. The secondary endpoint was to evaluate the clinical, analytical and imaging outcomes of treatment. Methods: Fifteen patients (age range: 2 days to 21 years; 10 male) were referred to our center due to congenital portosystemic shunts. The following data were collected prior to treatment: age, sex, medical history, clinical and analytical data, urine trimethylaminuria, abdominal-US, and body-CT. The following data were collected at the time of intervention: anatomical and hemodynamic characteristics of the shunts, device used, and closure success. The following data were collected at various post-intervention time points: during hospital stay (to confirm shunt closure and detect complications) and at one year after (for clinical, analytical, and imaging purposes). Results: The treatment was successful in 12 participants, migration of the device was observed in two, while acute splanchnic thrombosis was observed in one. Off-label devices were used in attempting to close the side-to-side shunts, and success was achieved using Amplatzer™ Ductus-Occluder and Amplatzer™ Muscular-Vascular-Septal-Defect-Occluder. The main changes were: increased prothrombin activity (p=0.043); decreased AST, ALT, GGT, and bilirubin (p=0.007, p=0.056, p=0.036, p=0.013); thrombocytopenia resolution (p=0.131); expansion of portal veins (p=0.005); normalization of Doppler portal flow (100%); regression of liver nodules (p=0.001); ammonia normalization (p=0.003); and disappearance of trimethylaminuria (p=0.285). Conclusion: Endovascular closure is effective. Our results support the indication of endovascular closure for side-to-side shunts and for cases of congenital absence of portal vein.

A Study on the Basic Movement Instruction for Inheritance Education of Ulsan Dutbeki (울산덧배기의 전승을 위한 기본교육과정 연구)

  • Choi, Heung-Kee
    • (The) Research of the performance art and culture
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    • 제38호
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    • pp.385-421
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    • 2019
  • Ulsan Dutbeki, naturally transmitted by customs, is almost disappearing in the rapidly changing environment of modern society. Therefore, this study, for the purpose of its inheritance, investigated how to teach the basic movements of Dutbeki through the lessons. The subject were mainly composed of the person who met Ulsan Dutbeki for the first time. The curriculum is, at first, the preparation of body and mind to learn Ulsan Dutbeki. And the lessons about movement were in the order of progress of education, Dutbeki to the beat of Gutgeori, and Dutbeki to the beat of Jajinmori. The next step was to learn the dancing by connecting movements. This process is a way for beginners to inherit Ulsan Dutbeki in a classroom which has a limited time and space. The reason for studying how to teach Ulsan Dutbeki dance is for the purpose of transmitting the intangible culture to the ordinary citizens in the reality that people are under cutting off from inheriting the dance which had been transmitted by customs in the past. The performance of this study is to examine the way to teach basic movements with a view to protect Dutbeki, Ulsan's intangible culture, and pass it on to citizens.