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Surgical Management of Post-AMI VSD - A Case Report - (급성 심근경색에 합병된 심실중격 결손증의 수술적 치료: 1례 보고)

  • 황석하
    • Journal of Chest Surgery
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    • v.25 no.4
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    • pp.424-428
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    • 1992
  • Post-AMI VSD is an infrequent but often catastrophic complication of acute myocardial infarction In general, the mortality is associated with end organ failure due to low output syndrome. Therefore, a stable hemodynamic is necessary to prevent the end organ failure. If a supportive therapy does not accomplish it, surgical intervention should be considered. Recently, we have experinced a case of post-AMI VSD with cardiogenic shock. Early recognition and surgical repair of post-AMI VSD gave us a good result. Postoperative result was satisfactory and recovery was uneventful. We believe that early surgical repair can be lifesaving in the case of post-AMI VSD with cardiogenic shock.

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Factors Affecting Post-Traumatic Stress of Nurses in Direct Care for COVID-19 Patients (COVID-19 환자를 간호한 간호사의 외상 후 스트레스에 영향을 미치는 요인)

  • Kim, Ok Nyeong;Choi, So Young
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.121-129
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    • 2021
  • Purpose: The purpose of this study was to investigate post-traumatic stress, job stress, fatigue, and social support of nurses in direct care for COVID-19 patients and to identify the factors affecting post-traumatic stress among the nurses. Methods: The participants were 150 nurses from three hospitals. Data were collected from September 11, 2020 to September 21, 2020. The data were analyzed with SPSS/WIN/25.0 program. Results: The mean score of post-traumatic stress was 22.27±15.49 (range 0~88). The percentage of high risk group of post-traumatic stress was 35.3%, risk group was 20.0%, normal group was 44.7%. Post-traumatic stress showed statistically significant differences according to quarantined experience (t=2.15, p=.033), and provision of COVID-19 manual (t=-2.40, p=.026). Post-traumatic stress was positively correlated with job stress (r=.48, p<.001), and fatigue (r=.58, p<.001), and it was negatively correlated with social support (r=-.22, p=.005). Job stress was positively correlated with fatigue (r=.74, p<.001), and it was negatively correlated with social support (r=-.17, p=.030). Fatigue and social support (r=-.17, p=.029) had a negative correlation. The results of regression analysis showed that the factors affecting post-traumatic stress included fatigue (β=.56, p<.001), provision of COVID-19 manual (β=-.24, p<.001), and quarantined experience (β=.18, p=.006) and that the total explanatory power was 42.0%. Conclusion: In this study, fatigue, provision of COVID-19 manual, and quarantined experience were found as influential factors of post-traumatic stress among nurses in direct care for COVID-19 patients. Therefore, development of the intervention for reducing the fatigue should consider to prevent post-traumatic stress in nurses. Also, provision of COVID-19 manual for nurses and psychological intervention program for nurses experienced quarantine are necessary.

A STUDY ON STRESS DISTRIBUTION OF ENDODONTICALLY TREATED TOOTH ACCORDING TO THE VARIOUS POST LENGTH USINGTHREE-DIMENSIONAL FINITE ELEMENT METHOD (포스트 길이가 치근내 응력분산에 미치는 영향에 관한 삼차원 유한요소법적 연구)

  • Choi, Soo-Yong;Lee, Sun-Hyung;Yang, Jae-Ho;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.2
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    • pp.177-197
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    • 1995
  • The endodontically treated tooth is generally restored with post & core, owing to the brittleness and the loss of large amount of tooth structure. Although there have been lots of studies about the endodontically treated teeth, the three-dimensional quantitative studies about the strees distribution of them are in rare cases. In this study, it was assumed that the coronal portion of the upper incisou had severely damaged. After the root canal therapy it was post cored, and restored with PFM crown, for this experiment nine types of model were constructed : 1); long, 2); medium, 3); short gold post for the roots supported with a narmal alveolar bone, 4); long, 5); medium, 6); short gold post for the roots supported with an alveolar bone resorbed to its 1/3 of root length, 7); long, 8); medium, 9); short base metal post for the roots supported with an alveolar bone resorbed to its 1/3 of root length. Force was applied from two directions. One was functional maximum bite force(300N) applied to the spot just lingual to the incisal edge with the angle of 45 degrees to the long axis of the tooth, and the other one was horizontal force(300N) applied to the labial surface. The results analyzed with three-dimensional finite element method were as follows : 1. Stress was concentrated on the middle portion of the labial side dentin of the root and the lingual portion of the apical dentin of the root. Stress in the post showed maximum value at 2 mm above the post apex. 2. In case of the long post and base metal post, strees was concentrated on the apex of the root and the post. 3. In case of the longer post, the displacement on the post-cement interface was lessened. The gold post was more displaceable than the base metal post. 4. In case of the alveolar bone resorption, stress concentrated on the root and the post and displacement on the post-cement interface were increased.

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Dynamic Performance of Guardrail System with Various Post Shapes Based on 3-D Soil Material Model (3차원 지반재료 모델기반의 다양한 지주형상을 갖는 노측용 가드레일의 동적성능 평가)

  • Lee, Dong Woo;Yeo, Yong Hwan;Yang, Seung Ho;Woo, Kwang Sung
    • International Journal of Highway Engineering
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    • v.16 no.5
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    • pp.19-28
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    • 2014
  • PURPOSES : This paper evaluates, using LS/DYNA-3D software, the vehicle impact performance of flexible barriers made of steel W-Beam supported by four different types of post configurations. These types include circular post, H-shape post, C-shape post, and square post. METHODS : The post-soil interaction has been investigated according to different impact angles. For this purpose, energy absorption, maximum displacements of post and rail, and occupant risk index of THIV have been compared each other. The three dimensional soil material model, instead of the conventional spring model based on Winkler and p-y curve, has been used to increase the correctness of computational model. RESULTS : It is noted the crash energy absorption has been increased with respect to the increase of impact angle. CONCLUSIONS : In particular, a post with open section(H-shape, C-shape) shows the greater crash energy absorption capability as compared with a post with closed section under the same level of impact conditions.

Post-buckling analysis of aorta artery under axial compression loads

  • Akbas, Seref Doguscan;Mercan, Kadir;Civalek, Omer
    • Advances in nano research
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    • v.8 no.3
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    • pp.255-264
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    • 2020
  • Buckling and post-buckling cases are often occurred in aorta artery because it affected by higher pressure. Also, its stability has a vital importance to humans and animals. The loss of stability in arteries may lead to arterial tortuosity and kinking. In this paper, post-buckling analysis of aorta artery is investigated under axial compression loads on the basis of Euler-Bernoulli beam theory by using finite element method. It is known that post-buckling problems are geometrically nonlinear problems. In the geometrically nonlinear model, the Von Karman nonlinear kinematic relationship is employed. Two types of support conditions for the aorta artery are considered. The considered non-linear problem is solved by using incremental displacement-based finite element method in conjunction with Newton-Raphson iteration method. The aorta artery is modeled as a cylindrical tube with different average diameters. In the numerical results, the effects of the geometry parameters of aorta artery on the post-buckling case are investigated in detail. Nonlinear deflections and critical buckling loads are obtained and discussed on the post-buckling case.

Analysis of the Dynamic Behavior of Guardrail Posts in Sloping Ground using LS-DYNA (LS-DYNA를 이용한 비탈면에 설치된 가드레일 지주의 동적거동)

  • LEE, Dong Woo;Woo, Kwang Sung
    • International Journal of Highway Engineering
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    • v.19 no.1
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    • pp.21-28
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    • 2017
  • PURPOSES : This paper presents a finite element model to accurately represent the soil-post interaction of single guardrail posts in sloping ground. In this study, the maximum lateral resistance of a guardrail post has been investigated under static and dynamic loadings, with respect given to several parameters including post shape, embedment depth, ground inclination, and embedment location of the steel post. METHODS : Because current analytical methods applied to horizontal ground, including Winkler's elastic spring model and the p-y curve method, cannot be directly applied to sloping ground, it is necessary to seek an alternative 3-D finite element model. For this purpose, a 3D FHWA soil model for road-base soils, as constructed using LS-DYNA, has been adopted to estimate the dynamic behavior of single guardrail posts using the pendulum drop test. RESULTS : For a laterally loaded guardrail post near slopes under static and dynamic loadings, the maximum lateral resistance of a guardrail post has been found to be reduced by approximately 12% and 13% relative to the static analysis and pendulum testing, respectively, due to the effects of ground inclination. CONCLUSIONS : It is expected that the proposed soil material model can be applied to guardrail systems installed near slopes.

A study on the Steel Plate Girder Railway bridge in the applying External Post-tensioning Method (강철도교에 대한 외부 후긴장 보강공법의 적용에 관한 연구)

  • Choi Jung-Youl;Park Yong-Gul;Byun Jong Gul
    • Proceedings of the KSR Conference
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    • 2004.10a
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    • pp.1034-1039
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    • 2004
  • The major objective of this study is to investigate the effects and application of reinforcement for steel plate girder railway bridge by the external prestressing method. It analyzed the mechanical behaviors of non-ballasted railway bridge with ballast reinforced and external post-tensioning reinforced on the finite clement analysis for the static and dynamic behavior. As a result, the reinforcement of ballasted railway bridge the external prestressing method are obviously effective for the additional dead force which is ballast. The analytical study are carried out to investigate the post-tension force decrease bending behavior and deflection in composite bridge for serviceability. To develop two type FEM model which reflect well the post-tension force transverse distribution behavior of servicing bridge. With the comparing the results of railway bridge with ballast which carried out before the post-tensioning with the results of railway bridge with ballast which carried out after post-tensioning, It is investigated that the additional dead load decrease effect and bending behavior of servicing bridge is effect by the post-tensioning. The reinforcement by using the external tendon can be reducing that structure of a degradation phenomenon by unusual stresses due to additional dead load and other problems.

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Application of Post-Tension Technology on Tall Buildings

  • Chung, Kwangryang;Park, Jungwoo;Kim, Younghye;Kim, Dohun
    • International Journal of High-Rise Buildings
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    • v.6 no.3
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    • pp.285-296
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    • 2017
  • It's been a decade since post-tension system began to be applied in earnest to buildings in Korea. In the meantime, post-tension system has been used in various buildings as main structural system including tall buildings. And post-tension system plays a role to overcome architectural limit of regular RC tall buildings particularly in the realization of long span with shallower depth than other structural system. The post-tensioned building market of Korea has been steadily grown in recent years with such advantage. Recently, post-tension technology is adapted for special structural members like belt walls. In this paper, the authors would like to explain design and construction of tall buildings in Korea using post-tension technology.

Stress of External Steel Rod in Post-Tensioned Concrete Beam (포스트텐션 콘크리트 보에서 비부착 외부강봉의 응력)

  • Lee, Swoo-Heon;Kang, Thomas H.K.;Shin, Kyung-Jae
    • Journal of Korean Association for Spatial Structures
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    • v.15 no.1
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    • pp.47-55
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    • 2015
  • This paper shows the simplified equation to predict the ultimate moment capacity and corresponding rod stress in reinforced concrete beam with external post-tensioning rods. Because the stress of external post-tensioning rod depends on the beam deflection, the previous analytical model for post-tensioned beams requires a tedious iteration process. Also, the stress equations in ACI code or other researchers' models are suitable only for internal tendons in concrete beams. In this study, given the lack of analytical approaches to predict the nominal stress of the external unbonded rod, a simple and robust equation has been proposed for externally post-tensioned concrete beams. It is concluded that the proposed equation predicted the stress of external steel rods in post-tensioned concrete beams reasonably well.

A Case With Traffic Accident Related Post-traumatic Stress Disorder (교통사고로 인한 외상 후 스트레스장애 환자 1례)

  • Sim, Yun-Seub;Kim, Sun-Hong
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.1
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    • pp.175-181
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    • 2003
  • A lot of research have been done so far in terms of traffic accident sequela, but most of them have stressed simply on physical treatments, resulting in less attention to the psychological ones. This is a case report of a patient with post-traumatic stress disorder. Although that is simply following in the wake of past therapy, we were experienced an improved case of post-traumatic stress disorder patient treated by herbal medicine, acupuncture, mental therapeutics. This case effectively describes the characteristics of the post-traumatic stress disorder, and it also suggested one approach for the treatment of the disease. This report is for the better understanding of the disease, and also the search for the advanced treatments to it hereafter.

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