• Title/Summary/Keyword: pre-conditioning

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Effects of Remote Ischemic Pre-Conditioning to Prevent Contrast-Induced Nephropathy after Intravenous Contrast Medium Injection: A Randomized Controlled Trial

  • Dihia Belabbas;Caroline Koch;Segolene Chaudru;Mathieu Lederlin;Bruno Laviolle;Estelle Le Pabic;Dominique Boulmier;Jean-Francois Heautot;Guillaume Mahe
    • Korean Journal of Radiology
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    • v.21 no.11
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    • pp.1230-1238
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    • 2020
  • Objective: We aimed to assess the effects of remote ischemic pre-conditioning (RIPC) on the incidence of contrast-induced nephropathy (CIN) after an intravenous (IV) or intra-arterial injection of contrast medium (CM) in patient and control groups. Materials and Methods: This prospective, randomized, single-blinded, controlled trial included 26 patients who were hospitalized for the evaluation of the feasibility of transcatheter aortic valve implantation and underwent investigations including contrast-enhanced computed tomography (CT), with Mehran risk scores greater than or equal to six. All the patients underwent four cycles of five minute-blood pressure cuff inflation followed by five minutes of total deflation. In the RIPC group (n = 13), the cuff was inflated to 50 mm Hg above the patient's systolic blood pressure (SBP); in the control group (n = 13), it was inflated to 10 mm Hg below the patient's SBP. The primary endpoint was the occurrence of CIN. Additionally, variation in the serum levels of cystatin C was assessed. Results: One case of CIN was observed in the control group, whereas no cases were detected in the RIPC group (p = 0.48, analysis of 25 patients). Mean creatinine values at the baseline, 24 hours after injection of CM, and 48 hours after injection of CM were 88 ± 32 μmol/L, 91 ± 28 μmol/L and 82 ± 29 μmol/L, respectively (p = 0.73) in the RIPC group, whereas in the control group, they were 100 ± 36 μmol/L, 110 ± 36 μmol/L, and 105 ± 34 μmol/L, respectively (p = 0.78). Cystatin C values (median [Q1, Q3]) at the baseline, 24 hours after injection of CM, and 48 hours after injection of CM were 1.10 [1.08, 1.18] mg/L, 1.17 [0.97, 1.35] mg/L, and 1.12 [0.99, 1.24] mg/L, respectively (p = 0.88) in the RIPC group, whereas they were 1.11 [0.97, 1.28] mg/L, 1.13 [1.08, 1.25] mg/L, and 1.16 [1.03, 1.31] mg/L, respectively (p = 0.93), in the control group. Conclusion: The risk of CIN after an IV injection of CM is very low in patients with Mehran risk score greater than or equal to six and even in the patients who are unable to receive preventive hyperhydration. Hence, the Mehran risk score may not be an appropriate method for the estimation of the risk of CIN after IV CM injection.

Plant Extracts and Plant-Derived Compounds: Promising Players in Countermeasure Strategy Against Radiological Exposure: A Review

  • Kma, Lakhan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2405-2425
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    • 2014
  • Radiation exposure leads to several pathophysiological conditions, including oxidative damage, inflammation and fibrosis, thereby affecting the survival of organisms. This review explores the radiation countermeasure properties of fourteen (14) plant extracts or plant-derived compounds against these cellular manifestations. It was aimed at evaluating the possible role of plants or its constituents in radiation countermeasure strategy. All the 14 plant extracts or compounds derived from it and considered in this review have shown some radioprotection in different in vivo, ex-vivo and or in vitro models of radiological injury. However, few have demonstrated advantages over the others. C. majus possessing antioxidant, anti-inflammatory and immunomodulatory effects appears to be promising in radioprotection. Its crude extracts as well as various alkaloids and flavonoids derived from it, have shown to enhance survival rate in irradiated mice. Similarly, curcumin with its antioxidant and the ability to ameliorate late effect of radiation exposure, combined with improvement in survival in experimental animal following irradiation, makes it another probable candidate against radiological injury. Furthermore, the extracts of P. hexandrum and P. kurroa in combine treatment regime, M. piperita, E. officinalis, A. sinensis, nutmeg, genistein and ginsan warrants further studies on their radioprotective potentials. However, one that has received a lot of attention is the dietary flaxseed. The scavenging ability against radiation-induced free radicals, prevention of radiation-induced lipid peroxidation, reduction in radiation cachexia, level of inflammatory cytokines and fibrosis, are some of the remarkable characteristics of flaxseed in animal models of radiation injury. While countering the harmful effects of radiation exposure, it has shown its ability to enhance survival rate in experimental animals. Further, flaxseed has been tested and found to be equally effective when administered before or after irradiation, and against low doses (${\leq}5Gy$) to the whole body or high doses (12-13.5 Gy) to the whole thorax. This is particularly relevant since apart from the possibility of using it in pre-conditioning regime in radiotherapy, it could also be used during nuclear plant leakage/accidents and radiological terrorism, which are not pre-determined scenarios. However, considering the infancy of the field of plant-based radioprotectors, all the above-mentioned plant extracts/plant-derived compounds deserves further stringent study in different models of radiation injury.

Factors Associated with the Stages of Changes in Drinking Behavior among Industrial Workers, an Application of the Transtheoretical Model (산업장 근로자의 음주행위 변화단계별 관련요인 분석)

  • Kim, Hee-Soon;Kwon, Myung-Soon;Kim, Keum-Ee
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.110-121
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    • 2004
  • Purpose: This study was performed to identify factors associated with drinking behavior using Transtheoretical Model in workers. Method: The study method was a survey of 216 marine shipping metal workers in Koje city from November 11, 2002 to November 30, 2002. Result: The subjects were divided in four stages of drinking behavior: 38.9% in pre contemplation stage, 38.6% in contemplation stage, 17.6% in preparation stage and 7.9% in action & maintenance stage. The amount of drinking was significantly decreased as the workers progressed through each stage. Helping relationships(HR) and Self reevaluation(SR) were identified as the main processes of change in all stages. Self liberation(SEL), Counter conditioning(CC), Helping relationships(HR), Self reevaluation(SR), Dramatic relief (DR) and Social liberation(SL) were used higher than average. The self efficacy score increased as the workers progressed through each stage, but not significantly. The Pros score of decisional balance was the highest in the pre contemplation stage and decreased as the workers progressed through each stage. but not significantly. The Cons score of decisional balance was the highest in the preparation stage, but not significantly in as the workers progressed through each stage. Conclusion: This study can provide the basis of a staged matching alcohol reducing program using TTM for more effective and useful intervention.

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Orthodontic bracket bonding to glazed full-contour zirconia

  • Kwak, Ji-Young;Jung, Hyo-Kyung;Choi, Il-Kyung;Kwon, Tae-Yub
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.106-113
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    • 2016
  • Objectives: This study evaluated the effects of different surface conditioning methods on the bond strength of orthodontic brackets to glazed full-zirconia surfaces. Materials and Methods: Glazed zirconia (except for the control, Zirkonzahn Prettau) disc surfaces were pre-treated: PO (control), polishing; BR, bur roughening; PP, cleaning with a prophy cup and pumice; HF, hydrofluoric acid etching; AA, air abrasion with aluminum oxide; CJ, CoJet-Sand. The surfaces were examined using profilometry, scanning electron microscopy, and electron dispersive spectroscopy. A zirconia primer (Z-Prime Plus, Z) or a silane primer (Monobond-S, S) was then applied to the surfaces, yielding 7 groups (PO-Z, BR-Z, PP-S, HF-S, AA-S, AA-Z, and CJ-S). Metal bracket-bonded specimens were stored in water for 24 hr at $37^{\circ}C$, and thermocycled for 1,000 cycles. Their bond strengths were measured using the wire loop method (n = 10). Results: Except for BR, the surface pre-treatments failed to expose the zirconia substructure. A significant difference in bond strengths was found between AA-Z ($4.60{\pm}1.08MPa$) and all other groups ($13.38{\pm}2.57-15.78{\pm}2.39MPa$, p < 0.05). For AA-Z, most of the adhesive remained on the bracket. Conclusions: For bracket bonding to glazed zirconia, a simple application of silane to the cleaned surface is recommended. A zirconia primer should be used only when the zirconia substructure is definitely exposed.

Numerical Study on the Performance Assessment for Defrost and De-Icing Modes (승용차의 제상 및 성에 제거 성능 평가를 위한 수치해석적 연구)

  • Kim, Yoon-Kee;Yang, Jang-Sik;Kim, Kyung-Chun;Ji, Ho-Seong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.2
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    • pp.161-168
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    • 2011
  • The heating, ventilating, air conditioning (HVAC) system is a very important part of an automotive vehicle: it controls the microclimate inside the passenger's compartment and removes the frost or mist that is produced in cold/rainy weather. In this study, the numerical analysis of the defrost duct in an HVAC system and the de-icing pattern is carried out using commercial CFX-code. The mass flow distribution and flow structure at the outlet of the defrost duct satisfied the duct design specification. For analyzing the de-icing pattern, additional grid generation of solid domain of ice and glass is pre-defined for conductive heat transfer. The flow structure near the windshield, streakline, and temperature fields clearly indicate that the de-icing capacity of the given defrost duct configuration is excellent and that it can be operated in a stable manner. In this paper, the unsteady changes in temperature, water volume fraction, and static enthalpy at four monitoring points are discussed.

Effect of Individualized Exercise Program for Preventing Metabolic Syndrome among IT Company Office Workers (IT 기업 사무직 근로자의 대사증후군 예방을 위한 맞춤형 운동프로그램의 효과)

  • Kyungun Bae;Sung Hyun You;Dabi Shin;Yuncheol Ha;Hongmin Kim;Byungchan Pak;Hyosang Kim;Shinae Park
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.34 no.1
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    • pp.77-84
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    • 2024
  • Objectives: Interventions promoting physical exercise and healthy habits in workplaces have been shown to be effective in reducing risk factors for metabolic syndrome. This study was conducted to examine the effects of an individualized conditioning exercise program of IT company office workers with or at higher risk of metabolic syndrome. Methods: A total of 444 IT company office workers with or at higher risk of metabolic syndrome participated in a 3-month conditioning exercise program. Body composition data using bioelectrical impedance analysis and cardiopulmonary data using cardiopulmonary exercise testing from 53 individuals (mean age: 34.8 ± 7.1 years, sex : 21% female, height : 170.4 ± 6.8 cm, weight : 75.2±12.2 kg, body mass index : 25.8±3.3 kg/m2) who have successfully completed pre-test, intervention, and post-test were analyzed. The 12 weeks intervention encompassed: (1) health counseling (2) supervised exercise(endurance-based, aerobic exercise, or circuit training once a week for 50 minutes at heart rate reserve(HRR) of 77-95%) (3) self-directed exercise and biweekly health screening checks. Results: The results indicated a significant decrease in body weight, body fat mass and body mass index, respectively. Moreover, VO2peak, AT VO2 and AT Time significantly improved, respectively. Resting blood pressure(SBP/DBP) showed positive changes but were not statistically significant. We observed the correlation between characteristics of participants and rate of changes in cardiopulmonary outcomes of participants, there are no significant correlation. These results indicate positive changes in body composition and cardiorespiratory fitness parameters following individualized conditioning exercise program. Conclusions: Individualized workplace exercise program for preventing metabolic syndrome can lead to improvements in body composition and cardiorespiratory fitness.

A Comparison of Residual Tensile Properties of GFRP Reinforcing Bar at High Temperature and after Exposure to High Temperature (고온과 고온노출 후 GFRP 보강근의 잔존인장성능 비교)

  • Kim, Seongdo;Moon, Doyoung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.1
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    • pp.77-84
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    • 2015
  • Tensile tests were conducted on the GFRP reinforcement exposed to high temperature. The exposure condition for this study was below $200^{\circ}C$ for about 3 minutes. This conditioning is minor compared with that presented in experimental program conducted by other researchers. The residual tensile strength and elastic modulus of GFRP reinforcing bars at high temperature and after exposure to high temperature were compared. In results, tensile properties were decreased at high temperatures, but those after exposure to high temperature were recovered to pre-heating level almost completely. These results could be valuable for evaluating GFRP reinforced structure damaged by fire accident.

Optimal pre-conditioning and support designs of floor heave in deep roadways

  • Wang, Chunlai;Li, Guangyong;Gao, Ansen;Shi, Feng;Lu, Zhijiang;Lu, Hui
    • Geomechanics and Engineering
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    • v.14 no.5
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    • pp.429-437
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    • 2018
  • In order to reduce deformation of roadway floor heave in deep underground soft rockmass, four support design patterns were analyzed using the Fast Lagrangian Analysis of Continua (FLAC)3D, including the traditional bolting (Design 1), the bolting with the backbreak in floor (Design 2), the full anchorage bolting with the backbreak in floor (Design 3) and the full anchorage bolting with the bolt-grouting backbreak in floor (Design 4). Results show that the design pattern 4, the full anchorage bolting with the bolt-grouting backbreak in floor, was the best one to reduce the deformation and failure of the roadway, the floor deformation was reduced at 88.38% than the design 1, and these parameters, maximum vertical stress, maximum horizontal displacement and maximum horizontal stress, were greater than 1.69%, 5.96% and 9.97%. However, it was perfectly acceptable with the floor heave results. The optimized design pattern 4 provided a meaningful and reliable support for the roadway in deep underground coal mine.

COMPARISON OF CFD SIMULATION AND EXPERIMENT OF CAVITATING FLOW PAST AXISYMMETRIC CYLINDER (전산해석과 실험의 비교검증을 통한 원통형 수중운동체 주위의 캐비테이션 유동현상 연구)

  • Park, H.M.;Park, W.G.;Jung, C.M.
    • Journal of computational fluids engineering
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    • v.17 no.1
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    • pp.78-85
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    • 2012
  • Cavitation causes a great deal of noise, damage to components, vibrations, and a loss of efficiency in devices, such as propellers, pump impellers, nozzles, injectors, torpedoes, etc., Thus, cavitating flow simulation is of practical importance for many engineering systems. In this study, a two-phase flow solver based on the homogeneous mixture model has been developed. The flow characteristics around an axisymmetric cylinder were calculated and then validated by comparing with the experimental results in the cavitation water tunnel at the Korea Ocean Research & Development Institute. The results show that this solver is highly suitable for simulating the cavitating flows. After the code validation, the cavity length with changes of water depth, angle of attack and velocity were obtained.. Cavitation inception was also calculated for various operational conditions.

A Numerical Study on Passengers' Evacuation in a subway station in case of Fire Occurrence (화재 발생 지하철 역사에서의 여객 대피 해석에 관한 연구)

  • Kim, Chi-Gyeom;Lee, Sung-Won;Hur, Nahm-Keon;Nam, Seong-Won
    • Proceedings of the SAREK Conference
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    • 2009.06a
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    • pp.142-147
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    • 2009
  • In the present study, a numerical simulation of passenger evacuation in a subway station was performed. Algorithm for passenger flow analysis based on DEM(Discrete Element Method) has been improved to simulate passenger flow in detailed geometry. The effect of grid density was assessed in the present study to show the advantage of using finer grid in the simulation. The method of coupling passenger flow and fire simulation has also been investigated to analyze passenger evacuation flow under fire. In this method the CO distributions in the subway station was used to assess fire hazards of passenger by means of FED(Fractional Effective Dose) model. Using the coupled algorithm a simulation for passenger evacuation flow and fire analysis were performed simultaneously in the simplified subway station. This algorithm could be used in the design of subway station for the purpose of passengers' safety in case of fire.

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