• 제목/요약/키워드: pulling

검색결과 474건 처리시간 0.024초

흉부손상에 의한 외상성 가사 4예 (Traumatic Asphyxia with Compressive Thoracic Injuries -4 Cases Report-)

  • 김현순
    • Journal of Chest Surgery
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    • 제13권3호
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    • pp.212-218
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    • 1980
  • A severe crushing injury of the chest produce a very striking syndrome referred to as traumatic asphyxia. This syndrome is characterized by bluish-red discoloration of the skin which is limited to the distribution of the valveless veins of the head and neck. And also if it is characterized by bilateral subconjunctival hemorrhages and neurological manifestations. But these clinical entities faded away progressively in a few weeks. Apporximately 90% of the patients who live for more than a few hours will recover from traumatic asphyxia when it occurs as a single entity. And so, death results from either severe associated injuries of from subsequent infection, rather than from pulmonary or cardiac insufficiency in traumatic asphyxia. We have experienced 4 cases of traumatic asphyxia with severe crushing thoracic injuries at department of the chest surgery, Captial Armed forces General Hospital during about 3 years from April 1977 to Aug. 1980. The 1st 22 year-old male was struct 2$\frac{1}{2}$ ton truck on the road and was transferred to this hospital immediately. He had taken tracheostomy due to severe dyspnea with contusion pneumonia and for removal of a large amount of bronchial secretion. The 2nd case was 23 year-old male who was got buried in a chasm. In this case, the heavy metal post tumbled over him back while at work. The 3rd case was 39 year-old male who leapt out of a window in 5th story while fire broke out in living room by oil stove heating. He had multiple rib fracture with right hemothor x and right colle's fracture and pelvic bone fracture. The last 22 year-old male was run over by a gun carriage. The wheel of this gun carriage passed over his thorax and right chin. He was brought to this hospital by helicopter. when he was first examined at emergency room, he was in semicomatose state and has pneurmomediastinum with multiple rib fracture and severe subcutaneous emphysema. As soon as he arrived, bilateral closed thoracostomy was performed and cardiopulmonary resuscitation was done. In hospital 8th weeks, chest series showed fibrothorax in right side even if chest wall stabilized. All 4 cases had multiple petechiae over their facees and chest and bilateral subconjunctival hemorrhages referred to as traumatic asphyxia. 3 cases except one case who received splenectomy, had been suffered from contusion pneumonia and had been treated with respiratory care. In these 3 cases, they had warning of impending injury before accident, and took a deep breath hold it and braces himself. And also, even if he had not impending fear in remaining one case, he had taken a deep breath and had got valsalva maneuver for pulling off the heavy metal post. Intrathoracic pressure rose suddenly and resulted to traumatic asphyxia in this situation. All these cases were recovered completely without sequelae except one fibrothorax, right.

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Differences in the Joint Movements and Muscle Activities of Novice according to Cycle Pedal Type

  • Seo, Jeong-Woo;Kim, Dae-Hyeok;Yang, Seung-Tae;Kang, Dong-Won;Choi, Jin-Seung;Kim, Jin-Hyun;Tack, Gye-Rae
    • 한국운동역학회지
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    • 제26권2호
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    • pp.237-242
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    • 2016
  • Objective: The purpose of this study was to compare the joint movements and muscle activities of novices according to pedal type (flat, clip, and cleat pedal). Method: Nine novice male subjects (age: $24.4{\pm}1.9years$, height: $1.77{\pm}0.05m$, weight: $72.4{\pm}7.6kg$, shoe size: $267.20{\pm}7.50mm$) participated in 3-minute, 60-rpm cycle pedaling tests with the same load and cadence. Each of the subject's saddle height was determined by the $155^{\circ}$ knee flexion angle when the pedal crank was at the 6 o'clock position ($25^{\circ}$ knee angle method). The muscle activities of the vastus lateralis, tibialis anterior, biceps femoris, and gastrocnemius medialis were compared by using electromyography during 4 pedaling phases (phase 1: $330{\sim}30^{\circ}$, phase 2: $30{\sim}150^{\circ}$, phase 3: $150{\sim}210^{\circ}$, and phase 4: $210{\sim}330^{\circ}$). Results: The knee joint movement (range of motion) and maximum dorsiflexion angle of the ankle joint with the flat pedal were larger than those of the clip and cleat pedals. The maximum plantarflexion timing with the flat and clip pedals was faster than that of the flat pedal. Electromyography revealed that the vastus lateralis muscle activity with the flat pedal was greater than that with the clip and cleat pedals. Conclusion: With the clip and cleat pedals, the joint movements were limited but the muscle activities were more effective than that with the flat pedal. The novice cannot benefit from the clip and cleat pedals regardless of their pull-up pedaling advantage. Therefore, the novice should perform the skilled pulling-up pedaling exercise in order to benefit from the clip and cleat pedals in terms of pedaling performance.

Development of Core Strength Training Equipment and Its Effect on the Performance and Stability of the Elderly in Activities of Daily Living

  • Koh, Kyung;Park, Yang Sun;Park, Da Won;Hong, Chun Ki;Shim, Jae Kun
    • 한국운동역학회지
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    • 제26권2호
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    • pp.229-236
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    • 2016
  • Objective: This study aimed, first, to develop core strength training equipment with elderly-friendly, easy-to-use features and, second, to investigate the effect of core strength training using the equipment on the performance and stability of the elderly in activities of daily living. Method: In this study, we developed training equipment with a stability ball that can be used for performing core strength exercises in the elderly. Twenty-three elderly subjects (age: $77.87{\pm}6.95years$, height: $149.78{\pm}6.95cm$, and weight: $60.57{\pm}7.21kg$) participated in this study. The subjects performed the core strength training exercise with 16 repetitions for 8 weeks (2 repetitions per week). Performance in activities of daily living was assessed by using the Short Physical Performance Battery (SPPB), a test of going up and down 4 stairs, and one-leg static balance test. Stability was quantified as changes in the center of pressure (COP) and C90 area. Results: With the core strength equipment, trunk core strength exercise could be performed by pulling or pushing a rope with 2 hands on the stability ball. During the task, the tension in the rope was manipulated by a motor connected to the rope and the COP of the subject was measured by 4 load cells mounted in the equipment. Our results showed that the SPPB score was significantly higher (p < .05), the time to complete the "going up and down 4 stairs" test was significantly shorter (p < .05), and one-leg static balance statistically improved under an eyes-open condition (p < .05) after as compared with before the core strength training. The changes in the COP in the anteroposterior and mediolateral directions, and C90 area were significantly lower in the posttest (p <. 05) than in the pretest. Conclusion: The core strength training exercise using the equipment developed in the present study improved the performance and stability of the elderly in activities of daily living.

Stability of the growth process at pulling large alkali halide single crystals

  • V.I. Goriletsky;S.K. Bondarenko;M.M. Smirnov;V.I. Sumin;K.V. Shakhova;V.S. Suzdal;V.A. Kuznetzov
    • 한국결정성장학회지
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    • 제13권1호
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    • pp.5-14
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    • 2003
  • Principles of a novel pulse growing method are described. The method realized in the crystal growing on a seed from melts under raw melt feeding provided a more reliable control of the crystallization process when producing large alkali halide crystals. The slow natural convection of the melt in the crucible at a constant melt level is intensified by rotating the crucible, while the crystal rotation favors a more symmetrical distribution of thermal stresses over the crystal cross-section. Optimum rotation parameters for the crucible and crystal have been determined. The spatial position oi the solid/liquid phase interface relatively to the melt surface, heaters and the crucible elements are considered. Basing on that consideration, a novel criterion is stated, that is, the immersion extent of the crystallization front (CF) convex toward the melt. When the crystal grows at a <> CF immersion, the raised CF may tear off from the melt partially or completely due to its weight. This results in avoid formation in the crystal. Experimental data on the radial crystal growth speed are discussed. This speed defines the formation of a gas phase layer at the crystal surface. The layer thickness il a function of time a temperature at specific values of pressure in the furnace and the free melt surface dimensions in the gap between the crystal and crucible wall. Analytical expressions have been derived for the impurity component mass transfer at the steady-state growth stage describing two independent processes, the impurity mass transfer along the <> path and its transit along the <> one. The heater (and thus the melt) temperature variation is inherent in any control system. It has been shown that when random temperature changes occur causing its lowering at a rate exceeding $0.5^{\circ}C/min$, a kind of the CF decoration by foreign impurities or by gas bubbles takes place. Short-term temperature changes at one heater or both result in local (i.e., at the front) redistribution of the preset axial growth speed.

패류껍질어업에서 사용 중인 멍의 형태적 특성에 따른 고정력의 차이 (Difference of holding power of concrete weight used in shellfish shell fishery by its shape characteristics)

  • 이건호;조삼광;김인옥;차봉진;정성재
    • 수산해양기술연구
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    • 제54권1호
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    • pp.25-31
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    • 2018
  • In this study, the differences of holding power according to the shape and weight distribution of concrete weight used in shellfish shell fishery were investigated through the experiments. To investigate the differences in shape, five bar-shaped concrete weights with the same length and different cross-sectional shapes were produced. The sectional shape of each weight was square, triangle, circle, small cross, and large cross (SQ, TR, CI, CR-S, CR-L). Ten rectangular parallelepiped weights with different bottom area and cross-sectional area were produced. To investigate the differences by the weight distribution, the holding power on the square model (SQ) with six 50 g weights at different positions was investigated. All the holding power was obtained by measuring the tensile force generated when the concrete weight was pulled at a constant speed on the sand. As a result, there were no differences in holding power between the ten rectangular weights. However, the experiment on weights with different cross-sectional shapes showed differences in holding power. The holding power was higher in the order of CR-L > CR-S > CI > TR > SQ. In the weight distribution test, the holding power was higher as the front side of the weight was heavier. Generally, the frictional force is the same even if the shape is different, when two objects have the same value in the weight and the roughness. On the other hand, it seems to have a large impact when the shape of the bottom is deformed in the course of pulling the object. Particularly, the larger the degree of protrusion like cruciform weights, the more the holding power increased while deeply digging the bottom. It is also likely that the holding power increases as the front weight increases.

어로 작업용 연승기 전동기의 PWM 속도제어기에 관한 연구 (A Study on PWM Speed Controller for Long line Fishing Motor)

  • 브엉득푹;배철오;안병원
    • 해양환경안전학회지
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    • 제21권1호
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    • pp.97-102
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    • 2015
  • 전남 인근해역에서 많이 사용하는 어로 작업에 사용하는 연승기는 전동기와 2개의 디스크 롤러를 결합하여 1톤 미만의 소형 어선에서 많이 활용하고 있다. 연승기의 작업특성상 연승줄을 끌어 올릴 때 많은 부하가 필요하므로 연승기의 전동기도 단방향으로만 속도 조절을 하면 된다. 본 논문에서는 1톤 미만의 어선의 연승기에 주로 사용되는 400W 용량의 직류전동기를 대상으로 제어 회로를 구성하였으며, 연승기 전동기의 단방향 속도제어를 위해 PWM 전용칩, Half bridge driver 및 MOSFET를 이용하여 제어기를 제작하였다. 또한 현재 사용중인 대분분의 연승기에 빠져있는 배터리 잔량표시기, 배터리 과방전 방지 장치 및 배터리 결선 오류 방지기능 등의 보호기능을 부가하여 사용자 편의를 강화하였다. 이로 인해 배터리 전압이 11.5V 이하가 되면 전동기는 자동을 동작을 정지하여 배터리의 과방전을 막을 수 있었고, 어선 작업자의 빈번한 배터리 결선 실수를 방지하여 컨트롤러의 안전한 사용이 가능토록 하였다. 이러한 연승기를 실제 어로 작업에 시험운전결과 매우 양호하게 동작함을 확인할 수 있었다.

간척지에 플라스틱 온실 설치 시의 문제점 분석 및 개선방안 (An analysis of problems and countermeasures in the installation of plastic greenhouse on reclaimed lands)

  • 유인호;구양규;조명환;류희룡;문두경
    • 농업과학연구
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    • 제41권4호
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    • pp.473-480
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    • 2014
  • Upon setting up a dedicated plastic greenhouse for tomato cultivation developed by the Rural Development Administration on the Gyehwa reclaimed land, this study was aimed at analyzing the problems can be occurred in the installation of plastic greenhouse on reclaimed lands as well as finding out solutions for improvement. A relatively cheaper wooden pile was used in the installation in order to supplement the soft ground conditions. Based on the results of ground investigation of the installation site, both the allowable bearing capacity and pulling resistance of the wooden pile with a diameter of 150 mm and a length of 10 m were computed and came out to be 30.645 kN. It was determined that the values were enough to withstand the maximum compressive force (17.206 kN) and the pullout force (20.435 kN) that are generally applied to the greenhouse footing. There are three problems aroused in the process of greenhouse installation, and the corresponding countermeasures are as follow. First, due to the slightly bent shape of the wooden pile, there were phenomenon such as deviation, torsion, and fracture when driving the pile. This could be prevented by the use of the backhoe (0.2) rotating tongs, which are holding the pile, to drive the pile while pushing to the direction of the driving and fixing it until 5 m below ground and applying a soft vibrating pressure until the first 2 m. Second, there exists a concrete independent footing between the column of the greenhouse and the wooden pile driven to the underground water level. Since it is difficult to accurately drive the pile on this independent footing, the problem of footing baseplate used to fix the column being off the independent footing was occurred. In order to handle with this matter, the diameter of the independent footing was changed from 200 mm to 300 mm. Last, after films were covered in the condition that the reinforcing frame and bracing are not installed, there was a phenomenon of columns being pushed away by the strong wind to the maximum of $11m{\cdot}s^{-1}$. It is encouraged to avoid constructions in winter, and the film covering jobs always to be done after the frame construction is completely over. The height of the independent footing was measured for 9 months after the completion of the greenhouse installation, and it was found to be within the margin of error meaning that there was no subsidence. The extent to the framework distortion and the value of inclinometers as well showed not much alteration. In other words, the wooden pile was designed to have a sufficient bearing capacity.

Smith-Magenis Syndrome (SMS) 환아의 증례 보고 (SMITH-MAGENS SYNDROME (SMS) : A CASE REPORT)

  • 김은영;이긍호;최영철
    • 대한소아치과학회지
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    • 제30권3호
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    • pp.341-347
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    • 2003
  • Smith-Magenis syndrome(이하 SMS)은 제 17번 상염색체의 부분적 결손으로 발생하는 다발성 선천적 기형 및 정신지체를 특징으로 하는 증후군으로 1 : 25,000의 빈도로 발생하는 것으로 알려져 있다. 이 증후군은 작은 키와 단두증(brachycephaly)을 동반한 편평한 중안면, 처진 입, 종종 두드러지게 붉은 뺨, 성인에서 돌출된 턱 등의 특징적인 얼굴 생김새, 만성이염, 청각 손상, 사시와 근시를 포함한 눈의 이상, 목 쉰 소리, 짧은 손가락과 발가락, 심장 질환, 비뇨기 질환, 척추 만곡, 비정상적 걸음걸이, 통각에 둔감함 등의 신체적 특징을 지닌다. 특히 유아기에는 토실토실한 아기 얼굴, 행복한 기분, 드문 울음소리, 낮은 근 긴장도, 섭식 장애 등의 특징이 있다. 수면 장애를 포함하여 언어 지체 및 발음 장애, 발달지체, 학습 장애, 정신지체, 활동항진과 자해, 폭발적 분노, 지속되는 짜증, 파괴적이고 공격적인 행동, 흥분성, 흥분시에 팔로 안거나 손을 끼우는 행동 등의 행동 발달적 특징을 나타낸다. 본 증례는 3세 3개월된 남아로 생후 10개월에 SMS를 진단받은 환자로 상악 좌측 제 1유구치의 통증을 주소로 본과에 내원하였으며, 임상 및 방사선학적으로 다발성 우식증을 보였으며, 소아과 주치의에게 의뢰한 결과 심내막염의 예방을 위한 항생제의 처치를 처방 받고, 환아의 행동 발달적 문제로 인해 물리적 속박의 방법 하에 외래에서 치료되었다. 이 증례를 통해 SMS라는 희귀한 증후군에 관하여 보고하고자 한다.

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Li2B4O7 단결정 성장과 열형광 특성 (Growth of Li2B4O7 Single Crystal and Its Thermoluminescent Properties)

  • 박강수;안정근;김동진;황윤회;김형국;박명환;강희동;김도성
    • 센서학회지
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    • 제12권1호
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    • pp.16-23
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    • 2003
  • Czochralski 법으로 조직등가 물질인 $Li_2B_4O_7$ 단결정을 성장하고 열형광 특성을 조사하였다. 단결정 성장시 증자결정의 회전속도는 10 rpm, 인상속도는 $0.18\;mm{\codt}h^{-1}$ 이하에서 core가 없는 양질의 단결정을 얻을 수 있었으며, X-선 회절분석을 통해 성장한 $Li_2B_4O_7$ 단결정의 구조는 정방정계임을 확인하였다. 열형광 glow 곡선은 쉽게 분해할 수 있는 세 개의 peak들이 중첩되어 나타났으며, X-선에 대한 $Li_2B_4O_7$ 단결정 TLD의 열형광감도는 50 mGy에서 1.5 Gy까지의 선량범위에서 선형적으로 나타났다. 가온율법에 의한 열형광 glow 곡선 분석과 PL 스펙트럼 분석 결과에 의한 glow peak의 활성화에너지는 각각 0.93, 1.78, 2.25 eV으로 평가되었다.

한우에서 복강 내 편측성 잠복고환 제거를 위한 부정중선 및 겸부 접근의 비교 (Comparison of Paramedian and Flank Approaches for Abdominal Unilateral Cryptorchidectomy in Korean Native Calves)

  • 정재관;백영철;강현구;김일화
    • 한국임상수의학회지
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    • 제30권1호
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    • pp.66-70
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    • 2013
  • This report compared paramedian and flank approaches for the effective removal of abdominal unilateral cryptorchidism in calves. Two Korean native calves of approximately 300 kg in body weight, which had undergone the removal of a testis from the scrotum, were diagnosed as having abdominal unilateral (left) cryptorchidism by rectal palpation. One calf was administered with xylazine (0.2 mg/kg, IV) and was restrained in the dorsal recumbency position on the ground of barn for the paramedian approach, while the other calf was sedated with xylazine (0.03 mg/kg, IV) and restrained in the standing position for a flank approach. For the two calves, 2% lidocaine was administered by local infiltration, along the proposed incision line. Following incisions of the skin, muscle and peritoneum, the testis, which was located between the left kidney and inguinal canal, was grasped, exteriorized out of the abdominal cavity and detached from the gubernaculum testis. Then spermatic cord was ligated and cut. Finally, the testis was removed. An assistant was required to restraint a calf in dorsal recumbency for paramedian approach, and cryptorchidectomy was carried out with operator in a rather uncomfortable squatting posture, while restraint was rather simple and cryptorchidectomy was proceeded with operator in a standing posture where the flank approach was taken. During surgery, the gubernaculum testis was more strained during pulling the testis in the flank approach than in the paramedian approach, as the distance between incision site and the gubernaculum testis was greater in the flank approach than that in the paramedian approach. On the other hand, intra-abdominal pressure was greater in the paramedian approach than in the flank approach during surgery. The elapsed time between restraint and the end of surgery was 10 min shorter where the flank approach (35 min) was taken, than where the paramedian approach (45 min) was taken. In conclusion, this case study demonstrated that the flank approach might be more convenient than the paramedian approach for abdominal unilateral cryptorchidectomy in calves.