• Title/Summary/Keyword: Internal factor

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과심상(過心傷), 음식상(飮食傷)에 따른 급성 소화불량증 환자간의 비교 연구 (Comparative Study of Acute Dyspepsia Patients Depending on Stress Factor and Food Factor)

  • 김효진;이수정;이아람;강경화;김원일
    • 동의생리병리학회지
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    • 제24권3호
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    • pp.525-532
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    • 2010
  • Dypepsia is the most common gastrointestinal disease and mainly occurs by stress or food. According to the cause of dyspepsia, the clinical characteristics and the curative process are different in patients. The purpose of this study is to compare acute dyspepsia patients depending on food factor and stress factor. For this study, we analyzed the cause, and the symptoms of 59 acute dyspepsia patients and divided them into two groups: one group is 27 acute dyspepsia patient group caused by stress factor (stress factor group). The other group is 32 acute dyspepsia patient group caused by food factor (food factor group). In addition, we carried out HRV test and compared HRV index between two groups. There was no significant difference in past illness involved in gastrointestinal tract diseases between two groups. There were big differences in the frequency of chest discomfort, thurst, lack of appetite, and exhaustion after meals between two groups. There were many changes of tongue fur in food factor group. But there were many changes of tongue body in stress factor group. The pulse pattern is mostly wiry in stress factor group. But, The pulse pattern is mostly slippery in food factor group. HF, TP were significantly lower than food factor group in stress factor group, it means autonomic nerve system was more suppressd in stress factor group than food factor group. Food factor group improved sooner than stress factor group. This study presented the clinically different characteristics (past medical history, symptoms, tongue diagnosis, pulse pattern, curative process) of acute dyspepsia depending on food factor and stress factor. Thus, it provides the necessity of oriental medical diagnosis and treatment called pattern identification for acute dyspepsia.

전단보강철근이 없는 RC보의 트러스 해석기법 연구 (Development of A New Truss Model for RC Beams without Web Reinforcement)

  • 김지훈;정제평;김우
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2001년도 가을 학술발표회 논문집
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    • pp.1109-1114
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    • 2001
  • This paper describes an attempt to develop a new truss model for reinforced concrete beams failing in shear based on a rational behavioral model. The key idea incorporated with truss model is the internal force state factor which is able to express global state of internal force flow in cracked reinforced concrete beams subjected to shear and bending. A new truss model using internal force state factor may provide a comprehensive result of shear strength in reinforced concrete beams without web reinforcement.

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내력상태계수 도입을 통한 RC보의 전단강도분석 (Shear Strength Incorporated with Internal Force State Factor in RC Slender Beams)

  • 정제평;김희정;김우
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2003년도 봄 학술발표회 논문집
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    • pp.912-917
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    • 2003
  • In this paper a new truss modeling technique for describing the beam shear resistance mechanism is proposed based on the reinterpretation of the well-known relationship between shear and the rate of change of bending moment in a reinforced concrete beam subjected to combined shear and moment loads. The core of the model is that a new perspective on the shear resistance can be gained by viewing the internal stress filed in terms of the superposition of two base components of shear resistance; arch action and beam action. The arch action can be described as a simple tied-arch which is consisted of a curved compression chord and a tension tie of the longitudinal steel, while the beam action between the two chords can be modeled as a membrane shearing element with forming a smeared truss action. The compatibility of deformation associated to the two action is taken into account by employing an experimental factor or internal state force factor a. Then the base equation of V=dM/dx is numerically duplicated. The new model was examined by the 362 experimental results. The shear strength predicted by the internal force state factor a show better correlation with the tested values than the present shear design.

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Prognostic Factors for Overall Survival in Patients With Metastatic Colorectal Carcinoma Treated With Vascular Endothelial Growth Factor-Targeting Agents

  • Cetin, Bulent;Kaplan, Mehmet Ali;Berk, Veli;Ozturk, Selcuk Cemil;Benekli, Mustafa;Isikdogan, Abdurrahman;Ozkan, Metin;Coskun, Ugur;Buyukberber, Suleyman
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.1059-1063
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    • 2012
  • Objective: Angiogenesis represents a key element in the pathogenesis of malignancy. There are no robust data on prognostic factors for overall survival (OS) in patients with metastatic colorectal cancer treated with vascular endothelial growth factor (VEGF)-targeted therapy. The present study was conducted to establish a prognostic model for patients using an oxaliplatin-based or irinotecan-based chemotherapy plus bevacizumab in metastatic colorectal cancer. Methods: Baseline characteristics and outcomes on 170 patients treated with FOLFIRI or XELOX plus anti-VEGF therapy-naive metastatic colorectal cancer were collected from three Turkey cancer centers. Cox proportional hazards regression was used to identify independent prognostic factors for OS. Results: The median OS for the whole cohort was 19 months (95% CI, 14.3 to 23.6 months). Three of the seven adverse prognostic factors according to the Anatolian Society of Medical Oncology (ASMO) were independent predictors of short survival: serum lactate dehydrogenase (LDH) greater than the upper limit of normal (ULN; p<0.001); neutrophils greater than the ULN (p<0.0014); and progression free survival (PFS) less than 6 months (p =0.001). Conclusion: Serum LDH and neutrophil levels were the main prognostic factors in predicting survival, followed by PFS. This model validates incorporation of components of the ASMO model into patient care and clinical trials that use VEGF-targeting agents.

지방 종합병원의 내·외부고객간 병원선택요인 중요도-성과도 비교 (Comparative IPA of Hospital Choice Factors between Internal and External Customers of Regional General Hospital)

  • 이현숙
    • 보건의료산업학회지
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    • 제6권4호
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    • pp.153-163
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    • 2012
  • The purpose of this study is to measure IPA(Importance Performance Analysis) of the hospital choice factors between internal and external customers at rural general hospital. This study was used 5 types of choice factor such as physical, human, accessibility, connection, and external image. Also, this study was used IPA which can be applied to identify the strengths and weaknesses quality attributes from customers' viewpoint by simultaneously evaluating importance and performance. IPA was assessed using a sample of 98 patients and 96 internal employees who work at C general hospital in Chunkcheongbuk-do. Data were collected with self-administered questionnaires from February 13 to March 30 in 2012 and analyzed SPSS 18 by using frequency, paired t-test and scatter plot graph. The results of IPA show that "Keep up the good work" quadrant was human factor and "Low Priority" quadrant was physical and connection factors between internal and external customers. The finding of this study will be applied to improve human service quality in administrative department of hospital. Also, this study presents primary data for correct decision making to authorities of local hospitals that have concern about hospital strategy. The implications of this study are discussed and areas for future research are presented.

치매(痴呆)에 관(關)한 동서의학적(東西醫學的) 비교(比較) 고찰(考察) (A Comparative Consideration of Dementia in Oriental and Occidental Medicine)

  • 이동원;신길조;이원철
    • 대한한방내과학회지
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    • 제16권1호
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    • pp.1-16
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    • 1995
  • This study was done in order to investigate the etiology and pathology of dementia in the variety literature. Dementia in elderly persons(above the age of 60) mainly classfied Alzheimer disease and Cerebral vascular dementia. The results were as follows: 1. Dementia patients have abnormal mental function, who have no mental weakness but defects of memory, verbal disturbance, behavior disturbance and loss of intellectual function. 2. Dementia regard as 'me-beng(?病)', 'jeon-gwang(癲狂)', and 'heo-ro(虛勞)' in oriental medicine and the symptom is a silence with no response, mixing, a crying or a laugh, a stranger behavior and a amnesia; disturbances of speech, emotion, behavior. 3. Dementia caused by Alzheimer disease, Multi infarct dementia, Parkinson's disease, sequelae of acute CO poisoning, head injury and alcoholism(occidental medically) and the 'Dam(痰) and Damhwa(痰火), weakness of heart and spleen(心脾虛) caused by pent up anger of seven emotions(七情鬱結), the weakness of liver and kidney(肝腎不足)(oriental medically). 4. The causes of Alzheimer disease are various; a heredity factor, a morphological factor of brain tissues, a psychological factor and a biochemical factor (occidental medically) ; the 'Dam(痰) and Damhwa(痰火) caused by weakness of the internal organs and disturbance of the emotions(oriental medically). 5. Cerebral vascular dementia caused by loss of the certain cerebral neurons and oriental medically caused by obstruction of 'dam(痰)' or 'eo heul(瘀血)'. It is recommended that further study of many sided investigations, specially against a weakness of spiritual functions and a certain neurotoxin in the future.

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광합성 박테리아를 이용한 고성능 수소 생산 고정화 생물반응기의 개발(I) 고정화 연속 교반탱크 반응기에서의 수소 생산성 및 효율인자 평가 (Development of Bioreactors for Hydrogen-Producing Immobilized Photosynthetic Bacteria(I) : Evaluation of lmmobilized CSTR for Hydrogen Productivity and Effectiveness Factor)

  • 선용호;한정우
    • KSBB Journal
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    • 제8권3호
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    • pp.243-255
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    • 1993
  • In this study, it was observed that hydrogen Productivity varied with stirrer speed, bead radius, input glucose concentration and dilution rate in a continuous stirred tank reactor in which immobilized R. rubrum KS-301 was used as a hydrogen-producing bacterium The mass transfer resistance due to cell immobilization was also studied. In order to estimate an effectiveness factor, Des of glucose was first obtained, which was subsequently represented by the correlation equation between Dos and Xb, As a result external mass transfer resistance could be neglected for stirrer speeds greater than 400rpn With bead radius increasing, the hydrogen productivity and internal effectiveness factor decreased. With input 91ucose concentration increasing, the hydrogen productivity and interval and external effectiveness factor increased. Although an Internal effectiveness factor was not affected, hydrogen productivity Increased with dilution rate increasing. An overall effectiveness factor remained nearly constant for the dilution rates investigate4 but increased with input 91ucose concentration increasing.

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Role of Nuclear Factor Erythroid 2-Related Factor 2 in Chronic Obstructive Pulmonary Disease

  • Ban, Woo Ho;Rhee, Chin Kook
    • Tuberculosis and Respiratory Diseases
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    • 제85권3호
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    • pp.221-226
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    • 2022
  • Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation due to chronic airway inflammation and destruction of the alveolar structure from persistent exposure to oxidative stress. The body has various antioxidant mechanisms for efficiently coping with such oxidative stress. The nuclear factor erythroid 2-related factor 2 (Nrf2)-antioxidant response element (ARE) is a representative system. Dysregulation of the Nrf2-ARE pathway is responsible for the development and promotion of COPD. Furthermore, COPD severity is also closely related to this pathway. There has been a clinical impetus to use Nrf2 for diagnostic and therapeutic purposes. Therefore, in this work, we systematically reviewed the clinical significance of Nrf2 in COPD patients, and discuss the value of Nrf2 as a potential COPD biomarker.

분역회전이 강유전체 세라믹 액추에이터 내의 균열발생에 미치는 영향 (Effect of Domain Switching on Cracking in Ferroelectric Ceramic Actuators)

  • 정경문;김재연;범현규
    • 한국정밀공학회지
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    • 제22권2호
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    • pp.113-119
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    • 2005
  • A crack emanating from an internal electrode or a conducting damage path in ferroelectric ceramic actuators is analyzed. The boundary of the domain switching zone near the edge of the internal electrode in a ceramic multilayer actuator is determined based on the nonlinear electric theory. The stress intensity factor induced by a ferroelectric domain switching under small scale conditions is numerically obtained for flaws of various sizes near the electrode edge. It is found that stress intensity factor near the crack tip depends on the material property of the electrical nonlinearity.

Prostatic Cancer Presenting as an Isolated Large Lung Mass

  • No, Hee-Sun;Lee, Jong-Hwan;Ahn, Young;Na, Im-Il;Kim, Hye-Ryoun;Kim, Cheol-Hyeon;Koh, Jae-Soo;Lee, Jae-Cheol
    • Tuberculosis and Respiratory Diseases
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    • 제68권5호
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    • pp.290-293
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    • 2010
  • A hidden primary tumor presenting as an isolated lung mass is a diagnostic challenge to physicians because the diagnosis of lung cancer is likely to be made if the histologic findings are not inconsistent with lung cancer. A large lung mass was found incidentally in a 59-year-old man. Although adenocarcinoma was diagnosed by percutaneous needle biopsy, thyroid transcription factor-1 (TTF-1) immunostaining was negative, raising suspicion that there was another primary site. There was no abnormal finding except for the lung mass on a $^{18}FDG$-PET/CT scan and the patient did not complain of any discomfort. Finally, prostatic cancer was confirmed through the study of tumor markers and prostate-specific antigen (PSA) immunostaining. Because of the rare presentation of a single lung mass in malignancies that have another primary site, physicians should carefully review all data before making a final diagnosis of lung cancer.