• Title/Summary/Keyword: Long standing

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Evaluation of 119 emergency medical technicians' work related musculoskeletal disorders risk with regard to patient lifting procedures (119 구급대원의 업무관련성 근골격계 손상 위험성 평가 - 환자 들기 작업을 중심으로 -)

  • Son, Jeong-Won
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.1
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    • pp.101-112
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    • 2019
  • Purpose: The purpose of the study was to contribute to the prevention of musculoskeletal disorders (MSDs) in 119 emergency medical technicians (EMTs) by evaluating ergonomic risk factors of patient lifting work-postures. Methods: Four procedures were evaluated: using long back-board (LBB) on the sitting and standing main stretcher, using variable stretcher on the sitting and standing main stretcher. Wok-postures were assessed during training. Results: In using LBB on the sitting main stretcher, the OWAS-score was Mode:3 (Mean:2.30, Maximum:3), the REBA-score was Mode:9 (Mean:7.61, Maximum:11), requiring improvement soon. In using LBB on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.33, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:6 (Mean:5.44, Maximum:11), requiring improvement. In using variable stretcher on the sitting main stretcher, the OWAS-score was Mode:1 (Mean:1.85, Maximum:3), not requiring corrective action, the REBA-score was Mode:6 (Mean:6.78, Maximum:11), requiring improvement. In using variable stretcher on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.84, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:11 (Mean:9.38, Maximum:11), requiring immediate improvement. Conclusion: All four-procedures showed improvement in work-posture. Thereby, required attention and management in training, occupational health professionals should participate in change of lifting-method, and programs aimed at preventing MSDs should be developed and implemented in fire-academy and fire-station.

Vortex-induced vibration of a long flexible cylinder in uniform cross-flow

  • Ji, Chunning;Peng, Ziteng;Alam, Md. Mahbub;Chen, Weilin;Xu, Dong
    • Wind and Structures
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    • v.26 no.5
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    • pp.267-277
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    • 2018
  • Numerical simulations are performed of a long flexible cylinder undergoing vortex-induced vibration at a Reynolds number of 500. The cylinder is pinned at both ends, having an aspect ratio of 100 (cylinder length to cylinder diameter) and a mass ratio of 4.2 (structural mass to displaced fluid mass). Temporal and spatial information on the cross-flow (CF) and in-line (IL) vibrations is extracted. High modal vibrations up to the $6^{th}$ in the CF direction and the $11^{th}$ in the IL direction are observed. Both the CF and IL vibrations feature a multi-mode mixed pattern. Mode competition is observed. The $2^{nd}$ mode with a low frequency dominates the IL vibration and its existence is attributed to a wave group propagating back and forth along the span. Distributions of fluid force coefficients are correlated to those of the CF and IL vibrations along the span. Histograms of the x'-y motion phase difference are evaluated from the total simulation time and a complete vibration cycle representing the standing or travelling wave pattern. Correlations between the phase difference and the vibrations are discussed. Vortex structures behind the cylinder show an interwoven near-wake pattern when the standing wave pattern dominates, but an oblique near-wake pattern when the travelling wave pattern prevails.

A shell-dynamics model for marine pipelines of large suspended length

  • Katifeoglou, Stefanos A.;Chatjigeorgiou, Ioannis K.
    • Ocean Systems Engineering
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    • v.5 no.4
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    • pp.301-318
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    • 2015
  • The present investigations introduce the shell-finite element discretization for the dynamics of slender marine pipelines. A long catenary pipeline, corresponding to a particular Steel Catenary Riser (SCR), is investigated under long-standing cyclic loading. The long structure is divided into smaller tubular parts which are discretized with 8-node planar shell elements. The transient analysis of each part is carried out by the implicit time integration scheme, within a Finite Elements (FE) solver. The time varying external loads and boundary conditions on each part are the results of a prior solution of an integrated line-dynamics model. The celebrated FE approximation can produce a more detailed stress distribution along the structural surface than the simplistic "line-dynamics" approach.

The Differential Effects of Plyometric Training and Weight Training on Muscular Power, Agility and Maximal Muscular Strength of the Male and Female High-school Throwers (고등학교 투척선수들의 plyometric training과 weight training이 순발력, 민첩성 및 최대 근력에 미치는 영향)

  • Kim, Hyung-Don;Kim, Duk-Jung;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.19 no.12
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    • pp.1821-1828
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    • 2009
  • The purpose of this research was to investigate how the plyometric training and weight training program, applied in the field for exercise performance of throwing players, influenced improvement of athletic abilities, including agility, maximum muscular power, and strength. After implementing plyometric training and weight training to 21 high school throwing players for 10 weeks, we designed the next step. The 21 subjects were divided into two groups - women's group and men's group. All subjects were tested to determine agility using sidestep, burpee test, reaction time, lower body power and strength using standing long jump, standing jump, 30 m running, squats and leg presses. Additionally, isokinetic strength was measured using Cybex isokinetic dynamometer. The results showed that both groups demonstrated improvement in the standing long jump, standing jump and 30 m running after training. Particularly, the women's group indicated better improvement. Second, women's groups showed higher improvement in the sidestep and burpee test. However, in the reaction time test, the men's group indicated better improvement. Third, both groups showed better improvement in squats and leg presses after training. Particularly, the women's group indicated better improvement. Fourth, in the left and right side extension torque and flexion torque at a velocity of $60^{\circ}$/sec, both groups showed better improvement after training. In the left side extension peak torque, the men's group showed higher improvement, but the women's group showed higher improvement in the left side flexion and extension peak torque. Fifth, both groups showed better improvement in bench pressing and back strength after training. Particularly, the women's group indicated higher improvement.

CHILDHOOD TRAUMA:PSYCHIATRIC OVERVIEW (아동기 외상의 정신과적 개관)

  • Han, Sung-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.3-14
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    • 2002
  • Childhood psychic trauma appears to be a crucial factor in the development of serious disorders both in childhood and in adulthood. Traumatized children show strong tendency to revisualize or re-feel a traumatic events. Play and behavioral reenactments are frequent manifestations of both the single blow and the long-standing traumas in childhood. Those children who suffer the results of single, intense terror appear to exhibit detailed memory, retrospective reworkings and misperceptions. In long-standing or repetitive trauma, children would show psychic numbing, self-hypnosis, dissociation and rage. Child's brain is undergoing critical and sensitive periods of differentiation. During this time, developing central nervous system is exquisitely sensitive to stress. Stressor-activated neurotransmitters and hormones can play major roles in neurogenesis, migration, synaptogenesis, and neurochemical differentiation. Internal opiate system operates in some trauma and causes the victim to fail to respond, to avoid, to shut off feelings. Evidence is also accumulating in traumatology that dysfuntion of locus coeruleus and ventral tegmental neucleus system leads to catecholamine receptors hypersensitivity. This change result in hypervigilance, increased startle, affective lability, and increased autonomic nervous system hyperreactivity. Another site of action of trauma on the brain is hypothalamic-pituitary-adrenal axis. Individuals with PTSD do not have enough cortisol to halt the alarm reaction. When children are exposed to long-standing extreme events, massive attempts to protect the psyche and to preserve the self are put into gear. These developmental traumas mobilize various kinds of defense mechanisms. Massive denial, dissociation, self anesthesia, identification with aggressor and aggression turned against the self often lead to profound character changes in the youngsters.

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The effect of hip joint exercise using an elastic band on dynamic balance, agility and flexibility in healthy subjects: a randomized controlled trial

  • Kang, Dong Hyun;Lee, Woo Hyung;Lim, Song;Kim, Yu Yeong;An, Soung Wook;Kwon, Chang Gyeong;Lee, Gyeong Hee;Choi, Nu Ri;Lee, Na Yeong;Kim, Bo Min;Kim, Jae Hyeon;Chung, Eun Jung
    • Physical Therapy Rehabilitation Science
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    • v.5 no.4
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    • pp.198-204
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    • 2016
  • Objective: The purpose of this study was to examine the effects of hip joint exercise using an elastic band on dynamic balance, agility, and flexibility in healthy subjects. Design: Randomized controlled trial. Methods: Thirty-five subjects (between 19 and 23 years) were randomly allocated to two groups: hip flexion exercise (HFE) group (n=17) and the hip abduction exercise (HAE) group (n=18). The HFE group participated in flexion exercise of the hip joint using an elastic band for 50 minutes a day, three days a week for four weeks, while the HAE group participated in abduction exercises of the hip joint using an elastic band for the same period. Dynamic balance was measured using the timed up and go (TUG) test, agility was measured with the standing long jump, and flexibility was measured using the Schober's test (5 cm, 10 cm). Results: The HFE group showed significant differences in the TUG test, standing long jump, and the Schober's test (10 cm) after training (p<0.05). The HAE group showed significant differences in the TUG test, standing long jump and the Schober's test (5 cm, 10 cm) after training (p<0.05). However, there was no significant difference between the HFE group and the HAE group. Conclusions: Flexion and abduction exercises of the hip joint using and elastic band increased dynamic balance, agility, and flexibility in healthy subjects. Additional research on hip joint exercises using an elastic band for improving dynamic balance, agility and flexibility are necessary.

The Role of Bone Cement Augmentation in the Treatment of Chronic Symptomatic Osteoporotic Compression Fracture

  • Kim, Hyeun-Sung;Kim, Sung-Hoon;Ju, Chang-Il;Kim, Seok-Won;Lee, Sung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.490-495
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    • 2010
  • Objective : Bone cement augmentation procedures such as percutaneous vertebroplasty and balloon kyphoplasty have been shown to be effective treatment for acute or subacute osteoporotic vertebral compression fractures. The purpose of this study was to determine the efficacy of bone cement augmentation procedures for long standing osteoporotic vertebral compression fracture with late vertebral collapse and persistent back pain. Methods : Among 278 single level osteoporotic vertebral compression fractures that were treated by vertebral augmentation procedures at our institute, 18 consecutive patients were included in this study. Study inclusion was limited to initially, minimal compression fractures, but showing a poor prognosis due to late vertebral collapse, intravertebral vacuum clefts and continuous back pain despite conservative treatment for more than one year. The subjects included three men and 15 women. The mean age was 70.7 with a range from 64 to 85 years of age. After postural reduction for two days, bone cement augmentation procedures following intraoperative pressure reduction were performed. Imaging and clinical findings, including the level of the vertebra involved, vertebral height restoration, injected cement volume, local kyphosis, clinical outcome and complications were analyzed. Results : The mean follow-up period after bone cement augmentation procedures was 14.3 months (range 12-27 months). The mean injected cement volume was 4.1 mL (range 2.4-5.9 mL). The unipedicular approach was possible in 15 patients. The mean pain score (visual analogue scale) prior to surgery was 7.1, which decreased to 3.1 at 7 days after the procedure. The pain relief was maintained at the final follow up. The kyphotic angle improved significantly from $21.2{\pm}4.9^{\circ}$ before surgery to $10.4{\pm}3.8^{\circ}$ after surgery. The fraction of vertebral height increased from 30% to 60% after bone cement augmentation, and the restored vertebral height was maintained at the final follow up. There were no serious complications related to cement leakage. Conclusion : In the management of even long-standing osteoporotic vertebral compression fracture for over one year, bone cement augmentation procedures following postural reduction were considered safe and effective treatment in cases of non-healing evidence.

Long-Term GPS Satellite Orbit Prediction Scheme with Virtual Planet Perturbation (가상행성 섭동력을 고려한 긴 주기 GPS 위성궤도예측기법)

  • Yoo, Seungsoo;Lee, Junghyuck;Han, Jin Hee;Jee, Gyu-In;Kim, Sun Yong
    • Journal of Institute of Control, Robotics and Systems
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    • v.18 no.11
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    • pp.989-996
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    • 2012
  • The purpose of this paper is to analyze GPS (Global Positioning System) satellite orbital mechanics, and then to propose a novel long-term GPS satellite orbit prediction scheme including virtual planet perturbation. The GPS orbital information is a necessary prerequisite to pinpointing the location of a GPS receiver. When a GPS receiver has been shut down for a long time, however, the time needed to fix it before its reuse is too long due to the long-standing GPS orbital information. To overcome this problem, the GPS orbital mechanics was studied, such as Newton's equation of motion for the GPS satellite, including the non-spherical Earth effect, the luni-solar attraction, and residual perturbations. The residual perturbations are modeled as a virtual planet using the least-square algorithm for a moment. Through the modeling of the virtual planet with the aforementioned orbital mechanics, a novel GPS orbit prediction scheme is proposed. The numerical results showed that the prediction error was dramatically reduced after the inclusion of virtual planet perturbation.

Review on the association between glucose control and mortaliy in diabetic patients (당뇨병에서 혈당조절과 사망률의 연구에 관한 소고)

  • Kahng, Hyun-Un
    • The Journal of the Korean life insurance medical association
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    • v.30 no.2
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    • pp.16-19
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    • 2011
  • In patents with diabetes, the higher the serum glucose level was, the more cardiovascular events and death were observed. But with a certain kind of group, to control glucose level tightly does not decrease the incidence of these events. Several studies show that intensive glucose control does not gain benefit in patient with long standing, uncontrolled diabetes, especially having previous cardiovascular events, while definitely preventing progression of newly onset of diabetic nephropathy. Whether intensive glucose control increases mortality in high risk group is obscure and needs more studies with longer observation time.

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ISOMORPHIC MODULAR GROUP ALGEBRAS OF SEMI-COMPLETE PRIMARY ABELIAN GROUPS

  • DANCHEV, PETER V.
    • Bulletin of the Korean Mathematical Society
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    • v.42 no.1
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    • pp.53-56
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    • 2005
  • Suppose G is a semi-complete abelian p-group and FG ${\cong}$ FH as commutative unitary F-algebras of characteristic p for any fixed group H. Then, it is shown that, G ${\cong}$ H. This improves a result of the author proved in the Proceedings of the American Math. Society (2002) and also completely solves by an another method a long-standing problem of W. May posed in the same Proceedings (1979).