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Are Blood Blister-Like Aneurysms a Specific Type of Dissection? A Comparative Study of Blood Blister-Like Aneurysms and Ruptured Mizutani Type 4 Vertebral Artery Dissections

  • Sim, Sook Young;Chung, Joonho;Shin, Yong Sam
    • Journal of Korean Neurosurgical Society
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    • v.56 no.5
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    • pp.395-399
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    • 2014
  • Objective : Blood blister-like aneurysms (BBAs) resemble arterial dissections. The purpose of this study was to investigate the relationship between these two disease entities and highlight commonalities and distinct features. Methods : Among 871 consecutive patients with aneurysmal subarachnoid hemorrhage, 11 BBAs of internal carotid artery and seven vertebral artery dissections (VADs) with a short segmental eccentric dilatation (Mizutani type 4), which is morphologically similar to a BBA, were selected. The following clinical factors were studied in each group : age, gender, risk factors, Hunt and Hess grade (HHG), Fisher grade (FG), vasospasms, hydrocephalus, perioperative rebleeding rate, and treatment outcome. Results : The mean age was 47.9 years in the BBAs group and 46.4 years in the type 4 VADs group. All the BBA patients were female, whereas there was a slight male predominance in the type 4 VAD group (male : female ratio of 4 : 3). In the BBA and type 4 VAD groups that underwent less aggressive treatment to save the parent artery, 29% (n=2/7) and 66.6% (n=2/3), respectively, eventually required retreatment. Perioperative rebleeding occurred in 72.7% (n=8) and 28.6% (n=2) of patients in the BBA and type 4 VAD groups, respectively. There was no statistical difference in the other clinical factors in both groups, except for the male dominancy in the type 4 VAD group (p=0.011). Conclusion : BBAs and ruptured type 4 VADs have a similar morphological appearance but there is a distinct clinical feature in gender and perioperative rebleeding rates. Complete isolation of an aneurysm from the parent artery might be the most important discipline for the treatment of these diseases.

Ultimate Strength Interaction of Steel/Concrete Composite Trapezoidal Box Girders Subjected to Concurrent Action of Bending and Torsion (휨과 비틀림을 동시에 받는 강/콘크리트 합성 제형 박스거더의 극한강도 상호작용)

  • Kim, Kyung-Sik
    • Journal of Korean Society of Steel Construction
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    • v.22 no.5
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    • pp.465-475
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    • 2010
  • In the horizontally curved bridges, girders are subjected to the combined action of vertical bending and torsion due to their curvatures without any eccentric loads. As subjected to bending and torsion, the ultimate strength of steel/concrete composite box girders are limited by the diagonal tensile stress in the deck concrete induced by the St. Venant torsion. To determine the ultimate strength of composite box girders in bending and torsion and their interactions, this study conducted a 3-dimensional FEA and classical strength of materials investigation. Using ABAQUS, the FEA fully utilized advanced nonlinear analysis techniques simulating material/geometrical nonlinearity and post-cracking behaviors. The ultimate strength from numerical data were compared with theoretically derived values. Concurrent compressive stresses in the concrete deck improve the shear-resisting capacity of concrete, thereby resulting in an increased torsional resistance of the composite box girder in positive bending. The proposed interaction equation is very simple yet it provides a rational lower bound in determining the ultimate strength of concrete/steel composite box girders.

An analysis on the Deconstructed Visage in Fashion Illustration - Based on the Deconstructed Visage of Francis Bacon's Painting - (패션 일러스트레이션에 나타난 얼굴해체 - 프란시스 베이컨 회화의 얼굴해체를 바탕으로 -)

  • Choi, Jung-Hwa;Choi, Yoo-Jin
    • Fashion & Textile Research Journal
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    • v.15 no.6
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    • pp.874-885
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    • 2013
  • This study analyzes the visage in fashion illustration based on the deconstructed visage of Francis Bacon's paintings as well as analyzes fashion illustration works since 2000. The deconstructed visages in Francis Bacon's paintings are classified as blurring, elimination, distortion and division. The expressive methods and meanings in fashion illustration (according to categorization) are as follow. Blurring shows an ambiguous visage organ by the sweeping of the brush, removal of a boundary among the visage, body and clothes, gradation of organic line like visage shapes, stretching of the a plat combined to visage and fragmentation of visage. It represents an uncertainty of the fashion theme and image interpretation, impossibility of figure by ambiguity, fantastic effect and the induction of the uncanny. Elimination shows the background color's painting of a photo-montage, overlap of a cutting of visage's part and background of a plat, elimination of the visage and the elimination of eyes, nose or lips. It represents a weakened identity, the reinforcement of anonymity, creation of a violent image, and uncanny unfamiliarity. Distortion shows a distorted visage by free drawing, and unconscious drawing line, fluid digital body, combination of an unconscious curve, and an eccentric combination of the accidental. It represents the relief of specialty about realistic existence, hypothetical immateriality and fantasy. Division shows overlapped visages with different angles, the weird combination of a plural visage and different species and a plural breakaway of direction, and the position of several organs. It represents motion by power's trace, non-territory of species, ambiguity and uncertainty and the uncanny.

An Analytical Study on the Improvement of the Performance of Swivel Valve Tube Couplers (스위벨 밸브 튜브 커플러 개발을 위한 해석 연구)

  • Lee, Jun-Ho;Sung, Jae-Kyeong
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.10 no.3
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    • pp.1-6
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    • 2011
  • This study focused on the localization of swivel type tube couplers, which all depend on imports. In this study, a computer application analysis was performed using a finite element method as a preliminary study. In the major developments related to the objective of this study, the air brake system produced by car makers represents a different in the installation point of an air tank according to the type of cars or in the length and direction of its hoses and that leads to cause lots of problems. For solving such problems, the design of the major elements in a swivel type tube coupler was analyzed using a finite element method, and its validity was also verified. In the process that verifies the validity of this study, it was necessary to investigate how much external force affects the desorption of the tube support, which is the most important element in swivel type tube couplers. For achieving the investigation, a pressure test was implemented for the tube support according to the Federal Motor Vehicle Safety Standards(FMVSS). In the results of the pressure test, all samples satisfied the FMVSS. In addition, several tests were implemented by installing the sample of the developed swivel type tube coupler to an actual vehicle. In particular, rotation tests with various angles were applied by welding the swivel type coupler to an air tank through an argon welding process. In the results of the installing test for an actual vehicle, it was verified that the designed structure was determined as a structure that is able to endure the eccentric torque and deformation pressure applied to several directions that are the major problems in such fixed type tube couplers. Therefore, in the comparison of the performance of the developed product with the product of PARKER, it was possible to verify that the localized swivel type tube coupler developed in this study shows more excellent than that of the existing products by PARKER.

A PNF Intervention Strategy with ICF Tool Applied for Improvement of Dressing in a Patient with Rotator Cuff Syndrome : A Case Report (회전근개 파열 환자의 옷입고 벗기 향상을 위해 ICF Tool을 적용한 PNF 중재전략 : 증례보고)

  • Kim, Jin-Cheol;Lee, Jeong-A
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.49-60
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    • 2018
  • PURPOSE: This study was conducted to investigate the intervention effect obtained by applying an ICF tool to improve the dressing in a patient with rotator cuff syndrome to schematize the problems and approaching with PNF to solve the problems. METHODS: The subject of this study was a 44-year-old patient who underwent surgery after complete right rotator cuff tear. To treat his symptoms, the processes of clinical practice were implemented in the order of examination, assessment, diagnosis, prognosis, intervention, and outcome. During examination, patient information was collected using the ICF core set. In the assessment, the problems were schematized, and an ICF assessment sheet was used to identify the interaction of the problems. The diagnosis was made by clearly describing the causal relationship derived from the assessment in ICF terms. To solve the problems, the intervention was given in the order of indirect, direct, and task based on the philosophy of PNF. To evaluate the outcome, the differences before and after the intervention were compared. Additionally, the comparison for the ICF qualifier is presented with the ICF evaluation display. RESULTS: The results of the study showed clinical advantages in shoulder strength, eccentric control, range of motion, scapular stability, and shoulder pain. Overall, our patient with rotator cuff syndrome showed improvement in dressing and undressing activity in response to the PNF strategy. CONCLUSION: Application of the PNF intervention strategy after complete rotator cuff tear would have a positive effect on patient upper extremity function.

Evaluation of Torsional Behaviour for the Catwalk System on A Suspension Bridge by Cross Bridge Interval (크로스 브릿지 간격에 따른 캣워크 시스템의 비틀림 거동 평가)

  • Lee, Ho;Kim, Ho Kyung;Kim, Gi Nam
    • Journal of Korean Society of Steel Construction
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    • v.27 no.4
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    • pp.371-376
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    • 2015
  • This study was conducted for the torsional behavior of catwalk system which is a temporary structure on a suspension bridge. The torsional deformation of the catwalk structure has a significant effect on the workability and safety of workers during main cable erection. For this reason, the torsional deformation of catwalk is controlled to be acceptable levels below by adjusting the cross bridge interval in design stage. This study analyzed the effect of separation between cross bridge associated with twist safety of catwalk system. For the analytical approach, a detailed analysis model was created including cross bridge. Both wind load within the wind velocity range that allows the construction and eccentric load of Prefabricated Parallel Wire Strand were analyzed by analysis model. Result of study shows that separation between cross bridges has a significant effect on the torsional behavior of the catwalk.

Experimental Study on the Behavior of Circular Steel Tube Columns using HSB600 Steel (HSB600 원형강관 기둥의 거동에 대한 실험적 연구)

  • Kim, Sun Hee;Choi, Young Hwan;Choi, Sung Mo
    • Journal of Korean Society of Steel Construction
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    • v.24 no.6
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    • pp.743-751
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    • 2012
  • This paper investigates an experimental behavior of circular columns and beam-columns made of HSB600 high strength steel as a fundamental study to enhance the applicability of HSB steel. The applicability of the current Standard such as KBC and Eurocode 3 is also evaluated. A total of six specimens are fabricated and tested. The main parameters are slenderness ratio(KLe/r = 12, 14, 40, 65), diameter-to-thickness ratio(D/t = 25, 40), and eccentricity ratio(e/D = 0, 0.5). It is drawn from the experiment that both the KBC and Eurocode 3 can be used to predict the strength of circular columns and beam-columns made of HSB600 high strength steel.

Cytologic Features of Gaucher's Disease in the Spleen - A Cese Report - (Gaucher병의 세포학적 소견 - 1예 보고 -)

  • Lee, Hun-Kyung;Park, Gyeong-Shin;Kim, Young-Shin;Lee, Kyo-Young;Kang, Chang-Suk;Shim, Sang-In
    • The Korean Journal of Cytopathology
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    • v.7 no.1
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    • pp.79-83
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    • 1996
  • Gaucher's disease is an autosomal recessive disorder resulting from mutation at the glucocerebrosidase locus on chromosome 1q21. As a result, glucocerebroside accumulates principally in the phagocytic cells known as Gaucher cells. In our case, a five-year old girl was admitted with seven days' history of fever and abdominal distension. At physical examination the patient had hepatosplenomegaly. Laboratory tests revealed a hemoglobin concentration of 2.8g/L: platelet counts of $23,000/{\mu}l$: normal range of white cell and differential counts, and negative Coombs' test. Liver enzymes were normal. For the evaluation of hepatosplenomegaly, fine needle aspiration was performed blindly against the palpable spleen. Wet-fixed hematoxylin and eosin-stained smears are made. The smears from the spleen showed predominantly macrophages with abundant cytoplasm and rather small, uniform, often eccentric nuclei with small nucleoli. The multinucleated cells were often found. The cytoplasm was pale, with more or less distinct fibrillarity. The cells had the characteristic appearance of Gaucher cells. Gaucher cells were also found in the tissue section from the liver, spleen and lymph node and the bone marrow aspirate. The diagnosis was later confirmed by determination of bela-glucosidase activity in peripheral blood leucocytes. Fine needle aspiration of the spleen is considered as a convenient procedure with a low complication rate for the diagnosis of lysosomal storage disease.

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Activation of peroxisome proliferator-activated receptor gamma induces anti-inflammatory properties in the chicken free avian respiratory macrophages

  • Mutua, Mbuvi P.;Steinaa, Lucilla;Shadrack, Muya M.;Muita, Gicheru M.
    • Journal of Animal Science and Technology
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    • v.57 no.11
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    • pp.40.1-40.7
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    • 2015
  • Background: Activation of peroxisome proliferator activated receptor gamma ($PPAR{\gamma}$) in the alveolar macrophages (AM) by selective synthetic $PPAR{\gamma}$ ligands, improves the ability of the cells to resolve inflammation. In birds, respiratory macrophages are known as free avian respiratory macrophages (FARM) and show distinct functional differences from AM. The effects of treating FARM with $PPAR{\gamma}$ ligands are unclear. Methods: FARM were harvested by lavage of chicken respiratory tract and their morphology assessed at microscopic level. The effects of $PPAR{\gamma}$ agonists on the FARM in vitro viability, phagocytic capacity and proinflammatory cytokine (TNF-${\alpha}$) production were assessed. Results: FARM had eccentric nucleus and plasma membrane ruffled with filopodial extensions. Ultrastructurally, numerous vesicular bodies presumed to be lysosomes were present. FARM treated with troglitazone, a selective $PPAR{\gamma}$ agonist, had similar in vitro viability with untreated FARM. However, treated FARM co-cultured with polystyrene particles, internalized more particles with a mean volume density of 41 % compared to that of untreated FARM of 21 %. Further, treated FARM significantly decreased LPS-induced TNF-${\alpha}$ production in a dose dependent manner. Conclusion: Results from this study show that $PPAR{\gamma}$ synthetic ligands enhance phagocytic ability of FARM. Further the ligands attenuate production of proinflammatory cytokines in the FARM, suggesting potential therapeutic application of $PPAR{\gamma}$ ligands in the management of respiratory inflammatory disorders in the poultry industry.

Experimental compressive behavior of novel composite wall with different width-to-thickness ratios

  • Qin, Ying;Chen, Xin;Zhu, Xing-Yu;Xi, Wang;Chen, Yuan-Ze
    • Steel and Composite Structures
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    • v.36 no.2
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    • pp.187-196
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    • 2020
  • Double skin composite wall system owns several structural merits in terms of high load-carrying capacity, large axial stiffness, and favorable ductility. A recently proposed form of truss connector was used to bond the steel plates to the concrete core to achieve good composite action. The structural behavior of rectangular high walls under compression and T-shaped high walls under eccentric compression has been investigated by the authors. Furthermore, the influences of the truss spacings, the wall width, and the faceplate thickness have been previously studied by the authors on short walls under uniform compression. This paper experimentally investigated the effect of width-to-thickness ratio on the compressive behavior of short walls. Compressive tests were conducted on three short specimens with different width-to-thickness ratios. Based on the test results, it is found that the composite wall shows high compressive resistance and good ductility. The walls fail by local buckling of steel plates and crushing of concrete core. It is also observed that width-to-thickness ratio has great influence on the compressive resistance, initial stiffness, and strain distribution across the section. Finally, the test results are compared with the predictions by modern codes.