• Title/Summary/Keyword: hook effect

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Needle Thoracoscopic Sympathectomy for Essential Hyperhidrosis (2 mm 흉강내시경을 이용한 흉부교감신경 절제술)

  • 이두연;윤용한;홍윤주;문동석
    • Journal of Chest Surgery
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    • v.31 no.6
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    • pp.598-603
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    • 1998
  • Excessive sweating of the palms, axillae, and face has a strong negative impact on the quality of life for many people. The existing non-operative therapeutic options seldom give sufficient relief and have a transient effect. But a definitive cure can be obtained by upper thoracic sympathectomy. From June 1997 to October 1997, 117 cases of the needle (2 mm) thoracoscopic thoracic sympathectomies were performed in the Department of Thoracic and Cardiovascular Surgery in the Respiratory Center Yong-dong Severance Hospital in Seoul, Korea. We have followed up on 94 cases which include palmar hyperhidrosis (n=85), facial hyperhidrosis(n=5) and axillary hyperhidrosis(n=4). There were 42 males and 52 females whose ages ranged from 14 to 63 years(median:23 years). The T2 ganglia and T3-4 ganglia were excised by electrocuting with a hook and endoscissors and were removed for histologic examination. There have been no mortalities or life-threatening complications. The surgical results were classified as excellent(much improvement,very dry) in 93.6%, good(some improvement, minimally wet) in 2.1%, and fair(slight improvement, still wet) in 4.2%. Five patients(5.3%) required closed thoracostomy drainage because of pneumothorax in the immediate postoperative day. Horner's syndrome occurred in one case. The compensatory sweating occurred in 67 cases(71.2%) and was embarrassing in 21 cases(22.3%) and disabling in 9 cases(9.6%) of these cases. Primary failure occurred in one case. The patient with primary failure underwent successful operation. Fifty-one patients had concomitant hyperhidrosis. Our experiences indicate needle thoracoscopic sympathectomy is a very effective, safe, and time- saving procedure for essential hyperhidrosis.

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Design of a Stainless Steel Insert for Mechanical Joining of Long Fiber-reinforced Composite Structures (장섬유강화 복합재료 구조물의 기계적 접합을 위한 스테인레스 강 인서트 설계)

  • Lee, Sung-Woo;Chang, Seung-Hwan
    • Composites Research
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    • v.31 no.4
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    • pp.139-144
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    • 2018
  • Long Fiber-reinforced composites have advantages of excellent production efficiency and formability of complex shapes compared to conventional continuous fiber reinforced composite materials. However, if we need to make complicated composite shapes or to assemble parts made of different materials, a variety of joining methods are needed. In general, long fiber prepreg sheet (LFPS) contains mold release agent to facilitate demolding after thermoforming. Therefore, mechanical fastening is required in addition to the adhesive bonding to get proper joining strength. In this study, we proposed a stainless steel insert for co-cure bonding which cures LFPS and bonds the stainless steel insert through thermoforming process. The wing of the insert which is spread during the thermoforming process induces adhesion and mechanical wedging effect and serves as a hook to resist the pulling force. The burn-out method was used to confirm the unfolded state of the stainless steel insert wings inserted into the composite material. The static pull-out test was performed to quantitatively evaluate the joining strength. From these experimental results, the condition which guarantees the most appropriate joining strength was derived.

Effects of Transverse Reinforcement on Headed Bars with Large Diameter at Cut-off Points (컷오프 구간에 정착된 대구경 확대머리철근에 대한 횡보강근의 효과)

  • Jung, Hyung-Suk
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.22 no.5
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    • pp.82-90
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    • 2018
  • The nuclear structures are composed of large diameter bars over No.36. If the hooked bars are used for anchorage of large diameter bars, too long length of the tail extension of the hook plus bend create congestion and make an element difficult to construct. To address those problems, headed bars were developed. Provisions of ACI 318-08 specify the development length of headed bars and ignore the effect of transverse reinforcement based on the background researches. However, if headed bars are used at the cut-off or lap splice, longitudinal reinforcements, which are deformed in flexural members, induce tensile stress in cover concrete and increase the tensile force in the transverse reinforcement. The object of this research is to evaluate the effects of transverse reinforcement on the anchorage capacity of headed bar so anchorage test with variable of transverse rebar spacing was conducted. Specimens, which can consider the behavior at the cut-off, were tested. Test results show that failure of specimen without transverse reinforcement was sudden and brittle with concrete cover lifted and developed stress of headed bars was less than half of yield strength of headed bars. On the other hand, in the specimen with transverse reinforcement, transverse rebar directly resist the load of free-end so capacity of specimens highly increased.

Effect of Standing Water and Cultivation on Emergence of Echinochloa glabrescens (Echinochloa glabrescens 발아(發芽)에 대한 담수심(湛水深)과 경운(耕耘)의 영향(影響))

  • Kim, Jong-Seog
    • Korean Journal of Weed Science
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    • v.8 no.1
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    • pp.28-32
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    • 1988
  • The effects of standing water and cultivation frequency on emergence of Echinochloa glabrescens Munro ex. Hook were determined at varied seeding methods under simulated field conditions for 4 months. In soil-incorporated seeding method total emergence for 4 months was highest in saturated condition followed by 4, 2, and 8cm standing water, whereas total emergence of seeds sown at the soil surface was highest at 2cm standing water followed by 4cm, saturated soil, and 8cm standing water. Within 2 weeks the emergence was highest at 4cm and lowest at 2cm standing water with the soil-incorporated seeding, but the seeds sown at the soil surface with 2cm standing water resulted in the highest emergence. Ratio of emergence within 2 weeks over total emergence during 4 months was lowest at 2cm standing water in the soil incorporation, indication that 2cm standing water would be the critical water level for E. glabrescens. Since most of the seedling was emerged within 2 weeks just before cultivation, the emergence pattern was little affected by cultivation at each standing water level.

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Analysis of Variation for Parallel Test between Reagent Lots in in-vitro Laboratory of Nuclear Medicine Department (핵의학 체외검사실에서 시약 lot간 parallel test 시 변이 분석)

  • Chae, Hong Joo;Cheon, Jun Hong;Lee, Sun Ho;Yoo, So Yeon;Yoo, Seon Hee;Park, Ji Hye;Lim, Soo Yeon
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.2
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    • pp.51-58
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    • 2019
  • Purpose In in-vitro laboratories of nuclear medicine department, when the reagent lot or reagent lot changes Comparability test or parallel test is performed to determine whether the results between lots are reliable. The most commonly used standard domestic laboratories is to obtain %difference from the difference in results between two lots of reagents, and then many laboratories are set the standard to less than 20% at low concentrations and less than 10% at medium and high concentrations. If the range is deviated from the standard, the test is considered failed and it is repeated until the result falls within the standard range. In this study, several tests are selected that are performed in nuclear medicine in-vitro laboratories to analyze parallel test results and to establish criteria for customized percent difference for each test. Materials and Methods From January to November 2018, the result of parallel test for reagent lot change is analyzed for 7 items including thyroid-stimulating hormone (TSH), free thyroxine (FT4), carcinoembryonic antigen (CEA), CA-125, prostate-specific antigen (PSA), HBs-Ab and Insulin. The RIA-MAT 280 system which adopted the principle of IRMA is used for TSH, FT4, CEA, CA-125 and PSA. TECAN automated dispensing equipment and GAMMA-10 is used to measure insulin test. For the test of HBs-Ab, HAMILTON automated dispensing equipment and Cobra Gamma ray measuring instrument are used. Separate reagent, customized calibrator and quality control materials are used in this experiment. Results 1. TSH [%diffrence Max / Mean / Median] (P-value by t-test > 0.05) C-1(low concentration) [14.8 / 4.4 / 3.7 / 0.0 ] C-2(middle concentration) [10.1 / 4.2 / 3.7 / 0.0] 2. FT4 [%diffrence Max / Mean / Median] (P-value by t-test > 0.05) C-1(low concentration) [10.0 / 4.2 / 3.9 / 0.0] C-2(high concentration) [9.6 / 3.3 / 3.1 / 0.0 ] 3. CA-125 [%diffrence Max / Mean / Median] (P-value by t-test > 0.05) C-1(middle concentration) [9.6 / 4.3 / 4.3 / 0.3] C-2(high concentration) [6.5 / 3.5 / 4.3 / 0.4] 4. CEA [%diffrence Max / Mean / median] (P-value by t-test > 0.05) C-1(low concentration) [9.8 / 4.2 / 3.0 / 0.0] C-2(middle concentration) [8.7 / 3.7 / 2.3 / 0.3] 5. PSA [%diffrence Max / Mean / Median] (P-value by t-test > 0.05) C-1(low concentration) [15.4 / 7.6 / 8.2 / 0.0] C-2(middle concentration) [8.8 / 4.5 / 4.8 / 0.9] 6. HBs-Ab [%diffrence Max / Mean / Median] (P-value by t-test > 0.05) C-1(middle concentration) [9.6 / 3.7 / 2.7 / 0.2] C-2(high concentration) [8.9 / 4.1 / 3.6 / 0.3] 7. Insulin [%diffrence Max / Mean / Median] (P-value by t-test > 0.05) C-1(middle concentration) [8.7 / 3.1 / 2.4 / 0.9] C-2(high concentration) [8.3 / 3.2 / 1.5 / 0.1] In some low concentration measurements, the percent difference is found above 10 to nearly 15 percent in result of target value calculated at a lower concentration. In addition, when the value is measured after Standard level 6, which is the highest value of reagents in the dispensing sequence, the result would have been affected by a hook effect. Overall, there was no significant difference in lot change of quality control material (p-value>0.05). Conclusion Variations between reagent lots are not large in immunoradiometric assays. It is likely that this is due to the selection of items that have relatively high detection rate in the immunoradiometric method and several remeasurements. In most test results, the difference was less than 10 percent, which was within the standard range. TSH control level 1 and PSA control level 1, which have low concentration target value, exceeded 10 percent more than twice, but it did not result in a value that was near 20 percent. As a result, it is required to perform a longer period of observation for more homogenized average results and to obtain laboratory-specific acceptance criteria for each item. Also, it is advised to study observations considering various variables.