• Title/Summary/Keyword: persistent

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정상 정중신경에서 혈전을 가진 잔류정중동맥의 예 (Thrombosed Fusiform Dilatation of Persistent Median Artery with Normal Median Nerve)

  • 박기영;권동락;권대길;정원빈
    • Clinical Pain
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    • 제18권1호
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    • pp.40-43
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    • 2019
  • Carpal tunnel syndrome can be produced by abnormal mass effect due to trauma, ganglion cysts, various soft tissue tumors, musculotendinous variants, and aberrant vascular structures. Persistent median artery is one of the causes of the carpal tunnel syndrome. Thrombosed persistent median artery usually accompanies the anomaly of the median nerve and causes a sudden onset of severe pain and paresthesia. In contrast to previous literature, we report the rare case of gradual onset and mild symptom of a 53-year-old man with a thrombosed persistent median artery but without anomaly of the median nerve and abnormal finding of electrophysiologic study.

Clinical Predictors of Permanent Neuropathy in Patients with Peripheral Painful Traumatic Trigeminal Neuropathy

  • Ryu, Ji-Won;Ahn, Jong-Mo;Yoon, Chang-Lyuk
    • Journal of Oral Medicine and Pain
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    • 제41권3호
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    • pp.118-125
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    • 2016
  • Purpose: The aims of this study were to evaluate the clinical characteristics of patients with altered sensation and/or pain, and to determine outcome predictors affecting persistent neuropathy. Methods: Patients who complained an altered sensation or pain following trigeminal nerve trauma were involved in this study. To determine outcome predictors affecting persistent neuropathy, the patients were divided into two groups; transient vs. persistent, and the clinical phenotypes are compared between groups. Data were analyzed with t-tests, chi-square, and multiple regression analyses with 95% confidence interval and p<0.05 significance level. Results: A total of 111 patients were included: 23 with transient and 88 persistent groups. The panoramic result and pin-prick test score were statistically different between the groups. Radiating symptoms after blunt and pinprick stimuli were also significantly different between groups. The results revealed that the presence of a neurologic lesion in the panoramic view result, reduced sensation in the pinprick test, and radiation in the pinprick test could affect the persistent group. Conclusions: The presence of a neurologic lesion in panoramic view result and reduced sensation and radiating symptoms in the pin prick test would be defining features of one of the main clinical features of persistent neuropathy. These features could serve as outcome predictors diagnosing the permanent nerve injury in trigeminal nerve.

Acute Ischemic Stroke Involving Both Anterior and Posterior Circulation Treated by Endovascular Revascularization for Acute Basilar Artery Occlusion via Persistent Primitive Trigeminal Artery

  • Imahori, Taichiro;Fujita, Atsushi;Hosoda, Kohkichi;Kohmura, Eiji
    • Journal of Korean Neurosurgical Society
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    • 제59권4호
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    • pp.400-404
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    • 2016
  • We report a case of acute ischemic stroke involving both the anterior and posterior circulation associated with a persistent primitive trigeminal artery (PPTA), treated by endovascular revascularization for acute basilar artery (BA) occlusion via the PPTA. An otherwise healthy 67-year-old man experienced sudden loss of consciousness and quadriplegia. Magnetic resonance imaging showed an extensive acute infarction in the right cerebral hemisphere, and magnetic resonance angiography showed occlusion of the right middle cerebral artery (MCA) and BA. Because the volume of infarction in the territory of the right MCA was extensive, we judged the use of intravenous tissue plasminogen activator to be contraindicated. Cerebral angiography revealed hypoplasia of both vertebral arteries and the presence of a PPTA from the right internal carotid artery. A microcatheter was introduced into the BA via the PPTA and revascularization was successfully performed using a Merci Retriever with adjuvant low-dose intraarterial urokinase. After treatment, his consciousness level and right motor weakness improved. Although persistent carotid-vertebrobasilar anastomoses such as a PPTA are relatively rare vascular anomalies, if the persistent primitive artery is present, it can be an access route for mechanical thrombectomy for acute ischemic stroke.

보안 대책이 지속적 보안 정책 준수에 미치는 영향 (An Understanding of Impact of Security Countermeasures on Persistent Policy Compliance)

  • 박철주;임명성
    • 디지털융복합연구
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    • 제10권4호
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    • pp.23-35
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    • 2012
  • 본 연구의 목적은 조직원들의 지속적인 정보보안 준수행위를 유도할 있는 요인을 규명하는 것이다. 이를 위해 기존연구에서 제시된 보안 대책인 보안인식교육과 보안정책을 선행요인으로 선정하였다. 연구결과 보안인식교육은 보안 정책과 정보보안 정책의 지속적 준수에 유의한 영향을 미치는 것으로 나타났다. 또한 정보보안 정책의 포괄성은 지속적 보안 정책준수 태도와 의도에 유의한 영향을 미치는 반면, 보안 정책의 간결성은 태도에만 유의한 영향을 미치는 것으로 나타났다.

A review of experimental and numerical investigations about crack propagation

  • Sarfarazi, Vahab;Haeri, Hadi
    • Computers and Concrete
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    • 제18권2호
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    • pp.235-266
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    • 2016
  • A rock mass containing non-persistent joints can only fail if the joints propagate and coalesce through an intact rock bridge. Shear strength of rock mass containing non-persistent joints is highly affected by the both, mechanical behavior and geometrical configuration of non-persistent joints located in a rock mass. Existence of rock joints and rock bridges are the most important factors complicating mechanical responses of a rock mass to stress loading. The joint-bridge interaction and bridge failure dominates mechanical behavior of jointed rock masses and the stability of rock excavations. The purpose of this review paper is to present techniques, progresses and the likely future development directions in experimental and numerical modelling of a non-persistent joint failure behaviour. Such investigation is essential to study the fundamental failures occurring in a rock bridge, for assessing anticipated and actual performances of the structures built on or in rock masses. This paper is divided into two sections. In the first part, experimental investigations have been represented followed by a summarized numerical modelling. Experimental results showed failure mechanism of a rock bridge under different loading conditions. Also effects of the number of non-persistent joints, angle between joint and a rock bridge, lengths of the rock bridge and the joint were investigated on the rock bridge failure behaviour. Numerical simulation results are used to validate experimental outputs.

Implementation of persistent identification of topological entities based on macro-parametrics approach

  • Farjana, Shahjadi Hisan;Han, Soonhung;Mun, Duhwan
    • Journal of Computational Design and Engineering
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    • 제3권2호
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    • pp.161-177
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    • 2016
  • In history based parametric CAD modeling systems, persistent identification of the topological entities after design modification is mandatory to keep the design intent by recording model creation history and modification history. Persistent identification of geometric and topological entities is necessary in the product design phase as well as in the re-evaluation stage. For the identification, entities should be named first according to the methodology which will be applicable for all the entities unconditionally. After successive feature operations on a part body, topology based persistent identification mechanism generates ambiguity problem that usually stems from topology splitting and topology merging. Solving the ambiguity problem needs a complex method which is a combination of topology and geometry. Topology is used to assign the basic name to the entities. And geometry is used for the ambiguity solving between the entities. In the macro parametrics approach of iCAD lab of KAIST a topology based persistent identification mechanism is applied which will solve the ambiguity problem arising from topology splitting and also in case of topology merging. Here, a method is proposed where no geometry comparison is necessary for topology merging. The present research is focused on the enhancement of the persistent identification schema for the support of ambiguity problem especially of topology splitting problem and topology merging problem. It also focused on basic naming of pattern features.

한약 단독 치료로 호전된 소양인 환자의 도한 : 후향적 증례보고 6례 (Herbal Medicine Treatment for Persistent Night Sweats in Soyangin Patients: A Retrospective Case Series)

  • 이민정;이지연;황민우
    • 사상체질의학회지
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    • 제33권3호
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    • pp.146-160
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    • 2021
  • Introduction This study is the first to report a significant improvement of Soyangin patients with persistent night sweats through herbal medicine treatment. Methods We reviewed the total of 6 Soyangin patients with moderate to severe persistent night sweats who visited the outpatient clinic. The patients received herbal medicine treatment alone for 4 to 9 weeks. We evaluated the treatment outcome using Night Sweats Degree criteria, developed by Lea and Aber(1985), every other 2 to 4 weeks. In addition, we recorded the treatment period from the first visit to symptom alleviation. Results Persistent night sweats improved significantly in all 6 Soyangin patients, and 4 out of 6 patients had better sleep quality after the treatment. It took 1 to 3 weeks until the symptom alleviated from moderate or severe to mild, and 3 to 7 weeks until the patients have no sign of night sweating. The progression of persistent night sweats and treatment period until no sign of symptom varied according to the Soyangin External and Internal disease diagnosis. Discussion The Soyangin patients having persistent night sweats treated with herbal medicines showed a significant improvement in their symptoms. This result proposes the possibility of using herbal medicine in primary care patients experiencing persistent night sweats.

Shear behavior of non-persistent joints in concrete and gypsum specimens using combined experimental and numerical approaches

  • Haeri, Hadi;Sarfarazi, V.;Zhu, Zheming;Hokmabadi, N. Nohekhan;Moshrefifar, MR.;Hedayat, A.
    • Structural Engineering and Mechanics
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    • 제69권2호
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    • pp.221-230
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    • 2019
  • In this paper, shear behavior of non-persistent joint surrounded in concrete and gypsum layers has been investigated using experimental test and numerical simulation. Two types of mixture were prepared for this study. The first type consists of water and gypsum that were mixed with a ratio of water/gypsum of 0.6. The second type of mixture, water, sand and cement were mixed with a ratio of 27%, 33% and 40% by weight. Shear behavior of a non-persistent joint embedded in these specimens is studied. Physical models consisting of two edge concrete layers with dimensions of 160 mm by 130 mm by 60 mm and one internal gypsum layer with the dimension of 16 mm by 13 mm by 6 mm were made. Two horizontal edge joints were embedded in concrete beams and one angled joint was created in gypsum layer. Several analyses with joints with angles of $0^{\circ}$, $30^{\circ}$, and $60^{\circ}$ degree were conducted. The central fault places in 3 different positions. Along the edge joints, 1.5 cm vertically far from the edge joint face and 3 cm vertically far from the edge joint face. All samples were tested in compression using a universal loading machine and the shear load was induced because of the specimen geometry. Concurrent with the experiments, the extended finite element method (XFEM) was employed to analyze the fracture processes occurring in a non-persistent joint embedded in concrete and gypsum layers using Abaqus, a finite element software platform. The failure pattern of non-persistent cracks (faults) was found to be affected mostly by the central crack and its configuration and the shear strength was found to be related to the failure pattern. Comparison between experimental and corresponding numerical results showed a great agreement. XFEM was found as a capable tool for investigating the fracturing mechanism of rock specimens with non-persistent joint.

Study of tensile behavior of Y shape non-persistent joint using experimental test and numerical simulation

  • Sarfarazi, V.;Hajiloo, M.;Ghalam, E. Zarrin;Ebneabbasi, P.
    • Computers and Concrete
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    • 제26권6호
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    • pp.565-576
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    • 2020
  • Experimental and discrete element methods were used to investigate the effects of angle of Y shape non-persistent joint on the tensile behaviour of joint's bridge area under brazilian test. concrete samples with diameter of 100 mm and thikness of 40 mm were prepared. Within the specimen, two Y shape non-persistent notches were provided. The large notch lengths were 6 cm, 4 cm and 2 cm. the small notch lengths were 3 cm, 2 cm and 1 cm. The angle of larger notch related to horizontal axis was 0°, 30°, 60°, 90°. Totally, 12 different configuration systems were prepared for Y shape non-persistent joints. Also, 18 models with different Y shape non-persistent notch angle and notch length were prepared in numerical model. The large notch lengths were 6 cm, 4 cm and 2 cm. the small notch lengths were 3 cm, 2 cm and 1 cm. The angle of larger notch related to horizontal axis was 0, 30, 60, 90, 120 and 150. Tensile strength of model materil was 1 MPa. The axial load was applied to the model by rate of 0.02 mm/sec. This testing showed that the failure process was mostly governed by the Y shape non-persistent joint angle and joint length. The tensile strengths of the specimens were related to the fracture pattern and failure mechanism of the discontinuities. It was shown that the tensile behaviour of discontinuities is related to the number of the induced tensile cracks which are increased by increasing the joint length and joint angle. The minimum tensile strength occurs when the angle of larger joint related to horizontal axis was 60°. Also, the maximum compressive strength occurs when the angle of larger joint related to horizontal axis was 90°. The tensile strength was decreased by increasing the notch length. The failure pattern and failure strength are similar in both methods i.e. the experimental testing and the numerical simulation methods.

Effects of number and angle of T Shape non persistent cracks on the failure behavior of samples under UCS test

  • Sarfarazi, V.;Asgari, K.;Maroof, S.;Fattahi, Sh
    • Computers and Concrete
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    • 제29권1호
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    • pp.31-45
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    • 2022
  • Experimental and numerical simulation were used to investigate the effects of angle and number of T shape non-persistent crack on the shear behaviour of crack's bridge area under uniaxial compressive test. concrete samples with dimension of 150 mm×150 mm×40 mm were prepared. Within the specimen, T shape non-persistent notches were provided. 16 different configuration systems were prepared for T shape non-persistent crack based on two and three cracks. In these configurations, the length of cracks were taken as 4 cm and 2 cm based on the cracks configuration systems. The angle of larger crack related to horizontal axis was 0°, 30°, 60° and 90°. Similar to cracks configuration systems in the experimental tests, 28 models with different T shape non-persistent crack angle were prepared in numerical model. The length of cracks were taken as 4 cm and 2 cm based on the cracks configuration systems. The angle of larger crack related to horizontal axis was 0°, 15°, 30°, 45°, 60°, 75° and 90°. Tensile strength of concrete was 1 MPa. The axial load was applied to the model. Displacement loading rate was controlled to 0.005 mm/s. Results indicated that the failure process was significantly controled by the T shape non-persistent crack angle and crack number. The compressive strengths of the specimens were related to the fracture pattern and failure mechanism of the discontinuities. Furthermore, it was shown that the compressive behaviour of discontinuities is related to the number of the induced tensile cracks which are increased by increasing the crack number and crack angle. The strength of samples decreased by increasing the crack number. In addition, the failure pattern and failure strength are similar in both methods i.e. the experimental testing and the numerical simulation methods (PFC2D).