• Title/Summary/Keyword: Fatigue

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A Case Report of a Patient Diagnosed with Decompensated Liver Cirrhosis due to Unspecified Causes (상세불명의 비대상성 간경변증 환자 치험 1례)

  • An, So-yeon;Hur, So-young;Kim, Eu-jin;Jang, Eun-gyeong;Kim, Young-chul;Lee, Jang-hoon
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.515-522
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    • 2020
  • Objectives: This study aimed to describe whether Saenggangunbi-tang supports clinical management of a patient with decompensated liver cirrhosis without unfavorable side effects. Methods: A 78-year-old woman diagnosed with unspecified liver cirrhosis in 2014, who had undergone abdominal paracentesis twice until 2014 and variceal ligation twice until 2017, took Saenggangunbi-tang from July 25, 2019 to March 23, 2020. We observed clinical changes, such as fatigue, leg edema, and gingival bleeding, as well as laboratory findings. Results: After taking Saenggangunbi-tang for about eight months, the patient's symptoms and serum levels of liver enzymes were improved in comparison to her symptoms and serum levels at the first visit. Moreover, there was no occurrence of any complications, such as ascites and gastroesophageal variceal bleeding by portal hypertension. Conclusions: This study suggests that Saenggangunbi-tang might be effective in the treatment of decompensated liver cirrhosis.

Study on Standard Symptoms and Gender Differences of Qi${\cdot}$Xue${\cdot}$Yin${\cdot}$Yang Asthenia Syndromes Based on Questionnaire Analysis (설문지 분석법에 의한 기허 혈허 기체 음허 양허증(氣虛 血虛 氣滯 陰虛 陽虛證)의 표준 증상 및 남녀차이 연구)

  • Kim, Kang-Tae;Eom, Hyun-Sup;Lee, In-Seon;Kim, Jong-Won;Chi, Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1742-1748
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    • 2006
  • In order to establish the manifestational symptoms in men and women and highly frequent symptoms(HFS) of deficiency of Qi and blood(氣虛, 血虛), stagnation of Qi(氣滯), deficiency of Yin(陰虛), deficiency of Yang(陽虛), and, 546 questionaires were analyzed through Cronbach alpha value and Pearson's correlative efficient. Symptomatic differences of male and female specimens were as follows. HFS of Qi deficiency were similar in terms of inactivity like mental and physical fatigue, enervation in men and women. In blood deficiency, dizziness and light sleep were common in men and women, but mucosal symptoms of conjunctiva, lip, nail bed were more frequent in women than men. Emotional explosion was common in Qi stagnation, then women had more motivation-related symptoms than men. Inner heat was frequently arisen in Yin deficiency in both, and the heat was expressed more common in exterior and upper part in women but in interior abdominal part in men. In Yang deficiency, main symptoms of men were feeling coldness in peripheral, but Qi deficiency symptoms were more common in women former than coldness.

A study on the shape optimization of ship's bellows using DOE (실험계획법을 이용한 선박용 벨로우즈의 형상최적화에 관한 연구)

  • Kim J.P.;Kim H.J.;Kim H.S.;Cho U.S.;Jeo S.B.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.10a
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    • pp.637-640
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    • 2005
  • The mechanical properties of bellows, such as the extensibility and the strength can be changed depending on the shape. For the shipbuilding material, it is favorable that the fatigue lift is long due to the elastic property and the reduction of thermal stress in piping system. Nowadays, the domestic production and design of bellows are based on the E.J.M.A Code. Therefore, the design standard is in need because of much errors and lack of detailed analysis. In this study, it is attempted to find out the optimal shape of U-type ship's bellows that is applied to design of experiment using the finite element method. The effective factors, mountain height, length, thickness, and number of mountains and the length of joint are considered and the proper values are chosen for the simulation. The number of mountains are increased, the volume increases above the standard volume and the stress obviously increases. In addition, the effect of the thickness of bellows on the stress is very large. Both of the volume and stress are decreasing at a certain lower value region.

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Derivation of Elastic Stress Concentration Factor Equations for Debris Fretting Flaws in Pressure Tubes of Pressurized Heavy Water Reactors (가압중수로 압력관 이물질 프레팅 결함의 탄성 응력집중계수 수식 도출)

  • Kim, Jong Sung;Oh, Young Jin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.2
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    • pp.167-175
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    • 2014
  • If volumetric flaws such as bearing pad fretting flaws and debris fretting flaws are detected in the pressure tubes of pressurized heavy water reactors during in-service inspection, the initiation of fatigue cracks and delayed hydrogen cracking from the detected volumetric flaws shall be assessed by using elastic stress concentration factors in accordance with CSA N285.8-05. The CSA N285.8-05 presents only an approximate formula based on linear elastic fracture mechanics for the debris fretting flaw. In this study, an engineering formula considering the geometric characteristics of the debris fretting flaw in detail was derived using two-dimensional finite element analysis and Kinectrics, Inc.'s engineering procedure with slight modifications. Comparing the application results obtained using the derived formula with the three-dimensional finite element analysis results, it is found that the results obtained using the derived formula agree well with the results of the finite element analysis.

Vibration Reduction Technique for Rotating Suspension Vehicles with a Modified Skyhook Controller (수정된 스카이훅 제어기를 적용한 회전형 현가장치 차량의 차체진동 저감)

  • Jung, Samuel;Yoo, Wan-Suk
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.37 no.1
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    • pp.25-30
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    • 2013
  • In military vehicles moving over poor roads, severe vibration of the chassis can damage internal components. Currently, many studies have focused on active and semi-active suspensions to reduce the vibration of the chassis. In this study, a vibration reduction technique is suggested by applying a unique rotating suspension structure. SH-ADD, a type of modified Skyhook, was selected as a controller for vibration reduction. A random ISO class E road was selected as the driving road. The simulation was performed using ADAMS Control and Matlab Simulink. The control result was compared with the RMS acceleration with a focus on the cumulative fatigue of the internal equipment.

Investigation of Detectable Crack Length in a Bolt Hole Using Eddy Current Inspection (와전류탐상검사를 이용하여 탐지 가능한 볼트홀 내부 균열 길이 연구)

  • Lee, Dooyoul;Yang, Seongun;Park, Jongun;Baek, Seil;Kim, Soonkil
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.8
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    • pp.729-736
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    • 2017
  • In this study, the physics-based model and machine learning technique were used to conduct model-assisted probability of detection (MAPOD) experiments. The possibility of using in-service cracked parts was also investigated. Bolt hole shaped specimens with fatigue crack on the hole surface were inspected using eddy current inspection. Owing to MAPOD, the number of experimental factors decreased significantly. The uncertainty in the crack length measurement for in-service cracked parts was considered by the application of Monte Carlo simulation.

Primary Hepatosplenic B-cell Lymphoma: linitial Diagnosis and Assessment of Therapeutic Response with F-18 FDG PET/CT (원발성 간비장 B세포성 림프종에서 치료전과 치료 후 F-18 FDG PET/CT 소견)

  • Kang, Sung-Min;Lee, Hong-Je;Seo, Ji-Hyoung;Lee, Sang-Woo;Ahn, Byeong-Cheol;Lee, Jae-Tae
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.4
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    • pp.333-336
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    • 2008
  • A 52-year-old woman with a history of general weakness, fatigue, weight loss, elevated serum levels of liver transaminase enzyme for three months underwent an F-18 FDG PET/CT scan to evaluate a cause of the hepatosplenomegaly found on abdominal ultrasonography. Initial PET/CT revealed markedly enlarged liver and spleen with intense FDG uptake. Otherwise, there were no areas of abnormal FDG uptake in whole body image. Histological evaluation by a hepatic needle biopsy demonstrated diffuse large B cell type lymphoma and final diagnosis for this patient was hepatosplenic B-cell lymphoma. She received five cycles of CHOP chemotherapy, and second PET/CT scan was followed after then. Follow-up PET-CT revealed normal sized liver with disappearance of abnormal FDG uptake. Hepatosplenic B-cell lymphoma is relatively rare and mostly presents as single or multiple nodules.1,2 Diffuse type hepatosplenic lymphoma is extremely rare and poorly recognized entity.3 The diagnosis is very difficult and complicated by the presence of misleading symptoms.4 In this rare hepatosplenic B-cell lymphoma case, F-18 FDG PET/CT scan provided a initial diagnostic clue of hepatosplenic lymphoma and an accurate chemotherapy response.

Leak Detection and Evaluation for Power Plant Boiler Tubes Using Acoustic Emission (음향방출을 이용한 보일러튜브 누설평가)

  • Lee, Sang-Guk
    • Journal of the Korean Society for Nondestructive Testing
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    • v.24 no.1
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    • pp.45-51
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    • 2004
  • Boiler tubes in power plants are often leaked due to various material degradations including creep and thermal fatigue damage under severe operating conditions such as high temperature and high pressure over an extended period of time. To monitor and diagnose the tubes on site and in real time, the acoustic emission (AE) technology was applied. We developed an AE leak detection system, and used it to study the variation of AE signal from the on-site tubes in response to the changes in the boiler operation condition and to detect the locations of leakage based on it. Detection of leak was performed by acquiring and evaluating the signals in separate regimes of high and low frequency signal. As a result of these studies, we found that on-line monitoring and detection of leak location for boiler tubes is possible using the developed system. Thus, the system is expected to contribute to the safe operation of power plants, and prevent economic losses due to potential leak.

Defect Detection of the Wall Thinning Pipe of the Nuclear Power Plant Using Infrared Thermography (적외선열화상을 이용한 원자력발전소 감육 배관의 결함 검출)

  • Kim, Kyeong-Suk;Chang, Ho-Sub;Hong, Dong-Pyo;Park, Chan-Joo;Na, Sung-Won;Kim, Kyung-Su;Jung, Hyun-Chul
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.2
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    • pp.85-90
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    • 2010
  • The infrared energy is emitted in the infrared wavelength range that corresponds to the surface temperature of a object which has temperature that is over the absolute the temperature(OK). The infrared thermography (IRT) is a non-destrnctive testing method that provides thermal video for the user in real-time by converting the infrared quantity that is detected by the infrared detector into temperature. The pipes of nuclear power plant(NPP) could be thinned by the corrosion and fatigue and the defect could lead to a big accident. For this reason, the effective non-destructive testing method is necessary. In this study, the relationship between the measured temperature and the defect depth or size of NPP pipes were recognized and that was applied to detect the wall thinning defects of NPP pipes.

In-Situ Application Study on the Power Plant Valve Leak Diagnosis Using Acoustic Emission Technology (음향방출을 이용한 발전용 밸브 누설 진단 현장 적용 연구)

  • Lee, Sang-Guk
    • Journal of the Korean Society for Nondestructive Testing
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    • v.28 no.4
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    • pp.315-322
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    • 2008
  • Valves in power plants are leaking internally by various damages including insertion of foreign objects on seat, seat crack, defects and fatigue crack of stem packing or welds etc. due to severe operating conditions such as high temperature and high pressure for extended period time. Acoustic emission(AE) technology should be applied in order to diagnose precisely and evaluate these valve internal leak. In this paper, results of studies which have accomplished in actual power plant are presented. We have analyzed background noise, AE signal level and frequency spectrum through laboratory tests on the basis of various actual conditions in power plant, and also have considered evaluation methods on the background noise, AE properties and the detectable minimum leak rate according to valve leak conditions through comparing with results of field tests in power plant. As a result of these studies, we conformed that evaluation of internal leak conditions including discrimination of leak or not, and the detectable minimum leak rate is possible, and also it is expected to contribute to safe operation and prevention of energy loss in power plants.