• 제목/요약/키워드: Drainage block

검색결과 77건 처리시간 0.031초

자기공명분석기에 의한 반사성 교감신경성 위축증의 치험 (Experience with the Application of Magnetic Resonance Diagnostic $Analyser^{(R)}$ -A case of reflex sympathetic dystrophy-)

  • 김진수;곽수달;김정순;옥시영;차영덕;박욱
    • The Korean Journal of Pain
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    • 제6권2호
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    • pp.275-279
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    • 1993
  • Reflex sympathetic dystrophy is a syndrome characterized by persistent, burning pain, hyperpathia, allodynia & hyperaesthesia in an extremity, with concurrent evidence of autonomic nervous system dysfunction. It generally develops after nerve injury, trauma, surgery, et al. The most successful therapies are directed towards blocking the sympathetic intervention to the affected extremity by regional sympathetic ganglion block or Bier block with sympathetic blocker; other traditional treatments include transcutaneous electrical stimulation, immobilization with cast & splint, physical therapy, psychotherapy, administration of sympathetic blocker, calcitonin, corticosteroid and analgesic agents. The purpose of this report is to evaluate and describe the effects of magnetic resonance following unsatisfactory results with traditional treatments of RSD. A 17 year old female patient, 1 year earlier, had received excision and drainage of pus at the right femoral triangle due to an injury caused by a stone. Afterwards, she experienced burning pain, knee joint stiffness, and muscle dystrophy of the right thigh, especially when standing and walking. Despite a year of number of traditional treatments such as: lumbar sympathetic block, continuous epidural analgesia, transcutaneous electrical stimulation, & administration of predisolone, her pain did not improve. Surprisingly, the patients was able to walk free from pain and difficulty after just one application of magnetic resonance. The patient has been successfully treated with further treatment of two to three times a week for approximately ten weeks. More recently, magnetic resonance has been demonstrated to produce effective results for the relief of pain in a variety of diseases. From our experiences we recognize magnetic resonance as a therapeutic modality which can provide excellent results for the treatment of RSD. It has been suggested that polysynaptic reflex which are disturbed in RSD may be modulated normally on the spinal cord level through the application of magnetic resonance.

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폐광 부지의 재해 및 오염대 조사관련 물리탐사자료의 고찰 (Case Studies of Geophysical Mapping of Hazard and Contaminated Zones in Abandoned Mine Lands)

  • 심민섭;주현태;김관수;김지수
    • 지질공학
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    • 제24권4호
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    • pp.525-534
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    • 2014
  • 폐광 부지에서 발생하는 대표적인 환경 문제는 산성으로 오염된 지표수와 지하수, 적재된 폐광석 및 광미, 채굴 활동으로 야기된 지반침하 현상을 들 수 있다. 이 논문은 광해 유형에 따라 재해 및 오염영역을 효율적으로 탐지했던 지구물리탐사방법들을 고찰하는데 있다. 시험 자료로서 토양오염, 산성광산배수, 지반침하, 인공차수막 파손 및 광미/폐광석 적치장을 각각 대표하는 네 개의 폐광 부지를 선택하였다. 자료 검증을 위해 물리탐사자료는 자료의 유형에 따라 시추자료(코어 샘플, 물리검층, 토모그래피 등)와 물 자료(수소이온농도, 전기전도도, 중금속원소 등)와 비교하였다. 토양오염 탐지에 있어서 낮은 전기비저항 이상대는 특히 구리, 납, 아연의 중금속 농도가 높은 지역과 부합된다. 산성광산배수의 유동 경로는 자연전위 곡선에서 음의 전위 이상대, 전기비저항자료에서의 저비저항 이상대, 지하레이더 자료에서의 얕은 투과깊이 영역으로 탐지되었다. 채굴적은 전기비저항 단면에서의 저비저항 이상대, 탄성파토모그래피에서 낮은 속도 영역, 물리검층곡선의 복합해석으로 특징되며, 정확한 위치는 코어자료와 시추공영상자료에서 잘 확인되었다. 침출수 유동을 차단하기 위해 설치된 인공차수막의 파손 구간은 전기비저항 자료에서의 국부적인 이상대로 정확히 탐지되며 매립된 폐석더미는 고비저항 이상대와 저속도 이상대로 특징된다.

근육내 자극요법 후 목빗근내 농양의 치험례 (A Case of Intramuscular Abscess in the Sternocleidomastoid Muscle after Intramuscular Stimulation (IMS))

  • 김재인;최환준;최창용;양형은
    • Archives of Plastic Surgery
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    • 제37권2호
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    • pp.182-186
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    • 2010
  • Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.

한국형발사체 발사대시스템 산화제공급설비 상세설계 (Critical Design Result of Liquid Oxygen Filling System for Korea Space Launch Vehicle-II Launch Complex)

  • 서만수;고민호;선정운;서현민;이재준;강선일
    • 한국추진공학회지
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    • 제21권2호
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    • pp.102-110
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    • 2017
  • 발사대시스템의 산화제공급계(Liquid Oxygen Filling System)는 발사체의 추진제(Propellant) 중 연료의 연소를 위한 산화제(Oxidizer)로 사용되는 액체산소(Liquid Oxygen)를 저장하고, 발사체 요구조건에 맞게 공급하는 하는 설비이다. 본 논문에서는 한국형발사체(KSLV-II) 발사대시스템 상세설계(Critical Design, 2015년 8월에서 2016년 4월, 8개월) 동안 수행된 한국형발사체 발사대시스템 추진제 공급설비의 산화제공급계 설계 내용을 주요 설비 구성에 대하여 구조적 관점으로 소개한다.

투명필름 밀폐 드레싱을 이용한 새로운 배액관 관리법 (New Approach to the Care of Suction Drain Insertion Site by Using Occlusive Transparent Film Dressing)

  • 권순홍;오득영;최윤석;이백권;이종원;한기택;안상태
    • Archives of Plastic Surgery
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    • 제33권1호
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    • pp.131-134
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    • 2006
  • The closed suction drain is commonly inserted after various surgical procedures. It has an important role to prevent possible hematoma or seroma that can cause postoperative wound problems. But there is still no consensus on managing the insertion site of suction drain after operation. Suture-tie fixation of drain to skin and classical Y shape gauze dressing is a usually accepted method, but it has many limitations. We introduce a new approach to the care for the insertion site of suction drain by using occlusive transparent film dressing, $IV3000^{(R)}$(Smith & Nephew, London, UK). By using transparent film, insertion site of drain can be easily checked without removal of dressing. Because it can reduce the tension of suture-tie fixation, it helps to prevent skin injury. Furthermore, occlusive film dressing can block air leakage from insertion site of drain, and the water-proof character of film allows patients to take a shower without dressing change. This new method is more convenient, more efficient, and less harmful to skin than classic one.

단일심실증의 수술요법 (Surgical management ofuniventricular heart)

  • 노준량;김응중
    • Journal of Chest Surgery
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    • 제19권4호
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    • pp.618-626
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    • 1986
  • Univentricular heart is a rare congenital cardiac anomaly in which the atrial chambers are connected to only one ventricular chamber and it consists of a diverse group of cardiac malformation characterized by both AV valves or a common AV valve opening into the same ventricle, or the presence of only a solitary AV valve. In spite of recent development in cardiac surgery, corrective operations for univentricular heart still have high mortality and complication rate. Twenty eight patients underwent corrective operation for univentricular heart at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital from February 1979 to July 1986. Of the 28 patients, 7 patients were operated on by ventricular septation and 21 patients by modified Fontan operation. Of the 28 patients, 19 patients were male and 9 patients female and ages ranged from 5 months to 18 years old with the average age of 7.3 years. There were 2 mortalities in 7 patients operated on by septation with the mortality rate of 28.6% and 5 complications, 3 complete AV block, 1 low cardiac output and 1 arrhythmia. All survived patients are being followed up without specific problem till now. There were 10 mortalities in 21 patients operated on by modified Fontan operation with the mortality rate of 47.6% and 10 complications, 2 low cardiac output, 2 respiratory failure necessitating tracheostomy, 2 persistent cyanosis, 2 arrhythmia, 1 missing of left AV valve in situs inversus patient due to misdiagnosis and one rupture of closed right AV valve. Incremental risk factors for operative mortality are young age less than 5 years old, anomalous pulmonary and systemic venous drainage and atrial septation procedure. In 11 survived patients, 9 patients show good follow-up results but one patient complains of persistent cyanosis and another one patient is suffered from CHF. In our series, results of corrective operation for univentricular heart shows continuing improvement but still high mortality and complication rate. So there must be continuing improvement in surgical result by selection of patient, by adequate decision making for timing and method of operation and by improving operative methods.

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기초지반의 지지력보강공법에 관한 연구 (Studies on the Development of Bearing Capacity Reinforcement for the Foundation of Soil)

  • 유동환;최예환;유연택
    • 한국농공학회지
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    • 제30권1호
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    • pp.38-49
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    • 1988
  • This paper presented as follows results of laboratory model tests with various shaped footings on soil bed reinforced with the strips on the base of behaviour of soil structure according to the loads and triaxial test results reinforced with geotextiles. Their parameters studied were the effects on the bearing capacity of a footing of the first layer of reinforcement, horizontal and vertical spacing of layers, number of layers, tensile strength of reinforcement and iclination load to the vertical 1.Depending on the strip arrangement, ultimate bearing capacity values could be more improved than urreinforced soil and the failure of soil was that the soil structure was transfered from the macrospace to microspase and its arrangement, from edge to edge to face to face. 2.The reinforcement was produced the reinforcing effects due to controlling the value of factor of one and permeable reinforcement was never a barrier of drainage condition. 3.Strength ratio was decreased as a linear shape according to increment of saturation degree of soil used even though at the lower strength ratio, the value of M-factor was rot influenced on the strength ratio but impermeable reinforcement decreased the strength of bearing capacity. 4.Ultimate bearing capacity under the plane-strain condition was appeared a little larger than triaxial or the other theoretical formulars and the circular footing more effective. 5.The maximum reinforcing effects were obtained at U I B=o.5, B / B=3 and N=3, when over that limit only acting as a anchor, and same strength of fabric appeared larger reinforcing effects compared to the thinner one. 6.As the LDR increased, more and more BCR occurred and there was appeared a block action below Z / B=O.5, but over the value, decrement of BCR was shown linear relation, and no effects above one. 7.The coefficient of the inclination was shown of minimum at the three layers of fabrics, but the value of H / B related to the ultimate load was decreased as increment of inclination degree, even though over the value of 4.5 there wasn't expected to the reinforcing effects As a consequence of the effects on load inclination, the degree of inclination of 15 per cent was decreased the bearing capacity of 70 per cent but irnproved the effects of 45 per cent through the insertion of geotextile.

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Effect of Propionic Acid in the Germination of Rice Genotypes

  • Kopp, Mauricio Marini;Luz, Viviane Kopp da;Maia, Luciano Carlos da;Sousa, Rogerio Oliveira de;Oliveira, Antonio Costa de
    • Journal of Crop Science and Biotechnology
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    • 제11권4호
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    • pp.249-256
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    • 2008
  • The objective of this work was to evaluate the germination of 12 rice genotypes under propionic acid stress, a phytotoxic compound produced in low drainage soils with high organic matter content. The tests were conducted with the first count of germination (PCG) and germination (G) of the genotypes subjective to 0, 3, 6, and 9 mM propionic acid concentrations. The seeds of each genotype were placed in germitest paper pre-soaked in treatment solutions forming individual bags. The germination was performed at $25^{\circ}C$ and the counts were carried out at 7 (PCG) and 14 days (G). A factorial random block design was performed with four replications of 50 seeds per genotype. Our study revealed that doses up to 9 mM propionic acid in the pre-soaking solution were efficient for genetic variability studies involving the character germination in rice; genetic variability for germination was detected in the collection of rice genotypes when subjected to propionic acid toxic effects. The genotypes Guichow, Dawn, and Toride-1 showed germination stability when subjected to increasing levels of propionic acid, and genotypes originated from irrigated system-cultivation performed better when subjected to propionic acid stress. These three genotypes will be a good biological material to for enhance the resistance to phytotoxic compounds in rice.

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아프가니스탄 케심-파이자베드간 도로복구사업 해외설계 사례 (Overseas Design Introduction of Road Rehabilitation Project in Keshim~Faizabad, Afghanistan)

  • 정동호;김우선;김기백;정원준;이승우
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2008년도 추계 학술발표회
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    • pp.569-580
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    • 2008
  • If slope height was more than 20 meters, we conducted an analysis of stereographic projection and limit equilibrium at this slope. We proposed reduction of slope face angle and reinforcement of rock bolt depending on analysis. Blasting design : Standard pattern based on result of local test blasting was made for blasting design. Vibration criterion was set for less than 3.0mm/s because of outworn buildings and inhabitants opinions. Production blasting and Controlled blasting has been done as Construction standard pattern. After Vibration Monitoring has been done, so that we can control of complement. "Bidding Document" and AASHTO 2001 "A Policy on Geometric Design of Highways and Streets" were so for design criteria of earthwork but they were different actual design criteria and left something to be desired in Afghanistan. Therefore, although "Bidding Document" and "AASHTO 2001" were basic design criteria, domestic design criteria was reflected in this design criteria for complement by discussion with supervisor. Drainage design : For stability ratio, ditch of arch block and stonework was designed by rainfall data for the 13 years and discussion with supervisor. Pavement was designed as flexible pavement. Because these days in Afghanistan postwar repair works, especially urgent repairing of roads and newly making of roads, are very highly in progress, I think that Afghanistan is the region about which our construction technical experts should have great concerns.

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초고속 주행시 교량/토공 접속부 보강방안의 설계변수 분석 (Analysis of Design Parameters for Earthwork/Bridge Transition Structure for Ultra-High Speed Running)

  • 이일화;이성진;이수형;이강명
    • 한국철도학회논문집
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    • 제18권2호
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    • pp.117-126
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    • 2015
  • 600km/h급 철도노반 개발은 초고속주행에 의한 동적상호작용의 예측이 어렵기 때문에 기술개발에 애로사항이 많다. 특히 교량/토공 접속부는 동적 상호작용을 포함하여 지지력, 압축, 침하, 배수, 유동 등의 영향 요소가 복합적으로 발생하는 구간으로서 접속부에서의 안정성이 확보된다면 초고속 열차용 토공노반의 안정성도 확보 가능할 것으로 예상된다. 본 논문에서는 초고속철도 접속구조개발의 기초 연구단계로서 국내 고속철도에서 적용하고 있는 접속부의 보강방안을 우선적으로 적용하여 초고속 주행시의 설계변수 영향을 해석적으로 검토하였다. 설계변수는 설계단계에서 검토 가능한 항목인 보강방안의 유무, 기하하적 형상, 재료의 강성 등이며, 분석내용은 초고속주행에 따른 궤도의 변형응답과 주행안정성을 검토하였다.