• Title/Summary/Keyword: Effective block

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The Effect of Stellate Ganglion Block in Controlling of Pain after Tonsillectomy (편도선절제술후 성상신경절 차단이 제통효과에 미치는 영향)

  • Lim, Yong-Gul;Kim, Dae-Woo;Park, Yong-Jin;Gang, Yu-Jin
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.54-57
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    • 1997
  • Background : The tonsillar region is innervated by the sensory components of the glossopharyngeal nerve(IX) which communicates with certain part of cervical sympathetic ganglion. Some authors suggest stellate ganglion block(SGB) is effective for treatment of recurrent tonsillitis. The goal of this study was to evaluate the effect of SGB in controlling pain after tonsillectomy. Methods : Forty five patients, evaluated to ASA class 1 and 2, scheduled for tonsillectomy under general anesthesia were randomly assigned to 1 of 3 groups (group I: control; group II: SGB with 1% lidocaine 5 ml; group III: SGB with 2% lidocaine 2.5 ml plus 0.5% bupivacaine 2.5 ml), SGB was performed at the end of surgery. Postoperative pain was assessed with Numeric Rating Scale(NRS) NRS assessment was made 30, 60, 90 min, 2 h, 4 h, 24 h, 48 h after tonsillectomy. Results : Pain scores, after 30 min in group II, III and 60, 90 min in group III were significantly lower than group I(p<0.05). Conclusions : We found SGB was effective in controlling pain after tonsillectomy but further studies are required needs to prolong duration of relief..

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A Knowledge-Based System for Address Block Location on Korean Envelope Images (우리나라 우편 봉투 영상에서의 주소 영역 추추을 위한 지식 기반 시스템)

  • 김기철;이성환
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.31B no.8
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    • pp.137-147
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    • 1994
  • In this paper,we propose a knowledge-based system for locating Destination Address Block(DAB) by analyzing the structure of Korean envelope images. In the proposed system the preprocessing steps such as adaptive binarization connected component extraction and deskewing are carried out first for the effective structure analysis of the envelope image. Then DAB containing address name and zipcode parts of the input envelope image is extracted by an iterative procedure based on the knowledge acquired from the statistical feature analysis of the various envelope images. Most of the system for slocating address blocks on envelopes have extracted DAB by segmenting an envelope image into several candidate blocks followed by selecting one among the candidate blocks. Because it is very difficult to segment a Korean envelope image into several blocks due to the specific writing habits that the addresses on the envelope are written in close proximity to each other the proposed iterative procedure determines DAB by splitting or merging the connected components and verifies the determined DAB without segmentation and selection. Experiments with a great number of the live envelopes provided from Seoul Mail Center in Koorea were carried out. The results reveal that the proposed system is very effective for address block location on Korean envelopes.

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Cryoanalgesia for the Post-thoracotomy Pain (늑간 신경 냉동요법에 의한 개흉술후 흉부 동통 관리)

  • Kim, Uk-Jin;Choe, Yeong-Ho;Kim, Hyeong-Muk
    • Journal of Chest Surgery
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    • v.24 no.1
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    • pp.54-63
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    • 1991
  • Post-thoracotomy pain is so severe that lead to postoperative complications, such as sputum retention, segmental or lobar atelectasis, pneumonia, hypoxia, respiratory failure due to the patient`s inability to cough, deep breathing and movement. Many authors have been trying to reduce the post-thoracotomy pain, but there is no method of complete satisfaction. In 1974, Nelson and associates introduced the intercostal nerve block using the cryoprobe. The application of cold directly to the nerves causes localized destruction of the axons while preserving the endoneurium and connective tissue, thereby introducing a temporary pain block and able to complete regeneration of intercostal nerves. One hundred and two patients, who undergoing axillary or posterolateral thoracotomy at the Department of Thoracic and Cardiovascular Surgery in Korea University Medical Center between April 1990 and August 1990, were evaluated the effects of cryoanalgesia for the post-thoracotomy pain reduction. The patients were divided into two groups: Group A, control, the patients without the cryoanalgesia[No.=50], Group B, trial, the patients with cryoanalgesia[No.=52]. Before the thorax closed, in the group A, local anesthetics, 2% lidocaine 3cc, were injected to the intercostal nerves[one level with the thoracotomy, one cranial and caudal intercostal level and level of drainage tube insertion]. In the group B, cryoprobe was directly applied for 1 minute at the same level. Postoperative analgesic effects were evaluated by the scoring system which made arbitrary by author: The pain score 0 to 4, The limitation of motion score 0 to 3, The analgesics consumption score 0 to 3, The total score, the sum of above score, 0 to 10. For the evaluation of immediate analgesic effects, the score were evaluated at the operative day, the first postoperative day, the second postoperative day, and the seventh postoperative day. The effects of incision type, and rib cut to the post-thoracotomy pain were also evaluated. The results were as follows; 1. The intercostal block with cryoanalgesia reduced the immediate postoperative pain significantly compare with control group. 2. The intercostal block with cryoanalgesia improved the motion of the operation side significantly compare with control group. 3. The intercostal block with cryoanalgesia reduced the analgesics requirements at the immediate postoperative periods significantly. 4. The intercostal block with cryoanalgesia lowered the total score significantly compare with control group. 5. The intercostal block with cryoanalgesia were more effective to the mid-axillary incision than to the posterolateral incision 6. The intercostal block with cryoanalgesia were more effective to the patients without rib cut than to the patients with rib cut. 7. No specific complication need to be treated were not occurred during follow-up.

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BLOCK DIAGONAL PRECONDITIONERS FOR THE GALERKIN LEAST SQUARES METHOD IN LINEAR ELASTICITY

  • Yoo, Jae-Chil
    • Communications of the Korean Mathematical Society
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    • v.15 no.1
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    • pp.143-153
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    • 2000
  • In [8], Franca and Stenberg developed several Galerkin least squares methods for the solution of the problem of linear elasticity. That work concerned itself only with the error estimates of the method. It did not address the related problem of finding effective methods for the solution of the associated linear systems. In this work, we propose the block diagonal preconditioners. The preconditioned conjugate residual method is robust in that the convergence is uniform as the parameter, v, goes to $\sfrac{1}{2}$. Computational experiments are included.

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Noise Reduction Approach of Nonlinear Function for a Range Image using 2-D Kalman Filtering Method

  • Katayama, Jun;Sekin, Yoshifumi
    • Proceedings of the IEEK Conference
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    • 2000.07b
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    • pp.898-901
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    • 2000
  • A new 2-D block Kalman filtering method which uses a nonlinear function is presented to generate a more accurate filtered estimate of a range image that has been corrupted by additive noise. Novel 2-D block Kalman filtering method is constructed of the conventional method and nonlinear function which utilizes to control estimation error. We show that novel 2-D Kalman filtering method using a nonlinear function is effective at reducing the additive noise, not distorting shape edges.

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An Effective Postprocessing Algorithm for Block Encoded Images Using Adaptive Filtering and Interpolation (적응적 필터링과 보간법을 이용한 블록기반 압축영상의 효율적인 후처리 알고리듬)

  • Park, Kyung-Nam
    • Journal of Korea Society of Industrial Information Systems
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    • v.12 no.1
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    • pp.39-45
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    • 2007
  • In this paper, we present a new postprocessing algorithm using interpolation and signal adaptive filter according to the each block characteristic which is acquired in block classification process. We applied blocking artifact reduction algorithm for four neighbor low frequency block and ringing artifacts is removed with preserving edges by applying a signal adaptive filter in high frequency block based on edge map. The computer simulation results confirmed a better performance by the proposed method in both the subjective and objective image qualities.

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Summer Vegetation Characteristic of Nature-like Stream Bank Stabilization (자연형 호안공법의 여름철 식생특성)

  • Lee, Kang-Suk;Park, Jin-Ki;Park, Jung-Haw;Yeon, Gyu-Bang
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.2078-2082
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    • 2009
  • Riparian vegetation distribution patterns and diversity relative to various fluvial geomorphic channel patterns, stream bank stabilization methods, and stream flow processes are described and interpreted for selected stream of Goesan, Central Korea. Idong Stream Pilot Project, which began in May 2003 and finished in December 2003, was selected to develop effective methods. The project aim to maintain or increase stream bank stabilization ecosystem goods and services while protecting downstream and stream bank ecosystem. A number of protecting methods which are a Flight of fieldstone, Vegetation block, Green river block, Stone net, Green environment block, Eco friendly cobble, Vegetation mat and Geo green cell and Firefly block were applied on the bank of Idong stream. The stream sites have been monitored about flora conditions each method in 2007. We selected 12 points for summer seasons to separately investigate in left bank, right bank and river bed. The main purpose of this study was to find out suitable methods and to improve stream restoration techniques for ecosystem. On the stream bank, Eco friendly cobble method(9.57) was the highest average of vegetation cover and Firefly block method(3.87) was the lowest average in applied methods.

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Psoas compartment block for treatment of motor weakness and pain following herpes zoster

  • Kim, Sae Young;Kim, Dong Gyeong;Park, Yong Min;Jeon, Young Hoon
    • The Korean Journal of Pain
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    • v.30 no.1
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    • pp.62-65
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    • 2017
  • Reactivation of the latent varicella zoster virus in the sensory ganglion causes herpes zoster (HZ). Its characteristic symptom is a painful rash in the involved dermatome. HZ-induced motor weakness is rare and is usually resolved within one year of the onset, but some patients permanently experience motor dysfunction. Epidural steroid administration, with antiviral therapy, can be effective in treating pain from HZ and preventing postherpetic neuralgia. But an epidural block is contraindicated in patients receiving thromboprophylaxis. A psoas compartment block (PCB) provides equivalent analgesic efficacy with significantly low incidence of complication, compared to an epidural block. A 68 year old male patient recieving thromboprophylaxis presented with motor weakness following painful rash in his left L4 dermatome. Ten days before presentation, herpetic rash occurred on his left leg. We performed PCB with a steroid and local anesthetic, which successfully and safely alleviated the pain and motor weakness from HZ.

Treatment of Wallenberg's Syndrome Following Selective Nerve Root Block: A Case Report (요추부 선택적 신경근 차단술 이후 발생한 Wallenberg's Syndrome의 한방복합치료 1례)

  • Park, Seo-Hyun;Kwon, Jeong-Gook;Park, Jae-Won;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.4
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    • pp.107-115
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    • 2016
  • The occurrence of brain stem stroke after lumbar selective nerve root block seem to be an uncommon event comparing it to after cervical selective nerve root block. We recently experienced a 60-year-old man who were diagnosed as left lateral medullary infarction (Wallenberg's syndrome) after lumbar selective nerve root block. He was treated by traditional Korean medicine with acupunture, Pulsed electromagetic therapy (PEMT), herb medicine. The range of motion of upper and lower extremity, manual muscle test, Korean version of Berg balance scale (K-BBS) and Korean version of Barthel index (K-MBI) were adopted to measure the resulting recovery after 4 weeks treatment. Traditional Korean medicine was effective for rehabilitation of patient. Further studies are needed to set up and Korean medical protocol for Wallenberg's syndrome.

A System for Thermal Distortion Analysis of Hull Structures by Solar Radiation (선체의 태양복사 열변형 해석을 위한 전처리시스템)

  • Ha, Yunsok;Lee, Donghoon
    • Journal of the Society of Naval Architects of Korea
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    • v.53 no.4
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    • pp.275-281
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    • 2016
  • One of the most important things for quality to meet ship-production schedule is an accuracy control. A ship is assembled by welding through whole production process, so it is important that loss by correction will not happen as much as possible by using some engineering skills like reverse design, reverse setting and margin for thermal shrinkage. These efforts are a quite effective in fabrication stages, but not in erection stages. If a ship block which consists of common steel is exposed to directional solar radiation, its dimensional accuracy will change high as time by its thermal expansion coefficient. Therefore, the measuring work would be often done at dawn or evening even with having a very accurate device. In this study, an FE analysis method is developed to solve this problem. It can change measured data affected by solar thermal distortion to ones not, even though ship-block is measured at an arbitrary time. It will use the time when measuring, the direction of block and the weather record by satellites. It is confirmed by a comparison between measured data of a ship-block and the result by suggested analysis method. Furthermore, a pre-processing system is also developed for fast application of the suggested analysis method.