• 제목/요약/키워드: Head-end

검색결과 529건 처리시간 0.029초

기관절제 및 단단문합술에 의한 소아 기관협착증의 치료 (Tracheal Resection and End to End Anastomosis for Tracheal Stenosis in Children)

  • 최종욱;정근;김용환;김혜정;박찬;최건
    • 대한기관식도과학회지
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    • 제3권1호
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    • pp.94-100
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    • 1997
  • Background and Objectives : In children with tracheal stenosis, operative management remains a challenging problem due to difficulties of operative techniques and postoperative care. The purpose of this study was to determine the effectiveness of tracheal resection with end to end anastomosis as operative management for tracheal stenosis in children. Materials and Methods : 6 children with severe tracheal stenosis underwent tracheal resection with end to end anastomosis. Causes of stenosis were trauma in 1 case and prolonged intubation or tracheotomy in 5 cases. The diagnoses were made by radiologic evaluation (plain X-ray, CT, 3-Dimensional CT) and confirmed by direct laryngoscopy and ventilating bronchoscopy under general anesthesia. Thyroplasty and unilateral arytenoidectomy were performed in 1 case. Suprahyoid release was done in 1 case with severe adhesion. Decanulation was achieved following postoperative endoscopic examination and pulmonary function test. Postoperative physical and radiologic examinations were given at regular intervals. Results : Stenosis were improved from grade III grade I in 4 cases and from grade II to grade I in 2 cases. Decanulation was achieved on average postoperative 6 months in 5 cases, and 10 years in 1 case due to exertional dyspnea. There were 1 each case of immediate postoperative subcutaneous emphysema, pneumothorax and wound infection. Postoperative granulomas at anastomosis site were treated with laser vaporization under suspension laryngoscope and bronchoscope in 3 cases. There was 1 each case of delayed postoperative vocal cord palsy, aspiration pneumonia and loss of cough reflex. Conclusion In tracheal stenosis of children, tracheal resection with end to end anastomosis has good result with preservation of normal airway. Preoperative evaluation of local factors such as swallowing, vocal cord movement and cough reflex and general condition was important for successful treatment. As the cases in adults, authors considered this operation to be a curable operative management for tracheal stenosis.

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자동차 브레이크용 튜브의 끝단 성형 공정 설계에 관한 연구 (A Study on Design of Forming Process of Tube-end for Brake of Automobiles)

  • 제원수;예상돈;민병현
    • 한국기계가공학회지
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    • 제7권4호
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    • pp.155-160
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    • 2008
  • End part of the brake tube formed with the shape of snake head is important for the braking of automobile in safety because it has to prevent crack, fracture and defects occurred during the forming process. Especially, the shape of tube end has influence on the ability of brake. Based on the procedure of process design, in this paper, the forming operation is done by finite element method and the design variables are analyzed by Taguchi method. Design variables such as the outer angle of tube end with the shape of snake head(A), the inner angle to make a hole at tube end with the shape of snake head(B) and the forming distance at tube end(C) are used. Optimization of design variables is performed to minimize the damage factor of the tube end occurred during the forming process. The value of damage factor of 0.327 was obtained under the optimal condition like $A=114^{\circ},\;B=80^{\circ}$ and C=5.3mm, respectively.

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CATV Head/End용 Up-Converter의 개발 (A Study on the Development of Up-Converter for CATV Head/End Application)

  • 임경택
    • 한국산업정보학회:학술대회논문집
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    • 한국산업정보학회 2002년도 춘계학술대회 논문집
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    • pp.62-68
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    • 2002
  • 본 논문은 CATV Head/End에 사용되는 54∼750 MHz용 업 컨버터(Up-Converter)글 개발하였다. 업 컨버터를 구성하는 증폭기, 주파수 혼합기, 전압제어 발진기 등 핵심 회로들을 개별적으로 설계 제작하고, 이들 각 회로를 전체 모듈에 적용하여 기구물 안에 구현할 수 있도록 하여 소형, 경량을 실현하였으며, 고주파 대역에서 적절한 차폐기술을 확보하는데 주안점을 두었다.

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국내생산차량의 시트 머리구속장치 평가에 관한 연구 (A Study on the Evaluation of Head Restraint System in Domestic Cars)

  • 조휘창;박인송;김영은
    • 한국자동차공학회논문집
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    • 제12권1호
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    • pp.99-105
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    • 2004
  • The car seat head restraint is used for neck injury(whiplash injury) prevention in rear end impacts. The purpose of this study was to evaluate the seat head restraints for the total number of 34 domestic cars. H-POINT machine and HRMD(head restraint measuring device) were applied to measure backset(the distance between head and seat head restraint) and height(height gap between head and seat head restraint). For tendency study of driver's head position, we took the 320 driver's pictures in the street. As results, There were only five percent drivers in good and acceptable zone. For car seat head restraint system, the results was 9 cars for good zone, 10 cars for acceptable zone, 9 cars for marginal zone and 6 cars for poor zone were evaluated. For a precise evaluation the of whiplash injury, detailed FE neck model will be developed and the clinical database should be constructed for model validation.

Experimental Study on Neck Injury in Low Speed Frontal and Rear-End Collisions

  • Kim, Gyu-Hyun;Lee, Ouk-Sub;Hwang, Si-Won
    • Journal of Mechanical Science and Technology
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    • 제14권11호
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    • pp.1232-1243
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    • 2000
  • Motor vehicle accidents in rear impacts cause more than fifty percents of drivers to suffer from neck injuries. It is known that most neck injuries are associated with rear-end collisions at a speed lower than 32 km/h and between the Abbreviated Injury Scale (AIS) 1 and AIS 2. Two different types of low speed crash tests such as the frontal barrier and rear moving barrier crashes have been conducted by following the procedure of the Research Committee for Automobile Repairs (RCAR). The injury for the neck and the Head Injury Criteria (HIC) were measured by using the sensors mounted on dummies. We reviewed neck injures and the relationship between the neck and head injuries, and examined the deceleration of the body. Using the experimental test data at the neck, we investigated an improved neck injury criterion Nij. Also, the effects of the position of a head restraint on reducing the frequency and severity of the neck injury in rear-end collisions were investigated.

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성인의 성문하협착증의 치료 (Treatment of Subglottic Stenosis in Adults)

  • 최건;민헌기;정광윤;최종욱
    • 대한기관식도과학회지
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    • 제1권1호
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    • pp.122-128
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    • 1995
  • The experience with treatment of acquired subglottic stenosis in 20 adults is reviewed. Nine of the 20 patients (45%) had opeated by other institues before treatment. Causes of the disease were 10(50%) of blunt neck trauama and 10(50%) of prolonged intubation. The most common associated airway diseases were nine patients (45%) of bilateral vocal cord fixations. Twelve patients (60%) underwent anterior cartilage grafts, five patients (25%) had anterior and posterior cartilage grafts and three patients (15%) had end to end anastomosis according to the severity of cricoid deformities and mucosal defects. Associated procedures were 9 patients (45%) of arytenoidectomy. Thirteen of 20 patients (65%) have been decannulated. Fe-male group was significantly higher decannulation rate than male group (p=0.0074). Decannulation rates were decreased from anterior cartilage graft group to anterior and posterior cartilage grafts group and to end to end anastomosis group (p= 0.00247), this finding suggested the patients with severe cricoid deformitiy were higher likely hood of failure because we selected the method used in this study according to the severity of cricoid deformities and mucosal defects. Our results support the more aggressive treatment is indicated for subglottic stenosis in adults.

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어깨의 능동 수축을 동반한 관절가동술이 부리돌기와 위팔뼈 머리 사이의 거리에 미치는 영향 (The Effect of Mobilization Combined with Shoulder Active Contraction of Depth between the Coracoid Process and Humeral Head)

  • 김선민;장상훈
    • 대한정형도수물리치료학회지
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    • 제29권2호
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    • pp.69-75
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    • 2023
  • Purpose: This study examined the distance between the coracoid process and the humeral head using an ultrasonography device when shoulder active contraction were applied according to the guided direction in the end range of shoulder mobilization. This study aims to provide essential data on treating shoulder disease patients. Methods: The subjects of this study were 20 adults with healthy shoulder joints. ultrasonography (US) equipment was used to examine shoulder joint mobilization under two conditions: (1) anteroposterior (AP) joint mobilization and (2) superoinferior (SI) joint mobilization. Shoulder active contraction was assessed in the end range. The distance between the coracoid process and the humeral head was measured. A linear probe was used for US; the frequency was set to 7.5MHz, and the US image display method was set to B-mode. The US measurement values were measured in (1) the starting position, (2) the end range position, and (3) the end range position of the shoulder active contraction, and the moving distance was drawn in a straight line through the US image. The distance was determined as the measurement value, and the average values were compared. Reults: The results were as follows: (1) the measured AP Joint mobilization increased by an average of .52cm from the end range of the joint mobilization with shoulder active contraction; (2) the measured SI Joint mobilization increased by an average of .49cm from the end range of the joint. Conclusion: When shoulder mobilization is applied, the distance between the coracoid process and the humeral head increases when muscle contraction occurs through shoulder active contraction in the end range, according to the therapist's guidance. Therefore, shoulder mobilization combined with shoulder active contraction is an effective treatment method for patients with shoulder injuries.

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멀티미디어를 위한 캐슁 기술 (Caching Framework for Multimedia)

  • 김백현;우요섭;김익수
    • 정보처리학회논문지B
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    • 제8B권5호
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    • pp.507-514
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    • 2001
  • VOD(Video-On-Demand) 시스템에서 실시간 서비스 및 대화형 서비스의 제공 여부는 QoS(Suality of Service)를 결정하는 중요한 요소이다. 본 논문에서는 지연이나 단절 업서는 대화형 서비스를 제공하기 위하여 서버로부터 단지 하나의 비디오 스트림만을 수신하여 복수 사용자들에게 서비스를 제공하는 스위칭 에이전트(Switching Agent)의 종단노드(Head-End Node)로 구성된 종단시스템(Head-End System)을 제안한다. VCR 서비스는 클라이언트 및 종단노드의 버퍼가 동적으로 확장되어 비디오 데이터를 저장하기 때문에 사용자에게 제한 없이 제공되어진다. 또한 제안된 알고리듬은 버퍼의 사용 효율을 증대시키는 방법을 제공하며 모든 클라이언트들의 서비스 요청을 지연 없이 즉시 처리하므로 사용자들에게 진정한 대화형 VOD 서비스를 제공하게 된다. 본 논문에서는 종단시스템을 구현하여 서버로부터 단지 하나의 비디오 스트림만을 수신하여 지연이나 단절 없는 VCR 기능을 갖춘 VOD 시스템을 구현하였으며, 시뮬레이션 결과는 제안된 알고리듬이 VCR 서비스 요청수와 시간에 대하여 매우 우수한 성능을 갖고 있음을 보여주고 있다.

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DFSS 기법을 이용한 후방 추돌 시 경부 상해 감소를 위한 머리지지대 인자의 영향성 연구 (The Study of Influence Factor of Head Restraints on the Whiplash by using DFSS)

  • 오형준;서상진;유혁진
    • 자동차안전학회지
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    • 제4권2호
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    • pp.5-10
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    • 2012
  • Whiplash is the most frequent injury among occupants in low speed rear-end car collision. The aim of this paper is to analyze thecorrelation between influence parameters of head restraints and whiplash injury criteria.In this paper, DFSS (Design for Six Sigma) method is used for optimum design of head restrains. Four control factors of head restraints have selected by function matrix method. The effects of the control factors have been experimentally evaluated by using a sled pulse from 16km/h relative velocity which is suggested by KNCAP (Korean New Car Assessment Program). In order to reduce the noise factors of dynamic tests, whiplash tests were repeated twice. By using DFSS, the correlation between control factors and injury criteria has been comprehended.