• 제목/요약/키워드: Indication Length

검색결과 67건 처리시간 0.035초

혈관용해 레이저를 이용한 후두미세수술 최신 지견 (Update on Angiolytic Laser Laryngeal Surgery)

  • 강민석;임재열
    • 대한후두음성언어의학회지
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    • 제32권2호
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    • pp.51-55
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    • 2021
  • There are several lasers available for office-based or suspension microlaryngoscopy laser procedures in the treatment of laryngeal diseases. Each has advantages and disadvantages given the depth of penetration per unit of power, absorption in water, spectral absorption characteristics, mode of delivery, safety, and cost. It is important to note that while the proper selection of indication of treatment based on a laser wavelength is critical, of equal importance is selecting the appropriate power setting, focal length (or spot size), and time of exposure. The photoangiolytic lasers precisely target hemoglobin within the microcirculation of the highly vascularized tissue and may have better hemostatic effects and preservation of surrounding normal tissue than the CO2 laser. Although the choice of laser is purely theoretical and cannot be accurately concluded which parameters of laser (wattage and pulse width) were best to use, photoangiolytic laser surgery is safe and effective for specific laryngeal lesions. In this review, indications for photoangiolytic laser procedures for various laryngeal diseases, laser settings and surgical techniques for specific laryngeal lesions including sulcus vocalis, laryngeal dysplasia, and recurrent respiratory papillomatosis will be introduced. Pros and cons of in-office laser surgery using photoangiolytic laser and flexible CO2 laser will also be addressed.

췌관 내 유두상 점액종양의 치료 전략과 추적 관찰-소화기내과의 관점 (Management Strategy and Surveillance of Intraductal Papillary Mucinous Neoplasm-Gastroenterologist's Viewpoint)

  • 김태현;전형구
    • Journal of Digestive Cancer Research
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    • 제9권1호
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    • pp.1-7
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    • 2021
  • 췌관 내 유두상 점액종양은 매우 다양한 자연경과와 예후를 가지고 있어 추적 검사방법, 간격, 기간 등이 아직도 논란이 되고 있다. 이 종양에 대한 진료지침들에서는 추적 검사를 받을 환자군과 수술적 치료가 필요한 군으로 분류하기 위하여 악성화 고위험 특징 또는 절대적 수술 적응증과 걱정스러운 특징 또는 상대적 수술 적응증으로 분류하였다. 걱정스러운 특징이나 고위험 특징이 없는 분지형 유두상 점액종양은 혼합형이나 주췌관 종양에 비하여 악성화 위험성이 매우 낮다고 보고되고 있다. 그러나 저위험 특징을 가진 환자들을 장기간 추적한 연구에서 시간이 지남에 따라서 췌장암 발생이 점점 높아지고 있다고 보고하고 있어 지속적인 장기간 추적 검사가 필요하다. 혼합형과 주췌관형 유두상 점액종양은 악성화 가능성이 매우 높아 수술적 치료가 필요하다고 알려져 있다. 무결절이고 주췌관 직경이 10 mm 미만으로 분절형 주췌관 확장을 가진 환자들은 악성화 가능성이 낮아서 즉각적인 수술보다는 주의 깊은 추적관찰을 고려해볼 수 있다. 고령이나 기저질환을 동반한 환자의 치료 방향을 결정할 때는 췌장암 발생의 위험도와 수술의 위험성을 균형있게 평가해야 한다.

도라지 배양묘의 생장 및 형태형성에 미치는 발광다이오우드의 효과 (Effects of Light Emitting Diodes on Growth and Morphogenesis of in vitro Seedlings in Platycodon grandiflorum)

  • 은종선;김영선;김용현
    • 식물조직배양학회지
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    • 제27권1호
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    • pp.71-75
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    • 2000
  • 발광다이오우드 (Light emitting diode)를 사용한 적색, 녹색 및 청색광에서 식물생산의 가능성을 조사하기 위하여 도라지 유묘의 생장과 형태형성에 미치는 광질의 효과와 광질에 따른 엽록소함량을 형광등과 비교하여 조사하였다. 식물체의 초장은 형광등에서 3.8 cm로 가장 짧았고 LEDs 에서 생장한 것은 적색광에서 13.4cm로 가장 길었다. 반면에 적색/청색의 혼합광은 5.6cm로 적색 단색광에서 식물체가 도장된 것에 비해 정상적인 식물체의 생장양상을 보여 적색과 청색의 혼합광이 식물체의 생장에 적당하였다. 엽면적은 녹색광에서 24.1 $\textrm{cm}^2$로서 적색광에서 10.1 $\textrm{cm}^2$인 것에 비하여 약 2.4 배가 더 넓어 다른 처리구에 비하여 가장 양호하였다. 건물률은 적색/청색의 혼합광에서 15.3%를 나타내어 다른 광질처리보다 함수율이 적었다. 엽록소함량은 청색 단색광과 적색/청색의 혼합광에서 형광등보다 각각 20%, 10% 적었으나 적색과 녹색의 경우 각각 2%, 7% 적었는데 적색 단색광에서 형광등과 비슷한 엽록소 함량을 보였다.

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유용 활엽수림 조성을 위한 특수림 개발에 관한 기초연구 - 천연림 보육을 위한 시업적용 I - (Studies on the Forestation of Useful Broad Leaf Tree and the Development of Some Special Trees - Practice Application for Tending of Natural Forest I -)

  • 김영채
    • 한국산림과학회지
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    • 제82권4호
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    • pp.406-419
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    • 1993
  • 천연 활엽수림은 그 경제적, 조림학적 중요성에도 불구하고 아직 우리나라에서는 그에 대한 시업체계가 확립되어 있지 않아, 본 연구에서는 임목의 보육체계 확립을 위한 연구의 일환으로 가지치기 기술 개선에 있어 보다 명확한 기초자료를 얻기 위해, 굴참나무 천연림의 수관구조 및 물질생산구조를 해석하고 그 자료를 기초로 이에 대한 가지치기 방법을 검토하였던바 그 결과를 요약하면 다음과 같다. 먼저 가지의 착지부위 즉, 지하고는 수고 및 직경과의 관계에서 직접적인 영향을 나타내지 않았고, 지하고의 높이는 거의 비슷한 높이에서 분포하고 있었다. 그리고 엽량의 최대층과 가지량의 최대층은 거의 같은 층에 분포하고 있었으며 가지 성장량의 최대층은 이보다 상부에 나타나고 있음을 알 수 있었다. 또한 옹이 없는 간재 생산에 대한 가지의 공헌도는 하층부에서 상층부로 갈수록 높게 나타났다. 그리고 실제 가지치기에 대한 응용 지표를 찾기 위한 방법으로 먼저 가지의 착엽 부위와 미 착엽 부위와의 비율을 수관의 형태적 지표로 삼아 적용하는 방법 모색과, 수관의 길이를 기준으로 일정한 지하고에서 가지치기를 행하는 방법에 관해 검토하고 이에따른 수관의 각 기관에 대한 제거율 등을 구하였다.

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유역특성에 의한 합성단위도의 유도에 관한 연구 (Derivation of the Synthetic Unit Hydrograph Based on the Watershed Characteristics)

  • 서승덕
    • 한국농공학회지
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    • 제17권1호
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    • pp.3642-3654
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    • 1975
  • The purpose of this thesis is to derive a unit hydrograph which may be applied to the ungaged watershed area from the relations between directly measurable unitgraph properties such as peak discharge(qp), time to peak discharge (Tp), and lag time (Lg) and watershed characteristics such as river length(L) from the given station to the upstream limits of the watershed area in km, river length from station to centroid of gravity of the watershed area in km (Lca), and main stream slope in meter per km (S). Other procedure based on routing a time-area diagram through catchment storage named Instantaneous Unit Hydrograph(IUH). Dimensionless unitgraph also analysed in brief. The basic data (1969 to 1973) used in these studies are 9 recording level gages and rating curves, 41 rain gages and pluviographs, and 40 observed unitgraphs through the 9 sub watersheds in Nak Oong River basin. The results summarized in these studies are as follows; 1. Time in hour from start of rise to peak rate (Tp) generally occured at the position of 0.3Tb (time base of hydrograph) with some indication of higher values for larger watershed. The base flow is comparelatively higher than the other small watershed area. 2. Te losses from rainfall were divided into initial loss and continuing loss. Initial loss may be defined as that portion of storm rainfall which is intercepted by vegetation, held in deppression storage or infiltrated at a high rate early in the storm and continuing loss is defined as the loss which continues at a constant rate throughout the duration of the storm after the initial loss has been satisfied. Tis continuing loss approximates the nearly constant rate of infiltration (${\Phi}$-index method). The loss rate from this analysis was estimated 50 Per cent to the rainfall excess approximately during the surface runoff occured. 3. Stream slope seems approximate, as is usual, to consider the mainstreamonly, not giving any specific consideration to tributary. It is desirable to develop a single measure of slope that is representative of the who1e stream. The mean slope of channel increment in 1 meter per 200 meters and 1 meter per 1400 meters were defined at Gazang and Jindong respectively. It is considered that the slopes are low slightly in the light of other river studies. Flood concentration rate might slightly be low in the Nak Dong river basin. 4. It found that the watershed lag (Lg, hrs) could be expressed by Lg=0.253 (L.Lca)0.4171 The product L.Lca is a measure of the size and shape of the watershed. For the logarithms, the correlation coefficient for Lg was 0.97 which defined that Lg is closely related with the watershed characteristics, L and Lca. 5. Expression for basin might be expected to take form containing theslope as {{{{ { L}_{g }=0.545 {( { L. { L}_{ca } } over { SQRT {s} } ) }^{0.346 } }}}} For the logarithms, the correlation coefficient for Lg was 0.97 which defined that Lg is closely related with the basin characteristics too. It should be needed to take care of analysis which relating to the mean slopes 6. Peak discharge per unit area of unitgraph for standard duration tr, ㎥/sec/$\textrm{km}^2$, was given by qp=10-0.52-0.0184Lg with a indication of lower values for watershed contrary to the higher lag time. For the logarithms, the correlation coefficient qp was 0.998 which defined high sign ificance. The peak discharge of the unitgraph for an area could therefore be expected to take the from Qp=qp. A(㎥/sec). 7. Using the unitgraph parameter Lg, the base length of the unitgraph, in days, was adopted as {{{{ {T}_{b } =0.73+2.073( { { L}_{g } } over {24 } )}}}} with high significant correlation coefficient, 0.92. The constant of the above equation are fixed by the procedure used to separate base flow from direct runoff. 8. The width W75 of the unitgraph at discharge equal to 75 per cent of the peak discharge, in hours and the width W50 at discharge equal to 50 Per cent of the peak discharge in hours, can be estimated from {{{{ { W}_{75 }= { 1.61} over { { q}_{b } ^{1.05 } } }}}} and {{{{ { W}_{50 }= { 2.5} over { { q}_{b } ^{1.05 } } }}}} respectively. This provides supplementary guide for sketching the unitgraph. 9. Above equations define the three factors necessary to construct the unitgraph for duration tr. For the duration tR, the lag is LgR=Lg+0.2(tR-tr) and this modified lag, LgRis used in qp and Tb It the tr happens to be equal to or close to tR, further assume qpR=qp. 10. Triangular hydrograph is a dimensionless unitgraph prepared from the 40 unitgraphs. The equation is shown as {{{{ { q}_{p } = { K.A.Q} over { { T}_{p } } }}}} or {{{{ { q}_{p } = { 0.21A.Q} over { { T}_{p } } }}}} The constant 0.21 is defined to Nak Dong River basin. 11. The base length of the time-area diagram for the IUH routing is {{{{C=0.9 {( { L. { L}_{ca } } over { SQRT { s} } ) }^{1/3 } }}}}. Correlation coefficient for C was 0.983 which defined a high significance. The base length of the T-AD was set to equal the time from the midpoint of rain fall excess to the point of contraflexure. The constant K, derived in this studies is K=8.32+0.0213 {{{{ { L} over { SQRT { s} } }}}} with correlation coefficient, 0.964. 12. In the light of the results analysed in these studies, average errors in the peak discharge of the Synthetic unitgraph, Triangular unitgraph, and IUH were estimated as 2.2, 7.7 and 6.4 per cent respectively to the peak of observed average unitgraph. Each ordinate of the Synthetic unitgraph was approached closely to the observed one.

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PERFORMANCE OF THE GOAT FED GRASS, SHRUB AND TREE FODDERS DURING THE DRY SEASON IN BALI, INDONESIA

  • Sukanten, I.W.;Nitis, I.M.;Uchida, S.;Putra, S.;Lana, K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제9권4호
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    • pp.381-387
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    • 1996
  • An experiment was carried out for 12 weeks to study the feeding behaviour, growth and carcass characteristics of cross-bred goats. Nine bucks with an average live weight of $18.02{\pm}0.9kg$ were allocated in a completely randomized block design arrangement, consisting of three feeding regimes and three blocks. The feeding regimes consisted of 100% natural grass (Treatment A), 100% gliricidia leaf (Treatment B) and 100% ficus leaf (Treatment C). Frequency of turning-over and sniffing the feed and duration and frequency of ruminating, defaecating, and urination of goats in treatment B were longer, while duration of masticating and jaw movement of chewing one bolus was shorter than those of goats in treatments C and A (p < 0.05). Furthermore, goats in treatment B gained more live weight, consumed more feed, consumed less water and was more efficient in utilizing the feed than goats in treatments C or A (p < 0.05). The dressing percentage, carcass length and carcass fat of goats in treatment B were higher and their bone percentages were lower than those in treatments C and A (p < 0.05). There is an indication that feeding gliricidia and ficus leaves during the dry season could not only increase the body weight and improve carcass quality of the goat but also save water for household needs.

불안정성 흉·요추부 골절에 대한 단 분절 척추경 나사못 고정술 및 추체 보강 성형술 - 예 비 보 고 - (Short Segment Pedicle Screw Fixation with Augmented Intra-Operative Vertebroplasty in Unstable Thoraco-Lumbar Fracture - Preliminary Report -)

  • 김영우;오성한;윤도흠;진동규;조용은;김영수
    • Journal of Korean Neurosurgical Society
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    • 제30권11호
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    • pp.1271-1277
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    • 2001
  • Objectives : Since vertebroplasty has been introduced, we performed short segment pedicle screw fixation with augmented intra-operative vertebroplasty in patients with unstable thoraco-lumbar fracture. Our intentions are to demonstrate the efficacy and indication of this new technique compare to conventional methods. Material and Methods : The surgery comprised of pedicle screw fixations on one level above and below the fracture site, and the fractured level itself, if pedicle is intact, and intra-operative vertebroplasty under the fluoroscopic guide with in-situ postero-lateral bone graft. Also, in cases of bone apposition, we removed those with small impactor through a transfascetal route. During the last 2 years, we performed in seven(7) unstable thoraco-lumbar fracture patients who consisted of two different characteristics, those four(4) with primary or secondary osteoporosis and three(3) of young and very healthy. All patients were followed clinically by A.S.I.A. score and radiography. Results : Mean follow up period was 14 months. We observed well decompressed state via transfascetal route in cases of bone fragments apposition and no hardware pullout in osteoporotic cases, no poly-methyl-methacrylate (PMMA) leakage through the fracture sites into the spinal canal, and no kyphotic deformities in both cases during follow-up periods. All patients demonstrated solid bony fusion except one following osteoporotic compression fracture on other sites. Conclusions : In the management of unstable thoraco-lumbar fracture, we believe that this short segment pedicle screw fixation with augmented intra-operative vertebroplasty reduce the total length or levels of pedicle screw fixation without post-operative kyphotic deformity.

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GSM 단말기에서 두부 팬텀 조건하의 방사 전력 최적화를 위한 단말기 구조에 관한 연구 (A Study on GSM Handset Structure for Radiation Power Optimization under Head Phantom)

  • 양부영;김정민;육종관
    • 한국전자파학회논문지
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    • 제18권7호
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    • pp.689-697
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    • 2007
  • 본 논문에서는 폴더형 휴대 단말기에서 머리와 단말기가 인접해지는 통화 조건에서의 방사 전력을 향상시킬 수 있는 방법을 제시하였다. 향상된 방사 성능을 분석하기 위해 자유 공간에 EUT만 있을 경우와 머리 팬텀이 함께 있을 경우에 EUT의 TRP를 측정하였고 단말기의 구조 중 팬텀 조건에서의 TRP(Total Radiated Power) 감쇄에 영향을 주는 요소들을 가인자로 설정하고 변경 실험을 하였다. TRP의 가인자 중 실제로 영향을 주는 것으로 나타난 인자들은 안테나의 길이와 위치, 폴더의 각도, 안테나 주변의 그라운드 연결 방법이었고 이 부분들을 개선하여 팬텀 적용시 TRP의 감쇄가 개선전보다 약 5 dB 향상될 수 있음을 확인할 수 있었다.

6 시그마 품질경영을 위한 노력이 기업의 재무적 성과에 미치는 영향분석 (The Study on Relation between Company's Efforts for Quality Management(6 sigma) and Financial Performance)

  • 박재영;류창헌;박민재;권경민;유건재
    • 품질경영학회지
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    • 제42권3호
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    • pp.361-372
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    • 2014
  • Purpose: In this paper, we investigate whether the endeavors for 6 sigma quality management by a firm have positive effects on its financial performance and the length of 6 sigma implemented period affects its financial status. Methods: We conduct the analysis using the data from Workplace Panel Survey 2009. We use multiple linear regression in order to analyze the relationship between the efforts for quality management and financial performance. Specifically, the return on assets (ROA) and return on equity (ROE) are investigated as dependent variables and the efforts for quality management as independent variable. The Box-Cox transformation and Cook's distance are also used. Results: As a result of the analysis, the indication is that companies that put effect into the six sigma quality management have a positive result in its financial status. In detail, the efforts for six sigma quality management have positive effects on total asset turnover ratio and six sigma implemented period on net income to net sales ratio. Additionally, companies with longer(shorter) period of six sigma program have more (less) improvement in its financial status. Conclusion: It can be concluded that the company's efforts for quality management positively influence financial performance.

Collapse of steel cantilever roof of tribune induced by snow loads

  • Altunisik, Ahmet C.;Ates, Sevket;Husem, Metin;Genc, Ali F.
    • Steel and Composite Structures
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    • 제23권3호
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    • pp.273-283
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    • 2017
  • In this paper, it is aimed to present a detail investigation related to structural behavior of laterally unrestrained steel cantilever roof of tribune with slender cross section. The structure is located in Tutak town in $A{\breve{g}}r{{\i}}$ and collapsed on October 25, 2015 at eastern part of Turkey is considered as a case study. This mild sloped roof structure was built from a variable I beam, and supported on steel columns of 5.5 m height covering totally $240m^2$ closed area in plan. The roof of tribune collapsed completely without any indication during first snowfall after construction at midnight a winter day, fortunately before the opening hours. The meteorological records and observations of local persons are combined together to estimate the intensity of snow load in the region and it is compared with the code specified values. Also, the wide/thickness and height/thickness ratios for flange and web are evaluated according to the design codes. Three dimensional finite element model of the existing steel tribune roof is generated considering project drawings and site investigations using commercially available software ANSYS. The displacements, principal stresses and strains along to the cantilever length and column height are given as contour diagrams and graph format. In addition to site investigation, the numerical and analytical works conducted in this study indicate that the unequivocal reasons of the collapse are overloading action of snow load intensity, some mistakes made in the design of steel cantilever beams, insufficient strength and rigidity of the main structural elements, and construction workmanship errors.