• 제목/요약/키워드: K-Block

검색결과 8,138건 처리시간 0.029초

Costoclavicular brachial plexus block reduces hemidiaphragmatic paralysis more than supraclavicular brachial plexus block: retrospective, propensity score matched cohort study

  • Oh, Chahyun;Noh, Chan;Eom, Hongsik;Lee, Sangmin;Park, Seyeon;Lee, Sunyeul;Shin, Yong Sup;Ko, Youngkwon;Chung, Woosuk;Hong, Boohwi
    • The Korean Journal of Pain
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    • 제33권2호
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    • pp.144-152
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    • 2020
  • Background: Hemidiaphragmatic paralysis, a frequent complication of the brachial plexus block performed above the clavicle, is rarely associated with an infraclavicular approach. The costoclavicular brachial plexus block is emerging as a promising infraclavicular approach. However, it may increase the risk of hemidiaphragmatic paralysis because the proximity to the phrenic nerve is greater than in the classical infraclavicular approach. Methods: This retrospective analysis compared the incidence of hemidiaphragmatic paralysis in patients undergoing costoclavicular and supraclavicular brachial plexus blocks. Of 315 patients who underwent brachial plexus block performed by a single anesthesiologist, 118 underwent costoclavicular, and 197 underwent supraclavicular brachial plexus block. Propensity score matching selected 118 pairs of patients. The primary outcome was the incidence of hemidiaphragmatic paralysis, defined as a postoperative elevation of the hemidiaphragm > 20 mm. Factors affecting the incidence of hemidiaphragmatic paralysis were also evaluated. Results: Hemidiaphragmatic paralysis was observed in three patients (2.5%) who underwent costoclavicular and 47 (39.8%) who underwent supraclavicular brachial plexus blocks (P < 0.001; odds ratio, 0.04; 95% confidence interval, 0.01-0.13). Both the brachial plexus block approach and the injected volume of local anesthetic were significantly associated with hemidiaphragmatic paralysis. Conclusions: The incidence of hemidiaphragmatic paralysis is significantly lower with costoclavicular than with supraclavicular brachial plexus block.

중첩 기반 연산과 Hanning Window를 이용한 블록 불연속 노이즈 방지 알고리즘 (Algorithm to prevent Block Discontinuity by Overlapped Block and Manning Window)

  • 김주현;장원우;박정환;양훈기;강봉순
    • 한국정보통신학회논문지
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    • 제11권9호
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    • pp.1650-1657
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    • 2007
  • 본 논문은 블록 처리 방법을 기반으로 하는 링잉 노이즈 감소 알고리즘을 사용할 때, 블록 불연속 노이즈(Block Discontinuty)를 방지 할 수 있는 중첩 기 반(Overlapped Block) 연산과 Hanning Window에 관련된 것이다. 링잉 노이즈 감소 알고리즘은, 24bit RGB와 블록 기반 연산으로 하며, 수정된 K-means 알고리즘을 바탕으로 한다. 그래서 제안한 중첩 기반 연산은 입력 영상을 여러 단위 블록으로 조각낼 때, 단위 블록의 크기의 반을 중첩 시켜 선택하는 방법이다. $16{\times}16$ 픽셀 크기의 데이터 블록을 데이터 유닛(Data Unit)이 라고 정의하였다. 그 후 처리된 데이터 유닛들을 등방성 분포를 지닌 Hanning Window를 사용하여 중첩된 데이터에서 원 이미지 형태로 복원하였다. 최종적으로 언급된 알고리즘의 성능을 확인하기 위해서 링잉 노이즈를 가진 이미지를 기존 방법(비 중첩 기반 연산)과 제안한 알고리즘으로 처리함으로써 각각의 결과를 비교하였다.

상하복부 암성통증에 대한 복강신경총 및 요부교감신경절 차단 -7예 보고- (The Celiac Plexus Block and the Lumbar Sympathetic Ganglion block for the Upper and Lower Abdominal Cancer Pain -7 cases-)

  • 길현주;윤덕미;오홍근;이예철
    • The Korean Journal of Pain
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    • 제1권2호
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    • pp.171-176
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    • 1988
  • It is well known that the celiac plexus block is specially useful for relieve intractable upper abdominal pain caused by upper abdominal visceral malignancy or upper abdominal metastasis from distant organs. But in cases of lower abdominal or pelvic metastasis from upper abdominal malignancy, the lower abdominal intractable pain is remained after the successful celiac plexus block. We have reported 7 cases of celiac plexus block combined with lumbar sympathetic ganglion block, among the 305 cases of the celiac plexus block from 1968 to Nov. 1987, performed in patients with lower abdominal or back pain due to carcinomatosis of lower abdominal metastatic malignancy, that their results were excellent for pain relief.

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기초근가와 기존근가의 하중에 따른 변위 비교분석 (A Comparative Analysis of Displacement Measurement of the Earth Surface by Load for Root Anchor Block and Rectangle Anchor Block)

  • 문성원;김점식;김도영;박용범
    • 전기학회논문지
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    • 제62권6호
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    • pp.863-869
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    • 2013
  • In this paper, we compared and analyzed for safety 1.2m rectangular anchor block and arch-type root anchor block. First, numerical analysis was performed three-dimensional nonlinear method by numerical model test using finite element analysis program "Visual FEA". Then, measure displacement of the surface of the earth after construct each anchor block at 14M electric pole and increase loads through field verification tests for safety evaluation.

Effects of Variable Block Size Motion Estimation in Transform Domain Wyner-Ziv Coding

  • Kim, Do-Hyeong;Ko, Bong-Hyuck;Shim, Hiuk-Jae;Jeon, Byeung-Woo
    • 한국방송∙미디어공학회:학술대회논문집
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    • 한국방송공학회 2009년도 IWAIT
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    • pp.381-384
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    • 2009
  • In the Wyner-Ziv coding, compression performance highly depends on the quality of the side information since better quality of side information brings less channel noise and less parity bit. However, as decoder generates side information without any knowledge of the current Wyner-Ziv frame, it doesn't have optimal criterion to decide which block is more advantageous to generate better side information. Hence, in general, fixed block size motion estimation (ME) is performed in generating side information. By the fixed block size ME, the best coding performance cannot be attained since some blocks are better to be motion estimated in different block sizes. Therefore if there is a way to find appropriate ME block of each block, the quality of the side information might be improved. In this paper, we investigate the effects of variable block sizes of ME in generating side information.

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Effect of Neutral Solvent on the Phase Behavior of Polystyrene-block-Poly(n-butyl methacrylate) Copolymers

  • Li, Chaoxu;Li, Guang-Hua;Moon, Hong-Chul;Lee, Dong-Hyun;Kim, Jin-Kon;Cho, Jun-Han
    • Macromolecular Research
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    • 제15권7호
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    • pp.656-661
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    • 2007
  • The effects of a neutral solvent of dioctyl phthalate (DOP) on the phase behavior of symmetric polystyrene-block-poly(n-butyl methacrylate) copolymers (PS-b-PnBMA) were assessed herein. Closed-loop phase behavior with a lower disorder-to-order transition (LDOT) and an upper order-to-disorder transition (UODT) was observed for PS-b-PnBMA/DOP solution when the quantity of DOP was carefully controlled. When the molecular weight of PS-b-PnBMA became larger, the LDOT did not appreciably change at smaller quantities of DOP. With larger quantities of DOP, the reduction in the UODT is greater than the increase in the LDOT. This behavior is discussed in accordance with a molecular theory predicated on a compressible random-phase approximation.

초음파 유도 대퇴좌골 신경 차단술 (Ultrasound-Guided Femorosciatic Nerve Block)

  • 강찬;김영모;황득수;김정훈;박준영;이우용
    • 대한정형외과 초음파학회지
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    • 제3권2호
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    • pp.74-78
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    • 2010
  • 정형외과 영역에서 근골격계 초음파의 활용 범위가 넓어짐에 따라 슬와부 신경 차단(좌골 신경 차단)이나 대퇴 신경 차단(또는 복재 신경 차단)이 초음파를 이용하여 신경 손상이나 불완전 마취에 대한 걱정없이 쉽고, 안전하게 시행될 수 있게 되었다. 그로 인하여 족부 수술 뿐만 아니라 족관절 및 하퇴부의 정형외과적 수술이 전신 마취나 척추 마취의 부담없이 시행될 수 있게 되었다. 이러한 초음파 유도 대퇴좌골 신경 차단에 대한 자세한 술기를 120예 이상의 경험을 바탕으로 보고하고자 한다.

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제 12흉추부위에서 시행한 내장신경차단 (Splanchnic Nerve Block at T12 Level)

  • 박정현;윤덕미;오흥근
    • The Korean Journal of Pain
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    • 제5권1호
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    • pp.17-22
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    • 1992
  • Splanchnic nerve block(SNP) is performed to relieve intractable upper abdominal cancer pain. Boas, in a technique using fluoroscopy, was the first to note the difference between transcrural celiac plexus block and retrocrural splanchnic nerve block(SNB). We have experienced 10 cases of SNB at the T12 level under control of fluoroscopy. Our results support this approach as an effective method for upper abdominal cancer pain control.

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여성용 원형 제도법에 관한 비교 연구 (A Comparative Research on the Drafting Method of the Basic Patterns for Women)

  • 김정희;김희진;조재희;임경화;이경화
    • 한국생활과학회지
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    • 제10권4호
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    • pp.379-390
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    • 2001
  • The purpose of this study is to investigate the fitness according to drafting method of the block patterns for women in Korea. The major findings of this study are as follows: 1. According to comparative analysis of required measurements, two measurements of back length and bust girth are used in Proportional Drafting Method (Munhwa). In case of Compromise Drafting Methods are used across chest, across back, bust length, bust width, full length in front, across shoulder and shoulder length in addition to back length and bust girth. The type of Armstrong as a Short Measure Drafting Method uses 10 measurements for the drafting the bodice. 2. While Esmod block pattern arid Armstrong's block pattern are the lightest in full width and other widths. Rasara block pattern is the most ample. In Lee, Myung-hee's block pattern and Lee, Hyung-sook's block pattern, amounts of drooping are decided $3{\sim}4cm$, but drooping amounts of other block patterns are decided corresponding to real measurements. While cap height in Esmod and Armstrong's sleeve patterns are directly measured Armhole length of the block pattern, cap height of other sleeve patterns are used armhole depth and cap height length as well as armhole length. 3. When analyzing to indirect measurements, Esmod block pattern shows the least different between full length of block pattern and that of body form. Munhwa block pattern and Kim, Hyosook's block pattern are mostly same to body form back length. However all of the block patterns are sheller than body form length. In case of Suh, Wansuk's block pattern, across back and across chest are same size, but other block patterns show difference between across back and across chest. Most block patterns' neck width in front and bach bodice are almost same. Front neck width is generally bigger than back neck width in some cases.

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구조적 등위성을 적용한 공항네트워크의 특성 분석 (Analyzing Airport Network Characteristics Applied to the Structural Equivalence)

  • 오성열;박용화
    • 대한교통학회지
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    • 제32권2호
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    • pp.162-169
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    • 2014
  • 세계화의 진전으로 국가들 간 사람과 물자의 교류는 지속적으로 증가해왔고 이에 따라 공항네트워크 또한 점점 방대해지고 촘촘해지고 있다. 자연계의 다양한 네트워크를 연구하는 네트워크 과학은 공항네트워크를 분석하는 데에 유용하다. 본 연구는 사회과학 네트워크에서 사용되고 있는 구조적 등위성 개념을 아시아 태평양 공항네트워크에 적용하여 그 결과를 바탕으로 국가들 간의 항공 시장, 교류 관계 정도를 해석해보았다. 아시아 태평양 공항네트워크는 8개의 블록(block)으로 구분되었으며 각 Block의 특성과 Block들 간의 관계를 분석한 결과 Block 1(주요 허브 공항들의 집합)과 Block 5(호주와 뉴질랜드의 공항)는 다른 Block들보다 깊은 관계를 갖고 있는 Block의 수가 많았다(영향력이 컸다). 다른 곳과 관계가 낮은 곳으로는 Block 3(CIS 지역), Block 7(말레이시아 인도네시아), Block 8(남태평양 프렌치폴리네시아)이었다. 구조적 등위성 분석으로 방대하고 복잡한 네트워크를 소수의 Block으로 집단화시켜 분석할 수 있으며, 네트워크의 성격에 맞게 항공 시장의 관계, 교류와 교역의 정도를 해석하여 의미 있는 결과를 얻었다.