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Delayed Lacrimal Stent Implantation Using Mini Monoka$^{(R)}$ in Canalicular Laceration (누소관 열상환자에서 Mini Monoka$^{(R)}$를 이용한 지연된 스텐트 삽입술)

  • Hwang, Jae-Ha;Kim, Hong-Min;Kim, Ji-Hoon;Kim, Kwang-Seog;Lee, Sam-Yong
    • Archives of Reconstructive Microsurgery
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    • v.20 no.1
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    • pp.32-37
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    • 2011
  • Purpose: Canalicular laceration is relatively common due to its exposed, vulnerable location in case of facial trauma. Conjunctivodacryocystorhinostomy has been the standard treatment for canalicular obstruction secondary to unrepaired canalicular laceration. In spite of a high rate of relieving tear-duct obstruction, this method is noted to be associated with low rate of patient satisfaction and a number of complications. The goal of this study is to report the good results of delayed lacrimal stent implantation with Mini Monoka$^{(R)}$ for patients whose canaliculi were not repaired by initial surgery. Methods: From May of 2005 to February of 2007, four patients who underwent delayed lacrimal stent implantation using Mini Monoka$^{(R)}$ in canalicular laceration were retrospectively reviewed. First, the previous scar incision was made over the lower lid and we identified the cut end of proximal lacerated canaliculus. The Mini Monoka$^{(R)}$ was passed through the punctum to the cut end of the proximal lacerated canaliculus. We identified the cut end of the distal lacerated canaliculus, whose cut end has rolled white edges after careful excision of the scarred lid tissue. We then passed Mini Monoka$^{(R)}$ through the lacerated inferior canaliculus. Using an operating microscope, we placed three interrupted sutures of 8-0 Ethilon to join the canalicular ends. Silicone stent was left in place for 6 months. The mean age of the patients was 48.5 years (range, 35 to 59 years). The time interval from initial trauma to delayed lacrimal stent implantation was between 3 and 31 days. Follow-up periods ranged from 12 and 20 months. Results: The results of reconstruction were classified into normal, fair and poor. Patent lacrimal drainage systems were achieved in three of the four cases. In one case, epiphora was encountered. No cases of stent displacement, conjunctivitis or granuloma formation were encountered. Conclusion: Even though canalicular reconstruction was delayed for a long time, attempting canalicular reconstruction would be acceptable before considering secondary operations like dacryocystorhinostomy and conjunctivodacryocystorhinostomy.

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A Study on the Deformation Behavior of the Segmental Grid Retaining Wall Using Scaled Model Tests (조립식 격자 옹벽의 변형거동에 관한 모형실험 연구)

  • Bae, Woo-Seok;Kwon, Young-Cheul;Kim, Jong-Woo
    • Tunnel and Underground Space
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    • v.17 no.5
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    • pp.350-359
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    • 2007
  • Most large cut slopes of open pit mines, roadways, and railways are steeply inclined and composed with rocks that do not contain soils. However, these rock slopes suffer both weathering and fragmentation. In the case of steep slopes, falling rock and collapse of a slope may often occur due to surface erosion. Cast-in place concrete and rubble work are the most widely used earth structure-based pressure supports that act as restraints against the collapse of the rock slope. In order to overcome the shortcomings of conventional retaining walls, a segmental grid retaining wall is being used with connects precasted segments to construct the wall. In this study, laboratory model test was conducted to estimate deformation behavior of segmental grid retaining wall with configuration of rear strecher, height and inclination of the wall. In order to examine the behavior characteristics of a segmental grid retaining wall, this research analyzes the aspects of spacial displacement through relative displacement according to change in the inclination of the wall. Also, the walls behavior according to the formation and status of the rear stretcher which serves the role of transferring the load from the header and the stretcher which make up the wall, the displacement of backfill materials in the wall, and the location of the maximum load were surveyed and the characteristics of displacement in the segmental grid retaining wall were observed. The test results of the segmental grid retaining wall showed that there was a sudden increase in failure load according to the decrease in the wall's height and the size of the in was greatly decreased. Furthermore, it revealed that with identical inclination and height, the structure of the rear stitcher did not greatly affect the starting point or size of maximum horizontal displacement, but rather had a stronger effect on the inclination of the wall.

The International Comparative Study on the Origin of the Terms of Mineral and Rock (광물·암석 용어의 어원에 대한 국제 비교 연구)

  • Lee, Chang-Zin;Ryu, Chun-Ryol;Cho, Jun-Oh
    • Journal of the Korean earth science society
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    • v.32 no.3
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    • pp.306-323
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    • 2011
  • The purpose of this study is to analyse the origin of the terms for well-known minerals and rocks in South Korean, North Korean, English, Chinese and Japanese. All of the terms for mineral and rock have been standardized in English and Chinese, Whereas not all of the terms are standardized yet in Japanese, North Korean and South Korean. Although many Korean researchers have recognized the fact and tried to standardize the terms, most of the terms for minerals and rocks have been used without any research conducted on them, which made it impossible. The terms for minerals were mainly made based on some of 28 geologic properties: chemical composition, color, shape and material. The terms for rocks were mainly originated from some of their 30 geologic properties: mineral composition, origin of rock, material and surface. 23 of the 124 English terms were named after the names of men or location, Whereas only 3 terms were originated from a name of place in the Eastern countries. In the Eastern countries, the terms for some minerals or rocks often consist of more complex geologic properties, compared with English terms for the same ones. For the minerals with complex geological properties, in the Eastern countries, there are 28 terms on average, which is much more than 2 in English. There are 9.25 terms in average for the rocks with complex geological properties in the Eastern while only 5 terms exist in English. Some of the Korean terms are very difficult for students to recognize what they are because the terms were originated from Japanese or English terms, which were translated into Korean without consideration of Korean contexts. Therefore the terms of rocks and minerals need to be discussed about their meaning and relevance.

Development of Well Placement Optimization Model using Artificial Neural Network and Simulated Annealing (인공신경망과 SA 알고리즘을 이용한 지능형 생산정 위치 최적화 전산 모델 개발)

  • Kwak, Tae-Sung;Jung, Ji-Hun;Han, Dong-Kwon;Kwon, Sun-Il
    • Journal of the Korean Institute of Gas
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    • v.19 no.1
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    • pp.28-37
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    • 2015
  • This study presents the development of a well placement optimization model, combining an artificial neural network, which enables high-speed calculation, with a simulated annealing algorithm. The conventional FDM simulator takes excessive time when used to perform a field scale reservoir simulation. In order to solve this problem, an artificial neural network was applied to the model to allow the simulation to be executed within a short time. Also by using the given result, the optimization method, SA algorithm, was implemented to automatically select the optimal location without taking any subjective experiences into consideration. By comparing the result of the developed model with the eclipse simulator, it was found that the prediction performance of the developed model has become favorable, and the speed of calculation performance has also been improved. Especially, the optimum value was estimated by performing a sensitivity analysis for the cooling rate and the initial temperature, which is the control parameter of SA algorithm. From this result, it was verified that the calculation performance has been improved, as well. Lastly, an optimization for the well placement was performed using the model, and it concluded the optimized place for the well by selecting regions with great productivity.

Survival Rate and Prognostic Factors of Esophageal Cancer in East Azerbaijan Province, North-west of Iran

  • Mirinezhad, Seyed Kazem;Somi, Mohammad Hossein;Jangjoo, Amir Ghasemi;Seyednezhad, Farshad;Dastgiri, Saeed;Mohammadzadeh, Mohammad;Naseri, Ali Reza;Nasiri, Behnam
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3451-3454
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    • 2012
  • Background: Esophageal cancer in Iran is the sixth most common cancer and is particularly important in east Azerbaijan. The aim of this study was to calculate survival rates and define prognostic factors in esophageal cancer patients. Methods: In this study, all patients with esophageal cancer registered in the Radiation Therapy Center, during March 2006 to March 2011, were analyzed and followed up for vital status. Data were analyzed using the Kaplan-Meier method and the Cox proportional hazard models. Results: Out of 532 patients, survival information was available for 460, including 205 (44/ 5%) females and 255 (55/4%) males. The mean age was $65.8{\pm}12.2$, ranging from 29 to 90 years at the time of diagnosis. 1-, 3- and 5-year survival rates after diagnosis were 55%, 18% and 12%, respectively, with a median survival time of $13.2{\pm}.7$ (CI 95% =11.8-14.6) months. In the univariate analysis, age (P=0/001), education (P=0/001), smoking status (P= 0/001), surgery (P= 0/001), tumor differentiation (P= 0/003) and tumor stage (P= 0/001) were significant prognostic factors. Tumor morphology, sex, place of residence, tumor histology and tumor location did not show any significant effects on the survival rate. In multivariate analysis, age (P = 0/003), smoking (P= 0/01) and tumor stage (P= 0/001) were significant independent predictors of survival. Conclusion: In summary, prognosis of esophageal cancer in North West of Iran is poor. Therefore, reduction in exposure to risk factors and early detection should be emphasized to improve survival.

Practice of Skin Cancer Prevention among Road Traffic Police Officers in Malaysia

  • Al-Naggar, Redhwan Ahmed
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4577-4581
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    • 2013
  • Background: The objective of this study was to determine the practice of skin cancer prevention among Malaysian road traffic police officers. Materials and Methods: This cross-sectional study involved 202 Malaysian Road Police Traffic officers. Inclusion criteria were those officers who work wearing white uniform regulating traffic. The survey took place at the Police Traffic Station, Jln Tun H.S. Lee, Kuala Lumpur, the main Head Quarters of Malaysian's Traffic Department where almost 600 police traffic officers are employed. The police traffic officers are given the task to take care of the traffic from the main office of the police station, then, according to the task, the officers drive to their given location for their duty. Each task is approved by the Chief Traffic Inspector of Kuala Lumpur. Data collected in this study were analyzed using SPSS 13, with the T-test for univariate analysis and multiple linear regression for multivariate analysis. Results: A total of 202 road traffic police officers participated. The majority were older than 30 years of age, male, Malay, married, with secondary education, with monthly income more than 2000 Ringgit Malaysia (66.3%, 91.1%, 86.6%, 84.7%, 96%, 66.3%; respectively). Regarding the practice of skin cancer prevention, 84.6% of the study participants were found to wear hats, 68.9% sunglasses and 85.6% clothing that covering most of the body but only 16.9% used a sunscreen when they were outdoors. When analysis of the factors that influenced the practice of skin cancer prevention was performed, univariate analysis revealed that gender, age and monthly income significantly influenced the practice of skin cancer prevention. For multivariate analysis, gender, monthly income and race significantly influenced the practice of using sunscreen among road traffic police officers (p<0.001, p=0.019, p=0.027; respectively). Conclusions: The practice of skin cancer prevention among the traffic police officers showed good practices in terms of wearinga hat, sun glasses and clothing that covers most of the body. However, the study revealed a poor practice of the use of sunscreen. The factors that influence the practice of sunscreen use were found to be gender, income, and race. The study suggests that more awareness campaign among traffic police officers is needed. Providing sunscreen for free for police traffic officers should be considered by the Police authorities.

An Analysis of Satisfaction with School Forest Using Triangular Fuzzy Number (삼각퍼지수를 활용한 학교숲 만족도 분석)

  • Lee, Seul-Gi;Jang, Jung-Sun;Jung, Sung-Gwan;You, Ju-Han
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.3
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    • pp.1-10
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    • 2009
  • Wooded areas that are a part of school campuses are one type of urban forest. Most schools located in an urban environment make an excellent setting for a forest in terms of location and area. These kinds of wooded spaces also make the city greener and healthier. As a place where students spend a great deal of time, schools can also be a venue for environmental education. The creation of wooded areas in schools currently has focused on the end result only; by ignoring student needs and participation, these areas have not had a significant influence on student environmental education. Previous studies based on questionnaire survey are significant in that they have quantified subjective qualitative data via Likert Scale. There has been, however, a problem in quantifying the more ambiguous subjective data. Therefore, this paper has attempted to investigate those factors that have an influence on student satisfaction with the wooded areas of their school campus using Fuzzy Theory with elementary school students in Gyeongsangbuk-do. A change was observed in terms of the ranking of arithmetic mean values of 'school peculiarity' and 'emotion evolution' and center of gravity, which has adopted Fuzzy Theory, proving that Fuzzy Theory could rationally objectify qualitative data such as human thoughts. In terms of the influential factors on the satisfaction with school forests(regression coefficient), 'school uniqueness(0.159)' was the highest, followed by 'many trees(0.142),' 'importance of nature(0.136)' and 'emotion evolution(0.130).' This paper may therefore be useful as basic data for objective questionnaire surveys and the development of school forests.

A study on the Policies for the Promotion of Korean Literature seen through Manhae Festival (만해축전을 통해서 본 한국문학진흥정책에 관한 연구)

  • Lee, Won-Oh;Rhyu, Ji-Sung;Kim, Ji-Won
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.234-246
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    • 2015
  • When the Information age led by media comes, The literature yielded its prominence to visual media, and the Korean literature also faced a crisis, prompted by decreased demand for it. In this reality, literature festivals which have increased rapidly since 1995 and currently number at least 110, when the local government system was launched, played an important role in promoting literature to the society. This thesis has selected Manhae Festival, one of the most vibrant and successful, as the case study to analyze its present status and accomplishments to derive ways for improvement which can be used to promote policies on literature. Manhae Festival which celebrates Manhae Han Yongun, a poet and an independence activist, also became one of the top literature festivals through Manhae Grand Awards and various cultural, art and academic events, despite being held in Inje County, Gangwon Province, a remote location. Based on this study, in the near future, Manhae Village, as a complex cultural venue, as a If we can make the place into complex cultural space and with additional policy support by gaining political supports like designation as Slowcity and special zone of culture and tourism, and pursuing glocalization by making Manhae into a star brand, Manhae Festival will cement its current position as a successful literary festival. It has very meaningful since most of literature festivals operate in small scale. Now, we need to develop literature festivals into local ones by attracting larger popularity. Meanwhile, a more comprehensive study, in the future, is needed with special emphasis on successful literary policies and their precedents in other countries.

A Study on Evaluation Analysis of Wind Formation Function using KLAM_21 -The Case of Daegu City- (KLAM_21을 활용한 바람생성기능 평가분석 연구 -대구시를 대상으로-)

  • Ryu, Ji-Won;Jung, Eung-Ho;Kim, Dae-Wuk;Cha, Jae-Gyu;Son, Kyung-Su
    • Journal of the Korean Association of Geographic Information Studies
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    • v.11 no.2
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    • pp.85-92
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    • 2008
  • This study, the one concerning the evaluation analysis of the function of the wind generation using KLAM_21, has examined closely how the wind really flows on the space of the city, working with the object of case location. In the first place, the cold air formed at upper stream of Sincheon river, a ravine of whole area of Gachang gully and an inclined plane of neighboring mountainous district, flows to the north and expands itself along the upper stream of the Sincheon river, and as the time passes, it is tending upwards in the change of the volume and height as well as of the velocity and direction, of the cold air. It was learned that this phenomenon has made it clear that the spatial features of this area give rise to very good condition in generating and flowing the cold air. Meanwhile, it has been shown that in the area of park in the Ap-mountain, the generation and flow of the cold air are much interrupted because of the overpass traversing the whole area of the park of Ap-mountain, the congested area of large-scaled apartments and the urban development activities constructing the building in the park, and the volume and height of the cold air has been grown very small. In conclusion, It has been learned that for maximization of the spatial effect of the wind corridor, the areas where the cold air is generated, flowed, accumulated, and maintained, have to be connected spatially, and this spatial connection has a close relation with spatial features of the area.

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Clinical Epidemiologic Study of Facial Bone Fractures in Daegu (대구지역 안면골 골절의 임상역학적 연구)

  • Kwon, Hyuk Joon;Han, Joon;Kim, Jun Hyung;Jung, Ho Yoon;Kim, Jong Yeop;Yoon, Sin Hyuk;Song, Cheol Hong;Ryu, Min Hee;Kim, Yong Ha;Seo, Man Soo
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.365-370
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    • 2007
  • Purpose: There are many reports about facial bone fractures, but limited to retrospective data of a single hospital. Etiology and severity of the facial bone fracture have been changed and treatment method and materials have been advanced. In order to reflect those changes and provide up-to-date data of the facial bone fractures in Daegu, we gathered the data and analyzed the epidemiologic study. Methods: The medical records of 1058 fractures in 895 patients were gathered from 5 general hospitals in Daegu during last year and these data were analyzed by following parameters: age, sex, place of residence, occupation, cause of injury, time of injury, location of fracture, length of in-hospital stay, time of operation, treatment method, associated injury, complication. Statistical analysis was performed using the Chi-square test. Results: Most commonly involved age group was 20s(26%) and the sex ratio was 3.4:1(male predominance). Fractures were occurred more in unban and white-color workers. Among variable etiology of injury, traffic accident was the most common cause. Time of injury was heighest at 6 to 7 P.M., on Sunday, in July. Locations of fractures were following sequence: nasal, zygoma, mandible, orbit, maxilla. Mean length of in-hospital stay and time of operation after injury were 6.3 and 3.2 days, respectively. In treatment methods, operative methods were dominant than conservative management and general anesthesia were favored than local anesthesia. Associated injuries were noticed in 188 cases(21.2%) and complications were in 94 cases(8.9%) and among them, ocular problem were common. Conclusion: Compared to previous studies, mean age of occurrence was lowered and the etiologies showed age-specific pattern and reflected the change of lifestyle. In young age groups, sports injury, violence were more dominant and the other hand, traffic accident and fall were dominant in older groups.