Purpose : Endoscopic carpal tunnel release technique was developed and has being used to decrease postoperative morbidity and complications. The purpose of this study was to evaluate the clinical results and clinical usefulness of endoscopic carpal tunnel release using single portal technique. Methods and Materials : 18 carpal tunnel syndrome patients who were diagnosed by means of clinical symptoms, physical examination, and electrodiagnostic study had endoscopic carpal tunnel release using single portal technique with about 1 cm oblique wrist incision on 30 hands. And then they were followed-up and reviewed in the same way. Late results of operation were analysed by grading system according to patient's own assessments of relief of symptoms at the final fellow-up. The follow-up period ranged 6 to 13 months from surgery. Results : There were postoperative improvements with respect to clinical symptoms, physical examination, and electrodiagnostic study. 23 of 30 hands$(76.7\%)$ had complete resolution of symptoms. 27 hands$(90\%)$ were able to return to normal activities and work within 6 weeks, and 30 hands$(100\%)$ returned within 8 weeks. In grip strength study, 29 hands$(96.6\%)$ regained preoperative strength in 6 months. 12 of 22 hands$(55\%)$ had improvement with respect to thenar atrophy within 6 months. Late results were as follows . 23 hands$(76.7\%)$ was graded as excellent, 6 hands$(20\%)$ graded as good and 1 hand$(3.3\%)$ graded as fair, and there was no poor result. Conclusion : We think that endoscopic carpal tunnel release with single portal technique is technically safe and simple, if the surgeon takes step to stay within the safety zone based on local anatomy and selects an appropriate patient and that endoscopic carpal tunnel release does have advantages over open release. We agree that the surgeon must be prepared to perform an open technique, if technical difficulties arise, difficulty in introducing the device into the carpal tunnel is encountered, or the transverse fibers of the transverse carpal ligaments are not clearly seen.
Reproductive traits of Palaemon gravieri such as embryo size, number of embryo (fecundity), incubation period, larval development mode, larval development period, larval survival and larval growth were described and compared to analyze the correlation among those traits. Embryo volume is a primary factor determining other ensuing reproductive features. Egg volume was $0.042mm^3$ in the first developmental stage. Embryo volume in P. gravieri was comparatively small which is indicative of great number of embryo (y = 3.0161x + 0.0185 $R^2$ = 0.74 positive isometric relationship) and relatively long incubation period. Larvae survived from zoea 1 to post-larvae and it took 45 days at $22^{\circ}C$. Survival rate of the larvae was rather great in the early stage and thereafter steadily decreased. Daily growth rate of larvae in P. gravieri at $22^{\circ}C$ was 0.0195 mm on average. They grew steadily as time went by. Incubation period was between 10-14 days at $22^{\circ}C$. Larval development mode was almost complete planktotrophic. PNR (point of no return) appeared to be the third day on average. Survival rate of larvae without feeding declined rapidly between 3 and 4 days. Larval development period and stage frequency were 23-30 days and 11 stages which imply prolonged larval period and high mortality. The pattern of brood production followed fast successive parturial pattern. Most ovigerous female had mature ovary when they performed parturial molt soon after hatching (larval release).
Journal of The Korean Dental Society of Anesthesiology
/
v.6
no.2
s.11
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pp.121-126
/
2006
Generalized anaphylaxis is a most dramatic and acutely life-threatening allergic reaction. Most fatalities from anaphylaxis occur within the first 30 minutes postantigenic exposure. The mechanism of generalized anaphylaxis is the reaction of IgE antibodies to an allergen that causes the release of histamine, bradykinin, and others. These chemical mediators cause the contraction of smooth muscles of the respiratory and intestinal tracts, as well as increased vascular permeability. Four major clinical symptoms are recognized: skin reactions, smooth muscle spasm (gastrointestinal and genitourinary tracts and respiratory smooth muscle), respiratory distress, and cardiovascular collapse. Epinephrine is the drug of choice for the management. Its syrnpathomimetic effects directly counteract most aspects of the attack. Respiration must be immediately supported by the establishment of a patent airway along with artificial ventilation. The circulation should be supported and the existing hypotension overcome by placing the victim in a position to allow gravity to aid venous return and by administering intravenous fluids, vasopressors, and corticosteroids. When an imperceptible pulse is evident, external cardiac compression must also be instituted. This is a case report of anaphylactic shock care during general anesthesia, possibly due to penicillin, pancuronium and others.
For an accurate rainfall-runoff simulation in the river basin, it is important to consider not only evaluation of runoff model but also accurate runoff component. In this study long-term runoffs were simulated by means of watershed runoff model and the amounts of runoff components such as upstream inflow, surface runoff, return flow and dam release were evaluated based on the concept of water budget. SSARR model was applied to Daecheong basin, the upstream region of Geum river basin, and in turn the monthly runoff discharges of main control points in the basin were analyzed. In addition, for the purpose of providing the basic quantified water resources data the conceptual runoff amounts were estimated with water budget analysis and the reliability of the observations and the monthly runoff characteristics were investigated in depth. The yearly runoff ratios were also estimated and compared with the observations. From the results of the main control points, Yongdam, Hotan, Okcheon and Daecheong, the yearly runoff ratios of those points are consistent well with data reported previously.
This study deals with the performance of an acivated sludge system which is modified by the researcher to function without any additional chemical or internal recyle in removing organics, nitrogen, and phosphorus from synthetic wastewater. To improve the nutrient removal efficiency, the researcher utilized the anoxic, anaerobic, and aerobic reactor sequences with a single sludge return, whiched to nitrification/denitrification and phosphorus release/overplus accumulation. A bench scale system was operated with a view to investigating the reaction characteristics of each reactor, and to measuring the biological kinetic coefficients(Y, $K_d$, k, $K_s$) for theremoval of COD in relation to the mean cell residence time at five different MLSS concentrations, 5000, 4200, 3300, 2600, and 1900 mg/l. The results of the research showed that organic substance and nutrient were removed simultaneously by this modified activated sludge process. And the process kad 66%-99% ortho-p removal efficiency.
To develop a simulation strategy of multi-reservoir operation in flood season, the single dam operations methed for the Chungju dam are investigated in the Han river basin. Thus, spillway rule curve, rigid ROM, and linear decision rules are applied for control operations, subject to the restrictions imposed by the river and the reservoir characteristics. The storage and release and control/utility efficiencies for several floods are calculated. The variation of control coefficients with respect to the return period are also examined. As the results of this comparative study, the optimal operation method can be selected in terms of the magnitude of flood. With inflow forecasting, the flood control operation can be greatly improved by variable coefficients rigid ROM and linear decision rules.
Journal of the Society of Naval Architects of Korea
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v.45
no.4
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pp.345-352
/
2008
The motion of a projectile initiated by the release of highly pressurized air is simulated presuming the flow field as a two dimensional one. The effects of water compressibility on projectile movements are investigated, comparing results based on the Fluent VOF model where water is treated as an incompressible medium with those from the presently developed VOF scheme. The present model considers compressibility of both air and water. The Fluent results show that the body moves farther and at higher speeds than the present ones. As time proceeds, the relative difference of speed and displacement between the two results drops substantially, after acoustic waves in water traverse and return the full length of the tube several times. To estimate instantaneous accelerations, however, requires implementation of the water compressibility effect as discrepancies between them do not decrease even after several pressure wave cycles.
Journal of the Architectural Institute of Korea Structure & Construction
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v.36
no.4
/
pp.135-142
/
2020
The new method for evaluating the displacement tolerance of sky-bridges with pin-roller type supports was proposed considering both return period of phase difference between connected buildings and geometrical characteristics of skybridge. Because displacement tolerance is relative value, which is most affected by the phase difference of the connected buildings, the dynamic response of these building with time history analysis should be evaluated. However, the initial phase could not be specified, so the result of displacement tolerance would be varied with respect to initial value. Thus, the tolerance can be reasonably evaluated SRSS calculation with design displacements based on statistical approach and of each building. In addition, the geometrical characteristics of sky-bridge should be considered because the transverse displacement of sky-bridge span causes the shear deformation of the bridge and longitudinal displacement tolerance cannot release the shear deformation. Therefore, the some pin-end support in sky-bridge should have longitudinal displacement tolerance to accommodate the shear deformation. By resolving this shear deformation, it is possible not only to accommodate transverse displacement, but also to avoid the complicated joint details such as both pot bearing and guided supports with shear key.
Dissolved oxygen is necessary for many biological processes as well as many industrial practices. Dissolved oxygen released from water in dissolved air flotation (DAF) systems can be have many different applications. However, DAF systems are very costly to operate. To develop more efficient DAF systems, a deeper understanding of the process of oxygen being released from water is required. In this study, molecular dynamics (MD) simulations were used to simulate 100 oxygen molecules surrounded by 31002 water molecules at temperatures ranging from $0^{\circ}C$ to $100^{\circ}C$. Simulations were carried out for 10 ns, during which, in most cases, all the oxygen molecules were released from the water droplet. With MD simulations, visualization of the molecules escaping the water droplet was possible, which aided the understanding of the interactions between molecules at the nano-scale. The results showed that as the oxygen molecules moved near the edge of the water droplet that the oxygen molecules hesitated before escaping the water droplet or returned to the interior of the water droplet. This was because of the attractive forces between the water and oxygen molecules. Moreover, after most of the oxygen molecules were released from the droplet, some were found to return to the droplet's edge or even the interior of the droplet. It was also confirmed that oxygen molecules were released at a faster rate at higher temperatures.
Asia-Pacific Space Cooperation Organization (APSCO) is the only intergovernmental space cooperation organization in Asia. Since its establishment to date, eight countries have signed the convention and become member states. South Korea participated actively in the preparatory phase of creating the organization, and one conference organized by AP-MCSTA which is the predecessor of APSCO was held in South Korea. However, after the APSCO Convention was opened for signature in 2005 to date, South Korea does not ratify the Convention and become a member. The rapid development of space commercialization and privatization, as well as the fastest growing commercial space market in Asia, provides opportunities for Asian countries to cooperate with each other in relevant space fields. And to participate in the existing cooperation framework (e.g., the APSCO) by the Asian space countries (e.g., South Korea) could be a proper choice. Even if the essential cooperation in particular space fields is challenging, joint space programs among different Asian countries for dealing with the common events can be initiated at the first steps. Since APSCO has learned the successful legal arrangements from ESA, the legal measures established by its Convention are believed to be qualified to ensure the achievement of benefits of different member states. For example, the regulation of the "fair return" principle confirms that the return of interests from the relevant programs is in proportion to the member's investment in the programs. Moreover, the distinguish of basic and optional activities intends to authorize the freedom of the members to choose programs to participate. And for the voting procedure, the acceptance of the "consensus" by the Council is in favor of protecting the member's interest when making decisions. However, political factors that are potential to block the participation of South Korea in APSCO are difficult to be ignored. A recent event is an announcement of deploying THAAD by South Korea, which causes tension between South Korea and China. The cooperation between these two states in space activities will be influenced. A long-standing barrier is that China acts as a non-member of the main international export control mechanism, i.e., the MTCR. The U.S takes this fact as the main reason to prevent South Korea to cooperate with China in developing space programs. Although the political factors that will block the participation of South Korea in APSCO are not easy to removed shortly, legal measures can be taken to reduce the political influence. More specifically, APSCO is recommended to ensure the achievement of commercial interests of different cooperation programs by regulating precisely the implementation of the "fair return" principle. Furthermore, APSCO is also suggested to contribute to managing the common regional events by sharing satellite data. And it is anticipated that these measures can effectively response the requirements of the rapid development of space commercialization and the increasing common needs of Asia, thereby to provide a platform for the further cooperation. In addition, in order to directly reduce the political influence, two legal measures are necessary to be taken: Firstly, to clarify the rights and responsibilities of the host state (i.e., China) as providing assistance, coordination and services to the management of the Organization to release the worries of the other member states that the host state will control the Organization's activities. And secondly, to illustrate that the cooperation in APSCO is for the non-military purpose (a narrow sense of "peaceful purpose") to reduce the political concerns. Regional cooperation in Asia regarding space affairs is considered to be a general trend in the future, so if the participation of South Korea in APSCO can be finally proved to be feasible, there will be an opportunity to discuss the creation of a comprehensive institutionalized framework for space cooperation in Asia.
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