• The Korean Journal of Pain
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• v.12 no.1
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• pp.87-94
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• 1999

Backgroud: We have performed the CT-guided celiac plexus block (CPB) using anterior approach to evaluate the safety and efficacy of the procedure and to determine the role of CT. Methods: CPB were done in 10 patients (5 men and 5 women: mean age, 58.1 years) with intractable upper abdominal pain due to terminal malignancy of the stomach (n=3), pancreas (n=4), gallbladder (n=2), and liver (n=1). To permit an anterior approach, patients lay supine on the CT scan table during the procedure. One 21-guage Chiba needle was placed just anterior to the diaphragmatic crus between the celiac and superior mesenteric arteries and 10~12 ml of dehydrated alcohol was injected. Degree of pain relief following the procedure was assessed and pain was graded on a numeric rating scale (NRS) from 0 to 10. Results: The results suggest a direct relation between the degree of celiac invasion and the response to the CPB. With CT guidance, it is possible for us to direct the needle into more accurate region, allowing alcohol to be deposited in specific ganglion area. Conclusions: CT-guided CPB using an anterior approach was an easy and effective way of reducing intractable upper abdominal pain due to terminal malignancies. CT-guidance allowed precise needle placement and safe procedure. Careful classification of cases is important to predict the degree of pain relief using the grading system based on the degree of involvement of the celiac plexus.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.42 no.12
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• pp.45-52
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• 2005

This paper proposes low latency handover procedure for seamless connectivity and QoS support between wired (e.g. Ethernet) and wireless (e.g. WLAN, WiBro(802.16-compatible), CDMA) networks by the mobile-assisted and server-initiated handover strategy. It is assumed that the server decides the best target network considering network status and user preferences. In this procedure, a mobile terminal associates with the wireless link decided at the server in advance and receives CoA as well. When handover occurs without the prediction in wired networks, the server performs fast binding update using physical handover trigger through the MIH (media independent handover) function. As a result, a mobile terminal does not need to perform L2 and L3 handover during handover so that this procedure decreases handover latency and loss.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2004.11a
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• pp.133-143
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• 2004

The purpose of Container Terminal Facilities Arrangement is efficiently arrangement of each unit logistics parts. Facilities Arrangement is rationally accomplished to be minimize moving time, prevent reverse trip, optimal space utilization, benefit of worker, minimize handling cost. Thus, It is important that expert knowledge and mathmatical analysis method to rationally facilities arrangement. In this paper we framed SLP(Systematic Layout Planning} Procedure and described to the process of application.

• The Korean Journal of Health Service Management
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• v.13 no.4
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• pp.163-177
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• 2019

Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.

• Journal of the Korean Society for Precision Engineering
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• v.12 no.5
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• pp.57-68
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• 1995

A general procedure for the numerical solution of coupled, nonlinear, differential two-point boundary-value problems, solutions of which are crucial to the controller design, has been developed and demonstrated. A fixed-end-points, free-terminal-time, optimal-control problem, which is derived from Pontryagin's Maximum Principle, is solved by an extension of Davidenko's method, a differential form of Newton's method, for algebraic root finding. By a discretization process like finite differences, the differential equations are converted to a nonlinear algebraic system. Davidenko's method reconverts this into a pseudo-time-dependent set of implicitly coupled ODEs suitable for solution by modern, high-performance solvers. Another important advantage of Davidenko's method related to the time-optimal problem is that the terminal time can be computed by treating this unkown as an additional variable and sup- plying the Hamiltonian at the terminal time as an additional equation. Davidenko's method uas used to produce optimal trajectories of a single-degree-of-freedom problem. This numerical method provides switching times for open-loop control, minimized terminal time and optimal input torque sequences. This numerical technique could easily be adapted to the multi-point boundary-value problems.

• 전기의세계
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• v.20 no.5
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• pp.19-22
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• 1971

This paper deals with the state-variable analysis of the arbitrary RLC lumped linear time-invariant networks. A formulation technique for determining a set of state equation using Bryant-Bashkow A Matrix and by means of the procedure setting up the terminal equation is discussed.

• The Transactions of the Korea Information Processing Society
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• v.4 no.10
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• pp.2512-2520
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• 1997

ITU-T Q.2931 and ATM Forum UNI 3.1 lead the standardization of signaling functions for the call/connection control at B-ISDN UNI. The one is applicable to the system in the public network, which provides the point-to-point call/connection control. The other is applicable to configure ATM private network mainly related with various terminal equipments. Domestic B-ISDN developers have developed ATM switches and B-NTs as network equipment, and B-TA as a terminal equipment. But many kinds of terminal-equipments are needed to provide various services in B-ISDN. If the public network can accommodate the terminal-equipments of UNI 3.1, it's very effective to accommodate manu kinds of terminal-equipments. Therefore, this paper identifies the problems that can be occurred on the signaling procedure, when B-ISDN the public network is connected to the UNI 3.1 terminal-equipment, and provides good alternatives that can handle this kind of call/connection well.

• The Korean Journal of Pain
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• v.26 no.1
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• pp.32-38
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• 2013

Background: Intrathecal opioid administration has been used widely in patients suffering from severe cancer pain that is not managed with conventional modalities. However, the potential serious neurological complications from the procedure and the side effects of intrathecal opioids have made many clinicians reluctant to employ continuous intrathecal analgesia as a first-line therapeutic option despite its dramatic effect on intractable pain. We retrospectively investigated the efficacy, side effects, and complications of intrathecal morphine administration through intrathecal catheters connected to a subcutaneous injection port (ICSP) in 22 Korean terminal cancer patients with successful intrathecal morphine trials. Methods: Patient demographic data, the duration of intrathecal opioid administration, preoperative numerical pain rating scales (NRS) and doses of systemic opioids, side effects and complications related to intrathecal opioids and the procedure, and the numerical pain rating scales and doses of intrathecal and systemic opioids on the $1^{st}$, $3^{rd}$, $7^{th}$ and $30^{th}$ postoperative days were determined from medical records. Results: Intrathecal morphine administration for $46.0{\pm}61.3$ days significantly reduced NRS from baseline on all the postoperative days. A significant increase in intrathecal opioids with a nonsignificant decrease in systemic opioids was observed on the $7^{th}$ and $30^{th}$ postoperative days compared to the $1^{st}$ postoperative day. The most common side effects of intrathecal opioids were nausea/vomiting (31.8%) and urinary retention (38.9%), which were managed with conservative therapies. Conclusions: Intrathecal morphine administration using ICSP provided immediate and beneficial effects on pain scores with tolerable side effects in terminal cancer patients.

• Earthquakes and Structures
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• v.1 no.1
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• pp.129-146
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• 2010

This paper proposes an approximate procedure to estimate seismic displacement capacity - defined as yield displacement times the displacement ductility - of piles in marine oil terminals. It is shown that the displacement ductility of piles is relatively insensitive to most of the pile parameters within ranges typically applicable to most piles in marine oil terminals. Based on parametric studies, lower bound values of the displacement ductility of two types of piles commonly used in marine oil terminals - reinforced-concrete and hollow-steel - with either pin connection or full-moment-connection to the deck for two seismic design levels - Level 1 or Level 2 - and for two locations of the hinging in the pile - near the deck or below the ground - are proposed. The lower bound values of the displacement ductility are determined such that the material strain limits specified in the Marine Oil Terminal Engineering and Maintenance Standard (MOTEMS) are satisfied at each design level. The simplified procedure presented in this paper is intended to be used for preliminary design of piles or as a check on the results from the detailed nonlinear static pushover analysis procedure, with material strain control, specified in the MOTEMS.

• Journal of Hospice and Palliative Care
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• v.7 no.2
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• pp.214-220
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• 2004

Purpose: As for the malignant bowel obstruction of terminal cancer patient, a prognosis is relatively bad. Physicians consider palliative procedures or surgery for the quality of life, but sometimes it is hard to decide. After diagnosis of a malignant bowel obstruction in terminal cancer patients, we investigated the clinical characteristics, the prognostic factors and the survival of patients with palliative procedures or surgery. Methods: we retrospectively reviewed the medical records in 40 malignant bowel obstruction patients who had been diagnosed as terminal cancer from May in 2002 to May in 2004. Results: There were 21 males (53%) and 19 females (47%), and median age of patients was $64.1{\pm}1.58$ years. The most common cause of malignant bowel obstruction was colorectal cancer (18 patients, 45%), followed by stomach cancer (11, 28%), pancreatic cancer (4, 10%), others (7, 19%). Metastases were carcinomatosis peritonei (14 patients, 35%), liver (13, 33%). During a bowel obstruction, symptoms were vomiting (15 patients, 38%), abdominal pain (10, 25%), constipation (6, 15%), abdominal distension (5, 13%). Performance status (ECOG) was 2 score (16 patients, 40%), 3 score (20, 50%), 4 score (4, 10%). Palliative procedure group were 30 patients, the others 10. Median survival in palliative procedure group was 142 days, that of no palliation group 30. Median survival time of palliative procedure group from palliative procedures or surgery were significantly higher than that of no palliation group from diagnosis of malignant bowel obstruction. Prognostic factors of palliative procedure group were PS, site of obstruction and primary cancer. Median survival in PS 2, lower GI obstruction and colorectal cancer was higher than PS 3, upper GI obstruction and others, respectively. Conclusion: we recommend aggressively palliative procedures or surgery in malignant bowel obstruction patients diagnosed with terminal cancer if palliative procedures or surgery could be performed effectively.