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CT-guided Celiac Plexus Block Using Anterior Approach (전산화 단층촬영 유도하 복강신경총 차단이 암성통증관리에 미치는 영향)

  • Lee, Jung-Koo;Rhee, Joo-Yeung;Chung, Jung-Kil;Rhee, Chang-Su
    • 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.

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The effect of low power GaAlAs laser stimulation on anti-nociception and spinal neuronal activity related to pain sensation in the polyarthritis of rats (다발성 관절염 실험동물 모델에서 저출력 GaAlAs 레이저 자극의 진통효능 및 통증관련 척수내 신경세포의 활성변화에 관한 연구)

  • Chang, Moon-Kyung;Choi, Young-Duk;Park, Bong-Soon
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.180-189
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    • 2003
  • The experiments were designated to evaluate the anti-nociceptive effect of low power laser stimulation on acupoint or non-acupoint using arthrogenic solution induced poly arthritis animal model. Evaluation of potential antinociceptive effect of low power laser on arthritis has employed measurements of the foot bending test, the development of either thermal or mechanical hyperalgesia following the arthritis induction. The analysis of thermal hyperalgesia includes Hargreaves's method. Randall-Sellitto test was utilized for evaluating mechanical hyperalgesia. In addition, the antinociceptive effect of low power laser stimulation on arthritis induced spinal Fos expression was analyzed using a computerized image analysis system. The results were summerized as follows: 1. In laser stimulation on acupoint treated animal, laser stimulation dramatically inhibited the development of pain in foot bending test as compared to those of non acupoint treated animal group and non treated animal group. 2. The threshold of thermal stimulation was significantly increased by low power laser stimulation on acupoint as compared to that of non treated control group. 3. Laser stimulation on acupoint dramatically attenuated the development of mechanical hyperalgesia as compared to that of non treated group. 4. Low power laser stimulation on acupoint significantly suppressed arthritis induced Fos expression in the lumbar spinal cord at 3 week post arthritis induction. In conclusion, the results of the present study demonstrated that low power laser stimulation on acupoint has potent anti-nociceptive effect on arthritis. Additional supporting data for an antinociceptive effect of laser stimulation was obtained using Fos immunohistochemical analysis on spinal cord section. Those data indicated that laser stimulation induced antinociception was mediated by suppression of spinal neuron activity in pain sensation.

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Alarm Setpoint Determination Method of Gaseous Effluent Radiation Monitoring Systems Using Dose Factors Based on ICRP-60 Recommendations (선량환산인자를 이용한 기체유출물 RMS 경보설정 개선방안)

  • 박규준;김희근;하각현;엄희문
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2003.11a
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    • pp.491-496
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    • 2003
  • In Korea, the dose limits to the public were reduced according to ICRP-60 recommendations. The secondary quantities, Effluent Concentration Limits (ECLs) were derived and enacted to Korean Atomic Laws based on ICRP-60 recommendations. The Korea atomic laws require assurance that radioactive materials within gaseous effluents do not exceed dose limits and ECLs. This simply means that any effluent that would possibly contain radioactivity must be monitored. There are various methods to monitor the radioactivity of effluent monitor to satisfy the dose limits and the ECLs for gaseous effluents. The many factors (safety margin) should be considered in determining of the setpoint of effluent monitor, following these limits. In this study, we studied the determination method of alarm setpoint for gaseous effluent Radiation Monitoring Systems using dose factors considered the main pathway of radionuclides to compare the preceding determination method of alarm setpoint for gaseous effluent RMSs using dose assessment program considered all the practicable pathways of radionuclides.

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Sodium Reduction Practice and Importance-Performance Analysis of Sodium Reduction Methods in School Foodservice in Daegu (대구지역 학교급식 나트륨 저감화 실태 및 나트륨 저감화 방법에 대한 중요도-수행도 분석)

  • Kim, Su-Hyeon;Shin, Eun-Kyung;Lee, Yeon-Kyung
    • Korean Journal of Community Nutrition
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    • v.25 no.5
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    • pp.386-395
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    • 2020
  • Objectives: The aim of this study was to investigate sodium reduction practices in school foodservice in Daegu. Methods: The survey included 199 nutrition teachers and dietitians working at elementary, middle and high schools in Daegu. The survey topics included the following: the frequency of salinity measurement, workers in charge of the measurement, average salinity of the soup and stew served, frequency and difficulties of offering low-sodium meals, Importance-Performance Analysis (IPA) of sodium reduction methods in school foodservice and the need for political support in encouraging sodium reduction. Results: The mean salinity of the soup and stew was higher in high school foodservice than in elementary and middle school foodservice. Middle and high schools have difficulties in offering low-sodium meals due to concerns of decreasing satisfaction for the meals. The results of the IPA of programs to reduce sodium in school meals showed that most of the items in the cooking and serving stages were in the 2nd quadrant (Keep up the good work), and all purchasing and menu planning stages occupied the 3rd quadrant (Low priority). To reduce sodium in school meals, government support is required in developing low-sodium recipes for school foodservice, encouraging education on sodium reduction for school foodservice officials and developing low-sodium food for institutional foodservice. Conclusions: To encourage sodium reduction in school meals, the priority is to make low-sodium recipes available. Also, it is necessary to develop a program that calculates the sodium content in menus and processed foods through National Education Information System and to establish standards for sodium levels in school foodservice.

Comport Sensation of Blue Jeans depending on Fiber Contents (청바지의 소재별 쾌적감에 관한 연구)

  • 홍문경;이미식;권계화;전정애
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.2
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    • pp.237-248
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    • 2001
  • The purpose of this study was to compare the comfort sensation depending on four different kinds of denim blue jeans: cotton, cotton/tencel, tencel, cotton/pp. The objective and subjective experiments were conducted to measure the comfort of blue jeans. To investigate the objective comfort, physical properties related to thermal insulation, moisture properties and hand were measured. For subjective comfort measurement, 5 healthy female college students were taken as subjects. The outcomes of the experiments are as follows: The higher the air permeability and bulk density of the denim, the lower the thermal insulation, the thicker the denim, the higher the thermal insulation. Tencel blending denim showed the higher bulk density, the lower air contents, and consequently the lower thermal insulation than the other denims. Tencel showed the highest moisture regain, and cotton/tencel blend showed the highest water vapor permeability. Tencel denim had relatively better flexibility, shape stability and elastic recovery than the other denims. The total hand values of the denims by KES-FB system were not significantly different. Cotton and cotton/pp denims raised the subjects body temperature after excercise more than tencel or cotton/tencel denims. Average skin temperature was found to have a correlation with micro climate temperature and micro climate humidity. The correlation coefficients were 0.749 and 0.767, respectively. However, average skin temperatures were not significantly different among the materials. Pulse rate was found to be the highest when wearing cotton/pp and the lowest in case of cotton/tencel denim. The energy was consumed in order of cotton>cotton/pp>tencel>cotton/tencel. There was no significant difference in preference before excercise, but, after the excercise, the order of preference changed as the following; cotton/tencel>tencel>cotton/pp>cotton.

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A Study on Learning Environment Design Model for Enhancing Creativity in Engineering Education (공학교육에서의 창의성 증진을 위한 학습환경 설계모형)

  • Lim, Cheol-Il;Hong, Mi-Young;Lee, Sun-Hee
    • Journal of Engineering Education Research
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    • v.14 no.4
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    • pp.3-10
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    • 2011
  • This study examines the possibility of a learning environment design model for enhancing creativity in engineering education. Recent studies about the online support system and the blended learning pertinent to creativity have provided us with some new perspectives on how to teach the creativity in engineering college. A learning environment design model was developed to enhance the creativity of the engineering students. A model was developed by following three steps: finding out the general principles for enhancing creativity in engineering education by reviewing the relevant literature; extracting the theoretical components for the model by categorizing the general principles; and finally, developing specific guidelines based on those theoretical components. Seven general design principles and three theoretical components could be identified, and a set of specific design guidelines was suggested. The result of this study is significant in terms of guiding the future development projects for creativity education.

The Dyeing Properties and Antibiosis of Fabrics Dyed with Agastache rugosa Extract (배초향 추출액을 이용한 염색포의 염색성 및 항균성)

  • Park, Young-Hee
    • Journal of Fashion Business
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    • v.16 no.1
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    • pp.16-25
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    • 2012
  • As the test results for surface color, dyeing durability, antibiosis of cotton fabrics and silk fabrics dyed with Agastache rugosa extract, the following conclusions were obtained. The surface color of all the dyed fabrics was confirmed mostly as a GY system. As the result of chrominance(${\Delta}E_{ab}$) measurement, in the case of cotton fabrics the dyed fabrics treated with $Al_2(SO_4)_3$ mordant showed the highest value and in the case of silk fabrics the non-mordant dyed fabrics showed the highest value. The dyeing durability of test fabrics dyed with Agastache rugosa extract are as follows. As the test results of colorfastness to laundry for cotton dyed fabrics, the discoloration degree showed 1st-2nd grade and the contamination degree showed 4th-5th grade. As the test result of colorfastness to dry cleaning for silk dyed fabrics, the contamination degree showed from 1st to 3rd-4th grade. As the test results of colorfastness to acid artificial perspiration, the discoloration degree showed from 1st to 3rd-4th grade and the contamination degree showed from 3rd to 4th-5th grade. As the test results of colorfastness to alkaline artificial perspiration, the discoloration degree showed from 1st to 4th grade and the contamination degree showed from 3rd to 4th-5th grade. The colorfastness to sunlight showed from 1st to 2nd grade. The colorfastness to rubbing showed from 3rd to 4th-5th grade in dry process and from 2nd-3rd to 4th-5th grade in wet process. As the test results of antibiosis, the decrease rate of germs to virus Klebsiella pneumoniae and Staphylococcus aureus showed at least more than 99% after the wash of 10 times. As the test results of antifungal activity to mycete Trichophyton mentagrophytes and Aspergillus niger, the both cotton and silk dyed fabrics didn't gain the significant antifungal effect.

Mechanical Properties for Methyl Cellulose(MC) Ingredient ER Fluids According to the Numbers of the Electrical Field Cycles (전기장 싸이클 수에 따른 MC성분 ER유체의 기계적성질)

  • 김옥삼;박우철
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.37 no.4
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    • pp.296-301
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    • 2001
  • Electro-Rheological (ER) fluids belong to a class of colloidal suspensions whose global characteristics can be controlled by the imposition of an appropriate external electrical field upon the fluid domain. The ER fluids for smart hydraulic system are a class of colloidal dispersion which exhibit large reversible changes in their rheological behavior when subjected to external electrical fields. This paper presents experimental results on mechanical properties of an ER fluids subjected to electrical fatigues. As a first step, ER fluid is made of methyl cellulose(MC) ingredient choosing 25% of particle weight-concentration. Following the construction of test for mechanical properties of ER fluid, the shear stress, dynamic yield stress and current density of the ER fluids are experimentally distilled as a function of electric field cycles. The mechanical properties test of operated ER fluids are distilled and compared with those of unused ER fluids.

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A Reactive Cross Collision Exclusionary Backoff Algorithm in IEEE 802.11 Network

  • Pudasaini, Subodh;Chang, Yu-Sun;Shin, Seok-Joo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.4 no.6
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    • pp.1098-1115
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    • 2010
  • An inseparable challenge associated with every random access network is the design of an efficient Collision Resolution Algorithm (CRA), since collisions cannot be completely avoided in such network. To maximize the collision resolution efficiency of a popular CRA, namely Binary Exponential Backoff (BEB), we propose a reactive backoff algorithm. The proposed backoff algorithm is reactive in the sense that it updates the contention window based on the previously selected backoff value in the failed contention stage to avoid a typical type of collision, referred as cross-collision. Cross-collision would occur if the contention slot pointed by the currently selected backoff value appeared to be present in the overlapped portion of the adjacent (the previous and the current) windows. The proposed reactive algorithm contributes to significant performance improvements in the network since it offers a supplementary feature of Cross Collision Exclusion (XCE) and also retains the legacy collision mitigation features. We formulate a Markovian model to emulate the characteristics of the proposed algorithm. Based on the solution of the model, we then estimate the throughput and delay performances of WLAN following the signaling mechanisms of the Distributed Coordination Function (DCF) considering IEEE 802.11b system parameters. We validate the accuracy of the analytical performance estimation framework by comparing the analytically obtained results with the results that we obtain from the simulation experiments performed in ns-2. Through the rigorous analysis, based on the validated model, we show that the proposed reactive cross collision exclusionary backoff algorithm significantly enhances the throughput and reduces the average packet delay in the network.

A Study of Electronic Commerce Transactions of the Hospitals (의료기관 전자상거래 현황에 대한 연구)

  • Jung, Mi-Yeong;Kim, Hye-Sook;Park, Jae-Sung
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.25-34
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    • 2012
  • The purpose of this research is to evaluate the degree of transactions of the electronic commerce in the hospitals. We created well-organized questionnaire to achieve this goal. we did telephone interviews with the hospitals, and then we reached out to the hospitals by e-mail and postal mail. We interviewed 311 hospitals, and 104 hospitals participated in this study. We conducted cross tabulations. The results are following : Among the subjects, male was 77.9%(81) and female was 22.1%(23). 51.0% of the hospitals used electronic commerce in their work purpose. The proportion of the hospitals that started their electronic commerce before 2000 years was 30.2% and after 2000 years was 69.8%. In the major electronic commerce service providers, 30.4% of the hospitals had their contract with auction, 18.4% of the hospitals had their contract with public procurement services. which is running by Korean government, and 11.8% were with EZmedicom and 10.8% were working with Carecamp. Through electronic commerce, the most high usage was office supplies 41.0% and the send area was medical supplies 11.2%. The results of this study suggest that electronic commerce in health care field is a very new area compared to other industries. There may be lots of barriers in the aspects of a way of working and norms of health care field. Electronic commerce system and contracts with their electronic commerce service providing partners.