• The Korean Journal of Pain
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• 제6권1호
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• pp.109-116
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• 1993

In March of l992, We performed two intentional total spinal blocks for the relief of pain. This was for 2 cases of post-traumatic cervical syndrome whose various symptoms were chronically unresponsive to the usual conservative treatments. We regularly checked the blood pressure, pulse rate, oxygen saturation and observed clinically the changes of respiration, consciousness, lid and light reflexes during the total spinal block. Pain relief was evaluated by using the Visual Analog Scale which is designed to measure the subjective intensity of pain. The results were as follows; 1) The effectiveness of total spinal block was 60% in case 1, 40% in case 2. 2) We observed two complications from the procedure. Firstly during the block, these were transient periods of hypotension. Following the block, accidental procedures related direct neural trauma resulted in anterior chest wall pain. In conclusion we believe that total spinal block is a satisfactory and reliable method for the treatment of post-traumatic cervical syndrome.

• The Korean Journal of Pain
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• 제29권1호
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• pp.18-22
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• 2016

Background: The interscalene brachial plexus block is widely used for pain control and anesthetic purposes during shoulder arthroscopic surgeries and surgeries of the upper extremities. However, it is known that interscalene brachial plexus block is not appropriate for upper limb surgeries because it does not affect the lower trunk (C8-T1, ulnar nerve) of the brachial plexus. Methods: A low approach, ultrasound-guided interscalene brachial plexus block (LISB) was performed on twenty-eight patients undergoing surgery of the upper extremities. The patients were assessed five minutes and fifteen minutes after the block for the degree of block in each nerve and muscle as well as for any complications. Results: At five minutes and fifteen minutes after the performance of the block, the degree of the block in the ulnar nerve was found to be $2.8{\pm}2.6$ and $1.1{\pm}1.8$, respectively, based on a ten-point scale. Motor block occurred in the median nerve after fifteen minutes in 26 of the 28 patients (92.8%), and in all of the other three nerves in all 28 patients. None of the patients received additional analgesics, and none experienced complications. Conclusions: The present study confirmed the achievement of an appropriate sensory and motor block in the upper extremities, including the ulnar nerve, fifteen minutes after LISB, with no complications.

• The Korean Journal of Pain
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• 제34권3호
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• pp.271-287
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• 2021

Background: Postoperative pain management is crucial for patients undergoing total knee arthroplasty (TKA). There have been many recent clinical trials on post-TKA peripheral nerve block; however, they have reported inconsistent findings. In this meta-analysis, we aimed to comprehensively analyze studies on post-TKA analgesia to provide evidence-based clinical suggestions. Methods: We performed a computer-based query of PubMed, Embase, the Cochrane Library, and the Web of Science to retrieve related articles using neurothe following search terms: nerve block, nerve blockade, chemodenervation, chemical neurolysis, peridural block, epidural anesthesia, extradural anesthesia, total knee arthroplasty, total knee replacement, partial knee replacement, and others. After quality evaluation and data extraction, we analyzed the complications, visual analogue scale (VAS) score, patient satisfaction, perioperative opioid dosage, and rehabilitation indices. Evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation approach. Results: We included 16 randomized controlled trials involving 981 patients (511 receiving peripheral nerve block and 470 receiving epidural block) in the final analysis. Compared with an epidural block, a peripheral nerve block significantly reduced complications. There were no significant between-group differences in the postoperative VAS score, patient satisfaction, perioperative opioid dosage, and rehabilitation indices. Conclusions: Our findings demonstrate that the peripheral nerve block is superior to the epidural block in reducing complications without compromising the analgesic effect and patient satisfaction. Therefore, a peripheral nerve block is a safe and effective postoperative analgesic method with encouraging clinical prospects.

• The Korean Journal of Pain
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• 제34권2호
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• pp.201-209
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• 2021

Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following non-recurrent inguinal herniorrhaphy.

• 대한족부족관절학회지
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• 제13권1호
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• pp.68-74
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• 2009

Purpose: This study was designed to evaluate the results and efficacy of subtalar distraction two bone-block arthrodesis for calcaneal malunion. Materials and Methods: From January 2004 to June 2007, we operated on 8 patients (12 cases). There were 7 male patients and 1 female patient; their mean age was 42 years. 8 cases among them were operated initially. The period between initial injury and arthrodesis was 21 months. At an average follow up was 19 months. In operation, we used extensile lateral approach and arthrodesis was performed through tricortical two bone-block and cannulated screws. The Ankle-Hindfoot scale was used for clinical evaluation. In radiologic analysis, plain X-ray and CT were examined union and various parameters. Results: All cases achieved radiologic union at the final follow-up. The mean Ankle-hindfoot scale (maximum of 94 points) increased from 43.4 points preoperatively to 84 points at the final follow-up. The radiologic analysis of the pre- and postoperative standing lateral radiographs showed and average increase of 5.5 mm in talo-calcaneal height, $5.1^{\circ}$ in talocalcaneal angle, $6.1^{\circ}$ in talar declination angle and decrease of $5.7^{\circ}$ in talo-first metatarsal angle. Conclusion: The short term results of subtalar distraction two bone-block arthrodesis is promising, but longer follow-up was needed.

• 한국전산구조공학회논문집
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• 제26권5호
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• pp.327-333
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• 2013

이 연구의 목적은 축소된 탱크 모델에서 측정되어진 슬로싱 압력을 이용하여 실제 크기의 탱크 모델에서의 압력을 예측하는 것이며, 또한 예측된 압력으로 LNG 코너 블럭의 슬로싱 하중에 의한 구조 강도를 평가하는 것이다. 이 목적을 위하여, Ansys CFX 프로그램을 이용하여 138K급 LNG 화물창 시스템의 크기 비율에 따른 슬로싱 해석을 수행 하였으며, 크기 비율에 따른 슬로싱 평균 압력 및 최대 피크 압력을 측정하였다. 또한, 측정된 압력은 프루드 법칙에 의해 실제 138K 크기의 압력으로 변환하여 실선 크기의 KC-1 코너블럭에 대한 구조강도 평가를 수행하였다.

• 터널과지하공간
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• 제20권6호
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• pp.434-445
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• 2010

대용량 전력에너지저장시설로서의 복공식 압축공기 지하저장시설의 기밀시스템을 구성하는 콘크리트 라이닝 및 현장 타설 과정에서 발생하는 시공이음부의 투기특성을 파악하고자 콘크리트 블록시료를 이용한 모형실험을 수행하였다. 시공이음부의 투과계수는 콘크리트 블록보다 약 $10^1{\sim}10^4$ 배 정도의 투과성이 큰 것으로 파악되어, 현장 타설과정에서 시공이음부의 품질관리가 저장시설의 기밀성능 확보 관점에서 매우 중요함을 확인하였다. 또한, 접합면에 아크릴계 접착제를 타설함으로써 시공이음부의 투과계수를 콘크리트 블록 수준까지 감소시킬 수 있었으며 콘크리트 블록의 초기 수분함량이 높을수록 투과계수가 감소하여 기밀성능을 향상시킬 수 있음을 확인하였다.

• Ecology and Resilient Infrastructure
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• 제5권4호
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• pp.257-263
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• 2018

본 연구는 도시의 열섬을 저감하기 위해 그린인프라시설의 표면온도 저감 성능시험 장비를 개발하고, 대표적인 그린인프라시설 제품을 포함하여 실험을 수행하였다. 기존문헌을 고찰하여 장비를 개발하였으며, 개발된 장비의 특징은 다음과 같다. 표면온도의 측정방법은 비접촉식인 적외선온도센서를 활용하였으며, 시편의 중앙 온도만 측정하는 것이 아닌 모서리 부분 온도를 포함하여 전체적인 평균온도를 측정하도록 개선하였다. 개발된 장비 (GSTM)를 활용하여 대조군인 아스팔트와 그린인프라시설 제품을 비교하여 성능평가를 수행하였다. 그 결과 식생블록이 $18.4^{\circ}C$의 높은 차이를 보이며, 표면온도 저감에 기여하는 것으로 나타났다.

• 한국정보처리학회논문지
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• 제6권11S호
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• pp.3278-3288
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• 1999

This paper proposes a security platform, called SCAP(Security platform for CORBA based APplication), to cope with potential threats in a distributed object system. SCAP supports CORBA security specification announced by OMG. SCAP is comprised of four functional blocks, which co-work with ORB to provide security services: Authentication Block, Association Block, Access Control Block, and Security Information Management Block. It is designed to support Common Secure Interoperability Functionality Level 2, which is useful for large-scale intra-, or inter-network based applications. Actual security services, which are dependent on supporting security technology, will be provided as external security service for replace ability. Implementation issues such as how to simulate an interceptor mechanism using a commercial ORB product without source code, and how to extend Current object required for security services are also described. At the end of the paper, the SCAP applied to the web environment is described to show its practical utilization.

• 대한원격탐사학회지
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• 제36권4호
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• pp.545-555
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• 2020

This paper focuses on automatic image registration between EO (Electro-Optical) and IR (InfraRed) satellite images with different spectral properties using block-based approach and simple preprocessing technique to enhance the performance of feature matching. If unpreprocessed EO and IR images from Kompsat-3A satellite were applied to local feature matching algorithms(Scale Invariant Feature Transform, Speed-Up Robust Feature, etc.), image registration algorithm generally failed because of few detected feature points or mismatched pairs despite of many detected feature points. In this paper, we proposed a new image registration method which improved the performance of feature matching with block-based registration process on 9-divided image and pre-processing technique based on adaptive histogram equalization. The proposed method showed better performance than without our proposed technique on visual inspection and I-RMSE. This study can be used for automatic image registration between various images acquired from different sensors.