• The Korean Journal of Pain
• /
• v.21 no.1
• /
• pp.44-50
• /
• 2008

Background: The use of regional local anesthetics or opioids during laparoscopic cholecystectomy (LC), in combination with general anesthesia, has been investigated in several interventional studies. Methods: We studied a total of 240 (n = 60, each) patients who were undergoing LC, and they received local infiltration and intraperitoneal instillation with normal saline or 0.25% levobupivacaine 60 ml. Group R (S) received infiltration of normal saline 20 ml before incision and at the end of surgery and then 40 ml intraperitoneal instillation after removal of the gall bladder under remifentanil-based anesthesia. Group R (L) received 0.25% levobupivacaine instead of normal saline in the same method like group R (S). Group S (S) received the same method as group R (S) under sevoflurane based anesthesia in place of remifentanil. Group S (L) received 0.25% levobupivacaine instead of normal saline with the same method as group S (S). Pain was assessed on a visual analog scale at 1, 6, 12 and 24 hours after operation. Results: The pain intensity of Group R (L) was significantly lower than that of group R (S), and the the incisional pain of group S (L) was significantly lower than that of group S (S) in the first six hours. The time delay to first operative analgesics in group R (S) and group S (S) was significantly shorter than that of group R (L) and group S (L). Conclusions: Infiltration and instillation of levobupivacaine reduced the postoperative pain and remifentanil did not increase the pain severity and opioid requirement when performing the LC.

• Journal of Korean Society for Atmospheric Environment
• /
• v.29 no.2
• /
• pp.135-151
• /
• 2013

This study has been carried out to analyze the sensitivity of ozone concentrations by employing different options of cumulus parameterization schemes (CPSs) and microphysics schemes in MM5 models. These sensitivity tests were applied to long-range transport case of higher ozone over Northeast Asia. Employed CPS schemes are Betts-Miller (BM), Grell (GR), Kain-Fritsch2 (KF2), Anthes-Kuo (AK), None scheme (grid scale physics only), and four microphysics used here are Simple ice, Reisner1, Reisner2, Schultz scheme in MM5. We chose two cases of high ozone long range transport case by employing both concentrations ozone level and backward trajectory model. The results showed that modeled ozone concentrations indicated about 10% differences among CPSs. Of the all options, GR and KF2 (for CPS), and Rersiner-1 and Resiner-2 (for microphysics) showed relatively good and stable variations against ensemble mean values. For both CPS and microphysics schemes, the difference of precipitation arising from different parameterization schemes was significant by itself, but the resultant ozone variations showed only marginal. But the cloud fraction differences arising from different parameterization schemes showed better correlation with ozone variations than precipitation differences, indicating that the photochemical ozone generation variations is more dominant by cloud fraction than wet removal process for high and long-ranged transported ozone cases over Northeast Asia.

• Journal of Korean Neurosurgical Society
• /
• v.63 no.5
• /
• pp.631-639
• /
• 2020

Objective : Traditionally, staged surgery has been preferred in the treatment of compound comminuted depressed fracture (FCCD) after traumatic brain injury (TBI) and involves the removal of primarily damaged bone and subsequent cranioplasty. The main reason for delayed cranioplasty was to reduce the risk of infection-related complications. Here, the author performed immediate reconstruction using a titanium mesh in consecutive patients with FCCD after TBI, reported the surgical results, and reviewed previous studies. Methods : Nineteen consecutive patients who underwent single-stage reconstruction with titanium mesh for FCCD of the skull from April 2014 to June 2018 were retrospectively analyzed. The demographic and radiological characteristics of the patients with FCCD were investigated. The characteristics associated with surgery and outcome were also evaluated. Results : The frequency of TBI in men (94.7%) was significantly higher than that in women. Most FCCDs (73.7%) occurred during work, the rest were caused by traffic accidents. The mean interval between TBI and surgery was 7.0±3.9 hours. The median Glasgow coma scale score was 15 (range, 8-15) at admission and 15 (range, 10-15) at discharge. FCCD was frequently located in the frontal (57.9%) and parietal (31.6%) bones than in other regions. Of the patients with FCCDs in the frontal bone, 62.5% had paranasal sinus injury. There were five patients with fractures of orbital bone, and they were easily reconstructed using titanium mesh. These patients were cosmetically satisfied. Postoperatively, antibiotics were used for an average of 12.6 days. The mean hospital stay was 17.6±7.5 days (range, 8-33). There was no postoperative seizure or complications, such as infection. Conclusion : Immediate bony fragments replacement and reconstruction with reconstruction titanium mesh for FCCD did not increase infectious sequelae, even though FCCD involved sinus. This suggests that immediate single-stage reconstruction with titanium mesh for FCCD is a suitable surgical option with potential benefits in terms of cost-effectiveness, safety, and cosmetic and psychological outcomes.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.3 no.4
• /
• pp.295-302
• /
• 2002

PAHs (polycyclic aromatic hydrocarbons) deposited in soil are one of serious problems against sustainable land use. In this paper, chemical soil flushing in a packed sandy soil matrix using a natural surfactant, $\beta$-cyclodextrin (CD) was studied via a fluorescence spectroscopy and a dye labelling. The contaminants are lipophilic ring compounds- phenanthrene and naphthalene. Sand type and flushing intensity (rate and concentration) are chosen as important investigation variables. The removal efficiencies were proportional to flow rate, concentration, temperature of the flushing solution and voidity of the sand column. Initial sorption of the surfactant onto the soil matrix was found to be a key step while flow shear was more crucial in the latter steps. The residual portion of the surfactant, which was most likely to be due to the initial sorption, would not be so influential on this type of soil washing for long times. These results will be useful in future for pilot scale in situ washing and for establishing better soil washing strategy.

• Journal of environmental and Sanitary engineering
• /
• v.15 no.2
• /
• pp.95-101
• /
• 2000

High growth of economy and industrial development was produced every air pollutants, that is, SOx, NOx, dust, VOCs and malodorous gas was produced. Recently, volatile organic compounds(VOCs) was bring about very serious environmental problems. Ulsan petrochemical complex was densely a large scale of petrochemical plant. This study was carried out to select treatment equipment of VOCs produced from petrochemical plant, and has compared with Carbon filter, Regenerative thermal oxidation(RCO) and Flare stack for technical merit and demerit but also initial investment and operating cost.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.18
• /
• pp.8383-8386
• /
• 2016

Background: To evaluate the safety, convenience and effectiveness of 940nm diode laser for treatment of homogenous leukoplakia. Materials and Methods: Ten patients having homogenous leukoplakia which were diagnosed clinically were selected from an Indian dental educational institution for the study. Toludine blue staining was applied locally over the lesion. The area where there was increased uptake of stain was excised using a 940 nm EZLASE TM diode laser (BIOLASE-USA). Results: Although various treatment modalities have been tried and the search continues for novel treatment modalities for complete removal of homogenous leukoplakia, from results of our preliminary pilot study it is clear that the use of 940 nm diode laser as a treatment modality for homogenous leukoplakia is a good substitute. Healing was perfect without any complication within a duration of 1 month. Pain intensity was also mild and absolutely zero on the VAS scale after 1 month follow up. Conclusions: 940 nm diode lasers are safe and can be effectively used as a treatment modality of homogenous leukoplakia, without any complication and without compromising health and oral function of patients. Considering recurrence factor, long term follow up for patients is a must.

• Journal of Soil and Groundwater Environment
• /
• v.16 no.3
• /
• pp.28-37
• /
• 2011

A preliminary study for energy efficient soil heating and contaminant removal using microwave was conducted. Soils sampled from floodplain were heated with microwave oven, and soil heating property and energy efficiency were compared to those heated with electrical furnace. In addition the effects of water, soil organic matter, and contaminated diesel on soil heating with microwave were investigated. Even though the electrical power consumption of electrical furnace and microwave oven were similar, temperature of soil heated with microwave oven was significantly higher than that of soil heated with electrical furnace. The increase of soil moisture content delays the raise of soil temperature during heating it with microwave oven. However, the effects of total petroleum hydrocarbon (TPH) (<10%) in contaminated soil matrix and small amount of soil organic matter (<5%) on the increase of soil temperature by microwave were not significant. Further studies for contaminated soils with different texture using pilot scale microwave reactor are required for application of this technique in the field.

• Environmental Sciences Bulletin of The Korean Environmental Sciences Society
• /
• v.3 no.2
• /
• pp.113-119
• /
• 1999

The quality of the effluent from an activated sludge aeration tank can deteriorate when the substrate removal rate decreases due to an abrupt reduction in the DO concentration, which is affected by such operating conditions as the loading rate, temperature, wastewater composition, and so on. In this research, a DO control system that includes a PI (proportional-integral) controller/Hiraoka controller was developed and applied to a pilot-scale activated sludge process, then its acceptability was estimated. The applicability of the respiration rate to DO control was also estimated. The respiration rate indicated a variety of input organic loading rates, which is the main disturbance to the DO concentration in an aeration tank. When the influent concentration incrementally decreased and increased between CODcr 1,000 mg/l and 100 mg/l, the control system with a PI controller exhibited a good llperformance-the average DO concentrations were 2.00$\pm$0.14 mg/l and 1.88$\pm$0.15 mg/l (set value was 2.0 mg/l), respectively, and the settling time was just 10 minites. When the control system was operated for 4 days, the DO concentration was 1.99$\pm$0.18 mg/l and 32.6% of the air flowrate was saved. However, the fluctuations in the respiration rates and air flowrates were severe, which could be harmful to the stability of the biomass and mechanical stability of the blower. A possible approach to solve this problem may be the simultaneous control of the loading rate and DO concentration.

• Child Health Nursing Research
• /
• v.16 no.4
• /
• pp.352-359
• /
• 2010

Purpose: To explore premature infants' pain response to routine procedures in the neonatal intensive care unit (NICU). Methods: The participants were 56 preterm infants who showed 149 pain responses to 8 high frequency routine procedures which were evaluated using the Premature Infant Pain Scale (PIPS). Videotaped recording was used for data collection. Data were analyzed with descriptive analysis, paired t-test, and Pearson's correlation coefficient. Results: PIPS scores for each procedure were as follows; for removal of central catheter dressing, 6.17 (2.04), venous sampling, 6.12 (2.87), intramuscular injection, 6.05 (2.38), insertion of a peripheral line, 5.38 (2.16), insertion of feeding tube, 4.40 (1.34), heel stick, 4.33 (1.23), insertion of central line, 4.00 (2.12), and endotracheal suctioning, 2.90 (1.25). PIPS score was negatively correlated with gestational age (r=-.218, p=.007) and birth weight (r=-.249, p=.002) among general characteristics of the infants. Conclusion: The majority of 8 routine procedures were found to be painful for premature infants in the NICU. Therefore, adequate pain management related to procedures should be provided to premature infant in the NICU.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.21 no.1
• /
• pp.130-136
• /
• 2017

Recently, as demand of video processor unit rapidly increases, excellent quality of the video has been required. However, generally, video data occurs the quick flame of video due to various external causes in process of acquisition, treatment, and transmission, and major cause of the quick flame of the video is known as the noise. There are various kinds of noise, which are added to the video, AWGN is a typical one. Thus, this thesis suggested algorithm that treats in three methods by scale of the edge through using edge information of local masks. In case that edge pixel is big, it applied spatial weighting according to equation of straight line about direction of edge pixel. In case that edge pixel is middle, it suggested algorithm with spatial weighting filter and average filter, and for the smooth territory, it suggested algorithm that treats with average filter.