• Title/Summary/Keyword: "There Was a Queen"

Search Result 70, Processing Time 0.023 seconds

Potential clinical utility of intraoperative fluid amylase measurement during pancreaticoduodenectomy

  • Kunal Joshi;Manuel Abradelo;David Christopher Bartlett;Nikolaos Chatzizacharias;Bobby Venkata Dasari;John Isaac;Ravi Marudanayagam;Darius Mirza;Keith Roberts;Robert Peter Sutcliffe
    • Annals of Hepato-Biliary-Pancreatic Surgery
    • /
    • v.27 no.2
    • /
    • pp.189-194
    • /
    • 2023
  • Backgrounds/Aims: Postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) is a source of major morbidity and mortality. Early diagnosis and treatment of POPF is mandatory to improve patient outcomes and clinical risk scores may be ombined with postoperative drain fluid amylase (DFA) values to stratify patients. The aim of this pilot study was to etermine if intraoperative fluid amylase (IFA) values correlate with DFA1 and POPF. Methods: In patients undergoing PD from February to November 2020, intraoperative samples of intra-abdominal fluid adjacent to the pancreatic anastomosis were taken and sent for fluid amylase measurement prior to abdominal closure. Data regarding patient demographics, postoperative DFA values, complications, and mortality were prospectively collected. Results: Data were obtained for 52 patients with a median alternative Fistula Risk Score (aFRS) of 9.9. Postoperative complications occurred in 20 (38.5%) patients (five Clavien grade ≥ 3). There were eight POPFs and two patients died (pneumonia/sepsis). There was a significant correlation between IFA and DFA1 (R2 = 0.713; p < 0.001) and DFA3 (p < 0.001), and the median IFA was higher in patients with POPF than patients without (1,232.5 vs. 122; p = 0.0003). IFA > 260 U/L predicted POPF with sensitivity, specificity, positive and negative predictive values of 88.0%, 75.0%, 39.0%, and 97.0%, respectively. The incidence of POPF was 43.0% in high-risk (high aFRS/IFA) and 0% in lowrisk patients (low aFRS/IFA). Conclusions: IFA correlated with POPF and may be a useful adjunct to clinical risk scores to stratify patients during PD. Larger, prospective studies are needed to determine whether IFA has clinical utility.

A Study on the Wearing Occasion and Formula of Jeok-Ui in the Joseon Dynasty (조선시대 적의의 용례와 제작에 대한 고찰)

  • Kim, Soh-Hyeon;An, In-Sil;Jang, Jeong-Yun
    • Journal of the Korean Society of Costume
    • /
    • v.57 no.6 s.115
    • /
    • pp.87-100
    • /
    • 2007
  • In the Joseon Dynasty, a Court Ladies' full dress was Slanted by the Ming Dynasty. Since the Ming Dynasty had declined, a Court Ladies' full dress, Jeok-ui began to be made by the Joseon Dynasty. It was based on the Chinese Court Ladies' full dress, Desam, but it became Joseon's own style, which was different from the Chinese one. The formula of Jeok-ui was completed in the time of King Yongjo. Since then, Jeok-ui for big ceremonies was called Bub-bok. It was recorded on the Regular rule of Sang-uiwon. The color of Jeok-ui was departmentalized for the wearer; red one for the Queen, bluish black one for the Crown Princess, and purple one for the Queen mother. There were some differences between Jeok-ui for feasts and for big ceremonies. In the case of Jeok-ui for big ceremonies, the pattern of Hyung-bae for the Queen was a dragon with five claws, and for the Crown Princess, a dragon with four claws. On the other hand, in the case of Jeok-ui for feasts, the pattern of Hyung-bae was phoenixes for the Queen, Crown Princess and the Queen mother. The number of embroidered round badges, which were attached to Jeok-ui, was 51 for big ceremonies, and 36 for feasts. The skirt for big ceremonies was a Jeonang-ut-chima with dragons pattern for the Queen, and phoenixes for the Crown Princess. The Queen's skirt for feasts was a Jeonang-ut-chima with phoenixes pattern, and the Queen mother's also. The Crown Princess' was a double skirt with phoenixes pattern. The pearls were not decorated on the shoes for big ceremonies, but shoes for feasts had six big pearls fer decoration. When the royal woman wore Jeok-ui for big ceremonies, it was prepared for Kyu, Pe-ok and belt with jade. But those were not necessary for Jeok-ui for feasts.

The Expressive Effects of Queen Elizabeth I's Rebes in Cinema (영화의상에 나타날 엘리자베스 여왕 1세 로브의 표현효과)

  • 조윤영;양숙희
    • Journal of the Korean Society of Costume
    • /
    • v.53 no.3
    • /
    • pp.89-106
    • /
    • 2003
  • The purpose of this study is to analyze the expressive effects of Queen Elizabeth I's robes in cinema and also to present two examples of Queen Elizabeth I's robes designed and made based on these expressive effects. To this end, this study wilt first examine Queen Elizabeth I's robes in her portraits according to the visual definers and emblematic meanings. Then on the basis of these knowledges, analyze visual definers and viewing priorities of Queen Elizabeth I's robes in five movies. Thereinafter, these robes will be classified based upon Belong(1998)'s four expressive effects. excitement. calmness, strength and delicacy. Finally, this study will demonstrate calmness and delicacy among four expressive effects through two robes made for the purpose. After analyzing the expressive effects of robes in five Queen Elizabeth I's movies, one can conclude excitement. calmness, strength, and delicacy can be found according to the flow of the story. Since this analysis focuses mainly on one particular person during one Particular period of time, there was a fundamental silhouette prevalent among the Queen's robes which then can be classified into different forms. Moreover, Queen's character in itself embodies authority and grace which. in turn, facilitates the presentation of the four expressive effects along the story line. In conclusion, thorough historical research on the character and the period. in addition to analysis of the visual definer and viewing priorities, is imperative when designing a historical costume.

A Study on Hybrid Trend upon Alexander McQueen's Work (Alexander McQueen의 패션작품에 나타난 하이브리드(Hybrid) 경향 분석)

  • Lee Hyo-Jin;Kim Ju-Yeon
    • The Research Journal of the Costume Culture
    • /
    • v.13 no.2 s.55
    • /
    • pp.300-313
    • /
    • 2005
  • Hybrid trend of the 21st century is an important basis to express fashion Alexander McQueen is a representative designer of Hybrid trend which combines heterogeneous elements into oneconcept. Accordingly, this study distributed and analyzed Hybrid trend which was in Alexander McQueen's work like below. First, there was a racial Hybrid trend which combined different local culture in shared space of the world in his fashion work and he challenged to Westernized ideal beauty with new recognition and knowledge about beside countries of Western Europe which were considered as not important culture due to perceiving relative value of a pluralist society and created new way aesthetic consciousness. Second, he expressed a historical character of a combination of tradition and modern by his fashion work based on wide historical knowledge of a dress. He created a new line in contrast to the past with a perfect design through combination of the style from the tradition with the parody and displayed his own design world. Third, he treated instability and disorder from the interior essential dissolution, thus he had a cultural character which broke down the boundary of cultural genre and style. This attitude showed transformation of constructivism and deconstruction view, secession and distortion, mixture, duplication, secession and insert by his fashion work.

  • PDF

The Chicken Thigh Adductor Profundus Free Muscle Flap: A Novel Validated Non-Living Microsurgery Simulation Training Model

  • Pafitanis, Georgios;Serrar, Yasmine;Raveendran, Maria;Ghanem, Ali;Myers, Simon
    • Archives of Plastic Surgery
    • /
    • v.44 no.4
    • /
    • pp.293-300
    • /
    • 2017
  • Background Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have an established place in Plastic Surgical microsurgery training, and support the principles of replacement, reduction and refinement of animal use. A more sophisticated version of the basic chicken thigh microsurgery model has been developed to include dissection of a type 1-muscle flap and is described and validated here. Methods A step-by-step dissection guide on how to perform the chicken thigh adductor profundus free muscle flap is demonstrated. Forty trainees performed the novel simulation muscle flap on the last day of a 5-day microsurgery course. Pre- and post-course microvascular anastomosis assessment, along with micro dissection and end product (anastomosis lapse index) assessment, demonstrated skills acquisition. Results The average time to dissect the flap by novice trainees was $82{\pm}24$ minutes, by core trainees $90{\pm}24$ minutes, and by higher trainees $64{\pm}21$ minutes (P=0.013). There was a statistically significant difference in the time to complete the anastomosis between the three levels of training (P=0.001) and there was a significant decrease in the time taken to perform the anastomosis following course completion (P<0.001). Anastomosis lapse index scores improved for all cohorts with post-test average anastomosis lapse index score of $3{\pm}1.4$ (P<0.001). Conclusions The novel chicken thigh adductor profundus free muscle flap model demonstrates face and construct validity for the introduction of the principles of free tissue transfer. The low cost, constant, and reproducible anatomy makes this simulation model a recommended addition to any microsurgical training curriculum.

A STUDY OF SACREDOTAL ROBE FOR QUEEN IN CHO-SUN DYNASTY (조선왕조(朝鮮王朝)의 왕비법복(王妃法服)에 관한 연구(硏究))

  • Hong, Na-Young;Ryou, Hi-Kyung
    • Journal of the Korean Society of Costume
    • /
    • v.7
    • /
    • pp.5-19
    • /
    • 1983
  • Sacredotal robe(法服) means full court dress. We can't know about the shape of sacredotal robe before Dae-Han Empire(大韓帝國) since there are no remains of it. The study of sacredotal robe for queen have also been made centering around the socredotal robe granted from Ming(明) dynasty and the system of Juck-Eui(翟衣) in Dae-Han Empire. In this thesis I tried to study about the sacredotal robe for queen from King Gong-Min(恭愍王) of Koryeo(高麗) dynasty to the close the Cho-Sun(朝鮮) dynasty by investigating the Literature of Cho-sun Dynasty Chronicles(朝鮮王朝實錄), Ga Rae Do Gam Eui Gue(嘉禮都監儀軌), Sang Bang Jung Rae(尙方定例), Gook Hon Jung Rae(國婚定例), Sok-Orae Eui-Bo(續五禮儀補), and Dae Myung Whe Jeon(大明會典). The first documents on sacredotal robe for queen is regarded as that in the period of King Gong Min., which says that Chil Whee Gu Bong Gwan and Juck Eui of the 9th grade had been given from Ming dynasty. The sacredotal robe for queen in Chosun had been granted from Ming dynasty since the 3th years of King Tae-Jo(太祖) to the 3th years of King In-Jo(仁祖). They were Ju Chui Chil Juck Gwan, red Dae Sam(大衫), Bae Ja(褙子) embroidered with. pheasants on blue silk, and ivory flat baton (笏), which belonged to the court dress for the first class of court lady. When Qing(淸) dynasty succeeded to Ming dynasty, Cho-sun adopted the system of luck Eui which had it's origin in the system of Ming, denying to comply with Chung. But as a matter of fact, the system of sacredotal robe for queen actually used was one which were different from the dress system of Ming and converted into our national ways. In the latter period. of Cho-sun, the system of Bae Ja or Juck Eui were used together until the period of King Young Jo(英祖), and the system of Juck Eui which was written in Gook Hon Jung Rae was continually used from King Young Jo to the close of Cho-sun. It was composed of Juck Eui, Beol Eui(別衣), Nae Eui(內衣), Pe Sool(蔽膝), Dae Dae(大帶), HaPi, Sang(裳), Ok Dae(玉帶), Pae Ok(佩玉), Gue(圭), Mal(襪), Suk, and Myun sa(面紗), The headdress was used in our own ways, not complying with Juck Gwan(翟冠). The color of Juck Eui was red for queen, deep blue for the consort of the crown prince. The color of Juck Eui in DaHan Empire was deep blue, different from that of Juck Eui in Cho-sun. Bo(補) for queen wus embroidered with dragon with five claws and the one for the consort of crown prince with dragon with four claws. The back length of Juck Eui was longer than front about 28cm (1尺), and the front opening was straight down. 51 motifs of a brace of pheasants which were similiar to Bong(鳳) were embroidered on Juck Eui for queen. But we can't find out whether there 31 or 51 on Juck Eui for the consort of the crown prince. The system shows independant aspects, because there are Bo, Myun Sa, Sang, Ha Pi, Beol Eui, and Nae Eui which were not found in the system of Ming. As mentioned above, I have studied on the sacredotal robe for queen. But we can't guess the detail of sacredotal robe for queen, because there are no remains at all. Therefore I expect more study on this.

  • PDF

A Study on Clinical Records of King Hyeonjong's Queen, Queen Myeongseong, Focusing on Cases Recorded in the Seungjeongwon Ilgi (The Daily Records of Royal Secretariat of Joseon Dynasty 承政院日記) (현종 비 명성왕후의 복약 기록 연구 - 『승정원일기』의 의안을 중심으로 -)

  • Park, Jooyoung;Kug, Sooho;Kim, Namil;Cha, Wungseok
    • The Journal of Korean Medical History
    • /
    • v.32 no.1
    • /
    • pp.11-20
    • /
    • 2019
  • Queen Myeongseong was the wife of King Hyeonjong, the 18th king of the Joseon Dynasty, and the mother of King Sukjong. The clinical records of Queen Myeongseong are summarized on the basis of the Seungjeongwon Ilgi (The Daily Records of Royal Secretariat of Joseon Dynasty 承政院日記) and reviewed through Donguibogam. Queen Myeongseong gave birth to one male and three female children in the time of the queen. She took Geumgaedangguihwan (金櫃當歸丸), Dalsaengsan (達生散), Antaeum (安胎飮) during her pregnancy and Gungguitang (芎歸湯) during postnatal care. Since 1669, chest tightness, sleeplessness, arm pain and numbness of arms had been appeared. Ondamtang (溫膽湯) and Dodamtang (導痰湯) were used but they were not effective. However, when her symptoms were regarded as a benign tumor due to cold and wetness, there was a difference in the use of Ohjuksan (五積散). In 1683, when king Sukjong was caught in a smallpox, she took care of him. She exorcised in the middle of winter to pray for her son's recovery, and died of the flu.

Galloping analysis of stranded electricity conductors in skew winds

  • Macdonald, J.H.G.;Griffiths, P.J.;Curry, B.P.
    • Wind and Structures
    • /
    • v.11 no.4
    • /
    • pp.303-321
    • /
    • 2008
  • When first commissioned, the 1.6 km span 275kV Severn Crossing Conductor experienced large amplitude vibrations in certain wind conditions, but without ice or rain, leading to flashover between the conductor phases. Wind tunnel tests undertaken at the time identified a major factor was the lift generated in the critical Reynolds number range in skew winds. Despite this insight, and although a practical solution was found by wrapping the cable to change the aerodynamic profile, there remained some uncertainty as to the detailed excitation mechanism. Recent work to address the problem of dry inclined cable galloping on cable-stayed bridges has led to a generalised quasi-steady galloping formulation, including effects of the 3D geometry and changes in the static force coefficients in the critical Reynolds number range. This generalised formulation has been applied to the case of the Severn Crossing Conductor, using data of the static drag and lift coefficients on a section of the stranded cable, from the original wind tunnel tests. Time history analysis has then been used to calculate the amplitudes of steady state vibrations for comparison with the full scale observations. Good agreement has been obtained between the analysis and the site observations, giving increased confidence in the applicability of the generalised galloping formulation and providing insight into the mechanism of galloping of yawed and stranded cables. Application to other cable geometries is also discussed.

The Transition of Late 18th Century Women's Costume and Enlightenment, with Reviewing the Portraiture of Marie Antoinette - Focused on 1770-1793 - (Marie Antoinette의 초상화를 통해 본 18세기 후기 여성 복식의 변화와 계몽주의 사상 - 1770-1793을 중심으로 -)

  • Bae, Soo-Jeong
    • Journal of the Korean Society of Costume
    • /
    • v.62 no.1
    • /
    • pp.120-136
    • /
    • 2012
  • This thesis takes an aim to investigate the relationship between the costume and enlightenment ideology by studying the change of costume, and reviewing the portraiture of Queen Marie Antoinette. The method of this research is to select the 29 pieces among the portraitures from 1770 to 1793, and to analyze the headdress, shape of robes and ornaments. The results are as follows. The first period(1770-1774): The costume in this period of Dauphin of France is described as vivid, and simple like her characters, and also represents her active lifestyle. The ideology of equality between the two sexes from the enlightenment slightly influence the costumes seen inside the portrait of Dauphin. The second period (1775-1779): This is the early period of the Queen's enthronement and also before her childbirth. The relatively small number of portraits showed her as an authoritative figure because her skirts were expanded with huge panier, the waist were tightened with corset, and her headdress was enlarged. Thus, this period could not be defined as the one of enlightenment philosophies in light of the persistent unsanitary construction of costumes distorting the body. The third period(1780-1789): There are many portraits depicting the Queen and her children. It is noteworthy that the English style picturesque garden was illustrated as a background while the costume was simple and sanitary, both being affected by the enlightenment. The last period(1789-1793): This is the period between the French revolution and the death of the Queen. The form of costumes was transformed into the neoclassic style, headdress was reduced in size, and was simplified as a result of complete change of costume for the enlightenment. This research is to be interpreted as a tool of study about the relationship of costume, society and ideological streams and also be a means of elucidating the contemporary times in view of the past ones.

An Intertextual Approach to Narcissa Benbow in Sanctuary, Sartoris and "There Was a Queen" (나시서 벤보우에 관한 상호텍스트적 연구)

  • Shin, Young-Hun;Kang, Ji-Hyun
    • The Journal of the Korea Contents Association
    • /
    • v.20 no.2
    • /
    • pp.300-309
    • /
    • 2020
  • Recent studies on William Faulkner's female characters have overcome much of the stereotyped and dichotomous approaches of the past by uncovering their subversive characteristics. Nevertheless, they still present some limitations in regards to analyzing the characters based on individual texts. This paper attempts an inter-textual approach to Narcissa Benbow, the central character of Sanctuary, Sartoris and "There Was a Queen." In Sanctuary, Narcissa, a young widow of a Southern aristocratic family, harshly accuses her brother Horace, a lawyer of taking a murder suspect's wife and her infant child to their old house. She is afraid that their existence could harm the reputation of her family and herself. Eventually, she kicks them out of the house. In contrast, she is described as being friendly and calm in Sartoris. In addition, in "There Was a Queen," Narcissa makes an attempt to get an obscene letter back from an FBI agent in exchange for a sexual favor in order to prevent the letter from being disclosed. This paper takes into account the possibility of seeing these incoherent or even contradictory aspects of her characterization with a consistent view. This confirms that an inter-textual approach is needed to properly understand those round female characters created by Faulkner.