• Title/Summary/Keyword: 권상부하

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The Clinical Effectiveness of the Bonfils Intubation Fibrescope in Difficult Tracheal Intubation (기관내 삽관이 힘든 경우에서 Bonfils Intubation Fibrescope 사용의 임상적인 효과)

  • Lee, Deok-Hee;Kwon, Il-Chi
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.154-161
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    • 2007
  • Background : This study was undertaken to evaluate the effectiveness of the Bonfils intubation fibrescope for cases of difficult tracheal intubation. Materials and Methods : For patients with an ASA physical status 1 or 2 betwen the ages of 20-90, direct laryngoscopy was performed and the layngoscopic view graded according to the Cormack and Lehane classification. Forty patients with Cormack and Lehane grade 3 or 4 were intubated using the Bonfils intubation fibrescope. During intubation, the success rates for tracheal intubation, overall time to intubation, number of attempts and adverse effects were recorded. The Thyromental and sternomental distances were recorded after the orotracheal intubation. Results : The success rates were significantly higher in Cormack and Lehane grade 3 (96.9%) patients compared to grade 4 (50%) (P<0.01). The time to intubation was significantly faster in patients with grade 3 compared to grade 4 (20 (10-49[7-300]) sec vs. 180 (31-300[10-300]) sec, P=0.01). The number of cases with a $SpO_2$<90% was significantly lower in patients with grade 3 (3.1%) compared to grade 4 (50%) (P<0.01). Conclusion : In patients with Cormack and Lehane grade 3, tracheal intubation using the Bonfils intubation fibrescope appears to be an effective technique for the management of a difficult intubation. However, the Bonfils intubation fibrescope can not always be used for the management of a difficult intubation in grade 4 patients; for these patients other effective instruments should be considered for difficult intubations.

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A Preliminary Study on the Exhumation Mechanism of the Paleozoic Gwangcheon Gneiss in the Southwestern Margin of the Gyeonggi Massif (경기육괴 남서 연변부에 발달하는 고생대 광천편마암의 노출기작에 대한 예비 연구)

  • Park, Seung-Ik
    • Economic and Environmental Geology
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    • v.50 no.6
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    • pp.525-535
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    • 2017
  • Exhumation mechanism of migmatite in orogenic belts provides insights into thermo-mechanical evolution of lithosphere in association with orogeny. This study deals with kinematics of structures in and around the Gwangcheon Gneiss, as a preliminary study on exhumation mechanism, which is a main constituent of a domal structure (viz., Oseosan Dome) in the Hongseong area, southwestern margin of the Gyeonggi massif. Geological structures in the Gwangcheon Gneiss, which mainly comprises southern and northwestern part of the Oseosan Dome, generally have kinematic component of top-outward shear. This feature is likely to represent diapiric dome-up movement. In addition, a high strain zone, by which the tectonic domain involving the Gwangcheon Gneiss is bounded on the west, show structural features with normal sense of shear component. Taking available (thermo)chronological data into account, it is interpreted that activation of the high strain zone and exhumation of the Gwangcheon Gneiss occurred during Late Triassic, when the Gyeonggi massif was widely affected by post-collisional processes. It means that the Gwangcheon Gneiss was diapirically moved up and exhumed in the footwall of extensional high strain zone in association with Triassic post-collisional processes.

Predictive Factors for Improvement of Atrophic Gastritis and Intestinal Metaplasia: A Long-term Prospective Clinical Study (위축성 위염과 장상피화생의 호전에 영향을 미치는 인자에 대한 전향적 연구)

  • Hwang, Young-Jae;Kim, Nayoung;Yun, Chang Yong;Kwon, Min Gu;Baek, Sung Min;Kwon, Yeong Jae;Lee, Hye Seung;Lee, Jae Bong;Choi, Yoon Jin;Yoon, Hyuk;Shin, Cheol Min;Park, Young Soo;Lee, Dong Ho
    • The Korean journal of helicobacter and upper gastrointestinal research
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    • v.18 no.3
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    • pp.186-197
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    • 2018
  • Background/Aims: To investigate the predictive factors for improvement of atrophic gastritis (AG) and intestinal metaplasia (IM). Materials and Methods: A total of 778 subjects were prospectively enrolled and followed up for 10 years. Histological analysis of AG and IM was performed by using the updated Sydney system. To find the predictive factors for reversibility of AG and IM, 24 factors including genetic polymorphisms and bacterial and environmental factors were analyzed. Results: In all subjects, the predictive factor by multivariate analysis for improvement of both antral and corpus AG was successful eradication. The predictive factors for improvement of antral IM were age and successful eradication. The predictive factor for improvement of corpus IM was successful eradication. In patients with Helicobacter pylori infection, age and cagA were predictive factors for improvement of AG and IM. In patients with H. pylori eradication, monthly income and cagA were predictive factors for improvement of AG and IM. Conclusions: H. pylori eradication is an important predictive factor of regression of AG and IM and would be beneficial for the prevention of intestinal-type gastric cancer. Young age, high income, and cagA are additional predictive factors for improving AG and IM status. Thus, various factors affect the improvement of AG and IM.

A study on the effect of tunnelling to adjacent single piles and pile groups considering the transverse distance of pile tips from the tunnel (말뚝의 횡방향 이격거리를 고려한 터널굴착이 인접 단독말뚝 및 군말뚝에 미치는 영향에 대한 연구)

  • Jeon, Young-Jin;Kim, Sung-Hee;Lee, Cheol-Ju
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.17 no.6
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    • pp.637-652
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    • 2015
  • In the present work, a number of three-dimensional (3D) parametric numerical analyses have been carried out to study the influence of tunnelling on the behaviour of adjacent piles considering the transverse distance of the pile tip from the tunnel. Single piles and $5{\times}5$ piles inside a group with a spacing of 2.5d were considered, where d is the pile diameter. In the numerical modelling, several key issues, such as the tunnelling-induced pile settlements, the interface shear stresses, the relative shear displacements, the axial pile forces, the apparent factors of safety and zone of influence have been rigorously analysed. It has been found that when the piles are inside the influence zone, the pile head settlements are increased up to about 111% compared to those computed from the Greenfield condition. Larger pile settlements and smaller axial pile forces are induced on the piles inside the pile groups than those computed from the single piles since the piles responded as a block with the surrounding ground. Also tensile pile forces are induced associated with the upward resisting skin friction at the upper part of pile and the downward acting skin friction at the lower part of pile. On the contrary, when the piles were outside the influence zone, tunnelling-induced compressive pile forces developed. Based on computed load and displacement relation of the pile, the apparent factor of safety of the piles was reduced up to about 45%. Therefore the serviceability of the piles may be substantially reduced. The pile behaviour, when considering the single piles and the pile groups with regards to the influence zone, has been analysed by considering the key features in great details.

Seepage Behavior by Artificial Rainfall in Weathered Granite Model Slope (화강풍화토 모형사면의 인공강우 침투거동 해석)

  • Lee, Kumsung;Han, Heuisoo;Chang, Donghun;Yoon, Donggu
    • Journal of the Korean GEO-environmental Society
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    • v.14 no.12
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    • pp.5-12
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    • 2013
  • In this study, weathered granite model tests were performed to investigate the variation of volumetric water content and matric suction by the adsorption and desorption processes of artificial rainfall. It has been compared with numerical analysis in unsaturated condition. As the results, the behaviors of volumetric water content and matric suction were distinguished by the seepage distance separated into higher, middle and lower area, and the drainage layer located at the bottom of the experimental device. In the adsorption process, the instantaneously large change of matric suction and water content were related to the increase of permeability in soil. However, in the desorption process, the change of matric suction and water content were gradually small because of the decrease of permeability. The volumetric water content and matric suction showed the difference according to the seepage distance, however the typical characteristic curves were made by the adsorption and desorption processes.

Development of Apparatus and Methods for Understanding the Dynamics of the Western Boundary Current (서안경계류 역학을 이해하기 위한 실험 장치 및 방법 개발)

  • Jang, Swung-Hwan;Shin, Jung-Sun;Moon, Byung-Kwon
    • Journal of the Korean earth science society
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    • v.31 no.1
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    • pp.88-94
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    • 2010
  • A simple laboratory device and methodology are developed for deep understanding of the western boundary current (WBC). The apparatus consists of a rotating (count-clockwise) rectangular tank with a sloping bottom in order to simulate the beta effect, the variation of the Coriolis parameter with latitude. We also used a clockwise rotating disk at the surface water to mimic the wind stress forcing in mid-latitude oceans. Four experiments were carried out using some combination of a bottom type and a rotation of the tank. Experiment with the beta effect clearly demonstrated the WBClike flow as well as the Sverdrup interior. However, the water in a tank gave rise to an inertial motion under the influence of a constant Coriolis force alone. We also discussed a stiffening of the rotating fluid on the basis of the Taylor-Proudman effect. We believe that the apparatus and methods developed in this study help to understand the WBC due to the beta effect.

Fabrication of deflector integrated laser diodes and light deflection (광 편향기 집적 레이저 다이오드의 제작 및 광의 편향)

  • 김강호;권오기;김종회;김현수;심은덕;오광룡;김석원
    • Korean Journal of Optics and Photonics
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    • v.15 no.2
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    • pp.171-176
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    • 2004
  • A light deflector integrated laser diode(LD) was fabricated and the characteristics of LD and ourput beam deflection as a function of deflector injection current were measured. To integrate the deflector with LD, a passive waveguide was integrated with the LD and a triangular-type light deflector was fabricated on the upper clad of the passive waveguide section. Light deflection from the fabricated light deflector is controlled by the effective refractive index variation induced by carrier injection. To characterize the effect of the deflector injection current, threshold current, slope efficiency, and output beam spectrum were measured as a function of deflector injection current. From these measured data, the increment in the threshold current and the decrement of the slope efficiency were observed. However, the output beam spectrum was not affected by the deflector. The Beam Propagation Method(BPM) was used to simulate the proposed device and the light deflection was measured by the far-field pattern of the output beam as a function of the deflector injection current. In the fabricated deflector integrated LD, the deflection angle of 1.9$^{\circ}$ at the injection current of 15 ㎃ was obtained.

Design and Implementation of a Main-memory Storage System for Real-time Retrievals (실시간 검색을 위한 다중 사용자용 주기억장치 자료저장 시스템 개발)

  • Kwon, Oh-Su;Hong, Dong-Kweon
    • The KIPS Transactions:PartD
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    • v.10D no.2
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    • pp.187-194
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    • 2003
  • Main Memory storage system can increase the performance of the system by assigning enough slack time to real-time transactions. Due to its high response time of main memory devices, main memory resident data management systems have been used for location management of personal mobile clients to cope with urgent location related operations. In this paper we have developed a multi-threaded main memory storage system as a core component of real-time retrieval system to handle a huge amount of readers and writers of main memory resident data. The storage system is implemented as an embedded component which is working with the help of a disk resident database system. It uses multi-threaded executions and utilizes latches for its concurrency control rather than complex locking method. It only saves most recent data on main memory and data synchronization is done only when disk resident database asks for update transactions. The system controls the number of read threads and update threads to guarantee the minimum requirements of real-time retrievals.

Plant Regeneration from Leaf Segment Cultures of Chrysanthemum(Dendranthema grandiflora grandiflora Tzvelev) (국화의 엽절편 배양에 의한 식물체 재생)

  • 이윤경;권영주;이규민;형남인
    • Korean Journal of Plant Tissue Culture
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    • v.26 no.1
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    • pp.59-63
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    • 1999
  • Efficient plant regeneration via shoot organogenesis from in vitro cultured leaf segments of chrysanthemum (Dendranthema grandiflora Tzvelev cv. Namjeon) was achieved. Adventitious shoot formation from leaf explants was greatly influenced by plant growth regulator, leaf age, light condition, explant number per culture vessel, and explant orientation. Leaf segments, obtained from fully expanded young 1-2nd leaves and inoculated 8 explants per petri-dish with adaxial surface contact with MS medium supplemented with 0.5 mg/L BA and 2.0 mg/L NAA, produced 100% regeneration frequency and 13.7 shoots per explant. Regenerated adventitious shoots were successfully rooted in MS medium with 0.1 mg/L NAA. The plantlets were acclimatized in artificial soil mixtures (Vermiculite:Perlite=1:1), and transferred to greenhouse for flowering. The regenerated plants showed normal phenotypes.

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Geophysical Study Through Infrasound Observation (인프라사운드 관측을 통한 지구물리학적 연구)

  • Che, Il-Young;Jeon, Jeong-Soo
    • Economic and Environmental Geology
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    • v.39 no.4 s.179
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    • pp.495-505
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    • 2006
  • Atmospheric infrasound is defined as low frequency inaudible sound waves generated from natural phenomena and human activities. One property of long-distance travelling of infrasound makes it possible to detect the wave propagated from remote sound sources and to understand many geophysical phenomena generating it. Recently, advanced global infrasound sensor arrays are being deployed to monitor the clandestine nuclear test and to study geophysical phenomena in the world. In Korea, five seismo-acoustic arrays consisting of co-located seismometer and micro-barometer have been operated to discriminate the artificial explosions from the natural earthquakes in and around the Korean Peninsula. In addition to the discrimination purpose, these ways also record distinct infrasonic signals from natural phenomena on global scale such as large earthquake, bolide event, volcanic explosion, typhoon, and so on. As a new frontier in monitoring the earth, infrasound is being applied to understand various phenomena in and above the earth's surface.