• Title/Summary/Keyword: 전향 경도

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Analgesia After Subacromial Arthroscopy: Prospective Double-blind Study of Continuous Mixed Intra-bursal Infusion with Morphine and Bupivacaine and placebo (견봉하 관절경 수술 후 진통 작용: 모르핀과 국소마취제 혼합제와 위약의 점액낭 내 지속 주입에 대한 전향적 이중 맹검 연구)

  • Park Jin-Young;Lee Kwan-Woo;Kim Yun;Yoo Moon-Jib
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.102-108
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    • 2000
  • The aim of this study is to determine if intra-bursal morphine and Bupivacaine mixed infusion provided useful analgesia after subacromial arthroscopic operation. At the end of the subacromial arthroscopy, continuous intra-bursal infusion catheter was inserted. In a double-blind randomized trial, Sixty patients were allocated to one of two groups: placebo group(n=30) received continuous saline infusion. Study group received mixed 5㎖ of 0.5% Bupivacaine, 2㎎ of morphine and 0.05㎖ of 1/1000 epinephrine as bolus and mixed solution of 40㎖ of 0.5% Bupivacaine and 8㎎ of morphine as maintenance dose with continuous infusion pump(0.5㎖ hourly). In the placebo group, two patients were discontinued due to leakage and catheter coming out each. Intensity of pain was evaluated preoperatively and postoperatively for 3 days by 10 graded visual analogue scale. Night pain, pain on motion, sleep disturbance, lying on painful shoulder and amounts of intramuscular pain killer were recorded. Analgesic effect for pain was cleared at 1st and 2nd postoperative day and there was less sleep disturbance for 3 days postoperatively in study group. There was no difference in pain on motion postoperatively. In study group, less pain killers were used in the first 48 hours postoperatively. The continuous intra-bursal infusion decreased perception of pain at resting stage and reduced supplemental analgesic requirement for 2 days postoperatively.

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고해상도 Icosahedral-Hexagonal 격자 전구모형 GME를 이용한 태풍예측에 관한 연구

  • Lee, Kyung-Min;Oh, Jae-Ho;Majewski, Detlev
    • Proceedings of the Korea Water Resources Association Conference
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    • 2008.05a
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    • pp.304-309
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    • 2008
  • 기존의 태풍예측과 관련된 연구들은 전 지구적인 흐름이 직접적으로 계산되지 않은 중규모 기상모형이나 태풍모형들을 이용하여왔다. 하지만 최근 전 세계적으로 전구 규모의 모형들이 40km 이하의 고해상도 모형들이 개발되어 20km이하의 초고해상도 시물레이션이 가능해짐에 따라 지역적인 기상현상들을 전구모형을 통해서 재현해 내고 있다. 따라서 본 연구에서는 고해상도 전구모형을 이용하여 태풍 실험을 하고자 하며, 독일기상청에서 개발된 Icosahedral-hexagonal 격자체계의 GME전구 모형을 이용한 태풍모의 결과를 기상청 태풍 best track과 비교 분석 하였다. 실험에 사용된 모형 분해능은 연직 47layer (7 soil layer 포함), 수평 약 40km와 20km으로 구성되었다. 최근 3년($2005{\sim}2007$)간의 동아시아지역을 지나간 태풍을 대상으로 하였다. 태풍모의 시작시간은 각 TD(Tropical Depression)발생 24시간 전 자료를 이용하였으며, 각 태풍의 소멸 24시간 후까지 모의하였다. GME 모형을 이용한 태풍모의 결과에서 best track의 경우 모의 시작 후 약 168시간 forcast 결과가 매우 유사한 경로를 따라 진행해 가고 있으며, 태풍의 전향이 이루어지는 시각은 ${\pm}3$시간 내외의 오차를 보이고 있다. 태풍경로의 경우 40km 결과에 비해 20km 모의 결과가 best track에 더 가까운 결과를 보이고 있다. 중심기압변화의 경우 40km의 결과가 20km 결과에 비해 변화경향이 유사한 형태를 보이고 있으며, 20km 결과의 경우 중심기압의 변화가 다소 급하게 나타나는 경향을 보이는 특성을 가지고 있지만 40km결과에 비해 최저 중심기압이 더욱 뚜렷하게 나타나고 있으며 특히, MANYI case의 경우 관측값 930hPa보다 더 낮은 911.4hPa의 결과를 보이고 있다. 풍속의 경우도 중심기압변화와 유사한 결과를 보이고 있으나, 최대 풍속의 경우 40km 결과에 비해 20km결과가 관측과의 오차범위가 $2{\sim}3\;m/s$ 내외로 나타나고 있다. 그리고 GME모형의 경우 태풍(TD) 발생 약168시간 이전에 예측이 가능한 결과를 보인다. 이 연구의 결과는 다른 기상모형에서 태풍 강도가 약하게 모의되던 현상이 상당히 개선된 것을 알 수 있으며, 이는 20km 고해상도 GME 모형이 태풍예측모형으로 활용이 간능 할 것으로 사료 된다.

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Performance Analysis of GNSS Ephemeris Fault Detection Algorithm Based on Carrier-Phase Measurement (반송파 측정값 기반 GNSS 궤도력 고장 검출 알고리즘 성능 분석)

  • Ahn, Jongsun;Jun, Hyang-Sig;Nam, Gi-Wook;Yeom, Chan-Hong;Lee, Young Jae;Sung, Sangkyung
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.42 no.6
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    • pp.453-460
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    • 2014
  • We analyze fault detection algorithm of ephemeris included in navigation message, which is one of the GNSS risk factors. This algorithm uses carrier-phase measurement and baseline vector of two reference stations and is alternative method for uncertainty condition of previous ephemeris. Even though same ephemeris fault is occurred, the geometry condition, between baseline vector of reference stations and satellites, effects on performance of algorithm. Also, we introduce the suitable geometry of reference stations, threshold and performance index (MDE : Minimum Detectable Error) in jeju international airport.

Development of B-Value Based GBAS Ground Facility Error Standard Deviation Model and Verification (B-Value를 이용한 GBAS 지상국 오차 표준편차 모델 개발 및 성능 평가)

  • Jun, Hyang-Sig;Ahn, Jong-Sun;Lee, Young-Jae;Choi, Young-Kiu;Sung, Sang-Kyung;Yeom, Chan-Hong
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.37 no.12
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    • pp.1232-1237
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    • 2009
  • The ICAO and FAA are developing and verifying of GBAS for civil aircraft landing and take-off. The guarantee of aircraft integrity issue is the important part of GBAS. To guarantee integrity, the GBAS ground facility broadcasts various informations to aircraft. The informations are related to the estimated accuracy of each pseudorange correction and the estimated error terms, for example B-value and standard deviation of the ground facility error. These parameters are used to calculate position error (estimated value of the user). If estimated position errors don't satisfy requirements, aircraft use alternate navigation means. In this paper, GBAS reference stations's real data, which operated by KARI (Korea Aerospace Research Institute) in Jeju international airport, are used to development of new ground facility error standard deviation model. We verify improvement of GBAS availability, with respected to vertical protection level, using B-value based a new ground facility error standard deviation model and a sigma inflation factor.

A Study Of Effects on Renal Function from Continuous Long-Term Herbal Medication (단일 한약 복합 처방의 장기간 연용 투여가 신기능에 미치는 영향에 대한 전향적 연구)

  • Yoon, Yeo-Kwang;Sun, Teh-Cheng;Song, Woo-Sup;Kwon, Su-Kyung;Jang, Hae-Jin
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.300-305
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    • 2004
  • Background : Due to increased interest in herbal medicines is recent years, medical circles have made studies of toxicity and side effects of herbal medicines. Particularly the kidney is sensitive to toxicity. A few reports concerning the side effects and toxicity of herbal medicine have been presented recently. This has bought on some distrust in herbal medicines among patients and western doctors. Objectives : The purpose of this study is to determine what effects long-term prescription of one herbal medicine may have on renal function. Methods : Nineteen patients took herbal medicine for eight weeks. Tests of their Blood Urea Nitrogen(BUN), Creatinine of blood plasma, and urine (chemical and microscopic) were taken before taking medicine and at the 2nd, 4th, 8th weeks. Results : After taking a herbal medicine, BUN and Creatinine decreased significantly or remained the same in comparison with the prior interval. Chemical and microscopic examination of urine showed no changes. Conclusions : The results suggest that taking this herbal medicine for a long time does not induce nephrotixicity. Further study is needed for investigating safety and toxicity of herbal medicines.

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Research on Algorithm and Operation Boundary for Fault Detection of Onboard GNSS Receiver (항공기 탑재용 GNSS 수신기 고장검출 알고리즘 및 운용범위 연구)

  • Nho, Hyung-Tae;Ahn, Jong-Sun;Sung, Sang-Kyung;Jun, Hyang-Sig;Yeom, Chan-Hong;Lee, Young-Jae
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.40 no.2
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    • pp.171-177
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    • 2012
  • In this paper, we proposed a algorithm and an operation boundary for fault detection of a onboard GNSS receiver. After aircraft exchange corrections computed by an aircraft receiver, a faulty aircraft receiver is detected by checking consistency of correction. For this purpose, PRC residual is used as the test statistic for fault detection of the onboard GNSS receiver. And operation boundaries are set by using DGPS position error increase with respect to the distance from a reference station. If the fault detection is performed by using aircraft only in operation boundary, the more accurate fault detection can be possible.

Surgical Outcomes of Single-port Laparoscopic Appendectomy versus Conventional Laparoscopic Appendectomy in Children: Preliminary Report of a Prospective Randomized Trial (소아에서 단일공과 삼공 복강경 충수절제술의 수술 후 결과 비교: 전향적 무작위 연구 예비 결과)

  • Cho, Jung Rae;Kang, Won Me;Ahn, Soo Min
    • Advances in pediatric surgery
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    • v.20 no.2
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    • pp.48-52
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    • 2014
  • Purpose: Currently the substantial clinical benefits of single-port laparoscopic appendectomy (SLA) over conventional three-port laparoscopic appendectomy (CLA) are equivocal. The aim of this study was to compare surgical outcomes between SLA and CLA in children with acute appendicitis. Methods: A single blind prospective randomized single center study was performed to compare the surgical outcomes of SLA and CLA. A total of 105 patients were randomized and various parameters were analyzed, 52 patients with SLA and 53 patients with CLA between July 2013 and March 2014. Patients with sonographically confirmed acute appendicitis were randomly assigned to receive either SLA or CLA. The outcome measurements were operating time, wound complication, and intraperitoneal morbidities, postoperative pain score and cosmetic result score. Results: Operating time is significantly longer in SLA ($70.4{\pm}26.7$ minutes vs. $58.0{\pm}23.4$ minutes; p=0.016). There were no significant differences in the postoperative wound complication rate and intraperitoneal morbidities between two groups. There were no significant differences in postoperative resting pain score ($6.6{\pm}2.5$ vs. $6.3{\pm}2.5$; p=0.317) and activity pain score ($6.9{\pm}2.4$ vs. $6.3{\pm}2.5$; p=0.189), and the cosmetic result score ($9.2{\pm}1.1$ vs. $9.1{\pm}1.4$; p=0.853). Conclusion: Although SLA would be a safe and feasible procedure in children, SLA could not demonstrate the clear benefit over CLA.

Microcystins and Nodularin in Agricultural Products: Toxicity, Analytical Methods, Contamination Pathway, Occurrence, and Safety Management (농산물 내 마이크로시스틴과 노둘라린: 독성, 분석법, 오염 경로, 오염 현황 및 관리 동향)

  • Su Been Park;Sang Yoo Lee;Ji Eun Park;Jae Sung Kim;Hyang Sook Chun
    • Journal of Food Hygiene and Safety
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    • v.39 no.3
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    • pp.191-208
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    • 2024
  • The peptide-type hepatotoxins microcystins (MCs) and nodularin (NOD) are secondary metabolites produced by cyanobacteria. MCs and NOD can bioaccumulate in agricultural products through toxin-contaminated water, soil, and manure and can cause human health risks through the consumption of agricultural products. As interest in the contamination of agricultural products by MCs or NOD has recently emerged, occurrence studies based on various analysis methods for agricultural products have been conducted. However, studies on agricultural products are still insufficient compared to research on drinking water and seafood. In addition, research is primarily conducted on agricultural products grown in areas where green algae occur, but not on marketed products. In the present study, we review the physicochemical properties, toxicity, analysis methods, occurrence studies, and management status of MCs and NOD in agricultural products to build a foundation for systematic monitoring and safety management.

Immunization Practices in Children with Renal Disease : A Survey of the Members of Korean Society of Pediatric Nephrology (신질환 소아의 예방접종 현황 : 대한소아신장학회 회원들의 접종 방식에 대한 조사)

  • Park Seong-Shik;Ahn Sung-Ryou;Lee Ju-Suk;Kim Su-Yung
    • Childhood Kidney Diseases
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    • v.6 no.2
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    • pp.198-208
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    • 2002
  • Purpose : There is no scientific basis for an immunization policy for children with renal disease who have increased risk of infection in Korea. As an initial step in approaching this problem, this survey of pediatric nephrologists was undertaken to determine the current recommendations of practicing pediatric nephrologists Methods : Questionnaires were sent to the members of Korean Society of Pediatric Nephrology via mail and E-mail. The questionnaire was designed to obtain information about the immunization practice of basic vaccination schedule for nephrotic syndrome, the side effects after vaccination and the immunization practice about recommended vaccines for children with renal disease. Results : Questionnaires were sent to 56 pediatric nephrologists. 35 replies were received (response rate: 62.5%). Almost of the respondents (82.8%) reported practicing at university hospital. All respondents reported modified vaccination schedule. 65.7% of the respondents immunized nephrotic children with live vaccines some time later after discontinuation of corticosteroids treatment and 57.1% of respondents immunized them with killed vaccines during medication of low doses of corticosteroids. Respondents experienced relapse of nephrotic syndrome after vaccination are nine, lack of vaccine efficacy are three and infection by organisms of live vaccines are two. 71.4% of respondents reported vaccinating children with renal disease for hepatitis B, pneumococcus and influenza during medication of low doses of corticosteroids. But There is few difference of the rates of respondents vaccinating them for Hemophilus influenzae type b between during medication of low doses of corticosteroids and after discontinuation of corticosteroids treatment (45.7% us 42.9%). Almost of respondents reported vaccinating renal failure children without immunosuppression for hepatitis B, pneumococcus, influenza and H. influenzae type b ($54.3{\sim}77.1%$). Conclusion : Pediatric nephrologists practiced modifying vaccination schedules for children with renal disease in Korea and there was variation according to the progression of disease and the doses of corticosteroids. It is necessary to establish the immunization guideline for children with renal disease through the prospective studies.

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Study on the Availability of Repeated Flexible Bronchoscopy(RFB) (반복적 굴곡성 기관지경검사(RFB)의 유용성에 대한 연구)

  • Lee, Hong-Lyeol;Moon, Tae-Hoon;Cho, Jae-Hwa;Ryu, Jeong-Seon;Kwak, Seung-Min;Cho, Chul-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.3
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    • pp.365-376
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    • 2000
  • Background : Ever since Flexible Fiberoptic Bronchoscopy was introduced into clinical practice, it has played an important role in both diagnosis and therapy of respiratory diseases. Repeated bronchoscopic examinations is are not so uncommon. This study was designed prospectively to assess the clinical availability of the Repeated Flexible Bronchoscopy (RFB). Methods : Pre-established indications were as follows : 1) To confirm diagnosis or the cell type in proven malignancy 2) to diagnose or locate hemoptysis 3) to follow-up or confirm recurrence 4) to use in therapy. We performed RFB and analyzed the data in 156 patients during 28-month period. Results : The frequency of RFB was 23.0%. The indication for diagnosis or cell type of malignancy was 25 cases, of which 2 cases were confirmed by a third bronchoscopic examination and 3 cases by surgical procedures. Localization of the bleeding site was confirmed in 53.8%. RFB for small cell lung cancer yielded more information on residual or recurred lesion not apparent even with the CT scan in 30%. Previous cases of bronchostenosis due to endo-bronchial tuberculosis was shown to have worsened in 66.7%. Therapeutic manipulations were done in 126 cases, and bronchial suction was most common. Complications showed decreasing tendency with repeated examinations. Conclusion : The RFB for diagnosis or cell type of malignancy was useful in that comfirmation of diagnosis was possible in 85.7% of malignancy. More aggressive procedures should be employed including TBLB or TBNA. The RFB showed possible usefulness in the follow-up of patients with small cell lung cancer. For the patients with hemoptysis or endobronchial tuberculosis, the RFB did not the significance did not show significance because its results did not influence the diagnosis, therapy or clinical course.

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