• Title/Summary/Keyword: 천공수

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Pyriform Sinus Perforation with Deep Neck Infection Caused by Transesophageal Echocardiography during Coronary Artery Bypass Grafting - A case report - (관상동맥우회술 중의 경식도 초음파에 의해 발생한 심부감염을 동반한 Pyriform Sinus 천공 - 치험 1예 -)

  • Chang, Hyoung-Woo;Yoo, Jae-Suk;Hwang, Ho-Young;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.42 no.4
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    • pp.528-531
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    • 2009
  • Transesophageal echocardiography (TEE) is widely used to evaluate the heart function and the result of surgery during a cardiac operation. The incidence of complications associated with TEE is low, yet critical complications such as lower pharyngeal injury and esophageal perforation may happen. We report hereon a case of 77-year old male patient who suffered from injury to the pyriform sinus and concurrent deep neck infection after off pump coronary artery bypass surgery and intraoperative TEE.

Ultrasonography-Guided Multiple Needling for Calcific Tendinitis of the Shoulder (견관절 석회화 건염의 초음파 감시하 다발성 천공술)

  • Jeong, Woong-Kyo;Park, Jung-Ho;Moon, Joon-Gyu;Kim, Ho-Joong;Lee, Soon-Hyuck
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.74-78
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    • 2009
  • Purpose: To evaluate the effectiveness of ultrasonography-guided multiple needling for calcific tendinitis of the shoulder. Materials and Methods: We included 18 symptomatic calcific tendinitis patients who underwent ultrasonography-guided multiple needling and followed for average 17 weeks. The procedures were multiple needling or aspiration of the calcific deposit and injection of local anesthetics and steroid into the subacromial bursa under the ultrasound control. Clinical improvements were evaluated using pain VAS, UCLA score and KSS score. The size and status of calcific deposits were compared. Results: A significant improvement was seen in pain VAS, UCLA score and KSS score (p<0.05). At the final follow up, the calcific deposits had resolved completely of nearly completely in 39%, and the size was decreased in 61%. Conclusion: Ultrasound-guided multiple needling is considered as a useful method which could provide prompt pain relief and reduce calcific deposit for calcific tendinitis of the shoulder.

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A Study on Estimating Time for PRD (Percussion Rotary Drill) Piling Work (도심지 토공사 PRD (Percussion Rotary Drill) 공법의 천공작업 소요시간 산정 방안에 관한 연구)

  • Kim, Yong-Gyu;Choi, Chang-Hoon;Han, Choong-Hee;Lee, Junbok
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.3
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    • pp.3-10
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    • 2018
  • In recent years, mechanized construction has become commonplace due to increases in the scale and complexity of construction, and construction machinery is a major factor in successful construction. However, even though the proportion of construction machinery is increasing, analysis of the work capacity of construction machinery is inadequate. In addition, since the standards for all construction machines are currently not defined in quantity-per-unit, the construction period is arbitrarily applied according to the operator at the time of the construction plan. As a result, the construction period of the actual construction is insufficient, and rushed work or construction delays occur. Therefore, in this study, in order to calculate the construction period of the piling work of the pile driver used in the PRD method more accurately than the existing method, the formula for calculating the time required for the piling work of the pile driver was established by collecting piling time data from the daily task reports through the field survey. If the precise construction period of piling work is estimated based on the results of this study, it will be possible to prevent the rushed work and construction delays that occur due to the short construction period.

Estimation of Rock Drilling Work Size for Mountain Forest Road Construction (산악지(山岳地) 임도시설(林道施設)을 위한 암석천공(岩石穿孔) 작업량(作業量)의 예측(豫測))

  • Ma, Sang Kyu
    • Journal of Korean Society of Forest Science
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    • v.76 no.3
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    • pp.193-199
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    • 1987
  • Simple estimating method of rock drilling and blasting work size is necessary to apply as a guidance of general road plan and a cost analysis of mountain forest road construction. For this work study, 11 cycles were divided in 5km route at Hyeonnammeon Yangyang-gun and the mountain slope at every 20m interval was measured. During working days all kind of works concerned on drilling and blasting was investigated in every cycle. Depending on the simple work study results it's work size can bef estimated with high correlation between drilling length in meter and frequency percentage of mountain slope more than 70%. With total drilling length known the machinery hours, drillers and explosive quantify can be estimated by the regression with high correlation. Estimation of drilling and blasting work by mountain slope gradient in road route is proposed like table 5 with estimating value of machinery hour, drillers and explosive in granite gneiss region.

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Boring Insects of the Pinus densiflora S. et Z. in Korea (소나무를 가해(加害)하는 천공성해충(穿孔性害蟲)에 관(關)한 연구(硏究))

  • Lee, Chan-Young;Lee, Sang-Bae
    • Journal of Korean Society of Forest Science
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    • v.89 no.5
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    • pp.609-617
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    • 2000
  • To inverstigate the boring insects in Pinus densiflora forests, bait logs were set up in healthy-looking forests of Chunchon Hongchon and in damaged forests(gall formation rate 70----) by Thecodiplosis japonensis of Pyongchang Jeongsun. The period of investigation was from April to August in 1999. Boring insects investigated were 35 species of 12 families. Five species of them were unrecorded species from Korea. Natural enemies investigated were 5 species of 2 families. The prefered parts of tree according to species of boring insects were lower trunk in Siphalinus gigas and 3 other species, middle-stem in Monochamus sutor and 7 other species, and top stem in Orthotomicus suturalis and 1 other species. Hylurgops interstitialis were found in all parts of tree. Sap wood was attacked by Xyleborus validus Cerambycidae, heart wood by Hylobitelus haroldi Siphalinus gigas, and cambium region by Pissodes nitidus P. obscurus Shirahoshizo insidiosus Scolytidae.

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Reconstruction of a Circumferential Penile Shaft Defect Using Bilateral Superficial External Pudendal Artery Perforator Flaps (양측 천외음부동맥 천공지 피판을 이용한 음경둘레 연조직 결손의 재건)

  • Park, Jongohk;Shin, Donghyeok;Choi, Hyungon;Kim, Jeenam;Lee, Myungchul
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.296-300
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    • 2018
  • Penile shaft reconstruction requires adequate soft tissue characteristics as well as constant vascular pedicles when considering a perforator flap. The free flap technique using various donor sites and regional conventional and perforator flaps have been utilized for penile shaft reconstruction. Still, the free flap techniques include challenging surgical procedures in addition to postoperative management. The regional flap can be applied to limited defects due to the size and shape. We performed the bilateral superficial external pudendal artery (SEPA) perforator flaps in order to reconstruct a circumferential penile shaft defect. The circumferential wound has noted necrotic tissue involving superficial (Dartos) fascia. We underwent debridement, preserving deep (Buck's) fascia and corpus spongiosum. Thereafter, the soft tissue defect was covered with bilateral SEPA perforator flaps. The patient has been observed for 27 months, showing penile resilience without deformity or wound-related problems.

The effect of cortical punching on the expression of OPG, RANK, and RANKL in the periodontal tissue during tooth movement in rats (백서의 치아이동 시 피질골 천공이 치주조직의 OPG, RANK, RANKL의 발현에 미치는 영향)

  • Park, Woo-Kyoung;Kim, Seong-Sik;Park, Soo-Byung;Son, Woo-Sung;Kim, Yong-Deok;Jun, Eun-Sook;Park, Mi-Hwa
    • The korean journal of orthodontics
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    • v.38 no.3
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    • pp.159-174
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    • 2008
  • Objective: The purpose of this study was to investigate whether cortical punching could stimulate the expression of OPG, RANK, and RANKL during tooth movement by immunohistochemistry. Methods: 34 sprague-dawley rats (15 weeks old) were allocated into 3 groups: TMC group (experimental group; Tooth Movement with Corticotomy, n = 16), TM group (control group; Tooth Movement only group, n = 16), and non-treatment group (n = 2). 20 gm of orthodontic force was applied to rat incisors by inserting elastic bands. The duration of force application was 1, 4, 7 and 14 days. A microscrew (diameter 1.2 mm) was used for cortical punching of the palatal side of the upper incisors in the TMC group. Results: Distributions of OPG, RANK, and RANKL were evaluated by immunohistochemistry. OPG, RANK and RANKL were observed on experimental and control groups. On the compression side, the degree of the expression of OPG decreased in both groups. The expression of RANK was most prominent in the experimental group of day 4. The expression of RANKL was most intensive and extensive in the experimental group of day 7. However, the expression of OPG was decreased in the experimental and control groups compared to the non treatment group. The expression of OPG, RANK and RANKL after force application were decreased at day 14. Conclusions: These findings suggested that cortical punching might stimulate remodeling of alveolar bone during a 2 week period of tooth movement without any pathologic change.

Surgical Treatment of Esophageal Perforation (식도천공의 외과적 치료)

  • Park Jae Hong;Chei Chang Seck;Kim Dae Hwan;Hwang Sang Won;Yoo Byung Ha;Kim Han Yong
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.214-219
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    • 2006
  • Background: Perforation of esophagus is relatively uncommon. but it is associated with high morbidity and mortality. Treatment and outcome are largely determined by the time of presentation. We performed a retrospective review of patients with esophageal perforation to assess the outcome of current management techniques. Material and Method: A retrospective chart review was performed on all patients treated for perforation of esophagus from March 1990 to March 2005. There were 28 patients (22 men and 6 women: mean age 51 years, range 17 to 82 years) The causes of the perforations were as follows: foreign body retention (9 patients), trauma (7 patients), spontaneous rupture (7 patients), and iatrogenic (5 pati-ients). 18 patients were presented within 24 hours and 10 patients were presented after 24 hours., Esophageal repair was performed in 21 ($75\%$) of them, 4 patients were treated with esophagectomy, 3 patients were treated with feeding gastrostomy and drainage. Result: Hospital mortality was $18\%$ and iatrogenic was increase the mortality rate (p < 0.05). Site of perforation, time from perforation, and treatment method had no influence on mortality. Postoprative leaks occurred in 4 patients after primary repair and were treated conservatively. Conclusion: Esophageal perforation remains a devastating event which is difficult to diagnose and manage. Primary repair can be performed in most patients with esophageal perforation regardless of time to presentation with a low mortality. Accurate diagnosis and early treatment are essential to the successful management of patients.

A Study on the Optimal Setting of Large Uncharged Hole Boring Machine for Reducing Blast-induced Vibration Using Deep Learning (터널 발파 진동 저감을 위한 대구경 무장약공 천공 장비의 최적 세팅조건 산정을 위한 딥러닝 적용에 관한 연구)

  • Kim, Min-Seong;Lee, Je-Kyum;Choi, Yo-Hyun;Kim, Seon-Hong;Jeong, Keon-Woong;Kim, Ki-Lim;Lee, Sean Seungwon
    • Explosives and Blasting
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    • v.38 no.4
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    • pp.16-25
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    • 2020
  • Multi-setting smart-investigation of the ground and large uncharged hole boring (MSP) method to reduce the blast-induced vibration in a tunnel excavation is carried out over 50m of long-distance boring in a horizontal direction and thus has been accompanied by deviations in boring alignment because of the heavy and one-directional rotation of the rod. Therefore, the deviation has been adjusted through the boring machine's variable setting rely on the previous construction records and expert's experience. However, the geological characteristics, machine conditions, and inexperienced workers have caused significant deviation from the target alignment. The excessive deviation from the boring target may cause a delay in the construction schedule and economic losses. A deep learning-based prediction model has been developed to discover an ideal initial setting of the MSP machine. Dropout, early stopping, pre-training techniques have been employed to prevent overfitting in the training phase and, significantly improved the prediction results. These results showed the high possibility of developing the model to suggest the boring machine's optimum initial setting. We expect that optimized setting guidelines can be further developed through the continuous addition of the data and the additional consideration of the other factors.

Suggesting Blasting Design for Kazakhstan mine using Korea Mining Technology (국내 광산 기술을 적용한 카자흐스탄 광산 발파설계 제안)

  • Jin, Yeon-Ho;Min, Hyung-Dong;Jeong, Min-Su;Park, Yoon-Suk;Heo, Eui-Haeng;Nurmatov, Murod
    • Explosives and Blasting
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    • v.32 no.1
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    • pp.10-17
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    • 2014
  • In this study, the information achieved from the visit to Kazakhmys mine in Kazakhstan was introduced. An optimal blasting pattern designed for the mine with the application of Korean blast technology was suggested. As a result, it was found that the blast design can reduce the consumption of explosives and the number of drill holes. The blast design can reduce the overall production cost in the mine.