• The Korean Journal of Pain
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• 제1권1호
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• pp.106-119
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• 1988

For the relief of pain in 3 cases of whiplash syndromes (case I, II and IV) and in one of reflex sympathetic dystrophy (case III), we have carried out six intentional. total spinal blocks (TSB) which attempted two times in case I, three in case II and one in carte III whoso various symptoms were chronically unresponsive to the usual conservative treatments, and a time of cervical epidural and right suprascapular nerve block in case W whose acute symptom lasted 4 drys following the cervical injury (see fables from 1 to 9). During the 753, we have observed clinically the sequential charges of respiration, lid and pupil reflexes, body motion and consciousness. And checked the blood pressure, pulse rate and arterial Pco2. The effectiveness of those blocks has been assessed by using the Visual Analog Scale which is designed to measure the patient$\acute{s}$ subjective intensity of pain and also we have found out the sequelae following those blocks. The methods of the blocks were as the following: 1. Under the N.P.O. for 8~10 hours, the preparations of immediate cardiopulmonary resuscitation and premedication with atropine 0.5mg at thirty minutes before the TSB, it was performed by injecting the mixture of 2% mepivacaine 10 or 15ml and normal saline 10 or 5ml through No. 23 G. spinal needle into the subarachnoid space of $C_7-T_1$ interspinous region with fully flexed neck on the lateral posture. Immediately after the injection of the local anesthetic in the lateral position, the patient$\acute{s}$ were hasten to change Trendelenburg$\acute{s}$ position in order to act the drugs cephalad and to make easy controlled respiration with oxygen. 2. The cervical epidural block was done by injecting the mixture of 0.5% bupivacaine 4ml, normal saline 4ml and triamcinolone 15mg through No. 18 G. Tuohy needle into the epidural space on the same region and posture as the above without premedication.7he suprascapular nerve block was done by injecting of 0.5% bupivacaine 3ml only into the right suprascapular fossa on the sitting posture. The results were as the following: 1. The cessation of respiration was seen within 5 minutes following the subarachnoidal injection of the above 20ml mixture in 2 to 3 minutes and then soon the consciousness began to disappear. The loss of Lid and pupil reflexes noted between 5 to 10 minutes and the size of the dilated pupils was equal between 5 to 20 minutes, but the pupil of the dependent side on tile lateral position was dilated 1 to 3 minutes earlier than that of the independent. The patients had r=ever responded to any stimulations during the TSB except their heart funtion. 2. The recovery of the TSB was as the following, firstly the ankle and lower limb of the independent side began to move slightly with in 34 to 75 minutes after the injection and then that of the dependent Secondly the neck and upper limb moved 6 to 15 minutes later than the lower limb. Thirdly the self respiration began to appear between 40 to 80 minutes from the block. The lid and pupil reacted to touch and light respectively between 40 to 80 minutes but the pupil of the independent side responded earlier than that of the depends. Lastly the consciousness recovered completely between 80 to 125 minutes from the block. 3. In the cardiopulmonary function during the TSB, the blood pressure were stable except the 210/130 tory at the and block of case I. There were bradycardias between 65 to 85 minutes in case I and II but no arrythmia on the EKG. The level of the arterial Pco2 was maintained to 43~45 torr during the TSB. 4. The effectiveness of the above blocks was no pain(0%) in case IV, and light (10~20%) in case I and II but no improvement in case III. 5. The right arm weakness has been complicated as to be Injected accidently the "COLD" local anesthetic at the End block of case I.

• The Korean Journal of Pain
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• 제8권2호
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• pp.298-303
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• 1995

We have inserted epidural catheter for single or continuous injection of a drug for epidural analgesia. It is important to localize the tip of epidural catheter in appropriate site to acquire the most effective analgesia. In epidural block, we observed course and location of the tip of epidural catheter. Subject: 70 patients were divided into group I(non-injection of saline group during catheter insertion) and group II(injection group during catheter insertion). Group I included cervical(n=20), thoracic(n=10), and lumbar(n=20) epidural group. Group II, cervical(n=10), and lumbar(n=10) epidural group. Method: 19G FlexTip $Plus^{TM}$ Epidural Catheter ($Arrow^{(R)}$) was inserted 10cm cephaladly in epidural space with(group II) or without(group I) saline flushing. We observed course and location of the tip of epidural catheter by C-arm image intensifier during injection of contrast media ($Omnipaque^{(R)}$). Result: In group I, the number of tips of epidural catheters located within 2 cm from inserted site were: cervical 14/20(70%), thoracic 2/10(20%). lumbar 16/20(80%). In thoracic epidural blocks, tips of epidural catheters were more cephaladly located than with cervical and lumbar epidural blocks. With cervical epidural blocks, the number of tips of epidural catheters located within 2 cm from insertion site were less in group II than group I (20% vs. 70%). But no significant differences were noted between group I and group II with lumbar epidural block(90% vs. 80%). The number of tips of epidural catheters located around a predicted site were: cervical 2/20(10%), thoracic 4/10(40%), lumbar 0/20(0%) in group I, and cervical 2/10(20%), lumbar 1/10(10%) in group II. Conclusion: It was impossible to predict the exact location of tips of epidural catheters by measuring the inserted length without epidurogram. With many cases, tips of epidural catheters were located around the insertion site in lumbar epidural blocks, and in some cases around the predicted site in thoracic epidural blocks. The results suggests that epidural block should be done at a point near the required band of analgesia.

• 한국항공우주학회지
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• 제36권12호
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• pp.1193-1200
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• 2008

신뢰성 분석과 고장형태 및 영향분석(FMEA)으로 구성된 신뢰성 설계 절차를 정립하고, 극소형 위성 발사를 위한 공중발사 로켓, 미리내 II의 신뢰도 분석을 수행하였다. 신뢰성 분석 결과를 이용하여 미리내 II가 주어진 운영환경 내에서 임무시간동안 목표 궤도 진입이 가능한지를 분석하였다. 신뢰성 분석 과정에서는 작업분류체계(WBS)를 이용하여 시스템을 목록화 하였으며, 시스템의 작동개념도를 바탕으로 신뢰도 블록 선도(RBD)를 정립하여 신뢰성 구조를 파악하였다. FMEA를 통하여 구성품 및 부품들의 위험 우선순위를 판단하였고 위험도가 높은 구성품 및 부품들을 설계 변경한 결과, 목표 신뢰도를 만족하였으며 위성이 목표 궤도에 안전하게 진입될 수 있는 신뢰성 설계를 수행하였다.

• The Korean Journal of Pain
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• 제28권1호
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• pp.22-31
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• 2015

Background: The celiac plexus and splanchnic nerves are targets for neurolytic blocks for pain relief from pain caused by upper gastrointestinal tumors. Therefore, we investigated the analgesic effect of a celiac plexus block versus a splanchnic nerve block and the effects of these blocks on the quality of life six months post-intervention for patients with upper GIT tumors. Methods: Seventy-nine patients with inoperable upper GIT tumors and with severe uncontrolled visceral pain were randomized into two groups. These were Group I, for whom a celiac plexus block was used with a bilateral needle retrocrural technique, and Group II, for whom a splanchnic nerve block with a bilateral needle technique was used. The visual analogue scale for pain (0 to 100), the quality of life via the QLQ-C30 questionnaire, and survival rates were assessed. Results: Pain scores were comparable in both groups in the first week after the block. Significantly more patients retained good analgesia with tramadol in the splanchnic group from 16 weeks onwards (P = 0.005, 0.001, 0.005, 0.001, 0.01). Social and cognitive scales improved significantly from the second week onwards in the splanchnic group. Survival of both groups was comparable. Conclusions: The results of this study demonstrate that the efficacy of the splanchnic nerve block technique appears to be clinically comparable to a celiac block. All statistically significant differences are of little clinical value.

• 한국석유지질학회지
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• 제11권1호
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• pp.9-17
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• 2005

2광구의 주요 탐사지역에는 심도 1 km 내외의 부정합면 하부에 대규모 단층이 발달되어 있다. 통상 이 부정합 인근의 탄성파 속도차는 매우 큰 편으로서 강한 다중반사파가 흔하게 발달되었고 탄성파 단면도는 왜곡되어 중합단면의 질적 저하가 예상되었다. 구조 인근의 다중반사파를 제거하고 해상력을 제고하기 위해 15가지 이상의 다양한 전산처리 기법이 적용되었다. 진폭 감소보정, 미약한 F/K 적용으로 일관성 잡음을 감쇠시켰다. 중합전 예측디콘볼루션으로 페그레그 다중반사파를 제거하였고 중합속도를 구하기 위해 매 2 km 간격으로 분석되었다. 잔여 다중반사파도 parabolic 라돈 변형절차를 거쳐 제거되었다. 중합자료를 얻기 위해 곡선파 curved ray Kirchhoff형 알고리즘이 적용되었으며, MVA (migration velocity analysis)가 이용되었다. 결과적으로 자료 취득기간의 기상변화 등 취득시의 문제점으로 지적된 불량한 잡음이 섞인 트레이스는 최초로 CDP gathers에서 제거되었다. 이후 다수의 전산처리 기법을 써서 최적의 전산처리 변수가 구해졌으며 그 결과 서해대륙붕 2광구의 구조 및 층서 해석에 적합한 탄성파 단면도 획득을 위한 인자들을 얻을 수 있었다.

• 대한치과보철학회지
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• 제34권4호
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• pp.746-754
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• 1996

개교증, 절연부 파절, 변색등 심미적 요인으로 라미네이트를 설측연장시 연장길이에 따른 파절강도를 알아보기위해 발거된 60개의 상악 전치의 순면에 3개의 seating form을 형성하고sheet wax를 사용하여 가로 5mm $^*$세로 5mm $^*$두께 0.9mm의 block을 형성하고, 각 군에 따라 I군 : 0.5mm, II군 : 1mm, III군 : 2mm, IV군 : 0mm로 설측 연장 길이를 달리하여 block을 형성 이를 인상채득하여 내화모형을 제작하였다. 여기에 라미네이트용 도재를 2회에 걸쳐 축성 통법대로 소성 제작하였다. block에 맞추어 contouring하고, 내화매몰재를 제거 sandblast처리를 시행하였다. 그후 레진시멘트로 합착하였다. 절치간 각도를 127도로 특별히 제작된 holding device를 이용하여 인스트론 만능시험기에 시편을 거상하고, 분당 0.5mm cross head speed로 파절강도를 측정하여 다음과 같은 결과를 얻었다. 1. 각 군의 평균파절강도는 대조군인 설면으로 연장치 않은 IV군에서 86.95Mpa, 0.5mm 연장한 I군에서 44.98Mpa, 1.0mm연장한 II군에서 27.47Mpa, 2.0mm연장한 III군에서 19.61Mpa의 순으로 나타났다. 2. 모든 실험군 사이에는 통계적으로 유의성 있는 차이를 나타냈고(p<0.01), 이러한 실험 결과로 미루어 보아 라미네이트 디자인시, 설면으로 연장치 않거나, 절연부의 피개가 불가피한 경우에는 설면으로 0.5mm 연장하는 것이 파절 강도면에서 유리하다고 사료된다.

• 대한환경공학회지
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• 제37권7호
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• pp.412-417
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• 2015

본 연구는 하수처리장에서 발생하는 하수슬러지 소각재와 Geobond를 이용한 응용 블록의 개발을 위하여 수행하였다. 실험은 무소성 공정으로 진행하였으며, Sewage Sludge Ash (SSA)를 Geobond(무기바인더)와 특수시멘트인 초조강 시멘트 마이크로 시멘트, 모래 등의 바인더를 혼합한 각각의 페이스트 시편을 성형 후 건조 및 양생과정을 거친 시편을 단기 압축강도를 측정한 후 28일 장기 양생한 결과 압축 강도가 64.6 MPa로 발현하였다. 이는 KS기준치 22.54 MPa ($229.7kg/cm^2$)을 훨씬 상회하는 고강도의 압축강도를 나타내었다. 하수슬러지 소각재(SSA) 첨가율은 각 바인더 별 약 10~40%까지 혼합 가능한 것으로 나타났다. 따라서 SSA를 무기바인더인 Geobond와 특수시멘트(HESPC, MC)의 대체 물질로의 사용이 가능함을 입증하였다.

• 한국습지학회지
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• 제10권3호
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• pp.99-109
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• 2008

본 연구는 I편에서 개발된 일체형 블록시스템의 수리모형실험 결과를 검증하고 호안블록의 효과를 해석하기 위하여 수치해석을 통한 수리모형 실험을 수리특성을 모의하고자 하였다. 하도내 적용된 일체형 호안블록의 수치해석을 위하여 1차원 HEC-RAS 모형과 2차원 흐름 모의를 위하여 RMA-2 모형을 적용하여 식생전후의 수리현상을 수리모형 실험결과와 비교하여 홍수 시 유속 저감효과의 분석 및 대안으로 제시하는데 그 목적이 있다. 분석결과 2차원 수치해석 모형이 1차원 수치해석보다는 수위 유속 모두 수리모형실험결과와 근접한 결과를 나타내어 수치해석을 통한 자료구축 시 좀 더 신뢰성 있는 자료를 구축할 수 있는 것으로 판단되었다. 유속은 최저 0.21m/sec에서 최대 1.89m/sec의 저감효과를 나타내었으며, 이는 100m 당 4.89sec에서 7.33sec의 지체시간을 가져오는 것으로 분석되었다.

• 한국지반신소재학회논문집
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• 제20권4호
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• pp.105-112
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• 2021

항만구조물의 경우 정적인 하중 뿐만 아니라 파압과 같이 반복적인 하중을 받는 구조물임에 따라 반복적인 하중을 받는 구조물의 특성을 파악하는 것이 중요하다. 따라서 본 연구는 반복 수평하중에 의한 말뚝으로 보강된 블록식 방파제의 거동특성을 실내모형실험을 통해 구하였다. 말뚝의 근입 깊이가 깊어질수록 수평저항력이 증가하는 경향이 나타났으며, 하중이 반복될수록 수평저항력의 기울기는 점차 완만하게 나타났다. 휨모멘트는 후열말뚝이 전열말뚝보다 크게 나타났다. 지반내에서의 말뚝의 휨모멘트는 Broms(1964)의 사질토지반에서 말뚝두부 자유일 때와 유사하게 나타났다.

• Archives of Plastic Surgery
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• 제48권4호
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• pp.361-365
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• 2021

Background Pain in the postoperative body contouring patient has traditionally been managed with narcotic medication. In an effort to minimize side effects and prevent addiction, plastic surgeons are searching for novel ways to provide adequate analgesia, one of which is nerve blocks. This study was conducted with a meta-analysis that evaluates the efficacy of these blocks for patients who undergo breast surgery. Methods A search of the PubMed/MEDLINE database for articles including the terms "post-operative analgesia" OR "postoperative pain management" AND "in plastic surgery" OR "in cosmetic surgery" OR "in elective surgery" in February 2019 generated five studies on elective breast augmentation and reduction mammoplasty that reported pain scores and quantities of opioids consumed. Independent samples t-tests, one-way analysis of variance, and a random effects model were implemented for evaluation. Results A total of 317 patients were identified as having undergone body contouring of the breast, about half of which received a nerve block. Pain scores on a 1-10 scale and opioid dose-equivalents were calculated. Those who were blocked had an average score of 2.40 compared to 3.64 for those who did not (P<0.001), and required an average of 5.20 less narcotic doses (P<0.001). Pain relief following subpectoral augmentation was best achieved with type-II blocks as opposed to type-I and type-II with serratus plane (P<0.001). Conclusions The opioid epidemic has extended to all surgical specialties. Implementation of a nerve block seems to be an efficacious and cost-effective mechanism to not only help with post-operative pain, but also lower the need for narcotics, especially in subpectoral augmentation.