• Title/Summary/Keyword: Block Movement

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Comparison of the efficacy of erector spinae plane block according to the difference in bupivacaine concentrations for analgesia after laparoscopic cholecystectomy: a retrospective study

  • Yoo Jung Park;Sujung Chu;Eunju Yu;Jin Deok Joo
    • Journal of Yeungnam Medical Science
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    • v.40 no.2
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    • pp.172-178
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    • 2023
  • Background: Laparoscopic cholecystectomy (LC) is a noninvasive surgery, but postoperative pain is a major problem. Studies have indicated that erector spinae plane block (ESPB) has an analgesic effect after LC. We aimed to compare the efficacy of different ESPB anesthetic concentrations in pain control in patients with LC. Methods: This retrospective study included patients aged 20 to 75 years scheduled for LC with the American Society of Anesthesiologists physical status classification I or II. ESPB was administered using 0.375% bupivacaine in group 1 and 0.25% in group 2. Both groups received general anesthesia. Postoperative tramadol consumption and pain scores were compared and intraoperative and postoperative fentanyl requirements in the postanesthesia care unit (PACU) were measured. Results: Eighty-five patients were included in this analysis. Tramadol consumption in the first 12 hours, second 12 hours, and total 24 hours was similar between groups (p>0.05). The differences between postoperative numeric rating scale (NRS) scores at rest did not differ significantly. The postoperative NRS scores upon bodily movement were not statistically different between the two groups, except at 12 hours. The mean intraoperative and postoperative fentanyl requirements in the PACU were similar. The difference in the requirement for rescue analgesics was not statistically significant (p=0.788). Conclusion: Ultrasound-guided ESPB performed with different bupivacaine concentrations was effective in both groups for LC analgesia, with similar opioid consumption. A lower concentration of local anesthetic can be helpful for the safety of regional anesthesia and is recommended for the analgesic effect of ESPB in LC.

An Ergonomic Study of the Sleeve Pattern According to Arm Movement -on Expansion and Contraction of the Skin Surface of the Arm- (팔의 동작에 따른 소매 원형의 인간공학적 연구 -팔의 피부면 신축을 중심으로-)

  • 함옥상
    • Journal of the Korean Home Economics Association
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    • v.19 no.3
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    • pp.21-32
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    • 1981
  • Clothing must have the individual beauty and the function that one can do one's body movement freely. therefore, from the human engineering view point, the exact measurement of the human body and the analysis of it's results must be applied to clothing because the arm works most. In this study, the skin surface of arm was investigated by shell made of Alginate of each movement. And by sometic method the rate of expansion and contraction of each section, inter-relation among the bust girth, axillary arm girth and scye girth and between the shoulder length right and the under axilla waist length were calculate4d. With these results, cap height, breadth of a sleeve and arm hole girth of existing sleeve pattern have been compared and analysed. The results are as follows; 1) According to the developmental figures of shell, the whole area change was small but that of shape was remarkable in M 4, 9, 13. The change of the Block 1 was particular. 2) Over arm length was contracted in all movements except M6 and under arm length expanded. The changes of sections a, b, c are large, while those of sections d, e are small. 3) In terms of latitudes, change of fore-arm region was small. The rate of scye girth varied from 14.3% of M13 to-5.6% of M2. The breadth of a sleeve expanded in all movements, and especially the front region expanded more than the back. 4) The relation between the shoulder length right and under axilla waist length, in all occasions, was contracted mutually, and one contracted, the other expanded. Therefore, in clothing construction when we consider the function of the arm it is better to widen the arm hole and the breadth of a sleeve at the same time than no widen the shoulder length by lowering the upper part of the upper side seam line.

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Differential Analgesic and Adverse Effects of 0.125% and 0.0625% Bupivacaine Coadministered Epiduraly with Morphine (경막외 Morphine과 병합 투여되는 0.125%와 0.0625% Bupivacaine의 술 후 제통효과 및 부작용의 차이)

  • Lee, Jai-Min;Choi, Jong-Ho
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.48-53
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    • 1999
  • Background: Despite the popularity of epidural bupivacaine-morphine infusions for postoperative pain management, the optimum concentrations and dosages of bupivacaine have not been determined. At present, due to the disadvantages conferred by intense motor block and the increased risk of toxicity, many trials focus on reducing bupivacaine concentration and thus the evaluation of concentrations less than 0.1% may be warranted. Methods: Forty patients having epiduro-general anesthesia for hysterectomy were randomly assigned to one of two study groups. As a mean of postoperative pain control, all received 2 mg of epidural morphine bolusly 1 hr before the end of surgery and continuous epidural infusion was started using a two-day Infusor containing 4 mg of morphine in 100 ml of 0.125% bupivacaine (Group 0.125B, n=20) or 100 ml of 0.0625% bupivacaine (Group 0.0625B, n=20). Study endpoints included visual analog scales (VAS) for pain during rest and movement, sensory change and motor blockade. They were assessed at 2, 4, 8, 16, 24, 32, 40 and 48 hrs postoperatively. Results: For VAS during rest, no significance could be found between two groups over the course of study. But for VAS during movement, the 0.125B group showed more satisfactory results especially during early postoperative periods. For the incidence of complications, the 0.125B group revealed greater frequency of sensory change (25.0%) and motor blockade (10.0%) compared with the 0.0625B group. Conclusion: This study suggests that 0.0625% bupivacaine with morphine via epidural route was sufficient for pain control during rest but it was not satisfactory during movement especially in early postoperative periods. We also recommend that careful attention to motor blockade should be paid when using 0.125% bupivacaine.

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Efficient Non-overlapping Aircraft Datablock Relocation Algorithm (항공기 데이터블록의 효율적 비중첩 재배치 알고리즘)

  • Jeong, Jae Hyup;Won, In Su;Yang, Hun Jun;Jeong, Dong Seok
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.11
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    • pp.117-126
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    • 2014
  • In this paper, we propose an efficient algorithm which can relocate the datablock of an aircraft when it is overlapped. If the datablock which represents the aircraft information in the control display is overlapped, relocation without overlapping is necessary because it is difficult to control the air traffic in this situation. The proposed algorithm relocates the data block with minimum movement by considering the characteristics of datablock. The moving distance of minimum movement is calculated using the height or width of rectangle which is created during overlapping. And the moving direction of minimum movement is calculated by considering the directivity of the datablock. When the distance between the target symbol and datablock is distant enough, the relocation is carried out using the existing algorithm as a special case. The proposed algorithm shows improved performance in comparison with the existing algorithm due to the fact that it considers many different cases of the datablock.

Long-Term Monitoring of the Barrier Effect of the Wild Boar Fence

  • Lim, Sang Jin;Kwon, Ji Hyun;Namgung, Hun;Park, Joong Yeol;Kim, Eui Kyeong;Park, Yung Chul
    • Journal of Forest and Environmental Science
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    • v.38 no.2
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    • pp.128-132
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    • 2022
  • Wild boars (Sus scrofa) not only cause crop damage and human casualties, but also facilitate the spread of many infectious diseases in domestic animals and humans. To determine the efficiency of a fencing system in blocking the movement of wild boars, long-term monitoring was performed in a fenced area in Bukhansan National Park using camera traps. Upon monitoring for a period of 46 months, there was a 72.6% reduction in the number of wild boar appearances in the fence-enclosed area, compared to that in the unenclosed area. For 20 months after the fence installation, the blocking effect of the fence was effective enough to reduce the appearance of wild boars by 92.6% in the fence-enclosed area, compared to that in the unenclosed area. The blocking effect of the fence remained effective for 20 months after its installation, after which its effectiveness decreased. Maintaining a fence for a long time is likely to lead to habitat fragmentation. It can also block the movement of other wild animals, including the endangered species - the long-tailed goral. This study suggests a 20-month retention period for the fences installed to inhibit the movement of wild boars in wide forests such as Gangwon-do in South Korea. To identify how long the blocking effect of the fences lasts, further studies are needed focusing on the length and height of the fence, and the conditions of the ground surface.

Analysis on Seismic Resistance Capacity of Hollow Concrete Block Reinforced Foundation Ground by Using Shaking Table Test (진동대 시험을 이용한 중공블록 보강 기초의 내진성능분석)

  • Shin, Eun-Chul;Lee, Yeun-Jeung;Yang, Tae Chul
    • Journal of the Korean Geosynthetics Society
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    • v.20 no.4
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    • pp.85-93
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    • 2021
  • The seventy percentage of Korean Peninsular is covered by the mountainous area, and the depth of west sea and south sea is relatively shallow. Therefore, a large scale land reclamation from the sea has been implemented for the construction of industrial complex, residental area, and port and airport facilities. The common problem of reclaimed land is consisted of soft ground, and hence it has low load bearing capacity as well as excessive settlement upon loading on the ground surface. The hollow concrete block has been used to reinforce the loose and soft foundation soil where the medium-high apartment or one-story industrial building is being planned to be built. Recently the earthquakes with the magnitude of 4.0~5.0 have been occurred in the west coastal and southeast coastal areas. Lee (2019) reported the advantages of hollow concrete block reinforced shallow foundation through the static laboratory bearing capacity tests. In this study, the dynamic behavior of hollow concrete block reinforced sandy ground with filling the crushed stone in the hollow space has been investigated by the means of shaking table test with the size of shaking table 1000 mm × 1000 mm. Three types of seismic wave, that is, Ofunato, Hachinohe, Artificial, and two different accelerations (0.154 g, 0.22 g) were applied in the shaking table tests. The horizontal displacement of structure which is situated right above the hollow concrete block reinforced ground was measured by using the LVDT. The relative density of soil ground are varied with 45%, 65%, and 85%, respectively, to investigate the effectiveness of reinforcement by hollow block and measured the magnitude of lateral movement, and compared with the limit value of 0.015h (Building Earthquake Code, 2019). Based on the results of shaking table test for hollow concrete block reinforced sandy ground, honeycell type hollow block gives a large interlocking force due to the filling of crushed stone in the hollow space as well as a great interface friction force by the confining pressure and punching resistance along the inside and outside of hollow concrete block. All these factors are contributed to reduce the great amount of horizontal displacement during the shaking table test. Finally, hollow concrete block reinforced sandy ground for shallow foundation is provided an outstanding reinforced method for medium-high building irrespective of seismic wave and moderate accelerations.

Development of a Test Strip Reader for a Lateral Flow Membrane-based Immunochromatographic Assay

  • Park, Je-Kyun;Kim, Suhyeon
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.9 no.2
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    • pp.127-131
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    • 2004
  • A low-cost, simple strip reader system using a linear movement mechanism of CD-ROM deck has been developed to characterize a lateral flow membrane-based immunochromatographic assay. The test strip reader was assembled by a CD-ROM deck and home-made optical head especially designed for immunoassays. The optical head for detecting reflected light from the test strip surface consists of green light-emitting diode, large area silicon photodiode, and anodized aluminum mounting block providing a slit structure for cutting light from the LED. The stepping motor of the deck was operated in the full step mode, whose distance of each reading point is about 0.15mm. The performance of the strip reader was tested by analysis of HBV(hepatitis B virus) antigen test kit. This strip reader can be useful for inexpensive, disposable, and membrane-based assays that provide visual evidence of the presence of an analyte in a liquid sample.

Biomechanical Fatigue Analysis of Cervical Plate Systems by using a Computer Simulation Based on Finite Element Method (유한요소법을 이용한 척추 삽입형 경추판 시스템에 대한 생체역학적 피로해석)

  • Kim, Sung-Min;Yang, In-Chul;Cho, Sung-Youn
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.8
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    • pp.96-103
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    • 2008
  • In this study, we performed the biomechanical analysis of cervical plate systems by using a computer simulation based on finite element method to derive reliable model by analysis of design variables and fatigue behavior. To simulate the cervical spine movement in-vivo state by surgery, we modeled the cervical plate system which consisted of screws, rings, rivets, and plate and Ultra High Molecular Weight Polyethylene (UHMWPE) Block. The experiment of cervical plate system followed the ASTM F1717 standards that covered the materials and methods for the static and fatigue testing. The result of computer simulation is compared with experimented test. We expected this study is to derive reliable results by analysis of design variables and fatigue behavior for developing a new model.

Image Path Searching using Auto and Cross Correlations

  • Kim, Young-Bin;Ryu, Kwang-Ryol
    • Journal of information and communication convergence engineering
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    • v.9 no.6
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    • pp.747-752
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    • 2011
  • The position detection of overlapping area in the interframe for image stitching using auto and cross correlation function (ACCF) and compounding one image with the stitching algorithm is presented in this paper. ACCF is used by autocorrelation to the featured area to extract the filter mask in the reference (previous) image and the comparing (current) image is used by crosscorrelation. The stitching is detected by the position of high correlation, and aligns and stitches the image in shifting the current image based on the moving vector. The ACCF technique results in a few computations and simplicity because the filter mask is given by the featuring block, and the position is enabled to detect a bit movement. Input image captured from CMOS is used to be compared with the performance between the ACCF and the window correlation. The results of ACCF show that there is no seam and distortion at the joint parts in the stitched image, and the detection performance of the moving vector is improved to 12% in comparison with the window correlation method.

Simulation Modeling Methodology and Simulation System Architecture for Shipbuilding Processes (선박 건조 공정 시뮬레이션을 위한 모델링 방법론 및 시스템 아키텍처)

  • Oh D.K.;Lee C.J.;Choi Y.R.;Shin J.G;Woo J.H.
    • Korean Journal of Computational Design and Engineering
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    • v.11 no.1
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    • pp.11-19
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    • 2006
  • For several years, a research about the simulation for shipyard and shipbuilding has been performed. This research is based on the concept of PLM (Product Lifecycle Management) and DM (Digital Manufacturing). Global leading companies and research center are trying to get a good position of PLM, especially M&S field. Digital shipbuilding is to computerize shipyard facilities and shipbuilding processes, and to simulate expected scenarios of shipbuilding processes using a computer model in order to resolve a potential problem such as a bottleneck processes, and over loaded resources. In this paper, simulation methodology for shipbuilding is described. In addition, a local and global strategy for the use of simulation methodology is suggested. Finally, case studies about an indoor shop and an outdoor shop are described.