• Title/Summary/Keyword: Drainage block

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Experience with the Application of Magnetic Resonance Diagnostic $Analyser^{(R)}$ -A case of reflex sympathetic dystrophy- (자기공명분석기에 의한 반사성 교감신경성 위축증의 치험)

  • Kim, Jin-Soo;Kwak, Su-Dal;Kim, Jun-Soon;Ok, Sy-Young;Cha, Young-Deog;Park, Wook
    • The Korean Journal of Pain
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    • v.6 no.2
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    • pp.275-279
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    • 1993
  • Reflex sympathetic dystrophy is a syndrome characterized by persistent, burning pain, hyperpathia, allodynia & hyperaesthesia in an extremity, with concurrent evidence of autonomic nervous system dysfunction. It generally develops after nerve injury, trauma, surgery, et al. The most successful therapies are directed towards blocking the sympathetic intervention to the affected extremity by regional sympathetic ganglion block or Bier block with sympathetic blocker; other traditional treatments include transcutaneous electrical stimulation, immobilization with cast & splint, physical therapy, psychotherapy, administration of sympathetic blocker, calcitonin, corticosteroid and analgesic agents. The purpose of this report is to evaluate and describe the effects of magnetic resonance following unsatisfactory results with traditional treatments of RSD. A 17 year old female patient, 1 year earlier, had received excision and drainage of pus at the right femoral triangle due to an injury caused by a stone. Afterwards, she experienced burning pain, knee joint stiffness, and muscle dystrophy of the right thigh, especially when standing and walking. Despite a year of number of traditional treatments such as: lumbar sympathetic block, continuous epidural analgesia, transcutaneous electrical stimulation, & administration of predisolone, her pain did not improve. Surprisingly, the patients was able to walk free from pain and difficulty after just one application of magnetic resonance. The patient has been successfully treated with further treatment of two to three times a week for approximately ten weeks. More recently, magnetic resonance has been demonstrated to produce effective results for the relief of pain in a variety of diseases. From our experiences we recognize magnetic resonance as a therapeutic modality which can provide excellent results for the treatment of RSD. It has been suggested that polysynaptic reflex which are disturbed in RSD may be modulated normally on the spinal cord level through the application of magnetic resonance.

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Case Studies of Geophysical Mapping of Hazard and Contaminated Zones in Abandoned Mine Lands (폐광 부지의 재해 및 오염대 조사관련 물리탐사자료의 고찰)

  • Sim, Min-Sub;Ju, Hyeon-Tae;Kim, Kwan-Soo;Kim, Ji-Soo
    • The Journal of Engineering Geology
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    • v.24 no.4
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    • pp.525-534
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    • 2014
  • Environmental problems typically occurring in abandoned mine lands (AML) include: contaminated and acidic surface water and groundwater; stockpiled waste rock and mill tailings; and ground subsidences due to mining operations. This study examines the effectiveness of various geophysical techniques for mapping potential hazard and contaminated zones. Four AML sites with sedimentation contamination problems, acid mine drainage (AMD) channels, ground subsidence, manmade liner leakage, and buried mine tailings, were selected to examine the applicability of various geophysical methods to the identification of the different types of mine hazards. Geophysical results were correlated to borehole data (core samples, well logs, tomographic profiles, etc.) and water sample data (pH, electrical conductivity (EC), and heavy metal contents). Zones of low electrical resistivity (ER) corresponded to areas contaminated by heavy metals, especially contamination by Cu, Pb, and Zn. The main pathways of AMD leachate were successfully mapped using ER methods (low anomaly peaks), self-potential (SP) curves (negative peaks), and ground penetrating radar (GPR) at shallow penetration depths. Mine cavities were well located based on composite interpretations of ER, seismic tomography, and well-log records; mine cavity locations were also observed in drill core data and using borehole image processing systems (BIPS). Damaged zones in buried manmade liners (used to block descending leachate) were precisely detected by ER mapping, and buried rock waste and tailings piles were characterized by low-velocity zones in seismic refraction data and high-resistivity zones in the ER data.

A Case of Intramuscular Abscess in the Sternocleidomastoid Muscle after Intramuscular Stimulation (IMS) (근육내 자극요법 후 목빗근내 농양의 치험례)

  • Kim, Jae-In;Choi, Hwan-Jun;Choi, Chang-Yong;Yang, Hyung-Eun
    • Archives of Plastic Surgery
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    • v.37 no.2
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    • pp.182-186
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    • 2010
  • Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.

Critical Design Result of Liquid Oxygen Filling System for Korea Space Launch Vehicle-II Launch Complex (한국형발사체 발사대시스템 산화제공급설비 상세설계)

  • Seo, Mansu;Ko, Min-Ho;Sun, Jeong-Woon;Suh, Hyun-Min;Lee, Jae Jun;Kang, Sunil
    • Journal of the Korean Society of Propulsion Engineers
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    • v.21 no.2
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    • pp.102-110
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    • 2017
  • In this paper, the liquid oxygen filling system (LOXFS) of the launch complex system of Korea Space Launch Vehicle-II (KSLV-II) is introduced based on critical design result by KARI in 2015 to 2016. The function and specification of the main systems of the liquid oxygen filling system, such as the storage tank, the drainage tank, the supply pumping system, the curved heat exchanger with liquid nitrogen, end valve block system, and umbilical connection, are presented.

New Approach to the Care of Suction Drain Insertion Site by Using Occlusive Transparent Film Dressing (투명필름 밀폐 드레싱을 이용한 새로운 배액관 관리법)

  • Kwon, Soon Hong;Oh, Deuk Young;Choi, Youn Suk;Lee, Paik Kwon;Rhie, Jong Won;Han, Ki Taik;Ahn, Sang Tae
    • Archives of Plastic Surgery
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    • v.33 no.1
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    • pp.131-134
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    • 2006
  • The closed suction drain is commonly inserted after various surgical procedures. It has an important role to prevent possible hematoma or seroma that can cause postoperative wound problems. But there is still no consensus on managing the insertion site of suction drain after operation. Suture-tie fixation of drain to skin and classical Y shape gauze dressing is a usually accepted method, but it has many limitations. We introduce a new approach to the care for the insertion site of suction drain by using occlusive transparent film dressing, $IV3000^{(R)}$(Smith & Nephew, London, UK). By using transparent film, insertion site of drain can be easily checked without removal of dressing. Because it can reduce the tension of suture-tie fixation, it helps to prevent skin injury. Furthermore, occlusive film dressing can block air leakage from insertion site of drain, and the water-proof character of film allows patients to take a shower without dressing change. This new method is more convenient, more efficient, and less harmful to skin than classic one.

Surgical management ofuniventricular heart (단일심실증의 수술요법)

  • No, Jun-Ryang;Kim, Eung-Jung
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.618-626
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    • 1986
  • Univentricular heart is a rare congenital cardiac anomaly in which the atrial chambers are connected to only one ventricular chamber and it consists of a diverse group of cardiac malformation characterized by both AV valves or a common AV valve opening into the same ventricle, or the presence of only a solitary AV valve. In spite of recent development in cardiac surgery, corrective operations for univentricular heart still have high mortality and complication rate. Twenty eight patients underwent corrective operation for univentricular heart at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital from February 1979 to July 1986. Of the 28 patients, 7 patients were operated on by ventricular septation and 21 patients by modified Fontan operation. Of the 28 patients, 19 patients were male and 9 patients female and ages ranged from 5 months to 18 years old with the average age of 7.3 years. There were 2 mortalities in 7 patients operated on by septation with the mortality rate of 28.6% and 5 complications, 3 complete AV block, 1 low cardiac output and 1 arrhythmia. All survived patients are being followed up without specific problem till now. There were 10 mortalities in 21 patients operated on by modified Fontan operation with the mortality rate of 47.6% and 10 complications, 2 low cardiac output, 2 respiratory failure necessitating tracheostomy, 2 persistent cyanosis, 2 arrhythmia, 1 missing of left AV valve in situs inversus patient due to misdiagnosis and one rupture of closed right AV valve. Incremental risk factors for operative mortality are young age less than 5 years old, anomalous pulmonary and systemic venous drainage and atrial septation procedure. In 11 survived patients, 9 patients show good follow-up results but one patient complains of persistent cyanosis and another one patient is suffered from CHF. In our series, results of corrective operation for univentricular heart shows continuing improvement but still high mortality and complication rate. So there must be continuing improvement in surgical result by selection of patient, by adequate decision making for timing and method of operation and by improving operative methods.

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Studies on the Development of Bearing Capacity Reinforcement for the Foundation of Soil (기초지반의 지지력보강공법에 관한 연구)

  • 유동환;최예환;유연택
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.30 no.1
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    • pp.38-49
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    • 1988
  • This paper presented as follows results of laboratory model tests with various shaped footings on soil bed reinforced with the strips on the base of behaviour of soil structure according to the loads and triaxial test results reinforced with geotextiles. Their parameters studied were the effects on the bearing capacity of a footing of the first layer of reinforcement, horizontal and vertical spacing of layers, number of layers, tensile strength of reinforcement and iclination load to the vertical 1.Depending on the strip arrangement, ultimate bearing capacity values could be more improved than urreinforced soil and the failure of soil was that the soil structure was transfered from the macrospace to microspase and its arrangement, from edge to edge to face to face. 2.The reinforcement was produced the reinforcing effects due to controlling the value of factor of one and permeable reinforcement was never a barrier of drainage condition. 3.Strength ratio was decreased as a linear shape according to increment of saturation degree of soil used even though at the lower strength ratio, the value of M-factor was rot influenced on the strength ratio but impermeable reinforcement decreased the strength of bearing capacity. 4.Ultimate bearing capacity under the plane-strain condition was appeared a little larger than triaxial or the other theoretical formulars and the circular footing more effective. 5.The maximum reinforcing effects were obtained at U I B=o.5, B / B=3 and N=3, when over that limit only acting as a anchor, and same strength of fabric appeared larger reinforcing effects compared to the thinner one. 6.As the LDR increased, more and more BCR occurred and there was appeared a block action below Z / B=O.5, but over the value, decrement of BCR was shown linear relation, and no effects above one. 7.The coefficient of the inclination was shown of minimum at the three layers of fabrics, but the value of H / B related to the ultimate load was decreased as increment of inclination degree, even though over the value of 4.5 there wasn't expected to the reinforcing effects As a consequence of the effects on load inclination, the degree of inclination of 15 per cent was decreased the bearing capacity of 70 per cent but irnproved the effects of 45 per cent through the insertion of geotextile.

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Effect of Propionic Acid in the Germination of Rice Genotypes

  • Kopp, Mauricio Marini;Luz, Viviane Kopp da;Maia, Luciano Carlos da;Sousa, Rogerio Oliveira de;Oliveira, Antonio Costa de
    • Journal of Crop Science and Biotechnology
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    • v.11 no.4
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    • pp.249-256
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    • 2008
  • The objective of this work was to evaluate the germination of 12 rice genotypes under propionic acid stress, a phytotoxic compound produced in low drainage soils with high organic matter content. The tests were conducted with the first count of germination (PCG) and germination (G) of the genotypes subjective to 0, 3, 6, and 9 mM propionic acid concentrations. The seeds of each genotype were placed in germitest paper pre-soaked in treatment solutions forming individual bags. The germination was performed at $25^{\circ}C$ and the counts were carried out at 7 (PCG) and 14 days (G). A factorial random block design was performed with four replications of 50 seeds per genotype. Our study revealed that doses up to 9 mM propionic acid in the pre-soaking solution were efficient for genetic variability studies involving the character germination in rice; genetic variability for germination was detected in the collection of rice genotypes when subjected to propionic acid toxic effects. The genotypes Guichow, Dawn, and Toride-1 showed germination stability when subjected to increasing levels of propionic acid, and genotypes originated from irrigated system-cultivation performed better when subjected to propionic acid stress. These three genotypes will be a good biological material to for enhance the resistance to phytotoxic compounds in rice.

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Overseas Design Introduction of Road Rehabilitation Project in Keshim~Faizabad, Afghanistan (아프가니스탄 케심-파이자베드간 도로복구사업 해외설계 사례)

  • Jeong, Dong-Ho;Kim, Woo-Sun;Kim, Gee-Baek;Jeong, Won-Joon;Lee, Seung-Woo
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.10a
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    • pp.569-580
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    • 2008
  • If slope height was more than 20 meters, we conducted an analysis of stereographic projection and limit equilibrium at this slope. We proposed reduction of slope face angle and reinforcement of rock bolt depending on analysis. Blasting design : Standard pattern based on result of local test blasting was made for blasting design. Vibration criterion was set for less than 3.0mm/s because of outworn buildings and inhabitants opinions. Production blasting and Controlled blasting has been done as Construction standard pattern. After Vibration Monitoring has been done, so that we can control of complement. "Bidding Document" and AASHTO 2001 "A Policy on Geometric Design of Highways and Streets" were so for design criteria of earthwork but they were different actual design criteria and left something to be desired in Afghanistan. Therefore, although "Bidding Document" and "AASHTO 2001" were basic design criteria, domestic design criteria was reflected in this design criteria for complement by discussion with supervisor. Drainage design : For stability ratio, ditch of arch block and stonework was designed by rainfall data for the 13 years and discussion with supervisor. Pavement was designed as flexible pavement. Because these days in Afghanistan postwar repair works, especially urgent repairing of roads and newly making of roads, are very highly in progress, I think that Afghanistan is the region about which our construction technical experts should have great concerns.

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Analysis of Design Parameters for Earthwork/Bridge Transition Structure for Ultra-High Speed Running (초고속 주행시 교량/토공 접속부 보강방안의 설계변수 분석)

  • Lee, Il-Wha;Lee, Sung-Jin;Lee, Su-Hyung;Lee, Kang-Myung
    • Journal of the Korean Society for Railway
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    • v.18 no.2
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    • pp.117-126
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    • 2015
  • The development of railway roadbed for 600km/h train speed level is very difficult because unpredictable static and dynamic interaction occurs between the ultra-high speed train and the infrastructure. Especially, an earthwork-bridge transition zone is a section in which influential factors react, such as bearing capacity, compression, settlement, drainage, and track irregularity; these interactions can include complicated dynamic interaction. Therefore, if static and dynamic stability are secured in transition zones, it is possible to develop roadbeds for ultra-high speed railways. In the present paper, design parameters for transition reinforcement applied to present railway design criteria are analytically examined for ultra-high speed usage on a preferential basis. Design parameters are the presence of reinforcing materials, geometric shape, stiffness of materials, and so on. Analysis is focused on the deformation response of the track and running stability at ultra-high speed.