• Title/Summary/Keyword: Large vessels

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Dorsalis Pedis Free Flap for Hand Reconstruction: A Technique to Minimize Donor Deformity (족배동맥 유리피판술을 이용한 수부 재건: 공여부 이환율 최소화 방법)

  • Son, Dae Gu;Kim, Hyun Ji;Kim, Jun Hyung;Han, Ki Hwan
    • Archives of Reconstructive Microsurgery
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    • v.13 no.1
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    • pp.43-50
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    • 2004
  • One of the major advantages of microsurgical reconstruction for defects of the hand is that these techniques allow for selection of the most ideal tissue to reconstruct a particular defect, thus optimizing the functional and aesthetic outcome. The dorsalis pedis free flap is an excellent reconstructive tool for various hand reconstructions. It has a reliable vasculature with vessels that are relative large on a long pedicle. It provides thin pliable tissue and be innervated by deep peroneal nerve. Coupled with its thinness and pliability, it is ideal for innervated cover of critically sensitive area, especially such as the hand. Thus it can be used as a cutaneotendinous flap, or an osteocutaneous flap. Otherwise, the major criticism with this flap is related to its uncertain vascularity and the donor defect. It is the purpose of this paper to outline our technique of flap elevation and donor site closure and to indicate our current use of this flap in hand reconstruction. We have treated 10 cases (6 burn scar contracture cases, 4 acute hand trauma cases) of hand reconstruction from Dec. 3, 1997 to Mar. 4, 2004 using dorsalis pedis free flap. The key points for sucess in terms of a viable flap and acceptable donor site are the preservation of the critical dorsalis pedis-first dorsal metatarsal vascular axis and the creation of a viable bed for grafting. In addition, we substituted preserved superficial fat skin graft for split thickness skin graft and wet environment was offered for good graft take. Preserved superficial fat skin is defined as composite graft containing epidermis, dermis and superficial fat layer. With sufficient care in flap elevation and donor site closure, a good graft take of preserved superficial fat skin under wet environment can be achieved with no functional disability and minimal cosmetic deformity in donor site. This flap has proved itself to be a best choice for hand reconstruction.

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The Study on the Application of He-Ne Laser with Low Energy ILIB to the Superficial Venules (저용량(低容量) He-Ne 레이저침의 혈락적용(血絡適用) 연구(硏究))

  • Kim Sung-Chul;Cho Eun-Hee;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.20 no.3
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    • pp.35-47
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    • 2003
  • Objective : The purpose of this study was to investigate the significance of the Oriental medical treatment using He-Ne laser with low energy intravascular Laser Irradiation of Blood(ILIB) through the superficial venules. Methods : The investigation of details connected with the superficial venules in the literature is performed. The investigation of details connected with the pricking blood techniques through the superficial venules in the literature is performed. The classification of the pricking blood techniques through the superficial venules by the blood-letting puncture methods in the literature is performed. The arrangement of domestic clinical treatises on the effectiveness of medical treatment using He-Ne laser with low energy ILIB through the superficial venules is performed. The consideration on the methodology for the improvement of the clinical effectiveness of He-Ne laser with low energy ILIB through superficial venules is performed. Results and Conclusions : The superficial venules are small arteries, veins and capillaries in the superficial region of the human body. In the pricking blood techniques, there are the blood-letting puncture using the implement of acupuncture to the Jing points, Extra points and superficial blood vessels and the acupuncture using the Hirudo. The methods of the blood-letting puncture are classified into the venous blood-letting puncture, the pricking , the picking out white fiber-like substances from the subcutaneous tissue, the cluster needling, the scattered needling, the blood-letting puncture of the tready collateral branch of the large channel and the blood-letting puncture of skin. The He-Ne laser with low energy ILIB through the superficial venules belongs to the Oriental medical treatment as the method of the blood-letting puncture in the vein of cubital fossa. The He-Ne laser with low energy ILIB has an effect on hyperfibrinogenemia, hyperlipidemia, speech and motor dysfunction in the case of cerebral infarction, headache, dizziness, pain and numbness. It is considered that fundamental research on the biological change of the human body, the experimental animal and the unicellular animal, and research on the effectiveness and the safety, and the development of He-Ne laser with low energy ILIB of an effective wavelength range are necessary.

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An Analysis on Global Terminal Operator's Selection of Container Terminal -Focusing on the Chinese Container Ports- (GTO의 신규터미널 후보지 선택에 관한 연구 -중국 컨테이너 항만을 중심으로-)

  • Yeo, Gi-Tae;Jung, Hyun-Jae;Pak, Ji-Young
    • Journal of Korea Port Economic Association
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    • v.28 no.1
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    • pp.159-178
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    • 2012
  • Recently, Global network expansion strategy of GTOs(Global Terminal Operator) coupled with each country's port policy, plays huge role for the evolution of modern container port. The Chinese ports can be regarded as the major markets to the GTOs. However, there are scant of researches for finding the key success factors of GTOs' strategies when they consider to invest in overseas. In this respect, the aims of this study were to draw out the evaluation variables for successful investment strategies of GTOs, and to calculate the selected target ports. The 14 variables are selected including the variable named 'development potentiality of a port' through literature reviews. Using the Factor Analysis (FA) based on selected variables, four principal factors were extracted such as 'ability for port operating and cargo generating', 'the trade route and volume', 'the calling potentiality for large vessels' and 'the possibility of utilization of existing infrastructure'. In addition, the weights of factors and variables are evaluated through Fuzzy AHP method. As a result, 'ability for port operating and cargo generating' is chosen as the most important factor among principal factors as scored 0.343, and 'the development potentiality of a port' (0.107) is represented as the most important variable among 14 detailed variables. In overall, from the Global Terminal Operator's point of view, Shanghai is ranked as most suitable port for operating new terminal among the top 5 Chinese ports.

THE STUDY ON THE NOISE IN THE VESSEL (선박소음에 관한 연구)

  • PARK Jung-Hee;KIM Sang-Han
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.8 no.4
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    • pp.202-207
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    • 1975
  • During the term of June, 7 to August 11, the noises in the maine engine room in terms of the r. p. m. of the Pung-Yang Ho (4,500 H. P.), the Chuk-Yang Ho (3,800 H. P.), the Dong-Bang Ho (3,000 H. P.), the Oh-Dae San Ho (2,690 H, P.), the Kwan-Ak-San Ho (1,000 H. P.) and the Back-Kyung Ho (850 H. P.) (Refer to Table 1) were measured with the use of sound level meter, which has measuring range 37-140 dB and the results obtained are as follows : 1. Capacity of the engine room becomes large according to the total H. P. of the main engine, but the vessels are using of a type of engine, i.e., 6 cylinder, and thus the noise, pressure has shown a tendency to become lower except Kwan-Ak-San Ho, Chuk-Yang Ho and Dong Bang Ho where the noise pressure was higher by 3 dB than curve of mean value. 2. The maximum noise pressure appeared even before the main engine reached the maximum r. p. m. and while the percentage of the r. p. m. varied depending on the vessel, the maximum noise appeared at around the $67-75\%$ of the r. p. m. 3. The maximum of noise pressure in the respective engine room ranged between 93.5-105 dB while it was between 72-81 dB at the fish process room in the stern trawl vessel where the oral communications were possible.

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Fixed node reduction technique using relative coordinate estimation algorithm (상대좌표 추정 알고리즘을 이용한 고정노드 저감기법)

  • Cho, Hyun-Jong;Kim, Jong-Su;Lee, Sung-Geun;Kim, Jeong-Woo;Seo, Dong-Hoan
    • Journal of Advanced Marine Engineering and Technology
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    • v.37 no.2
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    • pp.220-226
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    • 2013
  • Recently, with the rapid development of factory automation and logistics system, a few workers were able to manage the broad workplace such as large vessels and warehouse. To estimate the exact location of these workers in the conventional wireless indoor localization systems, three or more fixed nodes are generally used to recognize the location of a mobile node consisting of a single node. However, these methods are inefficient in terms of node deployment because the broad workplace requires a lot of fixed nodes compared to workers(mobile nodes). Therefore, to efficiently deploy fixed nodes in these environments that need a few workers, this paper presents a novel estimation algorithm which can reduce the number of fixed nodes by efficiently recognizing the relative coordinates of two fixed nodes through a mobile node composed of three nodes. Also, to minimize the distance errors between mobile node and fixed node, rounding estimation(RE) technique is proposed. Experimental results show that the error rate of localization is improved, by using proposed RE technique, 90.9% compared to conventional trilateration in the free space. In addition, despite the number of fixed nodes can be reduced by up to 50% in the indoor free space, the proposed estimation algorithm recognizes precise location which has average error of 0.15m.

LOCAL ANESTHESIA IN CHILDREN USING JET INJECTION INSTRUMENT (분사식 주사기를 이용한 소아환자의 국소마취)

  • Lee, Jae-Chun;Kim, Dae-Eop;Lee, Kwang-Hee;Kim, Seong-Hyeong;Yang, Kye-Sik
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.633-637
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    • 2001
  • Local anesthesia procedure in pediatric dentistry using needle-tipped syringes is stressful and painful for the child patients The Syrijet Mark II (Mizzy Inc. USA) is a jet injection instrument, which uses high pressure to propel fluids into soft tissue without the use of a hollow neeldle, so it seems to be able to reduce the injection phobia of the child patients. The authors compared the Syrijet with the conventional syringe by assessing the pain level after local anesthetic procedures using CAS(color analogue scale) which was developed from VAS(visual analogue scale). The result showed that the pain was reduced by the use of syrijet. The advantages of syrijet were no use of neeldes, the reuse of the anesthetic cartridge, and the safety to nerves and vessels. The disadvantages were the large size, the high price, and the need of skill to use.

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Resection and Reconstruction for Liposarcoma Involving Popliteal Fossa and Antero-lateral Compartment of Lower Leg - A Case Report - (하퇴 슬와부 및 전외측 구획을 침범한 지방육종 환자의 절제 및 재건술 - 증례보고 -)

  • Won, Ho-Hyun;Hong, Youn-Seok;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.15 no.1
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    • pp.69-74
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    • 2009
  • Soft tissue sarcomas of popliteal fossa are rare, accounting for less than 5% of all soft tissue sarcomas of the extremities. In an extracompartmental space such as the popliteal, cubital fossa and inguinal space, where major vessels and nerves traverse, performing resections with wide margin is difficult and sometimes marginal margin is inevitable for limb salvage. For popliteal tumor resection, posterior approach would be a classic method. For tumors with small size and not adherent to surrounding structures, tumor is easily resected by this approach and dissection of nerve sheath or adventitia of vessel. On the contrary, tumors of large size and infiltrating the posterior structure of knee joint may show difficulty in en-bloc resection itself. These cases were candidates for amputation. Furthermore, tumors involving both popliteal fossa and anterior compartment usually had no choice but to have an amputation to prevent local recurrence. We regarded soft tissue sarcoma showing this kind of presentation as bone tumor having extraosseous mass. We performed wide en-bloc resection of proximal tibia and fibula along with sarcoma involving both compartment on liposarcoma of 47-year old man.

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A Study on the Enhancement of Maritime Education and Training to cope with IMO Member-state Audit Scheme (IMO 회원국 감사제도 대응을 위한 해기교육 강화방안에 관한 연구)

  • Lee, Yun-Cheol;Park, Sung-Ho
    • Journal of Navigation and Port Research
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    • v.37 no.2
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    • pp.203-210
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    • 2013
  • In spite of adoption of various IMO Conventions over the past, the reason why large vessel accidents related to human life and marine environment occur is that the IMO Conventions are not effectively implemented due to contravention of the conventions by flag states. In particular, the implementation of the conventions are not well being performed because some flag states having weak genuine link between them and vessels haven't set up proper personal and structural organizations in charge of maritime safety and marine environment protection. From this background, IMO Resolution A.946(23) on the voluntary IMO Member-state Audit Scheme was adopted at the 23rd Assembly in Nov. 2003 and the Scheme is expected to be executed compulsorily in 2015 through the adoption of the IMO Resolution A.1018(26) in Nov. 2009. Accordingly, this study examined outline of the IMO Member-state Audit Scheme and the Code for the Implementation of Mandatory IMO Instruments used for the audit standards of this scheme. In addition, this study reviewed the member-states' obligations and responsibilities according to the compulsory implementation of the member-state audit scheme in 2015. Based on this, this study suggested the enhancement measures for maritime education and training of maritime education institutions of the Republic of Korea to cope positively with compulsory implementation of the IMO Member-state Audit Scheme.

Effects of Sahyangsohap-won on Cerebral Hemodynamics in Healthy Subjects (사향소합원(麝香蘇合元)이 정상인의 뇌혈류역학에 미치는 영향)

  • Koo, Bon-Soo;Kim, Sung-Hwan;Moon, Sang-Kwan;Cho, Ki-Ho;Kim, Young-Suk;Bae, Hyung-Sup;Lee, Kyung-Sup;Ryu, Soon-Hyun
    • The Journal of Internal Korean Medicine
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    • v.22 no.2
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    • pp.199-205
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    • 2001
  • Background and Purpose : Transcranial doppler ultrasonography(TCD) is a noninvasive and nonradioactive technique for evaluation of the hemodynamics in large cerebral vessels. Sahyangsohap-won(SS) has been considered to be effective for the treatment of various disease, especially cerebrovascular, cardiovascular, and psychosomatoform disorders. But, there is no study about the effect of SS on the cerebral hemodynamics in humans. The aim of this study was to assess the effect of SS on the changes in cerebral hemodynamics and the dose-dependant effect by using TCD. Subjects and Methods : 30 healthy subjects were randomly divided into three group: group 1 took no drug, group 2 took SS one pill, and group 3 took SS 2 pills. Changes in the mean blood flow velocity(MBFV) and pulsatility index(PI) in the middle cerebral artery were evaluated by means of TCD. We obtained hypercapnia with breath-holding and evaluated cerebrovascular reactivity with the breath-holding index(BHI). Systolic blood pressure(SBP), diastolic blood pressure(DBP), and heart rate(HR) were measured by means of ambulatory blood pressure monitoring. In group 2 and group 3, the evaluations were performed during the baseline and were repeated at 20, 40, and 60 minutes after SS administration. In group 1, the evaluation was performed at corresponding time intervals. Results : In mean values of MSFV, PI, SSP, DBP, and HR, no stastically significant differences were found between the 3 groups. However, BHI values were significantly lower in groups 2 and 3 than in group 1 at 40 minutes after SS administration(P<0.05, group 1 vs group 2, group 1 vs group 3 by post-hoc analysis: Scheffe's test) but in dose-dependant effect, there was no difference between group 2 and group 3. Conclusion : These results suggest that SS can decrease vascular resistance in cerebral small arteries or arterioles and enhance their distensibility. Further studies on larger numbers of subjects are needed to confirm these effects and the dose-dependant effects.

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Current Status and Rate of Change of National Ships by each Ship : Focusing on Passenger ships, Cargo ships, Oil Tankers, Towing and Barges (국적선의 각 선박별 현황과 변동률 : 여객선, 화물선, 유조선, 예선, 부선을 중심으로)

  • Choi, Soo-Ho;Kim, Shin-Joong
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.195-202
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    • 2021
  • The purpose of this study is to classify national ships into passenger ships, cargo ships, oil tankers, tugboats, barges, and other ships by use, and compare the rate of change and direction respectively. In this study, a total of 123 monthly data were searched from January 2011 to March 2021 in Statistics Korea's KOSIS "Traffic Logistics => Operating Vessel Statistics => Possesion State of National Vessels". To this end, we calculated the rate of change from the previous month for each ship and performed numerical analysis and model analysis. In the correlation analysis, the Total showed a high relationship in the order of Towing, Barge, Oil, Cargo and Ferry. In the regression analysis, each ship was found to be statistically significant and varied independently of each other. The increase rate was highest in the order of Ferry, Oil, Towing, Barge and Cargo during the last analysis period. In the analysis of Scatter Charts, Towing and Barge showed more than a certain level of synchronization with respect to the Total. The synchronization phenomenon for each ships was calculated to be rather low, indicating that the correlation between each ships was low. However, the correlation between Oil and Towing, Oil and Barge and Towing and Barge is relatively high, indicating a relatively large correlation.