• Title/Summary/Keyword: Mean Reduction Method

Search Result 553, Processing Time 0.031 seconds

A Comparison of the Effect of Epidural Patient-Controlled Analgesia with Intravenous Patient-Controlled Analgesia on Pain Control after Posterior Lumbar Instrumented Fusion

  • Lee, Sang-Hoon;Kim, Kyung-Hyun;Cheong, Seong-Mee;Kim, Su-Mi;Kooh, Mi-Rang;Chin, Dong-Kyu
    • Journal of Korean Neurosurgical Society
    • /
    • v.50 no.3
    • /
    • pp.205-208
    • /
    • 2011
  • Objective : Retrospective analysis to compare the effect and complication of epidural patient-controlled analgesia (epidural PCA) with intravenous patient-controlled analgesia (IV PCA) for the treatment of the post-operative pain after posterior lumbar instrumented fusion. Methods : Sixty patients who underwent posterior lumbar instrumented fusion for degenerative lumbar disease at our institution from September 2007 to January 2008 were enrolled in this study. Out of sixty patients, thirty patients received IV PCA group and thirty patients received epidural PCA group. The pain scale was measured by the visual analogue scale (VAS) score. Results : There were no significant difference between IV PCA group and epidural PCA group on the PCA related complications (p=0.7168). Ten patients in IV PCA group and six patients in epidural PCA group showed PCA related complications. Also, there were no significant differences in reduction of VAS score between two groups on postoperative 2 hours (p=0.9618) and 6 hours (p=0.0744). However, postoperative 12 hours, 24 hours and 48 hours showed the significant differences as mean of reduction of VAS score (p=0.0069, 0.0165, 0.0058 respectively). Conclusion : The epidural PCA is more effective method to control the post-operative pain than IV PCA after 12 hours of spinal fusion operation. However, during the first twelve hours after operation, there were no differences between IV PCA and epidural PCA.

Study on the Optimal Injection Condition for HC-LNT Catalyst System for Diesel Engines with a Gasoline PFI Type Injector (가솔린 인젝터를 디젤엔진용 HC-LNT 촉매에 적용하기 위한 최적 분사 조건에 관한 연구)

  • Oh, Jung-Mo;Mun, Woong-Ki;Kim, Ki-Bum;Lee, Jin-Ha;Lee, Ki-Hyung
    • Transactions of the Korean Society of Mechanical Engineers B
    • /
    • v.35 no.2
    • /
    • pp.121-127
    • /
    • 2011
  • NOx (Nitrogen Oxide) reduction system periodically needs a rich or stoichiometric operating condition to reduce NOx. A new method that optimizes the control of external HC injection into a diesel exhaust pipe for HC-type LNT (Lean NOx Trap) catalyst system has been developed. In this paper, these catalysts are called HC-LNT catalysts. The concentration and amount of HC can be controlled by controlling the external injection. In this study, we investigated the relationship between the spray behavior of hydrocarbons injected into the transparent exhaust pipe and NOx reduction characteristics. From the results of this experiment, we obtained useful information about the optimum injection and position of HC injector to the exhaust pipe. Further, we obtained useful information about the optimal injection condition for an HC-LNT catalyst system with a gasoline PFI (port fuel injection) typeinjector.

PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

  • Park, Jung Ho;Kim, Jung Wook;Oh, Chi Hun;Choi, Keun Seok;Hong, Jae Young;Kim, Jae Gyoon
    • Clinics in Shoulder and Elbow
    • /
    • v.18 no.3
    • /
    • pp.128-132
    • /
    • 2015
  • Background: We described a surgical method for osteosynthesis and reported the resultant strength after application of a PHILOS plate through the anterolateral approach for the treatment of fractures of the distal humerus. Methods: Between February 2010 and March 2012, open reduction and internal fixation operations with the PHILOS plate for treatment of fracture of the distal humerus were performed on a total of nine patients (five men, four women). The mean age was 40.8 years (range, 24-50 years), and the average follow-up period was 9.1 months (range, 6-15 months). Clinical evaluations were performed 6 months after the operation. Clinical assessment included determination of the range of motion of the elbow, the Mayo and Oxford elbow scores, and any postoperative complications. Results: Fracture union was noted in all patients, with an average period of 12.4 weeks. The average Mayo elbow and Oxford elbow scores were 87.2 (of a total of 100) and 43.3 (of a total of 48), respectively. For the postoperative range of motion of the elbow, all patients showed complete recovery to the preoperative range of motion. No other conditions, such as neurolepsis, plate breakage, or rotational deformity, were observed. Conclusions: Open reduction and internal fixation of distal humerus fractures with a PHILOS plating system via anterolateral approach can be effective. A high rate of union with good outcomes can be assumed.

Evaluation of Masseter Muscle Volume after Contouring of Prominent Mandible Angle by Measurement of CT Scan Image

  • Kim, Yong Oock;Choi, Jong Woo
    • Journal of International Society for Simulation Surgery
    • /
    • v.1 no.2
    • /
    • pp.71-74
    • /
    • 2014
  • Purpose The prominent mandible angle, otherwise known as "square face", has been recognized as an aesthetic problem that needs correction by many in the Asian community. Many surgeons considered that mandible angle ostectomy alone, brings about hypotrophy of the masseter muscle. However, it was only proven indirectly (by clinical experience and histological animal experiments) and not objectively. In this study, we evaluated the volume of masseter muscle to prove the effect, objectively. Materials and method Computed tomography (CT) images were used to measure the masseter muscle volume of normal female group (n=6), and of female patient group n=8, preoperative and early & late postoperative volumes) presenting the symptom of prominent mandible angle. The data was analyzed statistically by two-sample t-test and paired t-test using SAS (version 8.2). Results In normal female group, volume average was $16,142{\pm}2,829.8mm^3$. In patient group, preoperative volume averaged $24,447{\pm}4,544.5mm^3$ (p<0.0001), early postoperative volume measured average of $31,966{\pm}50,421mm^3$ which is a 30% increase from the preoperative volume (p<0.0001). Late postoperative measurement was $20,202{\pm}4,092.3mm^3$, which is a 20% decrease from the preoperative volume (p<0.0006). Conclusion The bone reduction of prominent mandible angle induce the hypotrophic effect of masseter muscle after long term follow up (5 more months). This result mean that the result of mandible angle contouring surgery can be considered as combined effect of bony angle reduction and subsequent masseter muscle hypotrophy.

Selection of oncoplastic surgical technique in Asian breast cancer patients

  • Shin, Eui Sun;Kim, Hyo In;Song, Seung Yong;Lew, Dae Hyun;Lee, Dong Won
    • Archives of Plastic Surgery
    • /
    • v.45 no.1
    • /
    • pp.37-44
    • /
    • 2018
  • Background Oncoplastic surgery is being increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors should be considered to determine the optimal surgical method. Methods A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty, to restore the breast volume and symmetry. Results The mean weight of the tumor specimens was 40.46 g, and the ratio of the tumor specimen weight to breast volume was 0.12 g/mL in the patients who underwent glandular tissue reshaping (n=59). The corresponding values were 101.47 g and 0.14 g/mL, respectively, in the patients who underwent reduction oncoplasty (n=17), and 82.54 g and 0.20 g/mL, respectively, in those treated with an LD flap (n=32). Glandular tissue reshaping was mostly performed in the upper outer quadrant, and LD flap transposition was mostly performed in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results. Conclusions We report satisfactory outcomes of oncoplastic surgical procedures in Korean patients. The results regarding specimen weight and the tumor-to-breast ratio of Asian patients will be a helpful reference point for determining the most appropriate oncoplastic surgical technique.

A Systematic Review of Kinesiology Taping in Patients With Lymphedema

  • Jaehee Yang;Eun Jin Lim
    • Physical Therapy Korea
    • /
    • v.30 no.4
    • /
    • pp.288-305
    • /
    • 2023
  • Background: The compression therapy, which is the standard treatment for lymphedema patients, may be difficult to implement and contraindicated to some patients depending on their health condition. Objects: The purpose of this study is to investigate whether kinesiology taping (KT) can be used effectively and safely in the management of lymphedema as an alternative treatment through systematic review and meta-analysis. Methods: In February 2023, the literature was systematically collected through eight search engines with a combination of terms, 'lymphedema' and 'kinesiology taping.' We qualitatively analyzed the differences and safety of KT methods, and quantitatively meta-analyzed the effects of volume reduction in edema, range of motion (ROM), and pain improvement using Review Manager ver. 5. 4. To assess the risk of bias in the randomized controlled trial (RCT) studies, Risk of Bias was used. Results: A total of 616 articles searched and 20 studies were selected, including 12 RCTs and eight case studies. KT intervention could not replace multilayer compression bandage (MLB), but it demonstrated similar or better results compared to compression garment (CG), with reduced pain and improved intervention comfort. Studies reported skin adverse events ranging from 2.5% to 20.68%, with a total adverse event incidence of 7.7%. There was no significant difference in the application method of KT. As a result of the meta-analysis from the 8 RCTs, the KT intervention showed a mean difference (MD) of -7.18 with a 95% confidence interval (CI) [-12.64 to -1.72] in the volume change of lymphedema, while the pain difference was MD 0.82 with CI 95% [0.50 to 1.15], in comparison to the MLB and CG intervention. Conclusion: KT therapy led to a reduction in edema size, volume, pain, and improved ROM and quality of life. KT may be a viable option for lymphedema patients who have trouble applying traditional compression therapies.

A Deblocking Filtering Method for Illumination Compensation in Multiview Video Coding (다시점 비디오 코딩에서 휘도 보상 방법에 적합한 디블록킹 필터링 방법)

  • Park, Min-Woo;Park, Gwang-Hoon
    • Journal of Broadcast Engineering
    • /
    • v.13 no.3
    • /
    • pp.401-410
    • /
    • 2008
  • Multiview Video Coding contains a macroblock-based illumination compensation tool which can compensate the variations of illuminations according to view or temporal directions. Thanks to illumination compensation tool, the coding efficiency of Multiview Video Coding has been enhanced. However illumination compensation tool also generates additional subjective drawbacks of the blocking artifacts due to macroblock-based compensations of mean values. A deblocking filtering method for Multiview Video Coding which is the same as in H.264/AVC does not consider illumination difference between the illumination compensated blocks, thus it can not effectively eliminate the blocking artifacts. Therefore, this paper analyzes the phenomena of blocking artifacts caused by illumination compensation and proposes a method which can effectively eliminate the blocking artifacts with the minimum changes of the H.264 deblockding filtering method. In the simulation results, it can be easily found the blocking artifacts are clearly eliminated in the subjective comparisons, and the average bit-rate reduction is up to 1.44%.

Simultaneous Speaker and Environment Adaptation by Environment Clustering in Various Noise Environments (다양한 잡음 환경하에서 환경 군집화를 통한 화자 및 환경 동시 적응)

  • Kim, Young-Kuk;Song, Hwa-Jeon;Kim, Hyung-Soon
    • The Journal of the Acoustical Society of Korea
    • /
    • v.28 no.6
    • /
    • pp.566-571
    • /
    • 2009
  • This paper proposes noise-robust fast speaker adaptation method based on the eigenvoice framework in various noisy environments. The proposed method is focused on de-noising and environment clustering. Since the de-noised adaptation DB still has residual noise in itself, environment clustering divides the noisy adaptation data into similar environments by a clustering method using the cepstral mean of non-speech segments as a feature vector. Then each adaptation data in the same cluster is used to build an environment-clustered speaker adapted (SA) model. After selecting multiple environmentally clustered SA models which are similar to test environment, the speaker adaptation based on an appropriate linear combination of clustered SA models is conducted. According to our experiments, we observe that the proposed method provides error rate reduction of $40{\sim}59%$ over baseline with speaker independent model.

Bactericidal Efficacy of a Fumigation Disinfectant Containing Paraformaldehyde Against Salmonella Typhimurium

  • Cha, Chun-Nam;Son, Song-Ee;Yoo, Chang-Yeul;Park, Eun-Kee;Jung, Ji-Youn;Kim, Suk;Lee, Hu-Jang
    • Journal of Food Hygiene and Safety
    • /
    • v.31 no.3
    • /
    • pp.216-221
    • /
    • 2016
  • This study was performed to evaluate the bactericidal efficacy of a fumigation disinfectant containing 35% paraformaldehyde against Salmonella Typhimurium (S. Typhimurium). In this study, the efficacy test of a fumigant against S. Typhimurium was carried out according to French standard NF T 72-281. The S. Typhimurium working culture suspension number (N value), all bacteria numbers on the carriers exposed to the fumigant (n1, n2, and n3), the number of bacterial suspensions by the pour plate method (N1), the number of bacterial suspensions by the filter membrane method (N2), and the mean number of bacteria recovered on the control carriers (T value), were obtained from the preliminary test. In addition, the reduction number of S. Typhimurium exposed to the fumigant (d value) was calculated using the T value, the mean number of bacteria in the recovery solution (n'1) and the mean number of bacteria on carriers plated in agar (n'2). The N value was $5.5{\times}10^8$ colony forming units (CFU)/mL, and n1, n2, and n3 were higher than 0.5N1, 0.5N2 and 0.5N1, respectively. Additionally, the T value was $3.5{\times}10^6CFU/carrier$. In terms of the bactericidal effect of the fumigant, the d value was 5.25. According to the French standard for fumigants, the d value for an effective bactericidal fumigant should be greater than 5. The results indicated that the fumigant containing 35% paraformaldehyde had an efficient bactericidal activity against S. Typhimurium, and, therefore, can be used to disinfect food materials and kitchen appliances contaminated with foodborne bacteria.

Comparison of Marine Insolation Estimating Methods in the Adriatic Sea

  • Byun, Do-Seong;Pinardi, Nadia
    • Ocean Science Journal
    • /
    • v.42 no.4
    • /
    • pp.211-222
    • /
    • 2007
  • We compare insolation results calculated from two well-known empirical formulas (Socket and Beaudry's SB73 formula and the original Smithsonian (SMS) formula) and a radiative transfer model using input data predicted from meteorological weather-forecast models, and review the accuracy of each method. Comparison of annual mean daily irradiance values for clear-sky conditions between the two formulas shows that, relative to the SMS, the SB73 underestimates spring values by 9 W $m^{-2}$ in the northern Adriatic Sea, although overall there is a good agreement between the annual results calculated with the two formulas. We also elucidate the effect on SMS of changing the 'Sun-Earth distance factor (f)', a parameter which is commonly assumed to be constant in the oceanographic context. Results show that the mean daily solar radiation for clear-sky conditions in the northern Adriatic Sea can be reduced as much as 12 W $m^{-2}$ during summer due to a decrease in the f value. Lastly, surface irradiance values calculated from a simple radiative transfer model (GM02) for clear-sky conditions are compared to those from SB73 and SMS. Comparison with iu situ data in the northern Adriatic Sea shows that the GM02 estimate gives more realistic surface irradiance values than SMS, particularly during summer. Additionally, irradiance values calculated by GM02 using the buoy meteorological fields and ECMWF (The European Centre for Medium Range Weather Forecasts) meteorological data show the suitability of the ECMWF data usage. Through tests of GM02 sensitivity to key regional meteorological factors, we explore the main factors contributing significantly to a reduction in summertime solar irradiance in the Adriatic Sea.