• Title/Summary/Keyword: Multiple elevation

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Missed Traumatic Rupture of the Diaphragm

  • Ryu, Sang Woo;Chekar, Jaykey;Yi, In Ho;Seo, Bo Ra;Park, Seong Huek;Go, Seong Ju
    • Journal of Trauma and Injury
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    • v.30 no.1
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    • pp.16-20
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    • 2017
  • A 48-year-old man came to the emergency department with altered consciousness and hemoperitoneum following a pedestrian traffic accident. He underwent immediate emergency laparotomy, and on the second day, he required craniectomy because of increase of intracranial hemorrhage. A chest radiograph taken 7 days after admission, showed elevation of the right hemi-diaphragm, and follow-up chest CT showed a right-sided rupture of the diaphragm, which was surgically repaired. Rupture of the diaphragm can be easily overlooked and the diagnosis delayed, especially in unstable patients with multiple trauma or altered level of consciousness, as in the case reported here.

Hematoma in Neck after Stellate Ganglion Block (성상신경절 차단후에 발생한 경부혈종)

  • Han, Young-Jin;Choi, Huhn
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.270-272
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    • 1994
  • A 43 year old male patient injured in a traffic accident was admitted to the department of general surgery for the treatment of spleen rupture and multiple rib fractures. After subphrenic abscess occurred after splenectomy was treated. After 50 days of admission, left facial palsy occurred with sensory neural hearing loss, and tinnitus by longitudinal fracture of left temporal bone. The patients was consulted to pain clinic for further evaluation and treatment. The patient was treated with stellate ganglion block with 1% lidocaine 6ml one time daily. On 19th day, stellate ganglion block was given as usual, and the patient complained of pain in the neck and headache the next day. Two days later, mild fever elevation and hematoma in the neck were found. Hematoma was drained with hemovac. Ruptured muscular branch of vertebral artery was ligated surgically but the ligation was released in the next day and the hematoma was removed and the artery religated. Five units of packed RBC were transfused during the period and the patient was discharged without any sequelae.

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Geospatial Technologies for Landslide Inventory: Application and Analysis to Earthquake-Triggered Landslide of Sindhupalchowk, Nepal

  • Acharya, Tri Dev;Yang, In Tae;Lee, Dong Ha
    • Journal of Korean Society for Geospatial Information Science
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    • v.24 no.2
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    • pp.95-106
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    • 2016
  • Landslide is one of the natural hazards, triggered by rainfall or earthquake and it leads to damage and loss of properties and lives especially in hilly and mountainous regions. Inventory maps of the area is of much importance in order to understand the landslide phenomena in detail, conduct further studies on landslide, prepare susceptibility map and minimize risk. Inventory maps of landslides can be constructed by several methods, using multiple images through visual interpretation, using algorithms in multi-spectral or SAR images or verification from field investigation. The possible methods were explored for Sindhupalchowk district of Nepal, which was struck by massive earthquake on 2015 and landslide inventory was prepared. The inventory was analyzed for its frequency over elevation, slope aspect and dominant soil classes and also the information value for their occurrence probability.

A Performance Estimation Simulation of Grouping Method for Performance Elevation under Mobile Database Environment (모바일 데이터베이스 환경하에서의 성능 향상을 위한 군집화 기법의 성능 평가 시뮬레이션)

  • 신성욱;정동원;백두권
    • Journal of the Korea Society for Simulation
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    • v.12 no.2
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    • pp.55-62
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    • 2003
  • The explosive Increase of wireless networks and the advancement of mobile devices lead to the expansion of mobile environment. In accordance with the development of mobile environment, the need to use mobile database is increased sharply, and also it accompanies the related problems. The current mobile database system is based on the centralized method from which a synchronized server manages multiple mobile database management system to synchronize. From this mobile system architecture, several kinds of problems can be detected such as the management of synchronization issues between mobile databases and the transaction management issues. Furthermore, the current mobile database management system does not consider any solution on the fault tolerance. To solve those problems, this paper proposes the mobile agent-based mobile database management system. The proposed system provide high confidence and efficiency by enhancing the network efficiency and fault tolerance through the mobile grouping.

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A Study on Performance Elevation of the deteriorated Concrete Girder Bridge by Continuous and External Tendons (연속화와 외부 프리스트레스 도입에 의한 노후된 콘크리트 거더교의 성능향상에 관한 연구)

  • Park, Seung-Bum;Hong, Seok-Joo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.4 no.2
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    • pp.159-166
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    • 2000
  • The development of external prestressing methods has been one of the major trends in the concrete bridge constructions over the past decades. One of the promising methods to enhance the flexural strength of a externally prestressed girder is to place the tendons with large eccentricities. The analysis and design of composite girders prestressed by external tendons involve difficulties related mainly to the position of anchorages and the construction sequences. This study was conducted on the concrete bridges reinforced by the continuous girders and the external prestressing. The test results in this study showed that the external prestressing of a composite girder increased the range of the elastic behavior, reduced deflections, increased ultimate strength, and added to the redundancy by providing the multiple stress paths.

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Parameter Calibration for WRF-Hydro model in Korea (WRF-Hydro 모형 한반도 적용을 위한 파라미터 보정)

  • Lee, Jaehyeong;Kim, Yeonjoo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2018.05a
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    • pp.173-173
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    • 2018
  • 본 연구는 기상-수문 분야에서 고해상도 수문기상요소를 산출하기 위해 WRF-Hydro(Weather Research and Forecasting and Model Hydrological modeling extension package) 모형을 한반도 대상으로 구축하였다. 모형은 미국 대기 연구 국립센터(NOAA)에서 개발된 커뮤니티형 고해상도 예측모델이므로 미국 등에서 활발히 활용되기 시작하였으나 아직 우리나라 적용성에 대한 연구는 많지 않다. 본 연구에서는 WRF-Hydro 모형을 한반도에 적절히 사용하기 위해 표면유출, 보수깊이, 표면거칠기와 같은 파라미터를 보정하였다. WRF-Hydro는 지역 기상모형인 WRF와 연계하여 coupled WRF/WRF-Hydro 모형을 구동하였으며, 고해상도 유출값을 얻기 위해 미국 지질조사국(USGS)에서 제공한 HydroSHEDS(Hydrological data and map based on SHuttle Elevation Derivatives at multiple Scales)를 이용하였다. 본 연구에서는 관측된 유출값을 Markov Chain Monte Carlo(MCMC) 방법을 활용하여 모형값과 비교하여 파라미터 보정을 수행하였으며, 파라미터 보정된 WRF/WRF-Hydro를 활용해 한반도 과거 홍수 및 가뭄 사상을 모의하여 결과를 분석하였다.

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Research of Circuit Working Construction Elevator with Single-guide Rail and Multi-cages

  • Kun Zhang;Kaiqiang Wang;Di Li;Qing Sun;Zhen Ye;Wei Liu
    • International Journal of High-Rise Buildings
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    • v.11 no.2
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    • pp.137-144
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    • 2022
  • As one of the most important vertical transportation equipment in super high-rise buildings, the construction elevator directly affects the project period, cost, and effectiveness. The paper proposes a new construction elevator with single-guide rail and multi-cages. It can solve the problems of single construction elevator capacity shortage and efficacy decrease with height reduction, the occupancy of plan and elevation position of multiple construction elevators, and extension of total construction period by cycling operation of multi-cages on a single-guide rail. The paper focuses on the design and research of the main components of the equipment, such as the rotating guide rail mechanism, vertical bearing mast tie system, segmented electrical power supply system, group control scheduling system, and safety anti-collision system.

Ginsenosides for the treatment of insulin resistance and diabetes: Therapeutic perspectives and mechanistic insights

  • Tae Hyun Kim
    • Journal of Ginseng Research
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    • v.48 no.3
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    • pp.276-285
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    • 2024
  • Diabetes mellitus (DM) is a systemic disorder of energy metabolism characterized by a sustained elevation of blood glucose in conjunction with impaired insulin action in multiple peripheral tissues (i.e., insulin resistance). Although extensive research has been conducted to identify therapeutic targets for the treatment of DM, its global prevalence and associated mortailty rates are still increasing, possibly because of challenges related to long-term adherence, limited efficacy, and undesirable side effects of currently available medications, implying an urgent need to develop effective and safe pharmacotherapies for DM. Phytochemicals have recently drawn attention as novel pharmacotherapies for DM based on their clinical relevance, therapeutic efficacy, and safety. Ginsenosides, pharmacologically active ingredients primarily found in ginseng, have long been used as adjuvants to traditional medications in Asian countries and have been reported to exert promising therapeutic efficacy in various metabolic diseases, including hyperglycemia and diabetes. This review summarizes the current pharmacological effects of ginsenosides and their mechanistic insights for the treatment of insulin resistance and DM, providing comprehensive perspectives for the development of novel strategies to treat DM and related metabolic complications.

Analysis of Heterogeneous Tree-Ring Growths of Pinus densiflora with Various Topographical Characteristics in Mt. Worak Using GIS (GIS 기법을 이용한 지형적 특성에 따른 월악산 소나무 연륜생장의 이질성 규명)

  • 서정욱;김재수;박원규
    • The Korean Journal of Ecology
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    • v.23 no.1
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    • pp.25-32
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    • 2000
  • To analyze the relationship between climatic factors (monthly temperatures and precipitations) and the radial growths or Pinus densiflora with different topographical settings in Worak National Park, Korea, 20 stands were chosen and 10 trees were selected from each stand. After crossdating, each ring-width series was double detrended (standardized) by fitting first a negative exponential or straight regression line and secondly a 60-year cubic spline. The growth patterns coud be categorized by four groups using cluster analysis. Cluster Ⅰ stand has north aspect, but others have south or southwest aspects. Cluster Ⅰ (one), cluster Ⅱ (ten), and cluster Ⅲ (two) stands are located in lower. elevation (305∼580 m), however, cluster Ⅳ (seven) stands are located in higher elevation, mostly in 560~870 m. Cluster Ⅱ and Ⅲ stands are located at similar elevation with the same aspect, however, cluster Ⅱ stands are located on more rocky and stiff slope with shallow soil depth. The response functions were used to examine the difference in the relationships between climatic factors and tree growths among the 4 cluster chronologies. The climatic factors are not limiting the growth in the cluster Ⅰ stand as highly as in other cluster plots because of rather mesic conditions in the north slope. The precipitation in the spring appears to be the main limiting factor in the cluster Ⅱ stands. The topographical characteristics of the sites of cluster Ⅱ, shallow soil depths on the rocky slope in the south aspect at lower elevation, may enhance the sensitivity of growth to moisture stress. In cluster Ⅲ and cluster Ⅳ, winter and spring temperature prior to the growth become more important than for cluster Ⅱ. This pattern is com-mon for Pinus densiflora trees growing in higher. elevation (equation omitted 800 m) in South Korea. It nay be re-lated with preconditioning effects of temperature as the temperature decreases with increasing elevation (cluster Ⅳ) or in the valley (cluster Ⅲ). The results obtained by tree-ring analysis were digitalized by GIS and spatio-temporal information on tree-ring data and topographic setting were analyzed and displayed simultaneously. The results of this study can be used to predict the future change of Pinus densiflora ecosystem to climate change expected in central Korea.

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Free Rectus Abdominis Muscle Flap for Treatment of Open Fractures of the Tibia (개방성 경골 골절의 치료에서 유리 복직근 피판술의 유용성)

  • Song, Joo-Hyoun;Lee, Han-Yong;Lee, Eun-Sang;Lee, Joo-Yup
    • Archives of Reconstructive Microsurgery
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    • v.15 no.2
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    • pp.58-64
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    • 2006
  • Purpose: Management of soft-tissue defect after open tibial fractures includes immediate and repeated debridement, skeletal stabilization, and early soft-tissue coverage with muscle flaps. The purpose of this study was to evaluate the outcome of the free rectus abdominis muscle flap (RA flap) for treatment of open fractures of the tibia and to discuss its advantages compared with the latissimus dorsi muscle flap (LD flap) in poly trauma patients. Materials and Methods: We performed a retrospective review of 5 patients who had a severe (Gustilo IIIb or IIIc) open fracture of the tibia treated with RA flap from May 2003 to March 2006. All were men, and the mean age was 46.6 years (range, $28{\sim}68$). Three patients had combined injuries such as pelvic bone fractures, multiple rib fractures with hemothorax, and contralateral tibial fracture. All patients received RA flap within 7 days after trauma except two with established chronic osteomyelitis. Results: All flaps survived, and there was no marginal flap necrosis. During the follow-up period, there was no evidence of persistent or recurrent osteomyelitis. The size of RA flap ranged from $8{\sim}20\;cm$ in length and $6{\sim}10\;cm$ in width. The average time required for RA flap elevation was 32 minutes, which is shorter than LD flap. Flap elevation could be done in supine position which is essential in poly trauma patients. Conclusion: Although a wide variety of options are available, RA flap is regarded as an optimal method for coverage of soft-tissue defect of the open tibial fracture in poly trauma patients. LD flap is reserved for large sized soft-tissue defect which cannot be covered by RA flap.

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