• Title/Summary/Keyword: Obstruction Area

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Effect of Acupuncture on Nasal Obstruction in Patients with Persistent Allergic Rhinitis: A Randomized Controlled Trial (지속성 알레르기비염의 비폐색에 대한 침치료의 효과: 무작위배정 대조군 연구)

  • Jo, Jeong-Hyo;Hong, Kweon-Eey;Kang, Wee-Chang;Choi, Sun-Mi;Park, Yang-Chun
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.229-239
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    • 2005
  • Objectives : Allergic rhinitis is a prevalent disease. Nasal obstruction is one of the main symptom in allergic rhinitis. It induces sleep disturbances, depression, attention deficit, memory impairments. Acupuncture treatment for rhinitis was mentioned in literature, but there is not enough report that provide evidence by well designed clinical study. The purpose of this research is to examine the effect of acupuncture treatment for nasal obstruction of allergic rhinitis. Methods : In this randomized, single blind, placebo-controlled study, we compared active acupuncture with minimal acupuncture for the treatment of nasal obstruction owing to persistent allergic rhinitis. Acupoints used in active acupuncture group were I120($Y{\hat{o}}nghyang$), GV23($Sangs{\hat{o}}ng$), IL4(Hapkok). Volunteers who satisfied the requirements were enrolled in study. Total nasal volume(NV) and total nasal minimum cross-sectional area(MCA) were measured by acoustic rhinometry before and after treatments(0min, 7.5min, 15min). Results : 101 subjects finished study. There were not difference between two groups on age, sex, weight, height, blood pressure, pulse, respiratory rate, severity of persistent allergic rhinitis, number of positive antigen. After treatment(0min) total NV were significantly increased compared with before treatment in active acupuncture group(p=0.0007) and minimal acupuncture group(p=0.0175). After treatment(15min) total NV of minimal acupuncture group was decreased compared with before treatment(p=0.2560), but total NV of active acupuncture group was maintained increasing in degree of borderline significance(p=0.0871). After treatment(0min) total NV were significantly increased compared with before treatment in active acupuncture group(0.0007) and minimal acupuncture group(p=0.0175). After treatment(Omin) total MCA were significantly increased compared with before treatment in active acupuncture group(p<0.000l) and minimal acupuncture group(p=0.0005). After treatment(15min) total MCA of minimal acupuncture group was decreased compared with before treatment(p=0.6082), but total NV of active acupuncture group was maintained increasing in degree of borderline significance(p=0.0929). Conclusion : Acupuncture treatment reduced nasal obstruction in persistent allergic rhinitis. Further study in the form of long term is needed.

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Effect of Venturi System on Acceleration of Low-speed Water Flow at the Venturi Throat Installed at the Inlet of Hydro Turbine

  • Jung, Sang-Hoon;Seo, In-Ho;Kim, Chul-Ho
    • Journal of Advanced Marine Engineering and Technology
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    • v.35 no.7
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    • pp.914-920
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    • 2011
  • For a hydro turbine electricity generation system in river or bay, a venturi system could be applied to accelerate flow speed at the inlet of the turbine system in a flow field. In this study, a steady flow simulation was conducted to understand the effect of venturi system on the acceleration of current speed at the inlet of a hydro turbine system. According to the continuity equation, the flow speed is inversely proportional to the cross-section area in a conduit flow; however, it would be different in an open region because the venturi system would be an obstruction in the flow region. As the throat area is 1/5 of the inlet area of the venturi, the flow velocity is accelerated up to 2.1 times of the inlet velocity. It is understood that the venturi system placed in an open flow region gives resistance to the upcoming flow and disperses the flow energy around the venturi system. The result of the study should be very important information for an optimum design of a hydro turbine electricity generation system.

Studies on the Reproductive Performence and Organs Autopsy of Culled Dairy Cow at Alpine Area (고지 사육 도태유우의 번식실태와 생식기 부검에 관한 연구)

  • 이상영;김정익
    • Korean Journal of Animal Reproduction
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    • v.17 no.4
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    • pp.295-303
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    • 1994
  • The present study was conducted to examine the reprodutive performance and organs autopsy of culled dairy cows at alpine area. 795 culled dairy cows were managed and 206 culled dairy cows were examined by autopsy of reproductive organs at above 800m of sea level around the Daegwallryoung alpine area. The results of this study were at follows ; 1. Age and parity of culled dairy cows were 60.8 months and 3.0, respectively. 2. Age of first AI of heifer was 18.7 months, and age of pregnancy and parturition of heifer were 19.5 months and 28.6 months, respectively. 3. Al time per pregnancy was 1.7 and time of pregnancy after parturition, pregnancy period and calving interval were 140.9, 279.6 and 424.9 days, respectively. 4. Culled months after last parturition was 4.3 and the highest urogenital deseases of culled reason were 358(45.0%). 5. Reproductive organs deseases by autopsy were 120(58.4%), the highest ovary disease were 75(43.6%). 6. The highest ovary adhesions of reproductive organ diseases were 46(26.7%), infundibulum adhesion, obstruction of the oviduct and endometritis were 38(22.1%), 15(8.7%), and 14(8.2%), respectively. 7. In culled dairy cow for the reproductive organ disease, parity, age, culled months and AI number after last parturition were 3.2, 66.5 months, 7.9 months and 2.1, respectively.

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Comparison of the Complications in Vertical Rectus Abdominis Musculocutaneous Flap with Non-Reconstructed Cases after Pelvic Exenteration

  • Jeon, Heechang;Yoon, Eul Sik;You, Hi-Jin;Kim, Hyon-Surk;Lee, Byung-Il;Park, Seung Ha
    • Archives of Plastic Surgery
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    • v.41 no.6
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    • pp.722-727
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    • 2014
  • Background Perineal reconstruction following pelvic exenteration is a challenging area in plastic surgery. Its advantages include preventing complications by obliterating the pelvic dead space and minimizing the scar by using the previous abdominal incision and a vertical rectus abdominis musculocutaneous (VRAM) flap. However, only a few studies have compared the complications and the outcomes following pelvic exenteration between cases with and without a VRAM flap. In this study, we aimed to compare the complications and the outcomes following pelvic exenteration with or without VRAM flap coverage. Methods We retrospectively reviewed the cases of nine patients for whom transpelvic VRAM flaps were created following pelvic exenteration due to pelvic malignancy. The complications and outcomes in these patients were compared with those of another nine patients who did not undergo such reconstruction. Results Flap reconstruction was successful in eight cases, with minor complications such as wound infection and dehiscence. In all cases in the reconstructed group (n=9), structural integrity was maintained and major complications including bowel obstruction and infection were prevented by obliterating the pelvic dead space. In contrast, in the control group (n=9), peritonitis and bowel obstruction occurred in 1 case (11%). Conclusions Despite the possibility of flap failure and minor complications, a VRAM flap can result in adequate perineal reconstruction to prevent major complications of pelvic exenteration.

Efficacy Evaluation of Gamitonggue-tang by Acoustic Rhinometry in Patients with Allergic Rhinitis (알레르기비염에서 음향 비강통기도검사를 이용한 가미통규탕(加味通竅湯)의 유효성 평가)

  • Cho, Won-Joon;Hwang, Sun-Yi;Lee, Jae-Geun;Kim, Sang-Chan;Baek, Jung-Han;Kim, So-Youn;Lee, San-Gon;Jee, Seon-Young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.20 no.3
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    • pp.204-211
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    • 2007
  • Objectives : Allergic rhinitis is one of the most common allergic diseases. The aim of this study was to evaluate the clincal effect of herbal medicine(Gamitonggue-tang) in patients with allergic rhinitis by using acoustic rhinometry. Methods : A total of 22 individuals with allergic rhinitis who visited the Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology of Daegu Hanny Oriental Medical Center from June 1st, 2006 to February 28th, 2007 were included in this study. In this study, they were only treated with Gamitonggue-tang. For 4 weaks the flow resistance of nasal cavity and total nasal volume, nasal minimum cross-sectional area were measured by acoustic rhinometry at the 1st, the 14th and the 28th day. And symptom score of nasal obstruction were recorded. Results : There were no significant differences on sex, age and onset. After treatment(2, 4 weeks) the calculated flow resistance of nasal cavity, total nasal volume and nasal minimum cross-sectional showed no significant changes(p>0.05). But symptom score of nasal obstruction showed significant changes(p<0.05). Conclusions : Considering the above results, treatment with herbal medine(Gamitonggue-tang) could be efficacious in allergic rhinitis. Further studies in other methods are needed.

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A Comparative Study on the Relation between the Scholastic Achievement Test and the Intelligence according to the Area - Centering around the Scholastic Achievement Test of University - (지역간(地域間) 학력고사(學力考査)와 지능(知能)에 대(對)한 비교연구(比較硏究) -대학학력고사(大學學力考査)를 중심(中心)으로-)

  • Ryu Hui-Yeong;Kim Jeong-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.1 no.1
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    • pp.81-93
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    • 1990
  • On the Scholastic Achievement Test grads it was compared Chung Nam's with Cheon Puk by dividing a city, a farm village, a fishing village and a mountine village. The results were as follows ; 1. The regional difference of arerage grades were that the first is a large city, the second amiddle city, the third a mountine villgae, the fourth a fishing village, the last a farm village all the same Chung Nam and Cheon Puk. 2. The grades of acity and a farm of Chung Nam are higher then these of Cheon Puk. 3. Cheon Puk is higher than Chung Nam on a middle city, a mountine and a fishing's grades. 4. The characteristic was that the region of non benefits of civilization effect obstruction of intelligence less than a city mountine village. 5. It is considered that the obstruction of intelligence may diminish when eating marine products at a fishing village than a city-fishing village by side dish. From the above results, acknowledging a regional charater, it is suggested that improrement of food life imitate city shund sublate lest the physiological function of Bie Wee(脾胃) should converse a puthological state, get out of the food life civilization misled abnormal food life to normal. Systemic study must continue for maintaining of tradition of regional difference food life. By that manner excellent food life civilization may creat. Therefore it is recognized that experience accumulation of Oriental Medicine theory also close contact food life, so may make constent effort.

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The Efficacy of Coblator in Turbinoplasty

  • Lee, Keun-Cheol;Cho, Jeong-Min;Kim, Seok-Kwun;Lim, Kwang-Ryeol;Lee, Sang-Yun;Park, Su-Seong
    • Archives of Craniofacial Surgery
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    • v.18 no.2
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    • pp.82-88
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    • 2017
  • Background: Turbinate hypertrophy is one of the common causes of chronic nasal obstruction. In principle, therapeutic guidelines recommend medical treatment. Failure to treat turbinate thickening despite drug therapy may indicate the need for surgery. The main aim of this study was to determine the effect of radiofrequency surgery, among various other surgical procedures, on people with both nasal septal deviation and turbinate hypertrophy. Methods: Among people with nasal deviation who visited the subject hospital between July 2008 to July 2014, 21 people with nasal septal deviation and severe turbinate hypertrophy before their surgery had undergone septoplasty with turbinoplasty using radiofrequency combined with septoplasty. The degree of the turbinate's hypertrophy was appraised in all the patients before and after the surgery using the rhinoscopy, and acoustic rhinometry was objectively carried out. The subjective effect of the turbinoplasty using radiofrequency was explored through the visual analog scale (VAS) score. Results: The degree of contraction of the nasal mucosa after the rhinoscopy changed from Grades 3 and 4 (100%) to Grades 1 and 2 (95.2%) and Grades 3 (4.8%). The minimal cross-sectional area significantly increased from $0.44{\pm}0.07$ to $0.70{\pm}0.07cm^2$ (p<0.05). The nasal cavity volume increased from $4.79{\pm}0.49$ to $6.76{\pm}0.55cm^2$ (p<0.05). The subjective symptoms evaluated with VAS score a year after the surgery significantly improved (p<0.05). Conclusion: Turbinoplasty using Coblator with septoplasty is an effective treatment method because it expands nasal cavity, has a low incidence of complications, subjectively improves symptoms, and has short treatment duration.

Mitral Valve Replacement with Chordal Preservation in Mitral Stenotic Disease (승모판막 협착 질환에서 건삭보존 치환술에 대한 연구)

  • 김태호;김공수;구자홍
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.10-15
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    • 1999
  • Background: Mitral valve replacement with chordal preservation in patients with mitral regurgitation has been proved to be beneficial for left ventricular function and for reduction of postoperative complication. However, in patients with mitral stenosis, the effectiveness of the technique is controversial. It is not easy to insert prosthetic valve without left ventricular outflow tract obstruction and prosthetic valve leaflet motion hinderance. Material and Method : Five patients with mitral stenosis and seven patients with mitral stenoinsufficiency underwent mitral valve replacement with preservation of mitral subvalvular apparatus. Thickened and calcified leaflets are made thin by peeling off the thickened and calcified part. Commissurotomy was done and anterior leaflet was incised 2 mm apart from the annulus and then divided into two segments. Anterolateral and posteromedial segments including strut chordae, were reattached to mitral commissural area, respectively. Result: There was no evidence of prosthetic valve dysfunction, paravalvular leakage, left ventricular outflow tract obstruction, complications and operative or late deaths. Conclusion: We conclude that mitral vlave replacement with chordal preservation was safe and effective technique for the patients with mitral stenotic disease.

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Correlation of Tracheal Cross-sectional Area with Parameters of Pulmonary Function in COPD (만성 폐쇄성 폐질환에서 기관의 단면적과 폐기능지표와의 상관관계)

  • Lee, Chan-Ju;Lee, Jae-Ho;Song, Jae-Woo;Yoo, Chul-Gyu;Kim, Young-Whan;Han, Sung-Koo;Shim, Young-Soo;Chung, Hee-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.5
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    • pp.628-635
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    • 1999
  • Background : Maximal expiratory flow rate is determined by the size of airway, elastic recoil pressure and the collapsibility of airway in the lung. The obstruction of expiratory flow is one of the major functional impairments of emphysema, which represents COPD. Nevertheless, expiratory narrowing of upper airway may be recruited as a mechanism for minimizing airway collapse, and maintaining lung volume and hyperinflation by an endogenous positive end-expiratory pressure in patients with airflow obstruction. We investigated the physiologic role of trachea in respiration in emphysema. Method : We included 20 patients diagnosed as emphysema by radiologic and physiologic criteria from January to August in 1997 at Seoul Municipal Boramae Hospital. Chest roentgenogram, high resolution computed tomography(HRCT), and pulmonary function tests including arterial blood gas analysis and body plethysmography were taken from each patient. Cross-sectional area of trachea was measured according to the respiratory cycle on the level of aortic arch by HRCT and calibrated with body surface area. We compared this corrected area with such parameters of pulmonary function tests as $PaCO_2$, $PaO_2$, airway resistance, lung compliance and so on. Results : Expiratory cross-sectional area of trachea had significant correlation with $PaCO_2$ (r=-0.61, p<0.05), $PaO_2$ (r=0.6, p<0.05), and minute ventilation (r=0.73, p<0.05), but inspiratory cross-sectional area did not (r=-0.22, p>0.05 with $PaCO_2$, r=0.26, p>0.05 with $PaO_2$, and r=0.44, p>0.05 with minute ventilation). Minute ventilation had significant correlation with tidal volume (r=0.45, p<0.05), but it had no significant correlation with respiratory frequency (r=-0.31, p>0.05). Cross-sectional area of trachea had no significant correlation with other parameters of pulmonary function including $FEV_1$, FVC, $FEV_1$/FVC, peak expiratory flow, residual volume, diffusing capacity, airway resistance, and lung compliance, whether the area was expiratory or inspiratory. Conclusion : Cross-sectional area of trachea narrowed during expiration in emphysema, and its expiratory area had significant correlation with $PaCO_2$, $PaO_2$, and minute ventilation.

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대칭 및 비대칭 binary filter가 수차를 포함한 광학계의 축상 GAIN에 미치는 영향

  • 최기준;정창섭;심상현
    • Korean Journal of Optics and Photonics
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    • v.12 no.3
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    • pp.165-171
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    • 2001
  • We discuss the influence of annular binary filters on the axial PSF of imaging systems which are apodized by a radiallysymmetric filter and have spherical aberration and coma. In this paper we consider a whole family of annular binary fIlters in two cases. First, the binary filters are composed of two transparent annuli of the same area. Second, the binary filters are composed of a central clear circle and a concentric annular aperture with area bigger than that of the inner circle. In order to investigate the influence of the proposed filters on the axial PSF, we may use the axial resolution gains, which evaluate in terms of the FWHM of the intensity in the focal region of an apodized imaging system in comparison with that corresponding to a nonapodized one. We evaluate the PSF for the conventional and confocal systems having an aberration. ation.

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