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A Clinical Review of the Patients in the Kim Chan Pain Clinic (김 찬 신경통증클리닉 환자의 통계고찰)

  • Han, Kyung-Ream;Park, Won-Bong;Kim, Wook-Seoung;Lee, Jae-Cheul;Lee, Kyung-Jin;Kim, Chan
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.101-104
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    • 1998
  • Backgrouds: Twent five years have passed since the opening of the first pain clinic in korea, in 1973 at Yonsei University Hospital. The number of pain clinics are gradually increasing in recent times. It is important to plan for future pain clinics with emphasis on improving the quality of pain management. Therefore we reviewed the patients in our hospital to help us in planning for the future of our pain clinic. Methods: We analyzed 2656 patients who had visited our Kim Chan Pain Clinic, accordance to age, sex, disease, and type of treatment block, from July 1996 to August 1997. Results: The prevalent age group was in the fifties, 27.3%, seventy years and older compromised 9.2%. The most common disease were as follows: lower back pain(46.2%); cervical and upper extremities pain(23.1%); trigeminal neuralgia(7.2%); and hyperhydrosis(5.8%) Both nerve blocks and medication were prescribed as treatment. Lumbar epidural block(16.3%) and stellate ganglion block(15.6%) were the most frequent blocks performed among various nerve blocks. Among nerve block under C-arm guidance, lumbar facet joint block(24.4%) and lumbar root block(22.5%) were performed most frequently. Trigeminal nerve block(18.4%), thoracic(17.0%) and lumbar sympathetic ganglion block(11.4%) were next most prevalent blocks performed frequent block. Conclusions: Treatments at our hospital were focused on nerve blocks and medications prescriptions. Nerve blocks are of particular importance in the diagnosis and treatment of chronic pain. However in future, to raise the quality of pain management, we need to fucus on a multidisciplinary/interdisciplinary team approach.

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Congenital Anomalies of Lower Lacrimal Puncta and Nasolacrimal Duct Atresia in a Labrador Retriever Dog

  • Park, Eun-Jin;Kang, Seon-Mi;Park, Sang-Wan;Kwak, Ji-Yoon;Lim, Jae-Gook;Nam, Taek-Jin;Jeong, Seo-Woo;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.33 no.4
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    • pp.228-230
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    • 2016
  • An 1-year-old, spayed, female Labrador Retriever was presented for bilateral epiphora. A complete ophthalmic examination was conducted, including Schirmer tear test, rebound tonometry, fluorescein staining, slit lamp biomicroscopy, and binocular indirect ophthalmoscopy. To determine the patency of the nasolacrimal duct system, a nasolacrimal flush and dacryocystorhinography were also performed. Although the nasolacrimal flush showed patency in the upper and lower lacrimal puncta in both eyes (OU), the lower lacrimal puncta were not found in the original palpebral conjunctiva, but on medial canthal skin with very small opening. Moreover, the nasolacrimal ducts in OU were not patent with flushing. Bilateral nasolacrimal duct atresia was confirmed by dacryocystorhinography. No other abnormalities of the eyes were found on complete ophthalmic examinations. Bilateral congenital anomalies of the lower lacrimal puncta and nasolacrimal duct atresia were diagnosed in this dog.

Characterization of the Anatomic Location of the Pituitary Stalk and Its Relationship to the Dorsum Sellae, Tuberculum Sellae and Chiasmatic Cistern

  • Gulsen, Salih;Dinc, Ahmet Hakan;Unal, Melih;Canturk, Nergis;Altinors, Nur
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.169-173
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    • 2010
  • Objective : The normal anatomic relationships characteristic of the pituitary stalk area were previously thought to involve only one location. The purpose of this study was to re-evaluate the anatomic location of the pituitary stalk and possible varying locations in relation to the tuberculum sellae and dorsum sellae using morphometric evaluation and anatomic dissection of human cadaveric specimens. The surgical implications of the variations are discussed. Methods : The calvaria were removed via routine autopsy dissections, and the brains were removed from the skull while preserving the pituitary stalk. The diaphragma sellae, tuberculum sellae, and the location of the pituitary stalk were examined in 60 human cadaveric heads obtained from fresh adult cadavers. Empty sellae were excluded. Results : The openings of the diaphragma sellae averaged $6.62{\pm}1.606mm$ (range, 3-9 mm). The distance between the tuberculum sellae and the posterior part of the pituitary stalk was 1 to 8 mm. The upper face of the diaphragma sellae appeared flat in 26 (43%), concave in 24 (40%), and convex in 6 cases (10%), with a prominent tuberculum sellae in 4 cases (7%). The location of the chiasm was normal in 47 cases (78%), with a prefixed chiasm in 3 cases (5%) and a postfixed chiasm (17%) in the 10 cases. Four cadaver specimens had prominent tuberculum sellae and other parameters were not evaluated. Conclusion : When opening the chiasmatic cistern, neurosurgeons should be aware about the relationship between the pituitary stalk and the surrounding structures to prevent inadvertent injury to the pituitary stalk.

Potential Influence of Climate Change on Shellfish Aquaculture System in the Temperate Region

  • Jo, Qtae;Hur, Young Baek;Cho, Kee Chae;Jeon, Chang Young;Lee, Deok Chan
    • The Korean Journal of Malacology
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    • v.28 no.3
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    • pp.277-291
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    • 2012
  • Aquaculture is challenged by a number of constraints with future efforts towards sustainable production. Global climate change has a potential damage to the sustainability by changing environmental surroundings unfavorably. The damaging parameters identified are water temperature, sea level, surface physical energy, precipitation, solar radiation, ocean acidification, and so on. Of them, temperature, mostly temperature elevation, occupies significant concern among marine ecologists and aquaculturists. Ocean acidification particularly draws shellfish aquaculturists' attention as it alters the marine chemistry, shifting the equilibrium towards more dissolved CO2 and hydrogen ions ($H^+$) and thus influencing signaling pathways on shell formation, immune system, and other biological processes. Temperature elevation by climate change is of double-sidedness: it can be an opportunistic parameter besides being a generally known damaging parameter in aquaculture. It can provide better environments for faster and longer growth for aquaculture species. It is also somehow advantageous for alleviation of aquaculture expansion pressure in a given location by opening a gate for new species and aquaculture zone expansion northward in the northern hemisphere, otherwise unavailable due to temperature limit. But in the science of climate change, the ways of influence on aquaculture are complex and ambiguous, and hence are still hard to identify and quantify. At the same time considerable parts of our knowledge on climate change effects on aquaculture are from the estimates from data of fisheries and agriculture. The consequences may be different from what they really are, particularly in the temperature region. In reality, bivalves and tunicates hung or caged in the longline system are often exposed to temperatures higher than those they encounter in nature, locally driving the farmed shellfish into an upper tolerable temperature extreme. We review recent climate change and following environment changes which can be factors or potential factors affecting shellfish aquaculture production in the temperate region.

Functional Anatomy of the Olfactory Organ in the Torrent Catfish, Liobagrus somjinensis(Siluriformes, Amblycipitidae) (섬진자가사리 Liobagrus somjienesis(Siluriformes, Adrianichthyidae) 후각기관의 기능 해부학적 구조)

  • Kim, Hyun Tae;Park, Jong Young
    • Korean Journal of Ichthyology
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    • v.30 no.1
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    • pp.65-68
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    • 2018
  • The anatomical study of the olfactory organ in Liobagrus somjinensis, being related to the habitat environment and ecological habit, was carried out using a stereomicroscopy and digital camera. The paired olfactory organs are situated at the dorsal part of the snout, and consisted of two opening (anterior and posterior nostrils) and the olfactory chamber. The tubular anterior nostril is located between the tip of upper lip and the nasal barbel. The posterior nostril flat to the surface is adjacent entirely to the basement of the nasal barbel. The olfactory chamber has a rosette structure with 22~24 lamellae of linguiform, arranged transversely and radially from the medium raphe. These results may prove that L. somjinensis is dependent on olfaction, related to the hiding, the feeding and the nocturnal lifestyle in rapids.

A Comparative Study Wooden Stupa of Korea, Japan and China(I) - Focused on the Corner Bracket Set - (한.중.일 목조 불탑의 비교론적 고찰(I) - 귀공포를 중심으로 -)

  • Cheon, Deuk-Youm;Yang, Tae-Hyeon;Lee, Jae-Yeon
    • Journal of architectural history
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    • v.21 no.2
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    • pp.7-20
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    • 2012
  • As the corner of wooden pagoda forms the roof by closely bordering left and right eaves on the various purlins and angle rafters, it is designed for every face to be recognized as front whose structure system increases load to bear proportionally. The corner of wooden pagoda is inseparable with the corner bracket set as it becomes stable thanks to the corner bracket set structurally and load burden under restrained structure makes the corner bracket set really important. Accordingly, this study could figure out some facts by analyzing corner bracket sets of Palsangjeon of Beobjusa Temple in Korea, Seokgatap of Bulgungsa Temple in China and Ojungtap of Beobryungsa Temple in Japan which were constructed with pure wooden structure. This study demonstrated that corner bracket set played a pivotal role in keeping balance of concentrated load of corner (corner of opening) in each floor that contributed to the stability of wooden pagoda structurally despite multiple duplications of floors and also figured out the outfit of corner bracket set was subject to the floor type and the cross section of Gongpo installed on top of Pyeongju. Wooden pagodas in 3 countries were two floor types of octagon and square, and employed different connection method between upper and lower floors. The difference between floor and duplication method determines the method of corner, but even different methods were sufficient to have entirety in every side by completing dynamic principle of corner bracket set even though old method had to solve the problem of concentrated load and it also confirms that it was essential Gongpo to prevent any deformation of corner.

Measurements of Transient Mixing Concentrations between Solid Powder and Liquid Fuel (고체분말/액체연료의 과도혼합 농도 분포 측정)

  • Doh, Deoghee;Yum, Jooho;Cho, Gyeongrae;Min, Seongki;Kim, Myungho;Ryu, Gyongwon;Yoo, Namhyun
    • Journal of Hydrogen and New Energy
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    • v.23 no.6
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    • pp.678-687
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    • 2012
  • Concentration fields of solid powder in a liquid fuel were quantitatively measured by a visualization technique. The measurement system consists of a camcoder and three LCD monitors. The solid powder (glass powder) were filled in a head tank which was installed over a main mixing tank ($D{\times}H$, $310{\times}370mm$). The main mixing tank was filled with JetA1 fuel oil. With a sudden opening of the upper tank by pressurized nitrogen gas with 1.9 bar, the solid powder were poured into the JetA1 oil. An impeller type agitator was being rotated in the mixing with 700 rpm for the enhancements of mixing. Uniform visualization for the mixing flow field was made by the light from the three LCD monitors, and the visualized images were captured by the camcoder. The color images captured by the camcoder The color information of the captured images was decoded into three principle colors R, G, and B to get quantitattive relations between the concentrations of the solid powder and the colors. To get better fitting for the strong non-linearity between the concentration and the color, a neural network which has strong fitting performances was used. Analyses on the transient mixing of the solid powders were quantitatively made.

A Study on the Women′s Underwear in the Later Chosun Dynasty (조선후기 여자속옷에 관한 연구)

  • Yoon Hyun-Jin;Cho Woo-Hyun
    • Journal of the Korea Fashion and Costume Design Association
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    • v.6 no.3
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    • pp.169-183
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    • 2004
  • This study attempts to understand women's underwear culture in the Later Chosun Dynasty, by investigating the kinds and constructions of them, which formed bulky and puffed silhouette of the lower half of the body. In the middle 17th century in Chosun, Confucianism settled down as fundamental idea of society, while whole country achieved considerable economic growth. As a result for upperclass women, female virtues was demanded more than any other period in Chosun. On the other hand, lower-class women including Kisaengs, had more freedom on their clothing behaviors. According to the literature on women's dress institutions and restrictions of the extravagance, the use of kinds of high-quality silk and false hair was criticized, compared to women's clothes in China. From this, one can see the luxury and affluence of women's clothes at that time, which also reflected in luxurious underclothes. Also, the movement of class, by economic development, led to changes in the costumes of middle-to-lower class women, relaxing restrictions on clothes. Underclothes included Bosomband(가슴띠; long sashes for bosom to wrap), Sokjucksam(속적삼), and Sokchogori(속저고리; Korean blouse, worn under the chogori) for upper garment, and Darisokkok(다리속곳; basic underwear like the panty), Soksokkot(속속곳; underwear paji to be wide of hem), Sokpaji(속바지;trouser front and back opening), Tansokkok(단속곳; large size underwear like Soksokkot), Noronpaji(너른바지; paji like the skirt or paji bulky than tansokkot,), Mujigi무지기; tiered skirt for underwear), and Daeshumchi'ma(대슘치마; Korean underskirt, shape hem as a pad into form) for lower clothes.

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A Study on the Shape, Characteristic, and Investigated Design of Goryeo-Achungunsura-Jisun (고려 아청운수라 질손의 형태와 의미 규명 및 고증 디자인 연구)

  • Choi, Jeong
    • Journal of the Korean Society of Costume
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    • v.63 no.1
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    • pp.135-146
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    • 2013
  • The purpose of this study is to investigate the meaning and possible shape of Goryeo-Achungunsura-jisun(高麗鴉靑雲袖羅質孫) through the details regarding its color, fabric, and pattern in the $13-14^{th}$ century writings and costume relics. Goryeo-Achungunsura-jisun was the summer dress coat that government officials wore during the Jisun feast of Yuan, and it was symbolic of the political strategy of Yuan as well as the excellent Goryeo fabric material, but no relics remain. During this period, Achung (dark blue)was the color that was used to dye silk, dress coats of upper class men, and background fabric of the embroidered official patch. And, the term, Yunsu (cloud sleeves), was probably sleeves with cloud pattern. The most typical cloud pattern in the 13 and the $14^{th}$ century was the 'flowing, gathering-headed cloud'. The Ra(silk gauze) weaving technique of Goryeo was developed rapidly in the $12^{th}$ century, and the quality of the Ra in the late Goryeo was good enough to be used for making the official's dress coat in the golden age of Yuan. According to the characteristic of jisun and man's formal-suit style in the Mongolian-Yuan, the possible styles for Goryeo-Achungunsura-jisun can be summarized as follows: a basic Mongolian gown with narrow sleeves and deep crossed diagonal opening, a Mongolian gown with waist pleats, the combination of half sleeved gown and long sleeved Mongolian gown. These styles would be made of delicate Goryeo Ra, cloud patterned sleeves, fabrics dyed in dark blue color, and shawl or embroidered patch ornaments for officials of Yuan, which was more simple than materials for Khan's Jisun to avoid rebellions.

Cable-pulley brace to improve story drift distribution of MRFs with large openings

  • Zahrai, Seyed Mehdi;Mousavi, Seyed Amin
    • Steel and Composite Structures
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    • v.21 no.4
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    • pp.863-882
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    • 2016
  • This study aims to introduce a new bracing system by which even super-wide frames with large openings can be braced. The proposed system, hereafter called Cable-Pulley Brace (CPB), is a tension-only bracing system with a rectilinear configuration. In CPB, a wire rope passes through a rectilinear path around the opening(s) and connects the lower corner of the frame to its opposite upper one. CPB is a secondary load resisting system with a nonlinear-elastic hysteretic behavior due to its initial pre-tension load. As a result, the required energy dissipation would be provided by the MRF itself, and the main intention of using CPB is to contribute to the initial and post-yield stiffness of the whole system. Using a stiffness calibration technique, optimum placement of the CPBs is discussed to yield a uniform displacement demand along the height of the structure. A displacement-based design procedure is proposed by which the MRF with CPB can be designed to achieve a uniform distribution of inter-story drifts with predefined values. Obtained results indicated that CPB leads to significant reductions in maximum and residual deformations of the MRF at the expense of minor increase in the maximum base shear and developed axial force demands in the columns. In the case of a typical 5-story residential building, compared to SMRF system, CPB system reduces maximum amounts of inter-story and residual drifts by 35% and 70%, respectively. Moreover, openings of the frame are not interrupted by the CPB. This is the most appealing feature of the proposed bracing system from architectural point of view.