• Title/Summary/Keyword: block placement

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CT-guided Celiac Plexus Block Using Anterior Approach (전산화 단층촬영 유도하 복강신경총 차단이 암성통증관리에 미치는 영향)

  • Lee, Jung-Koo;Rhee, Joo-Yeung;Chung, Jung-Kil;Rhee, Chang-Su
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.87-94
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    • 1999
  • Backgroud: We have performed the CT-guided celiac plexus block (CPB) using anterior approach to evaluate the safety and efficacy of the procedure and to determine the role of CT. Methods: CPB were done in 10 patients (5 men and 5 women: mean age, 58.1 years) with intractable upper abdominal pain due to terminal malignancy of the stomach (n=3), pancreas (n=4), gallbladder (n=2), and liver (n=1). To permit an anterior approach, patients lay supine on the CT scan table during the procedure. One 21-guage Chiba needle was placed just anterior to the diaphragmatic crus between the celiac and superior mesenteric arteries and 10~12 ml of dehydrated alcohol was injected. Degree of pain relief following the procedure was assessed and pain was graded on a numeric rating scale (NRS) from 0 to 10. Results: The results suggest a direct relation between the degree of celiac invasion and the response to the CPB. With CT guidance, it is possible for us to direct the needle into more accurate region, allowing alcohol to be deposited in specific ganglion area. Conclusions: CT-guided CPB using an anterior approach was an easy and effective way of reducing intractable upper abdominal pain due to terminal malignancies. CT-guidance allowed precise needle placement and safe procedure. Careful classification of cases is important to predict the degree of pain relief using the grading system based on the degree of involvement of the celiac plexus.

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Analysis of Wave Reflection Characteristics for Bottom Proection Bio Block (해저침식방호용 바이오 블록의 파랑반사특성 분석)

  • Lee, J.W.;Kim, J.S.;Kim, H.J.;Lee, Y.H.;Lee, D.H.
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2013.06a
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    • pp.270-272
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    • 2013
  • In order to protect coastal facilities mainly from wave and current actions, the self-locking bio blocks constituting component elements of protecting structures against scouring were designed. These blocks are adapted to the sloping bottom, coastal dunes, and submerged coastal base counteracting the destructive and erosive impulse action. A series of laboratory experiments is necessary to investigate the reflection of water waves over and against a train of protruded or submerged shore structures and compare the reflecting capabilities of incident waves including wave forces. In this study the hydraulic model experiment was conducted to identify the performance of newly designed water affinity bio blocks to keep the coast slope and bottom mound from scouring by reduction of the reflection coefficient and to convince stability of the placements. Revised design of each element of blocks were also tested for field conditions. From the result of experiment, the field applicability of the developed blocks and placement is to be discussed afterward.

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Ultrasonographic Measurement of the Ligamentum Flavum Depth : Is It a Reliable Method to Distinguish True and False Loss of Resistance?

  • Pak, Michael Hae-Jin;Lee, Won-Hyung;Ko, Young-Kwon;So, Sang-Young;Kim, Hyun-Joong
    • The Korean Journal of Pain
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    • v.25 no.2
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    • pp.99-104
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    • 2012
  • Background: Previous studies have shown that if performed without radiographic guidance, the loss of resistance (LOR) technique can result in inaccurate needle placement in up to 30% of lumbar epidural blocks. To date, no study has shown the efficacy of measuring the depth of the posterior complex (ligamentum flavum, epidural space, and posterior dura) ultrasonographically to distinguish true and false LOR. Methods: 40 cervical epidural blocks were performed using the LOR technique and confirmed by epidurograms. Transverse ultrasound images of the C6/7 area were taken before each cervical epidural block, and the distances from the skin to the posterior complex, transverse process, and supraspinous ligament were measured on each ultrasound view. The number of LOR attempts was counted, and the depth of each LOR was measured with a standard ruler. Correlation of false and true positive LOR depth with ultrasonographically measured depth was also statistically analyzed. Results: 76.5% of all cases (26 out of 34) showed false positive LOR. Concordance correlation coefficients between the measured distances on ultrasound (skin to ligamentum flavum) and actual needle depth were 0.8285 on true LOR. Depth of the true positive LOR correlated with height and weight, with a mean of $5.64{\pm}1.06cm$, while the mean depth of the false positive LOR was $4.08{\pm}1.00cm$. Conclusions: Ultrasonographic measurement of the ligamentum flavum depth (or posterior complex) preceding cervical epidural block is beneficial in excluding false LOR and increasing success rates of cervical epidural blocks.

Implant placement using a newly developed CT-based guide program and subtractive manufacturing: case reports (새로 개발된 3차원 영상 기반의 임플란트 가이드 프로그램과 삭제 공정을 이용한 임플란트 계획 및 식립: 증례보고)

  • Park, Jung-Wan;Kim, Kyung-Rok;Kang, Hye-Won;Lee, Kyu-Bok;Lee, Du-Hyeong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.1
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    • pp.67-74
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    • 2015
  • Computer-guided surgery utilizing computed tomography is advantageous in placing implants precisely and conveniently. The purpose of the cases was to report a newly developed CT-based guide fabrication program and subtractive manufacturing using resin block. The guided surgery with the program and subtractive manufacturing allows not only precise translation of the treatment plan, but also offers additional significant benefits.

Product-Story Congruence and Actor Attractiveness in Product Placements in Television Drama

  • Cheon, Minhye;Ahn, Yena;Mo, Ju Hee;Park, Jee-Sun
    • Journal of Fashion Business
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    • v.20 no.3
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    • pp.104-118
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    • 2016
  • As more consumers avoid ads aided by advanced technologies that conveniently block ads, traditional advertising is becoming less effective than ever before. Product placements are increasingly executed to unobtrusively expose products and brands to consumers while they watch media programs. The current study attempts to enhance our understanding of the factors that affect consumer attitude towards the brands placed in TV dramas. In particular, this study examines whether the attractiveness of actors and the congruency between the products placed and the story of the TV drama influence consumer attitudes towards the TV drama and the brand. A total of 211 male consumers in their 20s and 30s were used for data analyses. Structural equation modelling revealed that the product-story congruence had a positive impact on consumer attitude towards the TV drama as well as their attitude towards the brand. Actor attractiveness (in terms of similarity and likability) positively influenced consumer attitude towards the brand. Only the perceived likability dimension of actor attractiveness was found to affect consumer attitude towards the TV drama.

Design Challenges and Solutions for Ultra-High-Density Monolithic 3D ICs

  • Panth, Shreepad;Samal, Sandeep;Yu, Yun Seop;Lim, Sung Kyu
    • Journal of information and communication convergence engineering
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    • v.12 no.3
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    • pp.186-192
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    • 2014
  • Monolithic three-dimensional integrated chips (3D ICs) are an emerging technology that offers an integration density that is some orders of magnitude higher than the conventional through-silicon-via (TSV)-based 3D ICs. This is due to a sequential integration process that enables extremely small monolithic inter-tier vias (MIVs). For a monolithic 3D memory, we first explore the static random-access memory (SRAM) design. Next, for digital logic, we explore several design styles. The first is transistor-level, which is a design style unique to monolithic 3D ICs that are enabled by the ultra-high-density of MIVs. We also explore gate-level and block-level design styles, which are available for TSV-based 3D ICs. For each of these design styles, we present techniques to obtain the graphic database system (GDS) layouts, and perform a signoff-quality performance and power analysis. We also discuss various challenges facing monolithic 3D ICs, such as achieving 50% footprint reduction over two-dimensional (2D) ICs, routing congestion, power delivery network design, and thermal issues. Finally, we present design techniques to overcome these challenges.

Basic Data Analysis on Bio Block Placement for Sea grass Field in the Enclosed Bay (반폐쇄해역에서의 잘피장 조성 바이오블록 거치의 기초자료 분석)

  • Ahn, HyoJae;Lee, JoongWoo;Kang, SeokJin
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2015.07a
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    • pp.183-185
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    • 2015
  • 반폐쇄해역에서는 해수교환이 어렵고 육상에서 유입부하와 적조 등의 영향을 강하게 받기 때문에 항상 수질과 저질이 악화되기 쉬운 환경에 처해 있어서 이의 개선을 위한 일환으로 해양식물(잘피)의 서식환경을 복원하여 해양정화에 기여하기 위한 친환경적 접근이 필요하다. 다양한 해상환경조건하에서 잘피의 서식은 변화므로 특히, 파랑의 극한 외력여건에 견디는 친환경 잘피 지지구조물 기술개발이 우선되어야 한다. 본 연구는 잘피장 조성의 기반기술로 해양식생 지지용 바이오 블록을 개발하고 특히, 관광지 및 해양클러스터 단지로 대외적으로 알려져 있는 영도해역에서 영도구가 야심차게 준비해오고 있는 해상낚시터 인근해역에 적용할 수 있는 바이오 블록의 현장시범거치를 통해 잘피 등 해양식생을 유도하기 기반을 마련하기 위한 기초연구로 대상구역에서의 파랑해석과 식생 조성 후에 파랑의 반응특성을 수치모델을 통해 분석하고자 하였다. 계산 결과는 대상지역에 적용할 사면 피복재로 바이오 블록의 규격을 결정하는데 반영될 것이며 후속 연구에서 실제블록의 제작과 현장거치를 수행하고자 한다.

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Ultrasound-guided Pulsed Radiofrequency Lesioning of the Phrenic Nerve in a Patient with Intractable Hiccup

  • Kang, Keum-Nae;Park, In-Kyung;Suh, Jeong-Hun;Leem, Jeong-Gill;Shin, Jin-Woo
    • The Korean Journal of Pain
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    • v.23 no.3
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    • pp.198-201
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    • 2010
  • Persistent and intractable hiccups (with respective durations of more than 48 hours and 1 month) can result in depression, fatigue, impaired sleep, dehydration, weight loss, malnutrition, and aspiration syndromes. The conventional treatments for hiccups are either non-pharmacological, pharmacological or a nerve block treatment. Pulsed radiofrequency lesioning (PRFL) has been proposed for the modulation of the excited nervous system pathway of pain as a safe and nondestructive treatment method. As placement of the electrode in close proximity to the targeted nerve is very important for the success of PRFL, ultrasound appears to be well suited for this technique. A 74-year-old man suffering from intractable hiccups that had developed after a coronary artery bypass graft and had continued for 7 years was referred to our pain clinic. He had not been treated with conventional methods or medications. We performed PRFL of the phrenic nerve guided by ultrasound and the hiccups disappeared.

Part Configuration Problem Solving for Electronic Commerce (인터넷 전자상거래 환경에서 부품구성기법 활용 연구)

  • 권순범
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1998.10a
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    • pp.407-410
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    • 1998
  • Configuration is a set of building block processes, a series of selection and combining parts or components which composes a whole thing. A whole thing could be such a configurable object as manufacturing product, network system, financial portfolio, system development plan, project team, etc. Configuration problem could happen during any phase of product life cycle: design, production, sales, installation, and maintenance. Configuration has long been one of cost and time consuming work, because only high salaried technical experts on product and components can do configuration. Rework for error adjustments of configurations at later process causes far much cost and time, so accurate configuration is required. Under the on-line electronic commerce environment, configuration problem solving becomes more important, because component-based sales should be done automatically on the merchant web site. Automated product search, order placement, order fulfillment and payment make that manual configuration is no longer feasible. Automated configuration means that all the constraints among components should be checked and confirmed by configuration engine automatically. In addition, technical constraints and customer preferences like price range and a specific function required should be considered. This paper gives an brief overview of configuration problems: characteristics, representation paradigms, and solving algorithms and introduce CRSP(Constraint and Rule Satisfaction Problem) method. CRSP method adopts both constraint and rule for configuration domain knowledge representation. A survey and analysis on web sites adopting configuration functions are provided. Future directions of configuration for EC is discussed in the three aspects: methodology itself, companies adopting configuration function, and electronic commerce industry.

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MAXILLARY SINUS GRAFT FOR ENDOSSEOUS IMPLANT PLACEMENT : REVIEW OF THE LITERATURES (임프란트 식립을 위한 상악동점막 거상술: 문헌고찰)

  • Kim, Su-Gwan;Gang, Tae-Ho;Park, Jeong-Yeol;Kim, Soo-Min;Park, In-Soon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.527-532
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    • 2000
  • A review of the literature, provided by a MEDLINE search from 1980 through June 1999, was performed. This study was screened that 649 patients received 679 sinus lift grafts in which 2056 implants were placed. The types of grafts in sinus augmentation were autogenous bone, corticocancellous block bone, allogenic bone, and a variety of alloplastic materials. Results of these grafts are presented. The most frequent complications was the infection of maxillary sinus. Long-term follow-up is necessary to advance the sinus elevation and to support posterior maxillary restorations.

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