• The Korean Journal of Pain
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• v.6 no.1
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• pp.109-116
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• 1993

In March of l992, We performed two intentional total spinal blocks for the relief of pain. This was for 2 cases of post-traumatic cervical syndrome whose various symptoms were chronically unresponsive to the usual conservative treatments. We regularly checked the blood pressure, pulse rate, oxygen saturation and observed clinically the changes of respiration, consciousness, lid and light reflexes during the total spinal block. Pain relief was evaluated by using the Visual Analog Scale which is designed to measure the subjective intensity of pain. The results were as follows; 1) The effectiveness of total spinal block was 60% in case 1, 40% in case 2. 2) We observed two complications from the procedure. Firstly during the block, these were transient periods of hypotension. Following the block, accidental procedures related direct neural trauma resulted in anterior chest wall pain. In conclusion we believe that total spinal block is a satisfactory and reliable method for the treatment of post-traumatic cervical syndrome.

• The Korean Journal of Pain
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• v.29 no.1
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• pp.18-22
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• 2016

Background: The interscalene brachial plexus block is widely used for pain control and anesthetic purposes during shoulder arthroscopic surgeries and surgeries of the upper extremities. However, it is known that interscalene brachial plexus block is not appropriate for upper limb surgeries because it does not affect the lower trunk (C8-T1, ulnar nerve) of the brachial plexus. Methods: A low approach, ultrasound-guided interscalene brachial plexus block (LISB) was performed on twenty-eight patients undergoing surgery of the upper extremities. The patients were assessed five minutes and fifteen minutes after the block for the degree of block in each nerve and muscle as well as for any complications. Results: At five minutes and fifteen minutes after the performance of the block, the degree of the block in the ulnar nerve was found to be $2.8{\pm}2.6$ and $1.1{\pm}1.8$, respectively, based on a ten-point scale. Motor block occurred in the median nerve after fifteen minutes in 26 of the 28 patients (92.8%), and in all of the other three nerves in all 28 patients. None of the patients received additional analgesics, and none experienced complications. Conclusions: The present study confirmed the achievement of an appropriate sensory and motor block in the upper extremities, including the ulnar nerve, fifteen minutes after LISB, with no complications.

• The Korean Journal of Pain
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• v.34 no.3
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• pp.271-287
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• 2021

Background: Postoperative pain management is crucial for patients undergoing total knee arthroplasty (TKA). There have been many recent clinical trials on post-TKA peripheral nerve block; however, they have reported inconsistent findings. In this meta-analysis, we aimed to comprehensively analyze studies on post-TKA analgesia to provide evidence-based clinical suggestions. Methods: We performed a computer-based query of PubMed, Embase, the Cochrane Library, and the Web of Science to retrieve related articles using neurothe following search terms: nerve block, nerve blockade, chemodenervation, chemical neurolysis, peridural block, epidural anesthesia, extradural anesthesia, total knee arthroplasty, total knee replacement, partial knee replacement, and others. After quality evaluation and data extraction, we analyzed the complications, visual analogue scale (VAS) score, patient satisfaction, perioperative opioid dosage, and rehabilitation indices. Evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation approach. Results: We included 16 randomized controlled trials involving 981 patients (511 receiving peripheral nerve block and 470 receiving epidural block) in the final analysis. Compared with an epidural block, a peripheral nerve block significantly reduced complications. There were no significant between-group differences in the postoperative VAS score, patient satisfaction, perioperative opioid dosage, and rehabilitation indices. Conclusions: Our findings demonstrate that the peripheral nerve block is superior to the epidural block in reducing complications without compromising the analgesic effect and patient satisfaction. Therefore, a peripheral nerve block is a safe and effective postoperative analgesic method with encouraging clinical prospects.

• The Korean Journal of Pain
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• v.34 no.2
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• pp.201-209
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• 2021

Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following non-recurrent inguinal herniorrhaphy.

• Journal of Korean Foot and Ankle Society
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• v.13 no.1
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• pp.68-74
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• 2009

Purpose: This study was designed to evaluate the results and efficacy of subtalar distraction two bone-block arthrodesis for calcaneal malunion. Materials and Methods: From January 2004 to June 2007, we operated on 8 patients (12 cases). There were 7 male patients and 1 female patient; their mean age was 42 years. 8 cases among them were operated initially. The period between initial injury and arthrodesis was 21 months. At an average follow up was 19 months. In operation, we used extensile lateral approach and arthrodesis was performed through tricortical two bone-block and cannulated screws. The Ankle-Hindfoot scale was used for clinical evaluation. In radiologic analysis, plain X-ray and CT were examined union and various parameters. Results: All cases achieved radiologic union at the final follow-up. The mean Ankle-hindfoot scale (maximum of 94 points) increased from 43.4 points preoperatively to 84 points at the final follow-up. The radiologic analysis of the pre- and postoperative standing lateral radiographs showed and average increase of 5.5 mm in talo-calcaneal height, $5.1^{\circ}$ in talocalcaneal angle, $6.1^{\circ}$ in talar declination angle and decrease of $5.7^{\circ}$ in talo-first metatarsal angle. Conclusion: The short term results of subtalar distraction two bone-block arthrodesis is promising, but longer follow-up was needed.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.26 no.5
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• pp.327-333
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• 2013

The purpose of this study is to predict sloshing pressure of a actual tank by using measured pressure in scaled down tank and to evaluate with structural strength of LNG Corner Block. For this purpose, we performed sloshing analysis about 138K class tank by using Ansys CFX program, and were measured both average pressure and maximum peak pressure according to scaled tank ratio. Also, measured pressure was converted to pressure of the actual tank by Froude scale law, and we conducted the evaluation of structural strength about the conner block of actual size KC-1.

• Tunnel and Underground Space
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• v.20 no.6
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• pp.434-445
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• 2010

Underground compressed air energy storage (CAES) system in a lined rock cavern is considered one of the promising large-scale energy storage technologies. In this study, permeabilities of concrete lining block and its construction joint, which are the major components of an air tightness system of the undeground CAES, were measured from a model experiment. From the experiment, it was found that intrinsic permeability of construction joint was larger than that of concrete block by the order scale of $10^1{\sim}10^4$, so that it would be very important to control the quality of construction joints in-situ in order to secure air tightness of storage system. And the permeability of construction joint could be decreased as low as that of the concrete block by pasting an acryl-type adhesive on bonding surfaces. Higher degrees of water saturation of the concrete block resulted in the lower permeability, which is more preferable in the viewpoint of air tightness of storage cavern.

• Ecology and Resilient Infrastructure
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• v.5 no.4
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• pp.257-263
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• 2018

This study is to develop a GSTM (Green infrastructure Surface Temperature Measurment) equipment for reducing the surface temperature of GI by using LID Method. The tests were conducted including GI products such as Greening block, Pervious Block, Soil Block and so on. The GSTM equipment developed by considering the literature surveys are characterized as follows. The non-contact infrared temperature sensor was used to measure the surface temperature, and it was improved to measure the overall average temperature including the center and the corner temperature of the specimen. The developed GSTM equipment was used to compare performance of asphalt and GI products. As a result, the Greening Block show a high difference of $18.4^{\circ}C$ and it contributes to the decrease of surface temperature.

• The Transactions of the Korea Information Processing Society
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• v.6 no.11S
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• pp.3278-3288
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• 1999

This paper proposes a security platform, called SCAP(Security platform for CORBA based APplication), to cope with potential threats in a distributed object system. SCAP supports CORBA security specification announced by OMG. SCAP is comprised of four functional blocks, which co-work with ORB to provide security services: Authentication Block, Association Block, Access Control Block, and Security Information Management Block. It is designed to support Common Secure Interoperability Functionality Level 2, which is useful for large-scale intra-, or inter-network based applications. Actual security services, which are dependent on supporting security technology, will be provided as external security service for replace ability. Implementation issues such as how to simulate an interceptor mechanism using a commercial ORB product without source code, and how to extend Current object required for security services are also described. At the end of the paper, the SCAP applied to the web environment is described to show its practical utilization.

• Korean Journal of Remote Sensing
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• v.36 no.4
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• pp.545-555
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• 2020

This paper focuses on automatic image registration between EO (Electro-Optical) and IR (InfraRed) satellite images with different spectral properties using block-based approach and simple preprocessing technique to enhance the performance of feature matching. If unpreprocessed EO and IR images from Kompsat-3A satellite were applied to local feature matching algorithms(Scale Invariant Feature Transform, Speed-Up Robust Feature, etc.), image registration algorithm generally failed because of few detected feature points or mismatched pairs despite of many detected feature points. In this paper, we proposed a new image registration method which improved the performance of feature matching with block-based registration process on 9-divided image and pre-processing technique based on adaptive histogram equalization. The proposed method showed better performance than without our proposed technique on visual inspection and I-RMSE. This study can be used for automatic image registration between various images acquired from different sensors.