• Title/Summary/Keyword: center entry

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Determination of Adequate Entry Angle of Lumbar Sympathetic Ganglion Block in Korean

  • Kim, Won-Ho;Kim, Sang-Kwon;Lee, Chul-Joong;Kim, Tae-Hyeong;Sim, Woo-Seok
    • The Korean Journal of Pain
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    • v.23 no.1
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    • pp.11-17
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    • 2010
  • Background: The target of lumbar sympathetic ganglion block is the anterolateral surface of the L2, 3 and 4 vertebral bodies, where the lumbar sympathetic ganglion usually lies. In most cases, a block-needle is inserted approximately 5-8 cm lateral to spinous process on the skin and directed to the anterolateral surface of vertebral body obliquely. The purpose of this study is to determine the safe entry angle and entry point in Korean by using the abdominal CT scan images. Methods: The abdominal CT images of eighty five patients were recruited to this study. The minimal angle aimed at the lumbar sympathetic ganglion that can pass through the lateral aspect of body and maximal angle that avoids puncturing the kidney, ureter or retroperitoneal space were measured. The distance from midline to skin entry point was also measured. Results: There was no significant difference in entry angle among L2, 3, and 4 level. The entry angle was similar in the right and left side, and in males and females. The entry angle of old age group was significantly smaller than that of young age group. The calculated safe entry angle was $30.5{\pm}0.4^{\circ}$ and entry point was $7.7{\pm}0.2\;cm$ and $6.7{\pm}0.1\;cm$ lateral from midline in males and females respectively. Conclusions: These measurements can be used as a reference for lumbar sympathetic ganglion block and radiofrequency lesioning. Prior to performing the lumbar sympathetic ganglion block for cancer patients, the abdominal CT scan should be reviewed to prevent complications.

Analysis of Technical Review Entry Criteria and Application (기술검토회의 진입조건 분석 및 적용)

  • Jeong, Se Young;Lee, Hong Ki;Kim, Dong Won;Choi, Kwan Beom
    • Journal of the Korean Society of Systems Engineering
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    • v.5 no.2
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    • pp.27-34
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    • 2009
  • This paper analyze technical review entry criteria and review process based on system property, and review checklist to conform technical review is also showed. The execution of review is determined according to the preparation of review item and identification for risk element. Risk level should be mitigated before technical review by appropriate plan. This paper described the entering condition of technical review for developmental phase, and tailoring consideration for technical review condition. Described technical review entry criteria, review process, and tailoring consideration is applied to development of test equipment for ground ant-air missile system. Applied system specific technical review process, tailored entry condition for test equipment for ground ant-air missile system and review check list is showed and the effectiveness of described system specific technical review process is presented.

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What Is the Ideal Entry Point for Transforaminal Endoscopic Lumbar Discectomy?

  • Lee, Jong Un;Park, Ki Jeoung;Kim, Ki Hong;Choi, Man Kyu;Lee, Young Hwan;Kim, Dae-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.63 no.5
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    • pp.614-622
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    • 2020
  • Objective : The method of approach during transforaminal endoscopic lumbar discectomy (TELD) has been the subject of repeated study. However, the ideal entry point during TELD has not been studied in detail. Therefore, this study investigated the ideal entry point for avoiding complications using computed tomography (CT) scans obtained from patients in the prone position. Methods : Using CT scans obtained from patients in the prone position, we checked for retroperitoneal or visceral violations and measured the angles of approach with five conventional approach lines drawn on axial CT scans at each disc space level (L2-3, L3-4, and L4-5). We also determined the ideal entry point distance and approach angles for avoiding retroperitoneal or visceral violations. Correlation analysis was performed to identify the patient characteristics related to the ideal entry point properties. Results : We found that the far lateral approach at the L2-3 level resulted in high rates of visceral violation. However, rates of visceral violation at the L3-4 and L4-5 levels were remarkably low or absent. The ideal angles of approach decreased moving caudally along the spine, and the ideal entry point distances increased moving caudally along the spine. Weight, body mass index (BMI), and the depth of the posterior vertebral line from the skin were positively associated with the distance of the ideal entry point from the midline. Conclusion : We reviewed the risk of the extreme lateral approach by analyzing rates of retroperitoneal and visceral violations during well-known methods of approach. We suggested an ideal entry point at each level of the lumbar spine and found a positive correlation between the distance of the entry point to the midline and patient characteristics such as BMI, weight, and the depth of the posterior vertebral line from the skin.

A Study of the Application of Precepter Program with the Reducion of the Time of New Entry Nurse Orientation. (신입간호사 교육 기간 단축에 따른 Preceptor program 적용에 관한 연구)

  • Kim, Hae-Sook;Kim, Lee-Young;Choi, Sun-Sook;Han, Mee-Jung;Kim, Sun-Hee;An, Young-Hee;Kong, Sung-Hwa;Jang, Soo-Ryeon;Kim, Mee-Ae;Kim, Soo-Young
    • The Korean Nurse
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    • v.37 no.4
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    • pp.58-71
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    • 1998
  • The purpose of this study was to contribute the improvement of nursing staff development by implementing of effective and organized orientation program using the measure of effectiveness in the application of preceptor program with the reduction of the time of New entry nurse orientation. The subjects were comprised of 116 new entry nurses(59 new entry nurses were employed at June, 1996 and 57 at May & July, 1997) and 79 preceptors, who were in charge of new entry nurse orientation at 1997. These date were collected from June 18, 1996 to August 29, 1997. The characteristics of questionairs applied in this study were general characteristics(7 questions), knowledge of nursing care(138 questions); attitude toward her profession(40 questions) and the degree of satisfaction for the program(5 questions). The questionnairs were developed by the researchers of Asan Medical Center. The Check-list for basic nursing skill were used for the measurement of nursing skill which was developed by nursing department of AMC. The data were analyzed for the mean, standard deviation, difference of mean, ANOV A & t-test. The results of this study are as follows : 1) The changes in knowledge of nursing care : After three months of training the difference of mean between before and after the orientation was higher than the result of two month period training. However, the result was insignificant(p= .469). 2) Performance in nursing practice : Two month period orientation was more effective than three-month training period, however, the statistical significance can not be reached than 3 month period, which resulted in insignificant difference(p=.150). 3) The change in attitude toward her profession : After three-month of orientation, the difference of mean between before and after the orientation was higher than 2 month period orientation, which resulted in significant difference (p=.000). 4) The degree of satisfaction for the program with the time of new entry nurse orientation : After two-month of orientation, the mean of points was 2.57 where the score is higher than 3 month period with mean of 2.30. It resulted in significant difference(p=.000).

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The Entry Modes Strategy in FDI: Expansion of Korean Retailers into China and Indonesia

  • Kang, Min-Jeong;Kim, So-Hyung
    • Journal of Distribution Science
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    • v.12 no.7
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    • pp.45-51
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    • 2014
  • Purpose - This study aims to explore the success of Lotte Mart in the global market, as well as examining the factors related to its entry methods. Research design, data, and methodology - This study analyzed the differences between Lotte Mart and E-mart in terms of their market entry methods, based on references and secondary data. This study is based on qualitative research that analyzes actual cases. Based on the results, this study analyzed and discussed actual cases based on references and secondary data, including newspaper interviews on Lotte Mart. Results - Lotte Mart succeeded in adapting to local markets it did this by ensuring the use of both mergers and acquisitions (M&As) and greenfield methods. In contrast, E-mart utilized only greenfield methods. Conclusions - The findings of this study may not be generalized to all industries, as only Lotte Mart was examined using the case analysis method. Therefore, the successful market entry modes of various companies should be explored in terms of FDI.

Characteristics of In-cylinder Steady Flow using PIV for Different Intake Port Geometries in a 4-valve Gasoline Engine (PIV에 의한 4밸브 가솔린기관의 흡기포트 형상에 따른 정상유동 해석)

  • 조규백;전충환;장영준;강건용
    • Transactions of the Korean Society of Automotive Engineers
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    • v.5 no.5
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    • pp.188-196
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    • 1997
  • Many researchers have developed the measurement technique of in-cylinder flow characteristics and found the effect of intake port geometries on engine performance. The flow characteristics of four-valve cylinder head were examined in a steady flow rig for different intake ports. Tumble intensity of intake configurations with different entry angles were quantified with a tumble meter. The velocity and angular momentum distributions in the tumble adaptor were measured under steady conditions with PIV(Particle Image Velocimetry). We have obtained the results that flow structure becomes complicated by valve interference at low valve lift. As the valve interferences were reducing and the flow pattern changed to large vortex structure with tumble direction, intake ports with different entry angles have different tumble centers. Tumble eccentricity of intake port with low entry angle was large, so that the port had relatively much angular momentum compared to others which was expected to improve combustion performance.

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Public's Recognition of the Space Object's Re-entry Situations and the National Space Disaster Management Policy (우리나라 국민의 우주위험인식 수준과 국가 재난정책)

  • Kim, Syeun;Cho, Sungki;Hong, Jeongyoo
    • Journal of the Korean Society of Safety
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    • v.31 no.6
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    • pp.84-92
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    • 2016
  • Since the mankind started its space mission, the number of artificial space objects has been increasing exponentially. It contains not just the space machines which are in use but the machines which are out of order. Meantime, those dead machines are being a serious danger, a real threat to human's lives and property because of it could re-enter into the earth's atmosphere and fall to the ground causing mega-disaster. As the number of space activities gets growing so far, the re-entry of the space objects will be a lot more happened in the future. Therefore, not just natural space object like asteroids but the artificial space object like artificial satellite and space station can cause the disaster by falling to the ground. To protect our nation and our property, the government has set up the space disaster management center in Korea astronomy and Space science Institute. In this study, we surveyed public's recognition of the space object's re-entry situation and analyzed it to contribute building national space disaster management policy.

Measurement of Liquid Entry Pressure of PE and PVDF Hollow Fiber Membranes in Membrane Distillation Process (막증류 공정에서 PE 및 PVDF 중공사막의 액체투과압력 측정에 관한 연구)

  • Min, Ji Hee;Park, Min Soo;Kim, Jinho
    • Membrane Journal
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    • v.25 no.3
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    • pp.216-222
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    • 2015
  • The method measuring LEP (liquid entry pressure) was optimized to evaluate the wettabilities of hydrophobic membranes which might affect long-term durability of membrane in MD (membrane distillation) process. Conductivity of the permeate was monitored to measure the LEPs of PE (polyethylene) and PVDF (polyvinylidene di-fluoride) hollow fiber membranes from highly concentrated synthetic feed water of 20 wt% NaCl. Holding time over 5 min and the ratio of membrane area to the tank volume more than $10m^2/m^3$ were required to ensure LEP value.

DEVELOPMENT OF A GIS-BASED GEOTECHNICAL INFORMATION ENTRY SYSTEM USING THE GEOTECHNICAL INVESTIGATION RESULT FORM AND METADATA STANDARDIZATION

  • YongGu Jang;HoYun, Kang
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.1388-1395
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    • 2009
  • In March 2007, Korea's Ministry of Construction & Transportation (MOCT) established "Guidelines on the Computerization and Use of Geotechnical Investigation Results," which took effect as official instructions. The 2007 Geotechnical Information DB Construction Project is underway as a model project for a stable geotechnical information distribution system based on the MOCT guidelines, accompanied by user education on the geotechnical data distribution system. This study introduces a geotechnical data entry system characterized by the standardization of the geotechnical investigation form, the standardization of metadata for creating the geotechnical data to be distributed, and the creation of borehole space data based on the world geodetic system according to the changes in the national coordinate system, to define a unified DB structure and the items for the geotechnical data entry system and to computerize the field geotechnical investigation results using the MOCT guidelines. In addition, the present operating status of the geotechnical data entry system and entry data processing statistics are introduced through an analysis of the model project, and the problems of the project are analyzed to suggest improvements. Education on, and the implementation of, the model project for the geotechnical data entry system, which was developed via the standardization of the geotechnical investigation results form and the metadata for institutions showed that most users can use the system easily. There were problems, however, including those related to the complexity of metadata creation, partial errors in moving to the borehole data window, partial recognition errors in the installation program for different computer operating systems, etc. Especially, the individual standard form usage and the specificity of the person who enters the geotechnical information for the Korea National Housing Corporation, among the institutions under MOCT, required partial improvement of the geotechnical data entry system. The problems surfaced from this study will be promptly addressed in the operation and management of the geotechnical data DB center in 2008.

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Targeting a Safe Entry Point for C2 Pedicle Screw Fixation in Patients with Atlantoaxial Instability

  • Chun, Hyoung-Joon;Bak, Koang-Hum
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.351-354
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    • 2011
  • Objective : This investigation was conducted to evaluate a new, safe entry point for the C2 pedicle screw, determined using the anatomical landmarks of the C2 lateral mass, the lamina, and the isthmus of the pars interarticularis. Methods : Fifteen patients underwent bilateral C1 lateral mass-C2 pedicle screw fixation, combined with posterior wiring. The C2 pedicle screw was inserted at the entry point determined using the following method : 4 mm lateral to and 4 mm inferior to the transitional point (from the superior end line of the lamina to the isthmus of the pars interarticularis). After a small hole was made with a high-speed drill, the taper was inserted with a 30 degree convergence in the cephalad direction. Other surgical procedures were performed according to Harm's description. Preoperatively, careful evaluation was performed with a cervical X-ray for C1-C2 alignment, magnetic resonance imaging for spinal cord and ligamentous structures, and a contrast-enhanced 3-dimensional computed tomogram (3-D CT) for bony anatomy and the course of the vertebral artery. A 3-D CT was checked postoperatively to evaluate screw placement Results : Bone fusion was achieved in all 15 patients (100%) without screw violation into the spinal canal, vertebral artery injury, or hardware failure. Occipital neuralgia developed in one patient, but this subsided after a C2 ganglion block. Conclusion : C2 transpedicular screw fixation can be easily and safely performed using the entry point of the present study. However, careful preoperative radiographic evaluation, regardless of methods, is mandatory.