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Effect of ST 36-ST 41 Electro-acupuncture on Regional Cerebral Blood Flow in Normal Volunteers Evaluated by $^{99m}Tc$-ECD SPECT (족삼리-해계 전침치료가 정상인의 국소 뇌혈류에 미치는 영향 -Brain SPECT와 SPM을 이용하여-)

  • Moon, Sang-Kwan;Min, In-Kyu;Park, Sung-Uk;Jung, Woo-Sang;Park, Jung-Mee;Ko, Chang-Nam;Cho, Ki-Ho;Bae, Hyung-Sup;Kim, Young-Suk;Kim, Deok-Yoon
    • The Journal of Korean Medicine
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    • v.31 no.1
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    • pp.130-137
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    • 2010
  • Objectives: So far it has been reported that acupuncture increases cerebral blood supply and stimulates the functional activity of brain nerve cells. Previous studies have demonstrated that frequently used electro-acupuncture (EA) therapies for stroke increased regional cerebral blood flow (rCBF) in normal volunteers. Though ST 36-ST 41 EA is another prevailing therapy for stroke, there had been no report about its effect on rCBF. This study was to evaluate the effect of ST 36-ST 41 EA on rCBF in normal volunteers using single photon emission computed tomography (SPECT) and statistical parametric mapping (SPM). Methods: In the resting state, $^{99m}Tc$-ECD brain SPECT scans were performed on 10 normal volunteers (5 males, 5 female, mean age $23.6{\pm}0.5$ years). On the other study day, 7 days after the resting examination, 15 minutesEA were applied at ST 36 and ST 41 on the right side of the subjects. Immediately after ST36-ST41 EA, the second SPECT images were obtained in the same manner as the resting state. Significant increases and decreases of rCBF after EA were estimated by comparing their SPECT images with those of the resting state using paired t statistics at every voxel, which were analyzed by SPM with a threshold of p = 0.01, uncorrected (extent threshold: k=100 voxels). Results: EA applied at the right ST36-ST41 significantly increased rCBF in the right inferior parietal lobule (Brodmann area [BA] 40), right retrosubicular area (BA 48), left inferior parietal lobule (BA 40), left middle temporal gyrus (BA 21), left fusiform gyrus (BA 37), left inferior parietal lobule (BA 39), left inferior temporal gyrus (BA 20), and left somatosensory association cortex (BA 7). However, right ST36-ST41 EA significantly decreased rCBF in the right parahippocampal gyrus (BA 35), right cerebellum, left frontopolar area (BA 10), left orbitofrontal area (BA 11), left dorsolateral prefrontal cortex (BA 9), and left dorsal anterior cingulate cortex (BA 32). Conclusions: These results demonstrate that rightST36-ST41 EA increased rCBF prominently in both inferior parietal lobule (BA 40) and right retrosubicular area (BA 48), which suggest that there be correlation between specific EA and corresponding rCBF.

A Comparative Study of Sea WaybilI and Electronic B/L in the International Contract of Carriage (국제운송계약상 해상화물운송장과 전자선하증권의 비교연구)

  • Kim, Eun-Joo
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.51
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    • pp.317-358
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    • 2011
  • The purpose of this study aims to analyse the key differences of the sea waybill and electronic B/L in the international transport documents. Sea waybills look remarkably like ordinary bills of lading. Indeed, in two important ways, they are just like bills of lading: the front of the document will near a description of the quantity and apparent condition of the goods; and the back of the document provides evidence of the terms of the contract of carriage. They differ from bills of lading in that, far from indicating that the goods described are deliverable to the order of the shipper or of the consignee, they will make it explicit that the goods are deliverable only to the consignee. Again, different carries will do thai in a variety of ways. For example, the document may call itself non-negotiable, omitting the word order from the consignee box on the front of the document, and stating explicitly that the goods will be deliverable to the consignee or his authorised representative on proper proof of identity and authorisation. The Hague-Visby Rules and Hamburg Rules give no guidance as to any right to instruct the carrier in respect of goods while they are in transit. However, in applying Article 50 of the Rotterdam Rules, in particular when applying it in the context of seawaybills, straight bills of lading or ship's delivery orders, regard would need to be had to preserve the shipper's rights under any of those three documents even after the buyer of goods covered by them has acquired rights of its own. And, the right of control is defined at Article 1.12 of the Rotterdam Rules. The right to give instruction is further limited by the terms of Article 50.1 to three particular types of instruction in respect of the goods, relating broadly to the goods, their delivery en route, and the identity of the consignee. And, the CMI formulated the CMI Uniform Rules for Sea Waybills for voluntary incorporation into any contract of carriage covered by such a document. Recognising that neither the Hague nor the Hague-Visby Rules are applicable to sea waybills, the CMI Rules provide that a contract of carriage covered by a waybill shall be governed by whichever international or national law, if any, would have been compulsorily applicable if the contract had in fact been covered by a bill of lading or similar document of title.

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Surgical Repair of Single Ventricle (Type III C solitus) (단심실 -III C Solitus 형의 수술치험-)

  • naf
    • Journal of Chest Surgery
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    • v.12 no.3
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    • pp.281-288
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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Surgical Repair for Ebstein's Anomaly (Ebstein 기형의 수술 -2례 보고-)

  • naf
    • Journal of Chest Surgery
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    • v.12 no.3
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    • pp.289-296
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    • 1979
  • For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

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A Study on Characteristics of Traffic Flow in Congested Traffic at On-Ramp Influence Area (혼잡교통류 상태에서의 연결로 합류부 교통류 특성에 관한 기초 연구)

  • Kim, Sang-Gu;Kim, Young-Ho;Kim, Tae-Wan;Son, Young-Tae
    • Journal of Korean Society of Transportation
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    • v.22 no.5
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    • pp.99-109
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    • 2004
  • Most traffic congestion on a freeway occurs in the merge area, where conflicts between mainline traffic and on-ramp traffic are frequently generated. So far, research on the merge area has mainly dealt with free flow traffic and research on the congested traffic at the merge area is rare. This study investigates the relationships between mainline traffic and on-ramp traffic at three different segments of the merge area. For this purpose, new indicators based on such traffic variables as flow, speed, and density are used. The results show that a negative relationship exists between mainline and on-ramp flow. It is also found that the speed and the density of the right two lanes in the mainline traffic are significantly affected by the on-ramp flow. Based on the correlation analysis of the indicators, it is confirmed that the ramp influence area is the right two lanes of the freeway mainline. The revealed relationships between mainline and on-ramp traffic may help to analyze the capacity of the downstream freeway segment of the merging area in congested traffic. The findings of this studyalso provide a basis to develop a model that estimates the merge traffic volume in congested traffic, which is neither theoretically nor empirically sound in most other traffic flow models developed so far.

Influence of Couch and Collimator on Dose Distribution of RapidArc Treatment Planning for Prostate Cancer in Radiation Therapy (치료테이블과 콜리메이터가 전립선암 래피드아크 치료계획의 선량분포에 미치는 영향)

  • Kim, Hyung-Dong;Kim, Byung-Young;Kim, Sung-Jin;Yun, Sang-Mo;Kim, Sung-Kyu
    • Progress in Medical Physics
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    • v.23 no.2
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    • pp.99-105
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    • 2012
  • We investigated the influence of photon energy, couch and collimator angle differences between arcs on dose distribution of RapidArc treatment planning for prostate cancer. RapidArc plans were created for 6 MV and 10 MV photons using 2 arcs coplanar and noncoplanar fields. The collimator angle differences between two arcs were $0^{\circ}$, $15^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $75^{\circ}$ and $90^{\circ}$. The plans were optimized using same dose constrains for target and OAR (organ at risk). To evaluate the dose distribution, plans were analyzed using CI (conformity index), HI (homogeneity index), QOC (quality of coverage), etc. Photon energy, couch and collimator angle differences between arcs had a little influence on the target and OAR. The difference of dosimetric indices was less than 3.6% in the target and OAR. However, there was significant increase in the region exposed to low dose. The increase of V15% in the femur was 6.4% (left) and 5.5% (right) for the 6 MV treatment plan and 23.4% (left), 24.1% (right) for the noncoplanar plan. The increase of V10% in the Far Region distant from target was 54.2 cc for the 6 MV photon energy, 343.4 cc for the noncoplanar and 457.8 cc for the no collimator rotation between arcs.

A Study on the Analysis of Korean Adults' Bead-type and the Distribution of Size for Improving the Fitness of Swimming Headgear (수영모 맞음새 개선을 위한 한국인의 두형분석과 치수분포에 관한 연구)

  • Kim, In-Sook;Kwon, Myoung-Sook;Yang, Min-Jae
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.8 s.145
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    • pp.1079-1091
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    • 2005
  • The purpose of this study was to point out the unification of the size of swimming headgear by measuring detailed measurement of head ferm and systematizes the head form. A total of 300 male and female Korean adults aged from 18 years old to 35 years old were measured through the direct measurement method. This study attempted to identify the head form of male and female adults using measurement data and the head form was classified through factor analysis and cluster analysis. (1) Based on the fact that this study especially focuses on the size of swimming headgear, factor analysis was performed far both direct measurements with hair and without hair. For the measurements with hair, seven factors were extracted. They were head thickness factor, head width factor, width of side head factor, height of back head factor, length of front head factor, circumference of front head factor, thickness of front head factor and head height factor. They explained the $70.95\%$ of the measurements. (2) The cluster analysis was executed to classify the somatotype of the korean head form on the basis of similarity. According to the cluster analysis result, the measurements with hair categorized types, 'Woman's long-hair type', 'Small type', 'Long and flat type', 'Large type'. (3) Head circumference B and Left tragion - Vertex - Right tragion circumference which are generally length and width in choosing swimming headgear size were selected as measurement items far size of swimming headgear. Direct measurements and sizes of four swimming headgear with different materials taking into account their elongation rate were also compared.

A Study on the Direction of Fisheries Finance Policy in Korea (한국수산금융정책의 방향)

  • 김경호
    • The Journal of Fisheries Business Administration
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    • v.29 no.1
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    • pp.27-63
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    • 1998
  • This paper focuses on the history of fisheries finance in Korea, especially the role of fisheries finance after the establishments of korean fisheries cooperative. We can say that our fisheries was influenced greatly by the fisheries finance. It may be preyed by the facts that our fisheries experienced a great growth right after the input of big fisheries finance. The products of fisheries has increased from 1962 to now And the structure of the fisheries has improved. But there were unequal development in the each sectors of fisheries. Though the deep sea fishery and farming has developed faster, coastal fishing that are absorbing nearly 90% of fisheries population has stagnated. Of course it was because of unequal financial assistance by Authority. So to improve fisheries evenly, it is very important to overcome various problems that have encountered including the new circumstances like the WTO. For this, lots of steps should be taken. They can be summarized as follows. 1) It may be inevitable to see a rising costs in the deep sea fishery because of the declaration of EEZ by almost every nation. 2) So coastal fishing should be getting more important. It is necessary to improve the structure of coastal fishing and we should be ready to prepare various alternatives far self-sustained growth in coastal fishing. 3) Especially fisheries finance should play more active role. 4) Self-sustainable growth means a fishery with full compatability. For full compatability it is necessary to give financial supports far making fishing ground and equipping anti-pollution system and labour saving apparatus etc. 5) Also to raise the ratio of self-support in fisheries products it is necessary to give financial support to traditional financial system. 6) Moreover it is necessary to guide utilization of finance supplied. For this the committee that is consists of professional people in that field is strongly asked. This committee should be entitled to decide and coordinate the selection of projects, allocation of finance, method of utilization and evaluation of projects etc.

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Clinical Investigation of Surgical Spontaneous Pneumothorax (외과적 자연기흉의 임상적 고찰)

  • 윤윤호
    • Journal of Chest Surgery
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    • v.1 no.1
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    • pp.19-24
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    • 1968
  • A clinical investigation was reported on 17 cases of spontaneous pneumothorax requiring surgical mana-gement. Males outnumbered females 15:2. Determination of the etiology in this series showed that the majority were pulmonary tuberculosis and paragonimiasis. Several others had pneumonia, lung abscess, cyst and blebs. It is of particular interest that the acute inflammation of respiratory system was younger age group, pulmonary tuberculosis & paragonimiasis were between 2 nd and 3 rd decades, and lung abscess, cyst, blebs were above 4 th decade. Pulmonary tuberculosis was far advanced bilateral and active. The ratio of right to left side was 13:6 and both side involved in 2 cases. In about half cases of patients, above 50%-collapsed lung associated with mediastinal shifting developed. The complications were pleural effusion and bronchopleural fistula. The former was 13 cases [76.4%] in which 3 cases combined with mixed infection, and latter was 5 cases. As the management, 11 cases were subjected to intercostal or rib resection drainage with continuous suc-tion. Among 11 drainage cases, 8 cases were successful in acute stage and 3 cases failed in chronic stage. This faiure was due to interference with re-expansion of collapsed lung for peel formation and broncho-pleural fistula. The open thoractomy was applied in 9 cases, among which primary operation were 5 cases and drainage failure were 4 cases. Among 11 cases subjected to the open thoracotomy, wedged resection was performed in 3 cases including paragonimiatic cyst, and pneumonectomy in 1 case-tuberculosis, and decortication only was performed in 2 cases in paragonimiasis. Decortication & lung resection was carried out in 2 patients among which ruptured lung abscess 1 case and ruptured multiple blebs 1 case. There was no case of death but prognosis of the tuberculosis may be poor because of far advanced bilateral and active pulmonary tuberculosis.

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Image registration using outlier removal and triangulation-based local transformation (이상치 제거와 삼각망 기반의 지역 변환을 이용한 영상 등록)

  • Ye, Chul-Soo
    • Korean Journal of Remote Sensing
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    • v.30 no.6
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    • pp.787-795
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    • 2014
  • This paper presents an image registration using Triangulation-based Local Transformation (TLT) applied to the remaining matched points after elimination of the matched points with gross error. The corners extracted using geometric mean-based corner detector are matched using Pearson's correlation coefficient and then accepted as initial matched points only when they satisfy the Left-Right Consistency (LRC) check. We finally accept the remaining matched points whose RANdom SAmple Consensus (RANSAC)-based global transformation (RGT) errors are smaller than a predefined outlier threshold. After Delaunay triangulated irregular networks (TINs) are created using the final matched points on reference and sensed images, respectively, affine transformation is applied to every corresponding triangle and then all the inner pixels of the triangles on the sensed image are transformed to the reference image coordinate. The proposed algorithm was tested using KOMPSAT-2 images and the results showed higher image registration accuracy than the RANSAC-based global transformation.