• Title/Summary/Keyword: oblique incidence

Search Result 82, Processing Time 0.024 seconds

The Effect of Ultrasound-guided TAPB on Pain Management after Total Abdominal Hysterectomy

  • Gharaei, Helen;Imani, Farnad;Almasi, Fariba;Solimani, Massoud
    • The Korean Journal of Pain
    • /
    • v.26 no.4
    • /
    • pp.374-378
    • /
    • 2013
  • Background: Incisional pain is particularly troublesome after hysterectomy. A method called transversus abdominis plane block (TAPB) has shown promise in managing postoperative pain. In this study, we evaluated the analgesic efficacy of ultrasound-guided TAPB after hysterectomy at different time points and at each time point separately for 48 hours. Methods: Forty-two patients (ASA I, II) who were electively chosen to undergo total abdominal hysterectomy were divided into 2 groups, control (group C) and intervention (group I). Twenty-one patients underwent TAPB (group I) and 21 patients received only the standard treatment with a fentanyl pump (group C). Both groups received standard general anesthesia. For patients in group I, following the surgery and before emergence from anesthesia, 0.5 mg/kg of ropivacaine 0.2% (about 20 cc) was injected bilaterally between the internal oblique and transverse abdominis muscles using sonography. Pain scores using the Visual Analogue Scale (VAS) and drug consumption were measured at 2, 6, 12, 24, and 48 hours after TAPB. Results: There were no significant differences in demographics between the two groups. VAS scores appeared to be lower in group I, although there was no interaction with time when we compared mean VAS measurements at different time points between group I and group C (P > 0.05). The amount of fentanyl flow was consistently higher in group C, but when we compared the two groups at each time point separately, the observed difference was not statistically significant (P < 0.053). The incidence of vomiting was 10% in group I and 28% in group C. There were no complaints of itching, and sedation score was 0 to 3. There were no complications. Conclusions: This study showed that TAPB did not result in a statistically significant decrease in VAS scores at different time points. TAPB did lead to decreased fentanyl flow, but when we compared the two groups at each time point separately, the observed difference was not statistically significant.

Vertical alignment of liquid crystal on $a-SiO_x$film by using $Ar^+$ beam

  • Son, Phil-Kook;Park, Jeung-Hun;Cha, Sung-Su;Kim, Jae-Chang;Yoon, Tae-Hoon
    • 한국정보디스플레이학회:학술대회논문집
    • /
    • 2006.08a
    • /
    • pp.818-821
    • /
    • 2006
  • We demonstrate the vertical alignment of liquid crystal on $a-SiO_x$ film surface using the ion beam exposure. Liquid crystal can be aligned vertically by the rotational oblique evaporation of $a-SiO_x$ film. However, the electro-optic switching behavior of liquid crystal along random directions results in disclination lines. We found that we can achieve highly uniform alignment of liquid crystal without disclination lines by using the ion beam exposure. We found from XRD and XPS data that the vertical alignment can be achieved when x approaches 1.5 at the $a-SiO_x$ film surface. We have shown that the pretilt angle can be controlled by changing ion beam parameters, such as the ion beam energy, the angle of incidence, and the exposure time. We found that whether liquid crystals can be aligned vertically or homogeneously on $a-SiO_x$ film can be predicted simply by measuring the change in optical transmittance by deposition of $a-SiO_x$ thin film layers. We also have shown that a liquid crystal cell aligned vertically by the ion beam exposure exhibits the voltage-transmittance curve similar to that of a rubbed polyimide cell.

  • PDF

Preliminary report of March Fractures in Infantry Soldiers of Korea - About 15 (19cases) march fracture patients - (한국 보병에서 발생한 중족골 행군골절 양상의 예비적 보고)

  • Bae, Young-Jae;Yoon, Sung-Il
    • Journal of Korean Foot and Ankle Society
    • /
    • v.2 no.2
    • /
    • pp.57-63
    • /
    • 1998
  • Stress or march fractures among military personnel, especially recruits, has been appreciated for many years. According to the classical references, the second metatarsal was one of the first sites identified as a focus for march fractures and radiological evidence of fracture appeared as late as several weeks. The purpose of this study was to document the clinical feature of march fractures in Korean infantry soldiers. From 1997 to 1998, at one infantry medical company of OO infantry corps in Korea, 15 (19cases) patients with march fracture were detected among infantry soldiers. There were some different finding in the fracture site and its clinical features from the previous foreign reports. 1. There were pain and local swelling in all cases as clinical manifestation. By physical examination, direct point tenderness on the location of the fractured metatarsal shaft was characteristic. 2. On roentgenographic examination, cortical fissuring or break was seen one week after onset of symptoms and external callus was seen from two weeks or at the least four weeks. Oblique view was more useful than AP view in the diagnosis of march fractures. 3. The third metatarsal was the most frequently involved site(7 cases, 48%). and the second metatarsal was Jess frequent(3 cases, 20%). This difference of frequent site with previous reports might be attributed to the relatively long shaft of the third metatarsal, but should be analyzed in further study. 4. The incidence of the development of march fracture was 1 per 104 infantry soldiers.

  • PDF

Wave Deformation and Blocking Performance by a Porous Dual Semi-Cylindrical Structure (투과성 이중 반원통 구조물에 의한 파 차단성능)

  • Cho, Il-Hyoung
    • Journal of Korean Society of Coastal and Ocean Engineers
    • /
    • v.22 no.1
    • /
    • pp.10-17
    • /
    • 2010
  • The interaction of oblique incident waves with a porous dual semi-cylindrical structure is investigated under the assumption of linear potential theory. The porous dual semi-cylindrical structure consists of two concentric bottom-mounted cylindrical structures that are porous in front half and transparent in back half. By changing porosity, gap, and wave characteristics(wave frequencies, incidence angle), the wave blocking performance as well as the wave loads and the wave run-up are obtained. As a convenient measure of overall wave blocking performance, the root mean square(R.M.S.) of the wave elevation in a sheltered region is used. It is found that the porous semi-cylindrical structure may significantly reduce the wave response in a sheltered region and the wave forces decrease largely compared to the impermeable structure. The dual structure is more effective in reducing the wave response in a sheltered region than the mono type in the region of high frequencies.

Experimental Study of the Multi-Row Disk Inlet

  • Maru, Yusuke;Kobayashi, Hiroaki;Kojima, Takoyuki;Sato, Tetsuya;Tanatsugu, Nobuhiro
    • Proceedings of the Korean Society of Propulsion Engineers Conference
    • /
    • 2004.03a
    • /
    • pp.634-643
    • /
    • 2004
  • In this paper are presented a concept of a new supersonic air inlet, which is designated a Multi-Row Disk (MRD) inlet, aiming at performance improvement under off-design conditions, and results of wind tunnel tests examined performance characteristics of the MRD inlet. The MRD inlet is frequently called ‘a skeleton inlet’ because of its appearance. The performance of a conventional axisymmetric inlet with a solid center body (spike) deteriorates under off-design Mach number conditions. It is due to the fact that total pressure recovery (TPR) governed by the throat area of inlet and mass capture ratio (MCR) governed by an incidence position of an oblique shock from the spike tip into the cowl can not be controlled independently in such air inlet. The MRD inlet has the spike that is composed of a tip cone and several disks arranged downstream of it, based on the experimental fact that several deep cavities on a conical surface have little negative effect on the boundary layer growth. The overall spike length of the MRD inlet is adjustable to the given flight speed by changing space between disks so that a spillage flow can be controlled independently from controlling the throat area. It could be made clear from the result of wind tunnel tests that the MRD inlet improves TPR by 10% compared with a conventional inlet with a solid spike under off-design conditions.

  • PDF

Treatment Planning for Minimizing Carotid Artery Dose in the Radiotherapy of Early Glottic Cancer (조기 성문암의 방사선치료에서 경동맥을 보호하기 위한 치료 계획)

  • Ki, Yang-Kan;Kim, Won-Taek;Nam, Ji- Ho;Kim, Dong-Hyun;Lee, Ju-Hye;Park, Dal;Kim, Don-Won
    • Radiation Oncology Journal
    • /
    • v.29 no.2
    • /
    • pp.115-120
    • /
    • 2011
  • Purpose: To examine the feasibility of the treatment planning for minimizing carotid artery dose in the radiotherapy of early glottic cancer. Materials and Methods: From 2007 to 2010, computed tomography simulation images of 31 patients treated by radiotherapy for early glottic cancer were analyzed. The virtual planning was used to compare the parallel-opposing fields (POF) with the modified oblique fields (MOF) placed at angles to exclude the ipsilateral carotid arteries. Planning target volume (PTV), irradiated volume, carotid artery, and spinal cord were analyzed at a mean dose, $V_{35}$, $V_{40}$, $V_{50}$ and with a percent dose-volume. Results: The beam angles were arranged 25 degrees anteriorly in 23 patients and 30 degrees anteriorly in 8 dose-volume of carotid artery shows the significant difference (p<0.001). The mean doses of carotid artery were 38.5 Gy for POF and 26.3 Gy for MOF and the difference was statistically significant (p=0.012). Similarly, $V_{35}$, $V_{40}$, and $V_{50}$ also showed significant differences between POF and MOF. Conclusion: The modified oblique field was respected to prevent a carotid artery stenosis and reduce the incidence of a stroke based on these results.

Characteristic of Wave Diffraction and Reflection for Irregular Waves in SWASH Model Around Small Port Structures (소규모 항만 구조물 주변에서 불규칙파에 대한 SWASH 모형의 반사 및 회절)

  • Kwon, Kyong Hwan;Park, Chang Wook;Park, Il Heum;Kim, Jong Hoon
    • Journal of Korean Society of Coastal and Ocean Engineers
    • /
    • v.31 no.6
    • /
    • pp.468-477
    • /
    • 2019
  • The numerical model of Boussinesq approximation, which is mainly used for evaluating the port calmness due to the irregular waves, has a limit of applicability of lattice size in ports such as marinas with narrow port openings of around 30m. The SWASH model controls the partial reflection according to the depth, porosity coefficient and structure size when applying the reflected wave incident on the structure and terrain. In this study, the partial reflection evaluation at the front of the structure according to the bottom shape and the shape of the structure are examined. In order to evaluate the reproducibility of the model due to the diffraction waves entering the term, the area of incidence at right angles and inclination of the structure is constructed and compared with the diffraction theory suggested by Goda et al. (1978). The experimental results of the sectional structure reflectances calculated as the depth mean show reflectances similar to the approximate values of the reflectances presented by Stelling and Ahrens (1981). It is considered that the reflected wave is well reproduced according to the control of the reflected wave at the boundary and the shape and topography of the structure. Compared with previous studies to examine the diffraction of the wave incident from the breakwater opening, the wave incidence angle and the shape of the diffraction wave are very similar to the theoretical values, but both oblique and rectangular incidence In the case where the direction concentration is small, the diffraction degree is underestimated in some sections with the crest ratio of 0.5 to 0.6.

Radiation-induced Pulmonary Toxicity following Adjuvant Radiotherapy for Breast Cancer (유방암 환자에서 보조적 방사선치료 후의 폐 손상)

  • Moon, Sung-Ho;Kim, Tae-Jung;Eom, Keun-Young;Kim, Jee-Hyun;Kim, Sung-Won;Kim, Jae-Sung;Kim, In-Ah
    • Radiation Oncology Journal
    • /
    • v.25 no.2
    • /
    • pp.109-117
    • /
    • 2007
  • [ $\underline{Purpose}$ ]: To evaluate the incidences and potential predictive factors for symptomatic radiation pneumonitis (SRP) and radiographic pulmonary toxicity (RPT) following adjuvant radiotherapy (RT) for patients with breast cancer. A particular focus was made to correlate RPT with the dose volume histogram (DVH) parameters based on three-dimensional RT planning (3D-RTP) data. $\underline{Materials\;and\;Methods}$: From September 2003 through February 2006, 171 patients with breast cancer were treated with adjuvant RT following breast surgery. A radiation dose of 50.4 Gy was delivered with tangential photon fields on the whole breast or chest wall. A single anterior oblique photon field for supraclavicular (SCL) nodes was added if indicated. Serial follow-up chest radiographs were reviewed by a chest radiologist. Radiation Therapy Oncology Group (RTOG) toxicity criteria were used for grading SRP and a modified World Health Organization (WHO) grading system was used to evaluate RPT. The overall percentage of the ipsilateral lung volume that received ${\geq}15\;Gy\;(V_{15}),\;20\;Gy\;(V_{20})$, and $30\;Gy\;(V_{30})$ and the mean lung dose (MLD) were calculated. We divided the ipsilateral lung into two territories, and defined separate DVH parameters, i.e., $V_{15\;TNGT},\;V_{20\;TNGT},\;V_{30\;TNGT},\;MLD_{TNGT}$, and $V_{15\;SCL},\;V_{20\;SCL},\;V_{30SCL},\;MLD_{SCL}$ to assess the relationship between these parameters and RPT. $\underline{Results}$: Four patients (2.1%) developed SRP (three with grade 3 and one with grade 2, respectively). There was no significant association of SRP with clinical parameters such as, age, pre-existing lung disease, smoking, chemotherapy, hormonal therapy and regional RT. When 137 patients treated with 3D-RTP were evaluated, 13.9% developed RPT in the tangent (TNGT) territory and 49.2% of 59 patients with regional RT developed RPT in the SCL territory. Regional RT (p<0.001) and age (p=0.039) was significantly correlated with RPT. All DVH parameters except for $V_{15\;TNGT}$ showed a significant correlation with RPT (p<0.05). $MLD_{TNGT}$ was a better predictor for RPT for the TNGT territory than $V_{15\;SCL}$ for the SCL territory. $\underline{Conclusion}$: The incidence of SRP was acceptable with the RT technique that was used. Age and regional RT were significant factors to predict RPT. The DVH parameter was good predictor for RPT for the SCL territory while $MLD_{TNGT}$ was a better predictor for RPT for the TNGT territory.

Proposal of Sliding Stability Assessment Formulas for an Interlocking Caisson Breakwater under Wave Forces (파랑하중에 대한 인터로킹 케이슨 방파제의 미끌림 안정성 평가식 제안)

  • Park, Woo-Sun;Won, Deokhee;Seo, Jihye
    • Journal of Korean Society of Coastal and Ocean Engineers
    • /
    • v.29 no.2
    • /
    • pp.77-82
    • /
    • 2017
  • Recently, the possibility of abnormal waves of which height is greater than design wave height have been increased due to the climate change, and therefore it has been urgent to secure the stability for harbor structures. As a countermeasure for improving the stability of conventional caisson breakwaters, a method has been proposed in which adjacent caissons are interlocked with each other to consecutively resist the abnormal wave forces. In order to reflect this research trend, the reduction effect of the maximum wave force resulted from introducing a long caisson has been presented in the revision to the design criteria for ports and fishing harbors and commentary. However, no method has been proposed to evaluate the stability of interlocking caisson breakwater. In this study, we consider the effect of the phase difference of the oblique incidence of the wave based on the linear wave theory and apply the Goda pressure formula for considering design wave pressure distribution in the vertical direction. Sliding stability assessment formula of an interlocking caisson breakwater is proposed for regular, irregular, and multi-directional irregular wave conditions.

Studies on Curved Diffractive Optical Elements in EUV (극자외선 영역에서 곡면 DOEs에 관한 연구)

  • Choi, Sung-Eul;Lee, Yong-Woo;Kwon, Myung-Hoi;Kim, Yong-Hoo
    • Korean Journal of Optics and Photonics
    • /
    • v.16 no.4
    • /
    • pp.304-312
    • /
    • 2005
  • Field performance of several different types of diffractive optical elements(DOEs) has been carried out. Using Zemax model, we have designed five different types of DOEs, such as transmissive flat-DOE, transmissive curved-DOE, reflective flat-DOE, reflective curved-DOE and parabolic mirror, We have applied two different wavelengths, i.e., 13 m(EUV) and 632.8 nm(visible) to above DOEs. Off_axis dominate aberrations and the diffraction limiting (Rayleigh limit) field angles have been investigated and compared at both wavelengths for each DOE. At diffraction limit, field angle of curved-DOEs was much greater than that of flat-DOEs for both transmission and reflective types. We also showed that dominated off_axis aberration of flat-DOEs was coma, but that of curved-DOEs was mixture of astigmatism and curvature of field. The measured field angle and expected OPD aberrations were well coincided with theoretical ones. Increasing the ratio of field angle with wavelength was more effective in curved-DOEs than flat-DOEs.