• Title/Summary/Keyword: Closure

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A New Technique of Sternal Closure with Plastic Plates (Plastic plates 를 이용한 흉골 봉합술 - 치험 1례 -)

  • 박철현
    • Journal of Chest Surgery
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    • v.23 no.4
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    • pp.820-824
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    • 1990
  • A very early and effective technique of sternal closure by plastic plates was successfully applied to a 7-months-old infant of tetralogy of Fallot in whom the standard closure of sternum was not possible due to massive generalized edema after cardiopulmonary bypass for total correction. This technique provides not only solid but also permanent closure of the sternum so that any early reoperation for closure of sternum and its accompanying risk of infection in many other known methods can be avoided.

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A Case Report of Acute Angle Closure Glaucoma Patient Treated with Go-bang (고방(古方)을 통한 급성 폐쇄성 녹내장의 한방치험 1례)

  • Han gioen;Kang Eunjeong
    • The Journal of Korean Medicine
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    • v.44 no.2
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    • pp.170-180
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    • 2023
  • Objectives: This is a case report on the treatment of one patient with acute angle-closure glaucoma using traditional Korean medicine. Methode: We assessed the progression of acute angle-closure glaucoma by analyzing Optical Coherence Tomography(OCT) results. Results: Acute angle closure glaucoma did not progress to OCT after treatment. Conculsion: We obtained results from OCT examinations indicating that the progression of acute angle-closure glaucoma had ceased after Korean herbal medicine treatment.

Delayed Sternal Closure After Heart Surgery in Neonate (신생아 개심술후 지연 흉골봉합)

  • 성시찬
    • Journal of Chest Surgery
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    • v.28 no.11
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    • pp.977-982
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    • 1995
  • Early repair of complex congenital heart malformation may lead to life-threatening respiratory and hemodynamic embarrassment on sternal closure. We performed delayed sternal closure in nine neonates to avoid a fatal outcome in these situations. Primary elective open sternum was used in 8 [66.7% and primary sternal closure in 4 [33.3% of the 12 patients studied. one patient with primary sternal closure underwent delayed sternal reopening in the intensive care unit. Of the 9 patients with open sternum, 2 patients died of low cardiac output and acute renal failure respectively before delayed sternal closure. 7 patients could undergo delayed sternal closures 3 days after initial operation. The mean age at open cardiac procedure was 14.3 days [range 3 to 30 and mean preoperative weight was 3.4kg [range 2.8 to 4.1 . The aortic cross-clamping time was longer in the group with open sternum than the group with closed sternum [p=0.042 . There was no morbidity and mortality related to delayed sternal closure. Given the low morbidity and potential benifits, this technique should be used in neonates after open heart procedures when postoperative mediastinal compression produces frank low cardiac output or respiratoy compromise during a trial of sternal closure.

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Discriminant Prediction Function and Its Affecting Factors of Private Hospital Closure by Using Multivariate Discriminant Analysis and Logistic Regression Models (다변량 판별분석과 로지스틱 회귀모형을 이용한 민간병원의 도산예측 함수와 영향요인)

  • Jung, Yong-Mo;Lee, Yong-Chul
    • Health Policy and Management
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    • v.20 no.3
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    • pp.123-137
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    • 2010
  • The main purpose of this article is for deriving functions related to the prediction of the closure of the hospitals, and finding out how the discriminant functions affect the closure of the hospitals. Empirical data were collected from 3 years financial statements of 41 private hospitals closed down from 2000 till 2006 and 62 private hospitals in business till now. As a result, the functions related to the prediction of the closure of the private hospital are 4 indices: Return on Assets, Operating Margin, Normal Profit Total Assets, Interest expenses to Total borrowings and bonds payable. From these discriminant functions predicting the closure, I found that the profitability indices - Return on Assets, Operating Margin, Normal Profit Total Assets - are the significant affecting factors. The discriminant functions predicting the closure of the group of the hospitals, 3 years before the closure were Normal Profit to Gross Revenues, Total borrowings and bonds payable to total assets, Total Assets Turnover, Total borrowings and bonds payable to Revenues, Interest expenses to Total borrowings and bonds payable and among them Normal Profit to Gross Revenues, Total borrowings and bonds payable to total assets, Total Assets Turnover, Total borrowings and bonds payable to Revenues are the significant affecting factors. However 2 years before the closure, the discriminant functions predicting the closure of the hospital were Interest expenses to Total borrowings and bonds payable and it was the significant affecting factor. And, one year before the closure, the discriminant functions predicting the closure were Total Assets Turnover, Fixed Assets Turnover, Growth Rate of Total Assets, Growth Rate of Revenues, Interest expenses to Revenues, Interest expenses to Total borrowings and bonds payable. Among them, Total Assets Turnover, Growth Rate of Revenues, Interest expenses to Revenues were the significant affecting factors.

A STUDY ON THE DEGREE OF OCCLUSAL CONTACT UNDER THE FIXEDIMPLANT PROSTHESIS OF PARTIALLY DENTULOUS PATIENTS (부분 무치악 고정성 임플랜트 보철하에서 교합접촉정도에 관한 연구)

  • Song, Keum-Young;Kay, Kee-Sung;Cjung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.2
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    • pp.281-299
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    • 1995
  • The purpose of this study was to evaluate the degree of occlusal contact under the fixed implant prosthesis of partially edentulous patients which was hased on occlusal concept of implant prosthesis. From the patients who have free-standing implant supported prosthesis of unilateral partially edentulous area, occlusal and occlusal contact point of th enatural tooth side and implant side of light closure and heavy closure were analyzed by T-scan system throuht pre-and post-adjustment and the degree of occlusal contact was estimated by Shimstock. The following results were obtained : 1. The occlusal force of natural tooth side(NF) from mid-sagittal axis was relatively constant at light and heavy closure through pre-and post-adjustment, but the occlusal force of implant side(IF) was decreased significantly at light closure(P<0.01) and heavy closure(P<0.05) of post-adjustment. 2. Natural tooth side-implant side moment(MIMoment) fo occlusal force from mid-sagittal axis was significant(p<0.05) through pre-and post-adjustment and the deviation from mid-sagittal axis was increased at light closure of post-adjustment, but was decreased at heavy closure of post-adjustment. 3. Comparing the NF and IF, IF was greater at heavy closure of pre-adjustment, and NF was greater at light closure of post-adjustment, and the NF and IF was relatively equally distributed at light closure of pre-adjustment and at heavy closure of post-adjustment. 4. The number of occlusal contact point of natural tooth side(NC) was relatively constant through pre-and post-adjustment, but the number of occlusal contact point of implant side(IC) was significantly decreased(P<0.05) at light closure of post-adjustment, and was not significant but was lesser at heavy closure of post-adjustment. 5. Difference of the NC and IC was greater at light closure of post-adjustment, but it was less at heavy closure of post-adjustment, and therefore occlusal contact point of natural tooth side and implant side was relatively equally distributed at heavy closure of postadjustment. 6. When bilaterally distribution of occlusal force and occlusal contact point was established, degree of occlusal contact of implant suporoted prosthesis with opoosing teeth at light clousre was $34.13{\pm}21.69{\mu}m$.

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Nonlinear Responses of a Hinged-Clamped Beam under Random Excitation (불규칙 가진되는 회전-고정보의 비선형응답특성)

  • 조덕상;김영종
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.13 no.4
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    • pp.427-436
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    • 2000
  • This study presents the nonlinear responses of a hinged-clamped beam under broadband random excitation. By using Galerkin's method the governing equation is reduced to a system or nonautonomous nonlinear ordinary differential equations. The Fokker-Planck equation is used to generate a general first-order differential equation in the joint moments of response coordinates. Gaussian and non-Gaussian closure schemes are used to close the infinite coupled moment equations. The closed equations are then solved for response statistics in terms of system and excitation parameters. The case of two mode interaction is considered in order to compare it with the case of three mode interaction. Monte Carlo simulation is used for numerical verification.

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Assessment for Propagation Behavior and Fracture Surface of Mixed-mode Fatigue Crack by Fracture Surface-Roughness Induced Crack Closure (파면거칠기 유도 균열닫힘에 의한 혼합모드 피로균열의 전파거동 및 파면에 대한 평가)

  • Seo, Ki-Jeong;Lee, Jeong-Moo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.31 no.4
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    • pp.432-440
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    • 2007
  • In this study, we have investigated the closure behavior of fatigue cracks in SAPH440 steel plates under a mixed-mode I+II loading. A crack image capturing system as a direct measuring method was used to measure the closure levels at a crack tip. The crack closure levels in the fluctuation and stable sections were increased with the increase of the mode mixture ratio. The mode mixture ratio independent fatigue crack propagation rates equation was calculated by considering mixed-mode crack closure levels. The equation was examined according to the application method of crack opening ratio. The fracture surface analysis by C-scan method was also performed in order to investigate the closure mechanism and propagation mode of crack under the mixed-mode I+II loading. The crack closure under the mixed mode I+II is confirmed as a surface roughness closure by the quantitative analysis of fracture surface using the proposed surface roughness parameter.

The Correlation between Fatigue Fracture Crack Surface Friction and Crack Closure Effect in Crack Growth under Mixed-mode loading (혼합모드 하중 하에서의 균열성장 중 피로파단면 마찰과 균열닫힘효과의 상호관계)

  • Seo, Ki-Jeong;Song, Sam-Hong;Lee, Jeong-Moo
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.214-219
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    • 2004
  • Crack tip behavior of single mode loading condition(mode I)depend on tensile loading component but one of mixed mode loading condition(mode I+II) have influenced on shear loading component like the practical structure. Because crack closure is caused by shear loading component under mixed-mode loading a research on the behavior in the stage of crack initiation and propagation require to be evaluate about crack closure effect by fatigue crack surface friction. For that reasion we examined the behavior at the crack tip by direct measuring method. Measured behavior at the crack tip was analyzed through vector crack tip displacement. As a result, crack propafation equation was corrected by considering with crack closure effect. In addition we compared fatigue fracture crack surface and crack closure level.

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Delta Closure and Delta Interior in Intuitionistic Fuzzy Topological Spaces

  • Eom, Yeon Seok;Lee, Seok Jong
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.12 no.4
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    • pp.290-295
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    • 2012
  • Due to importance of the concepts of ${\theta}$-closure and ${\delta}$-closure, it is natural to try for their extensions to fuzzy topological spaces. So, Ganguly and Saha introduced and investigated the concept of fuzzy ${\delta}$-closure by using the concept of quasi-coincidence in fuzzy topological spaces. In this paper, we will introduce the concept of ${\delta}$-closure in intuitionistic fuzzy topological spaces, which is a generalization of the ${\delta}$-closure by Ganguly and Saha.

Diagnostic Radiography of Premature Closure of Distal Growth Plate of Ulna in a Dog (개에서 척골의 원위 성장판 조기 폐쇄증에 대한 방사선학적 평가)

  • 송경진;이희천;이기창;권정국;최민철
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.403-405
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    • 2003
  • A 11 month-old Shihtzu was referred to the Veterinary Medical Teaching Hospital, Seoul National University. Clinical signs of this patient were lameness, shortening limb, angular deformity, rotation of foot, subluxaion of elbow joint and restricted range of movement of left forelimb. For the evaluation of the abnormalities of left forelimb, radiographic examination was carried out. Radiographic findings were characteristics of premature closure of distal ulna such as closure of distal ulna growth plate and cranial bowing of radius. With radiographic signs and physical examination, it was diagnosed as premature closure of growth plate of the left forelimb. After osteotomy of the radius and ostectomy of the ulna, radiographic evaluation of limb about angulation of elbow joint was performed every 2-3 weeks for 3 months. In case of premature closure of distal growth plate of ulna, radiography was very useful for diagnositic method of premature closure of distal ulna and monitoring of healing process.