• Title/Summary/Keyword: Combined procedures

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The Complex Surgical Management of the First Case of Severe Combined Immunodeficiency and Multiple Intestinal Atresias Surviving after the Fourth Year of Life

  • Guana, Riccardo;Garofano, Salvatore;Teruzzi, Elisabetta;Vinardi, Simona;Carbonaro, Giulia;Cerrina, Alessia;Morra, Isabella;Montin, Davide;Mussa, Alessandro;Schleef, Jurgen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.4
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    • pp.257-262
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    • 2014
  • Severe combined immunodeficiency (SCID) is a life-threatening syndrome of recurrent infections and gastro-intestinal alterations due to severe compromise of T cells and B cells. Clinically, most patients present symptoms before the age of 3 months and without intervention SCID usually results in severe infections and death by the age of 2 years. Its association with intestinal anomalies as multiple intestinal atresias (MIA) is rare and worsens the prognosis, resulting lethal. We describe the case of a four year-old boy with SCID-MIA. He presented at birth with meconium peritonitis, multiple ileal atresias and underwent several intestinal resections. A targeted Sanger sequencing revealed a homozygous 4-bp deletion ($c.313{\Delta}TATC$; p.Y105fs) in tetratricopeptide repeat domain 7A (TTC7A). He experienced surgical procedures including resection and stricturoplasty. Despite parenteral nutrition-associated liver disease, the patient is surviving at the time of writing the report. Precocious immune system assessment, scrutiny of TTC7A mutations and prompt surgical procedures are crucial in the management.

A Clinical Study of the Operative Treatment in Hallux Valgus (무지 외반증의 수술적 방법에 대한 임상적 고찰)

  • Park, I.H.;Lee, K.B.;Song, K.W.;Lee, J.Y.;Kim, I.J.
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.1
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    • pp.65-73
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    • 1997
  • Hallux valgus deformity has been slowly getting popular in Korea. Many surgical procedures are available for treating the hallux valgus, but it is still controversial for the best treatment. We operated 25 feet(15 patients) of hallux valgus between May. 88 and December. 94. The clinical results were as follow ; 1. Age distribution was 25 to 82, and all female. 10 patients have bilateral hallux valgus. 2. 19 feet were treated by soft tissue procedures only and 6 feet by combined soft tissue and bony procedures. 3. Bunion deformity was recurred in 2 feet (1 Patient) which were treated with modified McBride Method. 4. Lateral sesamoidectomies were performed in 7 feet without development of hallux varus. 5. The cosmetic and functional results were good in 6 cases treated by proximal metatarsal osteotomy. 6. 9 feet had other digits deformities, which need surgical correction. 7. Tightening repair of medial capsule seems to be important for prevention of recurrence of bunion.

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The implementation of spherical acoustical holography (구형좌표계에서 음향 홀로그래피의 적용)

  • Kim, Yong-Joe;Cho, Yong-Thung;Bolton, J.Stuart
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.410-415
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    • 2002
  • In this article, spatial filtering procedures with application to spherical acoustical holography are discussed. Planar and cylindrical holography are the most widely used amongst the various nearfield acoustical holography techniques. However, when the geometry of a source is similar to a sphere, spherical holography may yield better results than other types of holography since there are no errors due to truncation of the sound field in the spherical case. Spatial filtering affects the accuracy of spherical acoustical holography critically, especially in the case of backward projection. Thus spatial filtering is essential for successful application of spherical holography. In the present work, various filtering methods were evaluated in simulations made using sound pressure fields of various types and with different levels of random spatial noise. It was found that a procedure based on eliminating spherical harmonic coefficients that contribute insignificantly to the total sound power of the source gave the best results on average of the different procedures considered here. Spherical holography procedures were also verified experimentally. Reliable results were obtained using the power filtering algorithm. Thus it was concluded that spherical holography combined with power filtering may prove to be a useful tool for noise source identification.

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Totally Laparoscopic Total Gastrectomy Using Intracorporeally Hand-Sewn Esophagojejunostomy

  • So, Kwang-Oh;Park, Jong-Min
    • Journal of Gastric Cancer
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    • v.11 no.4
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    • pp.206-211
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    • 2011
  • Purpose: Laparoscopic total gastrectomy (LTG) for gastric cancer is still uncommon because of technical difficulties, especially in esophagojejunostomy (EJ). There are many reports for various laparoscopic procedures of EJ using linear or circular staplers. On the other hands, there has been no report for hand-sewn anastomosis. We report successfully performed intracorporeally hand-sewn EJ after LTG. Materials and Methods: The clinicopathologic data and short-term surgical outcomes of 6 patients who underwent totally laparoscopic total gastrectomy for upper gastric cancer from December 2010 and July 2011 were retrospectively reviewed. Results: The mean age was 66.5 years and mean body mass index (kg/$m^2$) was 24.6. All patients had medical comorbidities. The mean patient ASA score was 2.17. Among the 6 patients, previous abdominal operation was performed for 2 patients and combined operation was performed for 3 patients. The mean blood loss, operation time, and EJ anastomosis time was 130 ml, 379.7 minutes, and 81.5 minutes, respectively. The mean time to first flatus, first oral intake, and postoperative hospital stay was 3.0, 3.0, and 12.5 days, respectively. There was no 30-day mortality case. Postoperative aspiration pneumonia and multiple periventricular lacunar infarctions developed in 1 patient. There were no anastomosis-related complications and other major surgical complications. Conclusions: When the intracorporeal anastomotic technique becomes popular in LTG the intracorporeally hand-sewn EJ may be accepted as one method among the various laparoscopic procedures of EJ.

A Study on Radial Velocity Transformation and Uncertainty Propagation (시선속도 변환과 불확도 전파에 관한 연구)

  • Ryu, Chung-Ho;Hwang, Gyu-Hwan;Jang, Yong-Sik;Kim, Moon-Ki;Choi, Ik-Hwan
    • Journal of the Korea Institute of Military Science and Technology
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    • v.16 no.2
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    • pp.199-206
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    • 2013
  • In general, radial velocity of a target can be obtained by acquiring doppler frequency shift in case of a doppler radar, or can be obtained by acquiring range rate in case of a pulse radar. Then radial velocity can be converted to tangential velocity using aspect angle or position variation per unit time. These two ways have the same meaning in physically, but result in different uncertainty finally. In this paper, it is described not only the two transformation procedures to calculate tangential velocity from radar measurement data, but also the result of combined uncertainty comparison between these two procedures.

Suitable scanning procedures for various prosthodontic treatments and the utilization of intraoral scanner (임상가를 위한 특집 3 - 여러 보철 치료 술식에 따른 바른 스캐닝 과정과 구강스캐너의 활용)

  • Park, Ji-Manm;Park, Eun-Jin;Heo, Seong-Joo
    • The Journal of the Korean dental association
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    • v.52 no.6
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    • pp.354-362
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    • 2014
  • With the development of digital dentistry, various intra-oral scanners which acquire intraoral image without conventional impression taking and stone pouring steps have been introduced. Fixed dental prostheses such as inlay, onlay, crown, and bridge fabricated by CAD/CAM technique combined with digital impressions is getting popular due to the recent rapid progress of digital impression taking system. In comparison with traditional prosthetic procedure, the advantages of intraoral image acquiring and CAD/CAM technique are as follows; the omission of conventional impression materials, reduced workflow step, and increased efficiency by online communication with clinic and laboratory. This review article covers some opinions about the suitable scanning procedures for the various prosthodontic treatments and the utilization of digital intraoral scanner and CAD/CAM system.

Simple and Safe Tooth Bleaching (쉽고 안전한 치아미백술)

  • Kwon, So-Ran
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.64-74
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    • 1999
  • The use of fluoride and other preventive methods caused a dramatic decline in dental caries and the need for restorative dentistry. In our modern society that places a high value on appearance, emphasis is now shifting towards esthetic dentistry which has experienced a high popularity with the development of bonding techniques and materials including porcelain and composite. To satisfy patients wanting whiter teeth and a better looking smile, there are many treatment options ranging from full crown coverage to conservative procedures such as bleaching. Whether bleaching should be combined with other esthetic procedures or used alone depends on the type of discoloration and the patient's willingness to accept the various treatment options. Therefore, in order to obtain a successful esthetic outcome, careful diagnosis and treatment planning followed by consultation with the patient is of utmost importance.

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Development of a CAD program for optimal design of a cylinderical die with one stress-ring (단일보강링 원통형 금형의 최적 설계용 CAD 프로그램 개발)

  • 신중호;손주리;류갑상
    • 제어로봇시스템학회:학술대회논문집
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    • 1988.10a
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    • pp.556-561
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    • 1988
  • Shrink-rings (Stress-rings) are used in the fabrication of dies for cold forming and powder compaction processes to increase the allowable pressures for a given die material. Optimum procedures are to minimize a die thickness under the conditions that the stress distributions in the die and stress-rings utilize fully the strength available in each of the die elements. This paper proposes a new approach, where the maximum allowable shrinking pressures are calculated on shrinkage plans in the radial direction and the fractional shrinking pressures below the maximum allowable pressures are used as the design values. Two criteria for the optimal die design are used: Maximum shear stress limit for one-piece dies and zero tensile stress limit for combined dies. A computer program, DIECOM, is developed for illustrating the computer-aided design procedures. Finally, examples for each case are presented in this paper.

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Large-Sample Comparisons of Statistical Calibration Procedures When the Standard Measurement is Also Subject to Error: The Replicated Case

  • Lee, Seung-Hoon;Yum, Bong-Jin
    • Journal of the Korean Statistical Society
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    • v.17 no.1
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    • pp.9-23
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    • 1988
  • The classicla theory of statistical calibration assumes that the standard measurement is exact. From a realistic point of view, however, this assumption needs to be relaxed so that more meaningful calibration procedures may be developed. This paper presents a model which explicitly considers errors in both standard and nonstandard measurements. Under the assumption that replicated observations are available in the calibration experiment, three estimation techniques (ordinary least squares, grouping least squares, and maximum likelihood estimation) combined with two prediction methods (direct and inverse prediction) are compared in terms of the asymptotic mean square error of prediction.

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A comparative study of different radiometric methodologies for the determination of 226Ra in water

  • Al-Hamarneh, Ibrahim F.;Almasoud, Fahad I.
    • Nuclear Engineering and Technology
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    • v.50 no.1
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    • pp.159-164
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    • 2018
  • An evaluation of various radiometric methods to analyze $^{226}Ra$ in water has been employed on a set of 10 standard solutions of different concentrations in the range of $1-10Bq/L^{-1}$. The analysis was carried out using well-established procedures by means of gamma-ray, alpha-particle and liquid scintillation spectrometry. The feasibility of the various methods has been quantified in terms of relative standard error and percentage error. Correlations between the various methods have been presented and discussed. In general, good agreement was found in the results of various methodologies, which assures the accuracy of the methods and allows for the validation of instrumentation and procedures. Of the different methods adopted here, a combined procedure for the determination of $^{226}Ra$ along with $^{228}Ra$ using Quantulus 1220 ultra-low level background liquid scintillation counting gave the most accurate results.