• Title/Summary/Keyword: Compression treatment

검색결과 719건 처리시간 0.028초

하치조신경관으로 과충전된 근관치료 충전재에 의한 감각이상의 외과적 처치 (Surgical treatment for dysesthesia after overfilling of endodontic material into the mandibular canal)

  • 송재민;김용덕;이재열
    • 대한치과의사협회지
    • /
    • 제54권11호
    • /
    • pp.874-879
    • /
    • 2016
  • Damage to the inferior alveolar nerve(IAN) is a relatively infrequent complication in endodontic treatment. However, endodontic overfilling involving the mandibular canal may cause an injury of the inferior alveolar nerve resulting in sensory disturbances such as pain, dysesthesia, paresthesia or anesthesia. Two mechanism(chemical neurotoxicity and mechanical compression) are responsible for the IAN injury. When absorbent materials overfilled, it can be treated as a non-surgical procedure. But early surgical intervention required when mechanical, chemical nerve damage expected. We report surgical removal of overfilled gutta-percha and IAN decompression through sagittal split osteotomy in case of dysesthesia after overfilling of endodontic material into the mandibular canal. Dysesthesia recovered 3 months after surgical treatment.

  • PDF

Medical Treatment of Breast Cancer Bone Metastasis: From Bisphosphonates to Targeted Drugs

  • Erdogan, Bulent;Cicin, Irfan
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권4호
    • /
    • pp.1503-1510
    • /
    • 2014
  • Breast cancer bone metastasis causing severe morbidity is commonly encountered in daily clinical practice. It causes pain, pathologic fractures, spinal cord and other nerve compression syndromes and life threatening hypercalcemia. Breast cancer metastasizes to bone through complicated steps in which numerous molecules play roles. Metastatic cells disrupt normal bone turnover and create a vicious cycle to which treatment efforts should be directed. Bisphosphonates have been used safely for more than two decades. As a group they delay time to first skeletal related event and reduce pain, but do not prevent development of bone metastasis in patients with no bone metastasis, and also do not prolong survival. The receptor activator for nuclear factor ${\kappa}B$ ligand inhibitor denosumab delays time to first skeletal related event and reduces the skeletal morbidity rate. Radionuclides are another treatment option for bone pain. New targeted therapies and radionuclides are still under investigation. In this review we will focus on mechanisms of bone metastasis and its medical treatment in breast cancer patients.

Treatment of Mandibular Angle Fractures

  • Lee, Jung-Ho
    • 대한두개안면성형외과학회지
    • /
    • 제18권2호
    • /
    • pp.73-75
    • /
    • 2017
  • The management of mandibular angle fractures is often challenging and results in the highest complication rate among fractures of the mandible. In addition, the optimal treatment modality for angle fractures remains controversial. Traditional treatment protocols for angle fractures have involved rigid fixation with intraoperative maxillomandibular fixation (MMF) to ensure absolute stability. However, more recently, non-compression miniplates have gained in popularity and the use of absolute intraoperative MMF as an adjunct to internal fixation has become controversial. In this article, the history of, and current trends in, the treatment of mandibular angle fractures will be briefly reviewed. In addition, issues regarding the management of the third molar tooth will be discussed.

마하피닝 처리에 의한 기계구조용 합금강의 피로균열전파 지연효과 (Effect of mach peening treatment on fatigue crack growth retardation in structural steel alloy)

  • 김민건;임복규;박홍기;황중각
    • 산업기술연구
    • /
    • 제26권A호
    • /
    • pp.69-73
    • /
    • 2006
  • Mach peening treatment is one of the various kinds of techniques to improve the fatigue properties. The mach peening process gives high-level work hardening and compressive residual stress near the surface layer, improving the fatigue strength. In addition, this treatment reduces slip bands that initiate the fatigue cracks near the surface. During impingement, a plastic indentation surrounded by a plastic zone is formed. Mach peening treatment characteristic is less energy consumption and is an environmental friendly processing methods that is not accompanied by pollution. It is machining process that can prevent fatigue fracture beforehand in structure using already as well as process of production. The test results showed that fatigue crack propagation delay appeared by drilling type 43%, mach peening type 110%.

  • PDF

표면처리방법에 따른 초고성능 콘크리트의 전단부착성능 평가 연구 (An Assessment of Bonding Shear Performance of Ultra-high-performance Concrete Regarding Interface Treatment)

  • 장현오;박진호;이한승
    • 한국건축시공학회:학술대회논문집
    • /
    • 한국건축시공학회 2016년도 추계 학술논문 발표대회
    • /
    • pp.81-82
    • /
    • 2016
  • The present study aims to derive optimal interface treatment conditions for emulating a monolithic construction. The joints in this construction are formed through the bonding shear evaluation method during the placement of ultra-high-performance concrete (UHPC) and normal strength concrete (NSC). The evaluation items include push-off tests for homogeneous UHPC + UHPC and heterogeneous NSC + UHPC. The experimental samples comprised a monolithic placement as the baseline, two levels for the separated placement according to the compression strength of concrete, and five levels for the interface treatment. The increase in the number of grooves and their cross-sectional areas only slightly influenced the bonding shear performance. The optimal interface treatment method for the homogeneous UHPC + UHPC construction grooves was at least 30mm. The heterogeneous NSC + UHPC construction should utilize waterjet roughening to expose the aggregate for the increased roughness.

  • PDF

알루미늄소재의 만용융성형 공정에서 구상화의 크기가 기계적 성질에 미치는 영향 (The Effect of Globule size on the Mechanical Properties in Semi-Solid Forming of Aluminium Alloys)

  • 박상문;강충길
    • 한국소성가공학회:학술대회논문집
    • /
    • 한국소성가공학회 2002년도 춘계학술대회 논문집
    • /
    • pp.21-24
    • /
    • 2002
  • One of the factors influences on microstructure of semi-solid product is forging pressure. Generally, the more forging pressure makes the more fine microstructure in semi-solid compression test. The microstructure and mechanical properties were investigated according to the forging pressure. The applied pressure is 110MPa, 140MPa and 170MPa, respectively. Heat treatment conditions also influence to the microstructure and mechanical properties of semi-solid product. T6 heat treatment was performed and the evaluation of microstructure and mechanical properties was investigated according to the aging time in T6 heat treatment.

  • PDF

냉간단조용 금형 수명에 미치는 공정 변수의 영향 (Process variables and die life for cold forging)

  • 이영선;최석탁;권용남;임영목;이정환
    • 한국소성가공학회:학술대회논문집
    • /
    • 한국소성가공학회 2005년도 춘계학술대회 논문집
    • /
    • pp.215-218
    • /
    • 2005
  • For the production of cold forged parts with near-net-shape attributes, the quality of the tool system is responsible for an essential portion of costs fer the finished components. Therefore, a tool lift is one of the important issues on cold forging industry. There are many complicated variables related with tool life, such as material, heat-treatment, coating, lubricant, process design. In this study, heat-treatment of tool material and lubricant are investigated to improve the tool life. Deep cryogenic treatment of tool steel is very efficient to improve the wear resistance due to the fine carbide. And, friction factor of lubricants for cold forging are measured by the ring compression test. Zinc-Phosphate and $MoS_2$ lubricant is effective to sustain the friction factor under 0.1.

  • PDF

흉복부 방사선 치료 시 압력 기반 복부압박장치 적용에 따른 치료 간 재현성 평가 (Reproducibility evaluation of the use of pressure conserving abdominal compressor in lung and liver volumetric modulated arc therapy)

  • 박가연;김주호;신현경;김민수
    • 대한방사선치료학회지
    • /
    • 제33권
    • /
    • pp.71-78
    • /
    • 2021
  • 목 적: 폐암과 간암 환자에 대해 압력 기반 복부압박장치를 적용하여 입체적 세기변조 회전 방사선치료(VMAT)를 시행하였을 때의 치료 간(interfraction) 위치 재현성과 호흡 재현성을 평가함으로써 그 유용성을 평가하고자 한다. 대상 및 방법: 압력 기반 복부압박장치를 사용해 입체적 세기변조 회전 방사선치료를 받은 6명의 폐암 환자와 3명의 간암 환자를 대상으로 하였다. 치료 간 위치 재현성 평가를 위해 모의치료 CT 영상과 매일 획득한 CBCT 영상 174건을 비교하여 이미지 정합의 이동 값을 비교, 분석하였다. 치료 간 호흡 재현성 평가를 위해 모의치료 4DCT 영상과 매주 획득한 4D CBCT 영상 54건을 비교하여 호흡량 오차를 구하였다. 결 과: 수평수직 세 방향의 3D 벡터값인 전체 위치변화(Overall position variation, Overall VP)값은 폐와 간에서 각각 평균 1.1 ± 1.4 mm, 4.5 ± 2.8 mm로 나타났다. 호흡 변화(respiratory variation, Vr)값은 폐에서 평균 0.7 mm ± 3.4 mm (p=0.195), 간에서 평균 3.6 mm ± 2.6 mm (p<0.05)로 나타났다. 결 론: 흉복부 방사선 치료 시 압력 기반 복부압박장치의 적용은 복부 압박 재현을 통해 치료 간 종양의 호흡 변이뿐만 아니라 위치 변이를 안정적으로 조절하는 데에 유용한 것으로 사료된다. 보다 안정적인 재현성을 위해 치료 계획 시 적절한 PTV 여유가 고려되어야 하고, 매 치료 전 영상 유도에 따른 표적의 위치와 호흡 검증이 필요하다.

무릎관절의 통증에 관한 연구 (Studies on the Knee Joint Pain)

  • 최중립;이희전;조욱연;한상연
    • The Korean Journal of Pain
    • /
    • 제5권2호
    • /
    • pp.249-257
    • /
    • 1992
  • It is general knowledge that knee joint pain can be attributed to trauma and degenerative change around the knee joint. However most patients who have suffered from pain or limited range of motion of the knee joint show no definite pathology on X-ray or laboratory examination. We examined 242 patients with knee joint pain and found compression or entrapment of the articular nerve fiber by the tissue around the knee joint resulted in pain in almost all cases. Conclusion: by relieving the compression of the articular nerve fiber with just physical therapy and LASER stimulation on the identified trigger points, in conjunction with NSAIDs, muscle relaxants, were found to be very effective in the treatment of knee joint pain.

  • PDF

요통 치료 도중 발견된 경막외강 녹색종을 동반한 백혈병 환자 경험 -증례 보고- (Clinical Experience of Leukemia with Extradural Chloroma during Treatment of Lower Back Pain -A case report-)

  • 임경준;오경희;문현석
    • The Korean Journal of Pain
    • /
    • 제13권1호
    • /
    • pp.119-122
    • /
    • 2000
  • Granulocytic sarcoma (chloroma) is a rare, solid tumor of myelogenous stem cells, shows usually in patients with acute myelogenous leukemia and less commonly in patients with chronic myelogenous leukemia or myeloproliferative disorders. We report here a patient presenting acute paraparesis due to spinal epidural granulocytic sarcoma causing spinal cord compression in acute myelogenous leukemia with a brief review of literature.

  • PDF