• Title/Summary/Keyword: Conservative approach

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CLINICO-STATISTICAL ANALYSIS OF POSSIBLE FACTORS LEADING TO PROBLEMS IN THE SURGICAL TREATMENT OF UNILATERAL MANDIBLAR CONDYLE FRACTURES (편측 하악 과두골절의 관혈적 치료에 있어서 예후에 영향을 줄 수 있는 인자들에 관한 임상 통계학적 연구)

  • Sung, Hun-Mo;Lee, Dong-Keun;Min, Seung-Ki;Oh, Seung-Hwan;Jang, Kwan-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.31-39
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    • 2001
  • The purpose of this study is to reveal the factors leading to the problem of unilateral condylar fractures and suggest a treatment guideline of treatment for good prognosis in surgical treatment. The factors can be age, sex, fracture site, degree of displacement, posterior occlusion loss, post-operative alteration of condylar head position, post-operative condylar head resorption, and maxillomandibular fixation period. One hundred and eleven patients with unilateral condylar fractures, who were treated by surgical method from 1990 Feb. to 2000 Feb., were studied. Minimum follow-up period was 6 months. The results were as follows ; 1. In the age group of $41{\sim}60$, females had significantly higher complication rate than males, therefore we must be careful about treatment of female in this age group 2. In level I fractures of the mandibular condyle, because there were abundant complications when the patients were treated with fragment removal, conservative treatment is recommended over the surgical approach. 3. There were no differences in the complication rate, in the level II, III fractures. but were severe complications in the cases of patients treated by Dr.Nam's method or fragment removal. Therefore, open reduction and internal fixation is recommended over Dr.Nam's method or fragment removal. 4. In level IV fractures, open reduction and internal fixation is recommended 5. Although there was a higher complication rate depending on the degree of deviation, there was no correlation between the degree of deviation and development of complications in each level of fracture 6. Because the complication rate was higher in cases of condylar resorption, vertical dimension loss, and alteration of condylar head position, we must make an effort to prevent such complications during treatment

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CONSERVATIVE APPROACH ON THE SEVERELY DISPLACED ROOT FRACTURE OF PRIMARY INCISORS : CASE REPORT (심하게 변위된 유전치 치근파절의 보존적 접근)

  • Kim, Jee-Young;Lee, Kwang-Hee;Kim, Dae-Eop;Ra, Ji-Young;Lee, Dong-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.571-577
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    • 2008
  • Root fracture of primary teeth is relatively uncommon because the more pliable alveolar bone allows displacement of the tooth. Root fracture of primary teeth is occupied $2{\sim}7%$ in trauma pattern of primary teeth. A horizontal root fracture is classified based on the location of the fracture in relation to the root tip : the apical third, middle third, or cervical third of the root. The prognosis worsens the further cervically the fracture has occurrer. Root fracture of primary teeth should be treated by splinting the incisor to the adjacent normal teeth with a resin-wire splint for $8{\sim}12$ weeks. However, if a portion of the root is abscessed or extremely mobile, it can be extracted, and the remaining root fragment will resorb normally. For coronal third fracture in primary teeth, the coronal third is extracted, leaving the apical portion of the root to resorb normally. These root fracture cases of primary teeth were treated by resin-wire splinting despite extremely mobile coronal fragment. Even though they seems like healing well, They need to be monitored regularly until their successors erupt.

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A Nuclide Transfer Model for Barriers of the Seabed Repository Using Response Function (응답함수를 이용한 해저처분장의 방벽에 대한 핵종전달 모델)

  • Lee, Youn-Myoung;Kang, Chul-Hyung;Hahn, Pil-Soo
    • Nuclear Engineering and Technology
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    • v.28 no.2
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    • pp.175-184
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    • 1996
  • A nuclide transfer by utilizing mass transfer coefficient and barrier response function defined for each barrier is proposed, by which the final nuclide transfer rate into the sea water can be evaluated. When simple and immediate quantification of the nuclide release is necessary in the conservative aspect, using this kind of approach may be advantageous since each layered barrier can be treated separately from other media in series in the repository system, making it possible to apply separate solutions in succession to other various media. Although one disadvantage is that while flux continuity can be maintained at the interface by using the exit nuclide flux from the first medium as the source flux for the next one, there may be no guarantee for concentration continuity, this problem could be eliminated assuming that there is no boundary resistance to mass transfer across the interface. Mass transfer coefficient can be determined by the assumption that the nuclide concentration gradient at the interface between adjacent barriers remains constant and barrier response function is obtained from an analytical expression for nuclide flow rate out of each barrier in response to a unit impulse into the barrier multiplied by mass transfer coefficient. Total time-dependent nuclide transfer rate from the barrier can then be obtained by convoluting the response function for the barrier with a previously calculated set of time-varying input of nuclide flow rate for the previous barrier.

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Clinical Experience of the Klippel-Trenaunay Syndrome

  • Sung, Hyung Min;Chung, Ho Yun;Lee, Seok Jong;Lee, Jong Min;Huh, Seung;Lee, Jeong Woo;Choi, Kang Young;Yang, Jung Dug;Cho, Byung Chae
    • Archives of Plastic Surgery
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    • v.42 no.5
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    • pp.552-558
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    • 2015
  • Background The Klippel-Trenaunay syndrome (KTS) is characterized by three clinical features, namely cutaneous capillary malformations, venous malformations, and soft tissue and/or bony hypertrophy of the extremities. The varied manifestations are attributed to the unpredictable clinical nature and prognosis of the syndrome. To elucidate the clinical characteristics of this disease, we reviewed a relatively large number of KTS patients who presented to our vascular anomalies center. Methods We conducted a retrospective study with 19 patients who were diagnosed with KTS and treated in our vascular anomalies clinic between 2003 and 2014, and examined their demographic characteristics, their clinical features, and the treatments administered. Results The sex distribution was balanced, with 9 (47%) males and 10 (53%) females. The mean follow-up period was 4.1 years (range, 7 months-9 years). Most of the patients received conservative treatments such as medication or physiotherapy. Compression therapies such as wearing of elastic garments/bandages were also administered, and surgical interventions were considered only when the patients became excessively symptomatic. Other treatments included laser therapy and sclerotherapy, and all the treatments were adjusted according to each case, tailored to the conditions of the individual patients. Conclusions KTS is an extremely rare, multifactorial disorder that induces widely varied symptoms. Because of this unique feature, plastic surgeons, when not careful, tend to attach a one-sided importance to typical symptoms such as limb hypertrophy or capillary malformation and thus overlook other symptoms and clinical features. KTS can be suspected in all infants who show capillary malformations or limb hypertrophy and require a multi-disciplinary approach for comprehensive management.

Estimated Additional Number of Workers and Additional Collective Dose by Reducing Dose Limits (선량한도 하향이 방사선작업인력 및 집단선량에 미치는 영향예측)

  • Ha, Chung-Woo;Na, Seong-Ho
    • Journal of Radiation Protection and Research
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    • v.23 no.3
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    • pp.149-157
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    • 1998
  • An analysis has been performed to estimate the additional number of workers and the additional collective dose in man-cSv which would be required, nuclear industry-wide as a result of reducing individual dose limit. This analysis can be extended to the reduction in the dose limits recommended by ICRP Publ.60 and BEIR V report as well as the proposed dose limits by regulatory authorities. An industry-wide database was employed in the analysis based on a summary of industry-wide occupational radiation exposure compiled by the Korea Radioisotope Association. Correlation model was employed to compute the affects of setting specific annual individual dose limits. In this study, we have addressed worker non-productivity while in the radiation environment on a parametric or 'sensitivity analysis' basis. This alleviates the need for developing such data underlying a summation of many individual tasks at many nuclear facilities. It has the advantage that very low non-productivity assumptions can readily be defended as conservative, in that it is difficult to approach such low worker non-productivity factors even in the best of environments in any industry. On a per facility basis, for calendar year 1997, the number of workers required would be increased from 231 workers to 269 workers and collective man-cSv dose would be also increased by approximately fourteen percent if the individual dose limit was reduced to 2 cSv/y and an individual worker non-productivity fraction of 0.1 is assumed.

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The Role of Bone Cement Augmentation in the Treatment of Chronic Symptomatic Osteoporotic Compression Fracture

  • Kim, Hyeun-Sung;Kim, Sung-Hoon;Ju, Chang-Il;Kim, Seok-Won;Lee, Sung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.490-495
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    • 2010
  • Objective : Bone cement augmentation procedures such as percutaneous vertebroplasty and balloon kyphoplasty have been shown to be effective treatment for acute or subacute osteoporotic vertebral compression fractures. The purpose of this study was to determine the efficacy of bone cement augmentation procedures for long standing osteoporotic vertebral compression fracture with late vertebral collapse and persistent back pain. Methods : Among 278 single level osteoporotic vertebral compression fractures that were treated by vertebral augmentation procedures at our institute, 18 consecutive patients were included in this study. Study inclusion was limited to initially, minimal compression fractures, but showing a poor prognosis due to late vertebral collapse, intravertebral vacuum clefts and continuous back pain despite conservative treatment for more than one year. The subjects included three men and 15 women. The mean age was 70.7 with a range from 64 to 85 years of age. After postural reduction for two days, bone cement augmentation procedures following intraoperative pressure reduction were performed. Imaging and clinical findings, including the level of the vertebra involved, vertebral height restoration, injected cement volume, local kyphosis, clinical outcome and complications were analyzed. Results : The mean follow-up period after bone cement augmentation procedures was 14.3 months (range 12-27 months). The mean injected cement volume was 4.1 mL (range 2.4-5.9 mL). The unipedicular approach was possible in 15 patients. The mean pain score (visual analogue scale) prior to surgery was 7.1, which decreased to 3.1 at 7 days after the procedure. The pain relief was maintained at the final follow up. The kyphotic angle improved significantly from $21.2{\pm}4.9^{\circ}$ before surgery to $10.4{\pm}3.8^{\circ}$ after surgery. The fraction of vertebral height increased from 30% to 60% after bone cement augmentation, and the restored vertebral height was maintained at the final follow up. There were no serious complications related to cement leakage. Conclusion : In the management of even long-standing osteoporotic vertebral compression fracture for over one year, bone cement augmentation procedures following postural reduction were considered safe and effective treatment in cases of non-healing evidence.

Estimation of Dietary Exposure to Antimicrobial Resistant Staphylococcus aureus from Pork-based Food Dishes (돈육섭취에 의한 항생제 내성 황색포도상구균 및 독소의 식이노출평가)

  • Kim, Hyun-Jung;Koo, Min-Seon
    • Food Science of Animal Resources
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    • v.32 no.1
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    • pp.91-97
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    • 2012
  • Antimicrobial resistance of foodborne pathogens is an important food safety issue worldwide as well as in Korea. In this study, exposure to antimicrobial resistant (AMR) Stapylococcus aureus was assessed from the consumption of pork based food dishes prepared in food service operations using the Monte Carlo simulation. Thirty five isolates of S. aureus were obtained from 124 semi-processed pork products and their antibiotic resistance patterns were determined. The highest resistance was observed for penicillin (76.7%) followed by ampicillin (70.0%). Two isolates were resistant to oxacillin (6.7%) and no vancomycin resistance was observed. Dietary exposure to penicillin resistant S. aureus as the most frequently observed AMR S. aureus from pork-based dishes was estimated based on contamination data as well as compliance to guidelines for time and temperature controls during food service operations. The mean level of penicillin resistant S. aureus in pork dishes during preparation was below 1 Log CFU/g. As a conservative approach, 95th percentile estimated level of penicillin resistant S. aureus was below the level for toxin production. The estimated probability of staphylococcal intoxication by AMR S. aureus was very low using currently available data.

Delayed intentional replantation: new approach for periodontal regeneration and establishment of theoretical background (지연된 의도적 재식술을 통한 치주 조직 재생 방법의 고찰)

  • Kim, You-Kyoung;Kim, Dong-Ju;Lee, Eun-Ung;Lim, Hyun-Chang;Lee, Jung-Seok;Jung, Ui-Won;Yun, Jeong-Ho;Kim, Eui-Seong;Lee, Seong-Jong;Choi, Seong-Ho
    • The Journal of the Korean dental association
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    • v.53 no.7
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    • pp.485-499
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    • 2015
  • Purpose: Delayed intentional replantation was introduced as a new alternative to treat the teeth with severe periodontal involvement. The purpose of this study was to elucidate the possibility of delayed intentional replantation and establish theoretical backgrounds. Materials and Methods: Studies were performed into the following two subjects; (1)Clinical evaluation of patients who underwent delayed intentional replantation using clinical and radiographic data. Severe periodontitis involved teeth were carefully extracted and proper time for delayed replantation was evaluated by analyzing inflammation markers (IL-6, TNF-${\alpha}$). (2) Theoretical studies for efficacy of delayed intentional replantation using (-)-Epigallocatechin-3-gallate (EGCG) for preservation of periodontal ligament cells on root surface by minimizing inflammation and treatment of inflammatory extraction sockets. Results: Meaningful success ratio and survival rate were found in delayed intentional replantation showing reduced bone loss and maintained bone level. Additionally, viability of EGCG applied periodontal ligament cells was much higher than control group. Also, EGCG promoted healing of inflammatory extraction sockets by inhibiting inflammatory cell proliferation. Conclusion: Within the limitations of this study, 1-2 weeks after extraction is an appropriate time to do delayed intentional replantation. Also, EGCG provides helpful effects on viability of periodontal ligament cells and periodontium.

A Study on the Explosion Hazardous Area in the Secondary Leakage of Vapor Phase Materials Based on the Test Results and the Leak Rate According to SEMI S6 in the Semiconductor Industry (반도체 산업의 SEMI S6에 따른 실험결과 및 누출률을 기준으로 한 증기 상 물질의 2차 누출 시 폭발위험장소에 관한 연구)

  • Kim, Sang Ryung;Lim, Keun Young;Yang, Won Baek;Rhim, Jong Guk
    • Journal of the Korean Institute of Gas
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    • v.24 no.2
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    • pp.15-21
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    • 2020
  • Currently, in KS C IEC 60079-10-1, the leakage hole radius of secondary leakage is expressed as a recommendation. Underestimation of leak hole size can lead to underestimation of the calculated values for leak rates, and conservative calculations of leak hole sizes, which are considered for safety reasons, can be overestimated, resulting in an overestimated risk range. This too should be avoided. Therefore, a careful and balanced approach is necessary when estimating the size of leaking holes.Based on this logic, this study examines the stability by grasping the concentration inside the gas box when leaking dangerous substances as a result of experiments based on SEMI S6, an international safety standard applied in the semiconductor industry and The scope of explosion hazardous area was determined by applying the formula of KS C IEC 60079-10-1 according to SEMI F15 leak rate criteria and SEMI S6 leak rate criteria. Based on this, we will examine whether the exhaust performance needs to be improved as an alternative to FAB facilities that are difficult to apply to explosion hazards such as semiconductor industry.

Verification of Linear FE Model for Nonlinear SSI Analysis by Boundary Reaction Method (경계반력법에 의한 비선형 SSI 해석을 위한 선형 FE 해석모델 검증)

  • Lee, Gye Hee;Hong, Kwan Young;Lee, Eun Haeng;Kim, Jae Min
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.27 no.2
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    • pp.95-102
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    • 2014
  • In this paper, a coupling scheme for applying finite element analysis(FEA) programs, such as, LS-DYNA and MIDAS/Civil, to a nonlinear soil structure interaction analysis by the boundary reaction method(BRM) is presented. With the FEA programs, the structure and soil media are discretized by linear or nonlinear finite elements. To absorb the outgoing elastic waves to unbounded soil region as much as possible, the PML elements and viscous-spring elements are used at the outer FE boundary, in the LS-DYNA model and in MIDAS/Civil model, respectively. It is also assumed that all the nonlinear elements in the problem are limited to structural region. In this study, the boundary reaction forces for the use in the BRM are calculated using the KIESSI-3D program by solving soil-foundation interaction problem subjected to incident seismic waves. The effectiveness of the proposed approach is demonstrated with a linear SSI seismic analysis problem by comparing the BRM solution with the conventional SSI solution. Numerical comparison indicates that the BRM can effectively be applied to a nonlinear soil-structure analysis if motions at the foundation obtained by the BRM for a linear SSI problem excluding the nonlinear structure is conservative.