• 제목/요약/키워드: Conservative functional method

검색결과 35건 처리시간 0.021초

Immediate provisional implant를 이용한 하악골 high condylar fracture환자의 기능회복: 증례보고 (FUNCTIONAL RECOVERY OF MANDIBULAR HIGH CONDYLAR FRACTURE PATIENT WITH IMMEDIATE PROVISIONAL IMPLANT: CASE REPORT)

  • 장보영;안미라;안경미;이원혁;손동석
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권1호
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    • pp.82-88
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    • 2005
  • Treatment methods of mandibular condylar fracture were conservative and surgical method. Surgical method of mandibular high condylar fracture was very difficult because approach and internal fixation of small size fracture fragment were difficult. So there is a tendency to select conservative method over surgical method for guiding a stable occlusion and avoiding TMJ disorder and growth disturbance, minimizing pain and deviation during function. But, in case of mandibular high condylar fracture patient who has no biting teeth on posterior teeth area, guiding a stable occlusion and conservative functional treatment were very difficult. In this case, patient was 62years old male. He had fracture of mandibular symphysis, right mandibular body, left mandibular high condyle. We treated the patient for mandibular symphysis and right mandibular body fracture area with surgical method. But left mandibular high condylar fracture area was difficult to treat with surgical method. So we selected a conservative functional method on left mandibular high condylar fracture area. We intended recovery of vertical dimension and stable occlusion with implantation of immediate provisional implant on maxillar and mandibular posterior teeth area, and temporary crown. And then patient did mandibular functional movement and his mandibular function was recoverd.

친환경 기능성 무기질계와 고무아스팔트를 혼합한 내진방수 보강공법에 대한 실험적 평가 (Experimental assessment for friendly-environment functional Inorganic mixed rubber asphalt Seismic waterproof strengthening method)

  • 백종명;황영호;손정철
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2008년도 춘계학술대회 논문집
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    • pp.1802-1808
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    • 2008
  • Recent interest in the construction sector, rising about the environment and eco-friendly recycled material resources, and increase the development of method But despite these efforts, and the diverse functional and structural changes in the structure can not be an appropriate response to the functional waterproof structural changes in the structures and appropriate response Diversification does not waterproof and functional issues such as durability, and which are occurring due to the structure to secure stability and durability, never sees the conservative economic losses due to import constructability reinforcement situation. Therefore, this study applies to structure the existing waterproof method (hereinafter referred to as structures water-resistant methode), and to review recent issues of environmental pollution and resource waste, and taking on environmental issues, such as Revelation and functional Inorganic mixed in a way to leverage the manufacturing water-resistant material "Re Inorganic, functional and environmentally friendly high-viscosity mix asphalt waterproof rubber reinforcements, and taking conservative" for the characterization and performance assessment to the issues raised by the structure and whether the judge would respond.

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쇄골 외측단 Rockwood 제2형 골절의 치료 (Treatment for the Rockwood type Ⅱ Fractures of Lateral End of Clavicle)

  • 오창욱;경희수;박건욱
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.66-71
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    • 1998
  • The fractures of lateral end of clavicle can be treated by conservative or operative treatment, but many authors report the higher rate of non-union with conservative treatment and that the operative treatment is more effective for the type II fractures. The authors reviewed and analysed 15 cases of lateral end fracture of clavicle which had been treated at Department of Orthopedic Surgery, Kyungpook National University Hospital from 1991 to 1996. The results were as follows; 1. Among the 15 patients, male was 6,female 9 and the average age was 46.2 years ranged from 21 to 72 years. 2. According to the classification by Rockwood, type II a was 8 cases and II b was 7 cases. 3. We treated operatively 12 cases, 9 cases with tension band wiring and 3 cases with intramedul-Iary K-wire fixation. And we treated conservatively 3 cases with Velpeau cast, but I case of nonunion was treated with tension band wiring. 4. The average follow-up was 3.2 years ranged from 2.1 to 4.7 years. 5. The functional results were evaluated with Weitzman's classification. 6. In the operatively treated cases, there were 4 cases(30.7%) in excellent, 7 cases(53.8%) in good and 2 cases(15.3%) in fair result. But, in the conservatively treated cases, there were 2 cases in good and I case in poor result, and the poor case did not united and had open reduction and internal fixation. 7. In conclusion, the operative treatment revealed good functional results in most cases (10/12) and early open reduction and internal fixation was better method than conservative treatment.

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상피성 임파부종 환자의 치료 -증례보고- (Treatment of Patients With Elephantiasis Lymphedema - Case Report -)

  • 김성중
    • 한국전문물리치료학회지
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    • 제6권3호
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    • pp.110-120
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    • 1999
  • Lymphedema, regardless of etiology, is essentially incurable but different treatment approaches which serve to contain swelling exist. The objectives of treatment are to reduce swelling, restore shape, educate about the self-maintenance methods, and prevent inflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to provide therapists and other medical staff with a general guideline through the example treatment procedure of two patients with lymphedema admitted to Samsung Medical Center. This study demonstrates the effects of the various treatments used and how they helped to achieve improvement in mobility and reduction in swelling of the lower limbs. The basic conservative treatments were sequential intermittent pneumatic pumps, elevation, and CDP (complex decongestive physiotherapy). The surgical procedures (Homan's operation) were carried out after maximal volume reduction through conservative programs. In these cases, we can see greater than 50% reduction in the lymphedema in those treated by conservative and surgical procedures. This presents a simple, reliable, variable method yielding satisfactory cosmetic and functional results for patients suffering from chronic both-leg lymphedema. Futhermore, I suggest that the outcomes are best when treatment is administered by a multidisciplinary team including a physiotherapist, surgeon, nurse, et al.

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관절내 종골 골절의 전산화 단층 촬영에 따른 분류 및 치료 (CT Classification and Treatment of Intraarticular Calcaneal Fractures - Conservative vs. Surgical Treatment by Prospective Study -)

  • 강재도;김형천;김진형
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.35-42
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    • 2001
  • Purpose: To analyze the results of conservative or surgical treatment after computed tomograhy(CT) classification in intraarticular calcaneal fractures. Materials and methods: From January 1996 to May 1999, we prospectively analyze 23 cases of intraarticular calcaneal fractures who were treated conservatively or operated by open reduction and internal fixation by extensive L-shaped lateral approach after CT classification. Results: A functional scoring system of 0-100 points which was based upon the responses to AOFAS Ankle-Hindfoot Scale for the operative group was at 82.8, compared with 73.2 for the non-operative group, and these were meaningful statistically(P<0.05). Of type I fracture, in the operative group there were 2 excellent results and in the non-operative group there were 2 excellent results, 1 good result. or type II fractures, in the operative group there were 2 excellent results, 3 good results, 1 fair result and in the non-operative group there were 1 good result, 1 fair result, 2 poor results. Of type III fractures, in the operative group there were 2 fair results, 2 poor results and in the non-operative group there were 1 fair result, 3 poor results. Bohler angles of subtalar joint were changed from initial average $13.3^{\circ}$ to postoperative average $20.9^{\circ}$ for the operative group compared with from initial average $15.5^{\circ}$ to follow-up average $14.8^{\circ}$ of the non-operative group(P<0.01). Conclusions: Computed tomography in the evaluation of intraarticular calcaneal fractures is effective tool. We believed that open reduction and internal fixation in all Crosby & Fitzgibbons type II and according to degrees of comminution reducible type III for the intraarticular calcaneal fractures is more effective method than conservative treatment.

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청소년기 외상으로 인한 상악 전치부 파절 시 Endocrown을 이용한 수복: 증례 보고 (Rehabilitation using endocrown for fracture of maxillary anterior teeth due to trauma in adolescence: a case report)

  • 이소연;손성애;박정길
    • 구강회복응용과학지
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    • 제40권1호
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    • pp.24-30
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    • 2024
  • 청소년기 외상으로 인한 상악 전치부의 복잡 치관 파절은 기능적, 심미적 문제를 야기할 수 있다. 치수 노출을 동반한 치관 파절은 남아있는 치질의 양에 따라 다양한 수복 방법을 고려할 수 있다. 직접 레진 수복은 가장 일차적으로 고려되는 전통적이고 효과적인 방법이나 시간이 지남에 따라 변색되고 깨질 가능성이 높다. 전장관 수복은 성장기의 치아 이동으로 변연 부조화에 의한 재수복 가능성이 높으며 광범위한 치관 파절 시 주로 시행하는 포스트 수복은 치근 천공 및 치근 파절의 위험성을 증가시킨다. 그러나 Endocrown은 치수강 공간으로부터 유지력을 얻을 수 있는 일체형 구조로 생체역학적 측면에서 효과적인 재건이 가능하고 기능과 심미성의 회복에 유리한 이점을 제공한다. 따라서 Endocrown은 청소년기 외상으로 인한 복잡 치관 파절의 수복 방법으로 고려할 수 있다.

Novel Results for Global Exponential Stability of Uncertain Systems with Interval Time-varying Delay

  • Liu, Yajuan;Lee, Sang-Moon;Kwon, Oh-Min;Park, Ju H.
    • Journal of Electrical Engineering and Technology
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    • 제8권6호
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    • pp.1542-1550
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    • 2013
  • This paper presents new results on delay-dependent global exponential stability for uncertain linear systems with interval time-varying delay. Based on Lyapunov-Krasovskii functional approach, some novel delay-dependent stability criteria are derived in terms of linear matrix inequalities (LMIs) involving the minimum and maximum delay bounds. By using delay-partitioning method and the lower bound lemma, less conservative results are obtained with fewer decision variables than the existing ones. Numerical examples are given to illustrate the usefulness and effectiveness of the proposed method.

시변지연을 가지는 LPV시스템의 H 샘플데이타 제어 (H Sampled-Data Control of LPV Systems with Time-varying Delay)

  • 유아연;이상문
    • 전기학회논문지
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    • 제64권1호
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    • pp.121-127
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    • 2015
  • This paper considers the problem of sampled-data control for continuous linear parameter varying (LPV) systems. It is assumed that the sampling periods are arbitrarily varying but bounded. Based on the input delay approach, the sampled-data control LPV system is transformed into a continuous time-delay LPV system. Some less conservative stabilization results represented by LMI (Linear Matrix Inequality) are obtained by using the Lyapunov-Krasovskii functional method and the reciprocally combination approach. The proposed method for the designed gain matrix should guarantee asymptotic stability and a specified level of performance on the closed-loop hybrid system. Numerical examples are presented to demonstrate the effectiveness and the improvement of the proposed method.

시간 종속적인 리아프노프 함수를 이용한 모바일 로봇의 선도-추종 샘플 데이터 제어 (Leader-Following Sampled-Data Control of Wheeled Mobile Robots using Clock Dependent Lyapunov Function)

  • 예동희;한승용;이상문
    • 대한임베디드공학회논문지
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    • 제16권4호
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    • pp.119-127
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    • 2021
  • The aim of this paper is to propose a less conservative stabilization condition for leader-following sampled-data control of wheeled mobile robot (WMR) systems by using a clock-dependent Lyapunov function (CDLF) with looped functionals. In the leader-following WMR system, the state and input of the leader robot are measured by digital devices mounted on the following robot, and they are utilized to construct the sampled-data controller of the following robot. To design the sampled-data controller, a stabilization condition is derived by using the CDLF with looped functionals, and formulated in terms of sum of squares (SOS). The considered Lyapunov function is a polynomial form with respect to the clock related to the transmitted sampling instants. As the degree of the Lyapunov function increases, the stabilization condition becomes less conservative. This ensures that the designed controller is able to stabilize the system with a larger maximum sampling interval. The simulation results are provided to demonstrate the effectiveness of the proposed method.

단순악간고정법을 이용한 양측성 하악과두골절의 보존적 치료 (CONSERVATIVE TREATMENT OF BILATERAL CONDYLAR FRACTURE BY A SIMPLIFIED TECHNIQUE OF MAXILLOMANDIBULAR FIXATION)

  • 김종필
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제17권2호
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    • pp.171-179
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    • 1995
  • The conservative treatment of the condylar fracture has been used for a long time because of its simplicity, good prognosis and less complication. Traditionally the conservative treatment has been carried out by maxillomandibular fixation using arch bar and wire. But a simplified technique of maxillomandibular fixation introduced here is a procedure that 4 bone screws are placed above the apecies of the maxillary and mandibular canines and then ipsilaterally placed maxillary and mandibular bone screws are linked by a loop of wire each other. This procedure has several advantages compared with the traditional maxillomandibular fixation method. 1) it provides simplicity for the operators. 2) it sustains maxillomandibular fixation more rigidly compared with arch bar technique. 3) it keeps stable maxillomandibular fixation in the region of the anterior teeth so that anterior open bite tendency can be remarkably minimized. 4) it does not injure the periodontal tissue because the teeth are not engaged and causes less discomfort to the patient. 5) it decreases the possibility of operator's AIDS infection through inadvertent skin puncture. 6) it is highly recommended for the patients whose teeth are available for maxillomandibular fixation. The two male patients were diagnosed as bilateral condylar and symphyseal fracture of the mandible. They restored stable occlusion and functional mandibular movement only by a simplified technique of maxillomandibular fixation.

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