• Title/Summary/Keyword: Definitive

Search Result 978, Processing Time 0.023 seconds

A hollow definitive obturator fabrication technique for management of partial maxillectomy

  • Patil, Pravinkumar Gajanan;Patil, Smita Pravinkumar
    • The Journal of Advanced Prosthodontics
    • /
    • v.4 no.4
    • /
    • pp.248-253
    • /
    • 2012
  • Maxillary obturator prosthesis is the most frequent treatment option for management of partial or total maxillectomy. Heavy weight of the obturators is often a dislocating factor. Hollowing the prosthesis to reduce its weight is the well established fact. The alternate technique to hollow-out the prosthesis has been described in this article which is a variation of previously described processing techniques. A pre-shaped wax-bolus was incorporated inside the flasks during packing of the heat-polymerized acrylic resin to automatically create the hollow space. The processing technique described is a single step flasking procedure to construct a closed-hollow-obturator prosthesis as a single unit. To best understand the technique, this article describes management of a patient who had undergone partial maxillectomy secondary to squamous cell carcinoma rehabilitated with a hollow-obturator prosthesis.

Maxillary cement retained implant supported monolithic zirconia prosthesis in a full mouth rehabilitation: a clinical report

  • Sadid-Zadeh, Ramtin;Liu, Perng-Ru;Aponte-Wesson, Ruth;O'Neal, Sandra J.
    • The Journal of Advanced Prosthodontics
    • /
    • v.5 no.2
    • /
    • pp.209-217
    • /
    • 2013
  • This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants. The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery. Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.

Diabetic Neuropathy (당뇨 신경병증)

  • Shim, Jung-In;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
    • /
    • v.17 no.4
    • /
    • pp.251-256
    • /
    • 2013
  • Neuropathy is a common complication of diabetes. It is characterized by a progressive loss of peripheral nerve fibers. The development of the neuropathy is linked to poor glycemic control, age, and the duration of diabetes. Peripheral sensory polyneuropathy is the most common type in neuropathy. Diabetic neuropathy is the most significant etiologic factor of the foot ulcer that may leads to amputation. Current treatments in diabetic neuropathy have no definitive effects on repair or reverse the damaged nerve but only to relieve of symptoms, especially on pain. When the focal compressive neuropathy is combined with diabetic neuropathy, the nerve would be more vulnerable and symptoms might get worse. Surgery is indicated for decompression of an entrapped nerve, like posterior tibial nerve in tarsal tunnel, after failure of the initial conservative treatments.

Analytical Models to Predict Power Harvesting with Piezoelectric Transducer

  • Muppala, Raghava Raju;Raju, K. Padma;Moon, Nam-Mee;Jung, Baek-Ho
    • Journal of electromagnetic engineering and science
    • /
    • v.8 no.1
    • /
    • pp.6-11
    • /
    • 2008
  • Advances in low power design open the possibility to harvest energy from the environment to power electronic circuits. Electrical energy can be harvested from piezoelectric transducer. Piezoelectric materials can be used as mechanisms to transfer mechanical energy usually vibrating system into electrical energy that can be stored and used to power other devices. Micro- to milli-watts power can be generated from vibrating system. We developed definitive and analytical models to predict the power generated from a cantilever beam attached with piezoelectric transducer. Analytical models are pin-force method, enhanced pin-force method and Euler-Bernoulli method. Harmonic oscillations and random noise will be the two different forcing functions used to drive each system. It has been selected the best model for generating electric power based upon the analytical results obtained.

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete

  • Lee, Ji Young;Ok, Se Jin;Oh, Chang Keun;Park, Sun Kyung;Kim, Do Wan;Yang, Jong Yeun
    • The Korean Journal of Pain
    • /
    • v.26 no.1
    • /
    • pp.72-75
    • /
    • 2013
  • Zoster sine herpete (ZSH) is difficult to diagnosis during an acute period due to the absence of the characteristic zosteriform dermatomal rash; therefore, progression to postherpetic neuralgia is more common than typical zoster. In addition, misdiagnosis of other neuropathic pain as ZSH is common in clinical situations. Here, we report a case of spinal arteriovenous malformation that mimics ZSH. This is a rare condition; therefore, high clinical suspicion for a correct diagnosis and proper examination are not easy. However, early diagnosis and definitive treatment are essential to prevent neurologic deficit and mortality.

The Accuracy of the Non-continuous I Test for One-Dimensional Arrays with References Created by Induction Variables

  • Zhang, Qing
    • Journal of Information Processing Systems
    • /
    • v.10 no.4
    • /
    • pp.523-542
    • /
    • 2014
  • One-dimensional arrays with subscripts formed by induction variables in real programs appear quite frequently. For most famous data dependence testing methods, checking if integer-valued solutions exist for one-dimensional arrays with references created by induction variable is very difficult. The I test, which is a refined combination of the GCD and Banerjee tests, is an efficient and precise data dependence testing technique to compute if integer-valued solutions exist for one-dimensional arrays with constant bounds and single increments. In this paper, the non-continuous I test, which is an extension of the I test, is proposed to figure out whether there are integer-valued solutions for one-dimensional arrays with constant bounds and non-sing ularincrements or not. Experiments with the benchmarks that have been cited from Livermore and Vector Loop, reveal that there are definitive results for 67 pairs of one-dimensional arrays that were tested.

Intraoperative and Postoperative Blood Conservation in Cardiac Surgery (수술중 및 수술후 혈액보존법)

  • 이재원
    • Journal of Chest Surgery
    • /
    • v.27 no.6
    • /
    • pp.451-454
    • /
    • 1994
  • In February 1991 I initiated a blood conservation program that included hemodilution, use of a cell conservation device to concentrate diluted blood from operative field and from mediastinal shed blood, acceptance of a minimal hematocrit level of 25% in stable patients, and strict avoidance of use of blood products without definitive indication. A retrospective study to evaluate the effects of blood conservation program was designed to compare the amount of homologous transfusion, hematologic data, and postoperative outcome in patients operated on before and after initiation of blood conservation program. Patient characteristics were not different between two groups, before[n = 18] and after[n = 42] initiation of the program. The significant decrease of homologous transfusion[5.2 vs 1.4 units] and the marked increase of nontransfused patients[none vs 57%] in experimental group were due to marked decrease in homologous transfusion during the operation[4.6 vs 0.7 unit]. I conclude that with strict intraoperative blood conservation program, cardiac patients can be operated on with minimal homologous transfusion.

  • PDF

Tracheoplasty with Rib Cartilage Flap for Congenital Tracheal Stenosis -A Case Report- (선천성 기관 협착환자에서 늑연골 절편을 이용한 기관성형술 1례)

  • 이형민
    • Journal of Chest Surgery
    • /
    • v.27 no.5
    • /
    • pp.407-412
    • /
    • 1994
  • Congenital long-segment tracheal stenosis which involves nearly entire trachea and carina is very rare disease, but leads to life threatening obstruction in infancy and childhood. Symptoms are ranged from stridor and wheezing to severe cyanosis and respiratory failure. Routine chest X-ray is somewhat helpful to diagnose it, but definitive diagnosis can be made by bronchoscopy or tracheogram for severely narrowed tracheal lumen.Recently, we experienced a case of congenital tracheal stenois, type 1 by Cantrell classification with carinal involvement. After costal cartilage was designed as oval shaped flap and covered with pericardium, anterior and posterior augmentation was done with prepared costal cartilage.This patient died of respiratory failure at 13 days postoperatively, probably due to sustaining obstruction in association in with failure to make a sufficient widening at carinal level.Important issues in the management of congenital tracheal stenosis are rapid diagnosis, selection of appropriate surgical procedure, and detailed anesthetic schedule.In the future, more biocompatible material and more effective surgical procedures should be studied to reduce the surgical mortality and morbidity of the complicated tracheal stenosis.

  • PDF

Transient Constrictive Pericarditis after Coronary Bypass Surgery

  • Kim, Jae-Bum;Park, Nam-Hee;Choi, Sae-Young;Kim, Hyung-Seop
    • Journal of Chest Surgery
    • /
    • v.44 no.1
    • /
    • pp.64-67
    • /
    • 2011
  • Constrictive pericarditis is a rare complication after coronary artery bypass grafting In most cases pericardiectomy is required as a definitive treatment. However, there are several types of constrictive pericarditis such as transient cardiac constriction. Some types of constrictive pericarditis can only be managed with medical therapy. We report a 72-year-old female patient who developed subacute transient constrictive pericarditis with persistent left pleural effusion as a result of postcardiac injury syndrome. The patient went through coronary bypass surgery that was successfully treated with postoperative steroid therapy.

The effect of radiotherapy on rectal cancer: a histopathological appraisal and prognostic indicators

  • AlQudah, Mohammad;Salmo, Emil;Haboubi, Najib
    • Radiation Oncology Journal
    • /
    • v.38 no.2
    • /
    • pp.77-83
    • /
    • 2020
  • The management of rectal cancer is a major undertaking. There are currently multiple treatment modalities with variable degrees of complications. Radiotherapy (RT) is one of the more frequently used modalities either on its own or more frequently with chemotherapy mostly before the definitive surgery. The outcome of RT is unpredictable. RT has its serious side effects and there are no guarantees of its usefulness in all patients. This article outlines the effect of RT on the tumor, reviews the various staging systems of responses to RT and present recent evidence of which case is less responsive to such treatments to avoid unnecessary complications.