• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제29권1호
• /
• pp.60-63
• /
• 2003

Gunshot injuries can range from the most minor to the life-threatening. Multidisciplinary care is required for successful management of patients, In the acute phase, care may involve emergency surgeons, anaesthesists, neurosurgeons, ophthalmic surgeons, vascular surgeons, ENT specialist in addition to the oral and maxillofacial surgeons. Afterwards, definitive treatment of facial gunshot injuries depends ultimately on the abilities and skills of the oral and maxillofacial surgeons, and their appreciation of such injuries. The timing and sequence of the surgical procedures used for reconstruction and rehabilitation of maxillofacial gunshot injuries are crucial to a successful outcome and aesthetic result. If incorrect, they may lead indefinitely to infection, graft rejection, wound dehiscence with consequent multiple revisional operations and complication which will prolong hospital stay and increase treatment costs and morbidity on those patients. We present a gunshot case of a 46-year-old man who tried to commit sucide, and have avulsive and penerating wounds on the face and the neck. We removed the scattered bullets and fragments successfully and the wounds were closed primarily.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제45권6호
• /
• pp.302-308
• /
• 2019

Fractures of the styloid process of the temporal bone may occur with or without an obvious relation to trauma. The incidence of either isolated styloid process fracture or in combination with mandibular fractures is rare, and such occurrences are often misdiagnosed or neglected. A fractured styloid when displaced may impinge on adjacent vital structures, leading to neurological or vascular symptoms that vary according to the anatomical structure compressed. Styloid process fractures associated with atlas/C1 fractures have also been rarely reported in the literature. In this review of literature, the majority of patients was treated conservatively, as few demonstrated the necessity of surgical intervention. There is a definitive need for a protocol to recognize and classify styloid fractures to plan for further treatment. The aim of this review was to achieve a comprehensive understanding of all types of styloid fractures, determine the clinical severity of symptoms, and to consider management and prognosis. In addition, a new classification of cervico-stylo-mandibular fractures is proposed based on important evidence in the literature regarding clinical and radiographic factors that might influence the treatment and prognosis of such fractures.

• Bulletin of the Korean Chemical Society
• /
• 제34권2호
• /
• pp.470-474
• /
• 2013

Surfaced-enhanced Raman scattering (SERS) of 4,4'-biphenyldithiol (BPDT) has been investigated at a silver island film. Ordinary Raman (OR) spectra of neat sample in solid state and in basic solution have also been taken for comparison. The spectral feature in the SERS spectrum was similar to that for the OR spectrum in basic solution, except for the broadening of ring stretching bands indicative of the presence of surface-phenyl ring $\pi$ interaction. In contrast, only absence of the C-H stretching band with very small Raman scattering cross-section seemed not pertinent in judging the definitive orientation of molecule. The observed vibrational bands in the SERS spectrum have been assigned by referring to the normal modes and wavenumbers from density functional theory (DFT) calculations of the simple model as 4,4'-biphenyldithiolates bound to two Ag atoms at the both ends. Excellent agreement between the experimental and the calculated results was achieved, which is remarkable considering the level of theory applied.

• 구강회복응용과학지
• /
• 제32권4호
• /
• pp.345-350
• /
• 2016

전악 재건이 필요한 환자의 진단 과정에서, 환자 고유의 하악 운동을 재현해 내기 위해 환자의 시상과로각과 전방 유도각을 교합기 상에 인기하는 것은 필수적이다. 이번 증례에서는 전악 수복이 필요한 환자에게서 ARCUS digma I system을 이용하여 환자 고유의 과로각 채득 후, 기능적으로 알맞은 전치 유도각을 설정하여 이를 바탕으로 교합 거상이 적용된 임시치아로 적응하도록 하였다. 그 후 ARCUS digma II system을 활용하여 교합기상에 최종 마운팅하여 보철물을 장착함으로써 심미적이면서도 환자의 고유 과로각에 알맞은 기능적 임상결과를 얻었을 뿐 아니라, 두 시스템간의 비교한 결과를 얻을 수 있었기에 이에 보고하고자 한다.

• Steel and Composite Structures
• /
• 제3권3호
• /
• pp.153-168
• /
• 2003

This paper discusses the results and observations from a large-scale fire test conducted on a slim floor system, comprising asymmetric beams, rectangular hollow section beams and a composite floor slab. The structure was subjected to a fire where the fire load (combustible material) was higher that that found in typical office buildings and the ventilation area was artificially controlled during the test. Although the fire behaviour was not realistic it was designed to follow as closely as possible the time-temperature response used in standard fire tests, which are used to assess individual structural members and forms the bases of current fire design methods. The presented test results are limited, due to the malfunction of the instrumentation measuring the atmosphere and member temperatures. The lack of test data hinders the presentation of definitive conclusions. However, the available data, together with observations from the test, provides for the first time a useful insight into the behaviour of the slim floor system in its entirety. Analysis of the test results show that the behaviour of the beam-to-column connections had a significant impact on the overall structural response of the system, particularly when the end-plate of one of the connections fractured, during the fire.

• Nuclear Engineering and Technology
• /
• 제48권1호
• /
• pp.87-97
• /
• 2016

The new generation of nuclear power plants (NPPs) will likely make use of state-of-the-art technologies in many areas of the plant. The analysis, design, and selection of advanced human-system interfaces (HSIs) constitute an important part of power plant engineering. Designers need to consider the new capabilities afforded by these technologies in the context of current regulations and new operational concepts, which is why they need a more rigorous method by which to plan the introduction of advanced HSIs in NPP work areas. Much of current human factors research stops at the user interface and fails to provide a definitive process for integration of end user devices with instrumentation and control and operational concepts. The current lack of a clear definition of HSI technology, including the process for integration, makes characterization and implementation of new and advanced HSIs difficult. This paper describes how new design concepts in the nuclear industry can be analyzed and how HSI technologies associated with new industrial processes might be considered. It also describes a basis for an understanding of human as well as technology characteristics that could be incorporated into a prioritization scheme for technology selection and deployment plans.

• 가정간호학회지
• /
• 제20권1호
• /
• pp.24-32
• /
• 2013

Purpose: This study aimed to clarify the characteristics of musculoskeletal problems in elderly Korean women and their actual and current use of dietary supplements by conducting a descriptive survey. Methods: The 1-month study began on April 3, 2012. A total of 150 elderly women from City D responded to the survey questionnaire used in this study. Results: Among the respondents, 55.3% used dietary supplements, although they had not consulted a physician for a definitive diagnosis of their condition but reported a self-perceived musculoskeletal problem instead. In addition, they engaged in healthy behaviors such as exercising and dietary supplement intake, without receiving any medical treatment. Compared with the nonusers, the dietary supplement users self-perceived a relatively more serious musculoskeletal problem (t =4.566, p<.001). Among the most commonly used supplements, multivitamins ranked first, followed by glucosamine and omega-3. Conclusion: Nurses should thoroughly monitor and maintain a positive attitude toward their patients' use of dietary supplements in order to appropriately educate them about the proper use of supplements.

• 대한치과의사협회지
• /
• 제49권3호
• /
• pp.146-152
• /
• 2011

Historically, the screening of patients for signs of oral cancer and precancerous lesions has relied upon the conventional oral examination. A variety of commercial diagnostic aids and adjunctive techniques are developed to potentially assist in the screening of healthy patients for evidence of occult cancerous change. This paper is reviewing the literature associated with current oral cancer screening aids such as spectroscopy, chemoiluminescence, exfoliative cytopathology, vital staining and saliva as a diagnostic tool. Despite the increased public awareness of oral cancer, no technique or technology to date has provided definitive evidence to suggest that it improves the sensitivity or specificity of oral cancer screening beyond clinical oral examination alone.

• The Korean Journal of Pain
• /
• 제26권1호
• /
• pp.3-13
• /
• 2013

Chronic noncancer pain is a significant and growing public health challenge in the United States. Lacking effective alternative interventions for effective chronic noncancer pain management, many physicians have turned to opioid pharmacotherapy. Increased opioid prescribing brings not only gains in therapeutic benefit but also a higher incidence of adverse drug events including increased medication misuse and opioid related mortality. Currently the United States must confront the dual problems of widespread undertreated chronic noncancer pain and a prescription opioid abuse crisis. Withholding pain relieving drugs from patients in need is unjustifiable, yet drug diversion, abuse and adverse drug events have become major social as well as medical problems. At the heart of this crisis is the lack of definitive evidence about the risk to benefit ratio of opioid pharmacotherapy for chronic noncancer pain both on an individual case and on a population basis. This article describes the extent and severity of the American chronic noncancer pain problem and the history of opioid pharmacotherapy for chronic noncancer pain in the United States. It then discusses the concept of evidence based practice and reviews current evidence supporting opioid pharmacotherapy for chronic noncancer pain as well as adverse drug events related to opioid pharmacotherapy including misuse and abuse. Finally, it considers the conflict of providing pain relief versus protecting society and reviews steps that governmental agencies, industry and others are taking to contain and ultimately resolve the problems of excessive prescribing and conflicting priorities.

• Archives of Plastic Surgery
• /
• 제32권5호
• /
• pp.648-652
• /
• 2005

In 1940, Kasabach and Merritt first described the association of a large vascular tumor and thrombocytopenia and termed this Kasabach-Merritt(KM) syndrome. It is characterized by a rapidly enlarging vascular anomaly and consumptive coagulopathy with thrombocytopenia, prolonged prothrombin time and partial thromboplastin time, hypofibrinogenemia, and the presence of D-dimer and fibrin split product, with or without microangiopathic hemolytic anemia. This is a potentially life-threatening condition with mortality rates from 20 to 30% as a result of severe sepsis, coagulopathy, or invasion of vital organs. Treatment modalities are corticosteroids, interferon alfa-2a or 2b, chemotherapy(vincristine, cyclophosphamide, etc.), aspirin, dipyridamole, com- pression, radiation therapy, embolization of feeding vessels and surgical excision. A standard treatment regimen for KM syndrome has not been established and most reports on definitive management of these complex vascular lesions have been anecdotal, involving small numbers of patients. The authors have successfully treated a patient of KM syndrome with actively bleeding huge hemangioma by surgical excision. They present it with the review of articles.