Purpose: The choice of open versus closed reduction for mandibular subcondylar fracture is a debatable issue. To evaluate the advantage of open approach to closed method with IMF(intermaxillary fixation), we conducted a retrospective study to compare the outcomes of each method. Methods: From 2002 to 2006, 29 patients with mandibular subcondylar fractures were treated by open or closed reduction. 17 patients were treated by open reduction and 12 patients by closed reduction and IMF. Each group was assessed for duration of mandibular immobilization, incidences of buccal palsy, malocclusion, TMJ(temporomandibular joint) pain, and deviation of the mandible on mouth opening. Results: All cases showed accurate reduction in anatomical position, no significant displacement and no deviation on mouth opening during the follow-up period. IMF period is statistically shorter in open reduction (p<0.05). Differences in incidence of other complications were not significant statistically. Conclusion: As there are significant independent morbidities associated with IMF which requires postoperative rehabilitation, prolonged temporomandibular immobilization should not be overlooked. Some patients with poor compliances will not tolerate IMF in nonsurgical treatment. In the aspect of patient's convenience and early recovery by short IMF period, open reduction would be recommended as a better treatment method.
Although nonoperative reduction plays a major role in the management of uncomplicated intussusception in the pediatric age group, surgical treatment is still a necessary alternative when nonoperative reduction is unsuccessful. The author analyzed the clinical features of 68 patients requiring operation in order to identify factors which might influence the type of operative management. A nine-year experience at Ewha Womans University Hospital was reviewed, and the findings compared to previous reports. Barium was used for the initial reduction attempt in 33 cases, saline in 35. Manual reduction by milking at operation achieved success in 41 cases(60.3%). Fifteen cases(22.1%) required resection of bowel, and 12 patients(17.6%) were found to have spontaneous and complete reduction of the intussusception at operation. Two cases had pathologic leading points. There were no perforations due to nonoperative reduction. There were no significant differences in demographic data, clinical findings, laboratory data, and anatomic type of intussusception between barium and saline reduction groups. However, a significant number of cases with spontaneous reduction were in saline reduction group(p<0.05). There was a slight chance of spontaneous reduction in infants under 6 month of age(p<0.001). Age under 6 month. body temperature over $38^{\circ}C$, symptom over 24 hours, and ileo-colic and ileo-ileo-colic intussusception contributed significantly to the necessity for bowel resection(p<0.05-0.001). The author believes that the age, body temperature, duration of illness, and anatomic type of intussusception strongly influence operative management.
In this paper, non-linear dynamic buckling behaviour of laminated composite curved panels subjected to dynamic in-plane axial compressive loads is studied using finite element methods. The work is carried out using the finite element software ABAQUS. The curved panels are modelled with S4R element and the nonlinear dynamic equilibrium equations are solved using the ABAQUS/Explicit algorithm. The effect of aspect ratio, radius of curvature and thickness are studied. The importance of orientation of plies in the direction of loading is also reiterated in this study. Vol'mir's criterion is used to calculate the dynamic buckling loads. The panels are subjected to rectangular pulse load of various amplitude and durations and the responses are observed. For particular loading amplitude, a critical value of loading duration is observed beyond which the variation of dynamic buckling load is insignificant. It is also observed that, the value of dynamic bucking load reduces as the loading duration is increased though the reduction is not much after a particular loading duration.
This paper describes weldability of dissimilar metal plates with YAG laser for the use of a small-size electronic spring parts. Effects of welding conditions, combination of plates, thickness of upper plate are examined in relation to welding strength and microstructure of welded region. The obtained results are summarized as follows. Welding defects such as cavity and crack showed a tendency to easily occur in the case where 1) pulse duration is short, 2) laser power is high, 3) PBS plate with high thermal diffusivity is used for lower plate. Among these defects, the occurrence of cavity cased a drop of welding strength. This results from the reduction of welding area between upper and lower plates. In SK-5/SUS304 plates (thickness: 0.2/0.4mm/, welding strength was the highest in welding conditions: laser power is 30J/pulse, pulse duration 9ms, amount of defocus +2mm.
The purposes of this paper were to develop an automatic script to collect such acoustic parameters as duration, intensity, pitch and the first two formant values of English words produced by two native Canadian speakers either alone or in a two-word phrase at a normal speed and to compare those values by the position in the phrases. A Praat script was proposed to obtain the comparable parameters at evenly divided time point of the target word. Results showed that the total duration of the word in the phrase was shorter than that of the word produced alone. That was attributed to the pronunciation style of the native speakers generally placing the primary word stress in the first word position. Also, the reduction ratio of the male speaker depended on the word position in the phrase while the female speaker didn't. Moreover, there were different contours of intensity and pitch by the position of the target word in the phrase while almost the same formant patterns were observed. Further studies would be desirable to examine those parameters of the words in the authentic speech materials.
In recent years, selection of strong ground motion records by means of intensity measures representing the spectral shape of the earthquake excitation has been studied by many researchers. These studies indicate the adequacy of this record selection approach in reduction of the scattering of seismic responses. In present study, this method has been studied more in depth to reveal the sufficiency of the spectral shape in predicting structural seismic responses such as the plastic deformation and the dissipated hysteresis energy which are associated with cumulative properties of the selected records. For this purpose, after selecting the records based on the spectral shape, the correlation of some seismic responses and strong ground motion duration of earthquake records are explored. Findings indicate strong correlation of some structural responses with the significant duration of the records. This fact implies that the spectral shape could not reflect all characteristics of the strong ground motion and emphasizes the importance of additional criteria along with the spectral shape in the record selection.
Background: Nasal bone fractures are managed by closed reduction within the 2-week period, and are managed by secondary correction after this time. There is little literature on the delayed reduction for nasal bone fractures beyond the 2-week duration. We report our experience with nasal fractures, which were reduced beyond this period. Methods: A retrospective review was performed for all patients who had undergone closed reduction of isolated nasal bone fracture. Patients were included for having undergone reduction of nasal bone fractures at or more than 2 weeks after the injury. Medical records were reviewed for demographic information, injury mechanism, fracture type, delay in treatment, and cause for delay. Postoperative outcomes were evaluated using computed tomography images. Results: The review identified 10 patients. The average reduction time was 22.1 days. Five of patients underwent reduction between days 15 and 20, and the remaining five patients underwent reduction between days 21 and 41. The postoperative outcomes were excellent in 8 patients and good in 2 patients. Conclusion: Outcomes were superior for nasal fractures with displaced end plates and multiple fracture segments. Our study results appears to support delayed reduction of isolated nasal fractures in the presence of factors that delay bony reunion.
Purpose: The prevalence of metabolic syndrome (MetS), a cluster of metabolic abnormalities has rapidly increased in Korea. Sleep may play a role in determining its prevalence. However, the relationships between MetS and the duration and quality of sleep are not yet clear. This study aimed to examine the associations between the duration and quality of sleep and the prevalence of MetS. Methods: Study participants included 348 Korean blue-collar workers employed by six small-sized companies in Korea. The data were collected using an interviewer-administered questionnaire, and logistic regression analysis was conducted to estimate the effects of the factors related to MetS. Results: The multiple logistic regression analysis revealed that the independent factors that contributed to the prevalence of MetS were being male (adjusted odds ratio [aOR]=4.87, 95% confidence interval [CI]=1.58~15.0) and lower sleep quality (aOR=5.12, 95% CI=1.90~14.30). Sleep duration was related to the prevalence of some MetS components, but it was not associated with MetS prevalence. Conclusion: Sleep quality was negatively associated with MetS prevalence when covariates, such as sleep duration, were controlled. When developing a MetS risk-reduction program, focus should be given to sleep quality as well as sleep duration in an intervention for Korean blue-collar workers.
This study was performed to compare the TMJ sounds by means of vibration-related items by Sonopak such as integral, high integral, above 300/(0-300) ratio, peak amplitude, peak frequency and median frequency before and after occlusa1 splint therapy as well as counselling, physical modalities. For this study 22 patients with craniomandibular disorders (CMDs) were selected and examined by routine diagnostic procedure for CMDs including Transcranial and Panoramic radiographs and were classified into 3 CMDs subgroups : disc displacement with reduction, disc displacement without reduction, and degenerative joint disease. Visual analogue scale (VAS) about joint sound was recorded during treatment period and VAS treatment index (VAS Ti) was calculated from the VAS data and treatment duration. The author evaluated and compared treatment results by several parmeters such as symptom duration, timing of joint sound, parafunctional habits, trauma, and diagnostic classification. The obtained results were as follows : 1. Before the treatment, the highest value of peak amplitude was observed in disc displacement with reduction group and value of median frequency was highest in degenerative joint disease group. In addition the highest values of peak frequency and ratio ware observed in degenerative joint disease group, though they were not significant. Furthermore the lowest value of high integral was observed in disc displacement without reduction group and though it was not significant, value of integral was lowest in that group. 2. Among 3CMDs subgroups disc displacement with reduction group showed the significantly decreased value of high integral and degenerative joint disease group had the significantly decreased value of integral after conservative treatment including occlusal splint therapy. Conclusively conservative treatment including occlusal splint therapy vay be effective in the treatment of CMDs including TMJ sound. 3. Fair prognosis for conservative treatment was observed in acute group under 6 months than chronic group, 6 months over in symptom duration but there was no statistical difference. The result for conservative treatment was observed slightly poor in subjects with bruxism, clenching, unilateral chewing habit and trauma history but there were no statistical differences.
In this study, a HSPF model was developed to simulate runoff and water quality in the Haebancheon watershed, which has a high land area ratio and population density among the West Nakdong River watersheds. Various non-point source pollution control strategies were applied, and the reduction in pollutant loads and the exceedance rate of water quality standards were analyzed. The scenarios included basic road cleaning for reducing pollutant loads, runoff reduction measures considering extensive low-impact development techniques, and inflow reduction measures to mitigate non-point source pollution entering the river. In the first step, practical conditions such as the number of vehicles for road cleaning in Kimhae City were considered, while for the second and third steps, it was assumed that 50% of the applicable land use area was used to be applicable for the LID techniques. As a result of applying all three measures, it was analyzed that the BOD pollutant load could be reduced by 58.28%, T-N by 58.49%, and T-P by 51.56%. Furthermore, the 60th percentile of water quality measurements accumulated over 5 years was set as the target water quality, and a flow-duration curve was constructed. The exceedance rate of the flow-duration curve before and after applying non-point source pollution reduction measures was analyzed. As a result, for BOD, the exceedance rate decreased from 41.57% before applying the measures to 16.32% after, showing a 25.25% reduction in the exceedance rate. For T-N, the exceedance rate decreased significantly from 40.31% before the measures to 22.84% after, and for T-P, it decreased significantly from 62.43% to 27.22%.
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