• 제목/요약/키워드: Early fixation

검색결과 209건 처리시간 0.038초

PHOTOINDUCED PHASE TRANSITION BEHAVIOR OF LIQUID CRYSTALLINE COPOLYMERS CONTAINING AZO CHROMOPHORE

  • Kang, Suk-Hoon;Samui, Asit-Baran;Choi, Dong-Hoon
    • 한국섬유공학회:학술대회논문집
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    • 한국섬유공학회 1998년도 봄 학술발표회 논문집
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    • pp.28-31
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    • 1998
  • Photoresponsive polymers are being intensely investigated over last two decades, which can be attributed to both fundamental and applied significance. Presently the attention is being directed to these materials in view of their possible application in nonlinear optics and optoelectronics. It was demnstrated quite early that by covalent fixation of both photochromic group and the mesogenic group to the same polymer main chain high concentration of photochromic group can be attained.(omitted)

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Esophageal Injury Following Anterior Cervical Plate Fixation

  • Park, Jae-Sung;Kim, Young-Baeg;Hong, Hyun-Jong;Hwang, Sung-Nam
    • Journal of Korean Neurosurgical Society
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    • 제37권2호
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    • pp.141-145
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    • 2005
  • We report five patients of esophageal injuries confirmed by clinical signs and radiological evidences. They include a partial tear and a perforation which were not noticed during the operation, a perforation which was primarily repaired during the operation, and two perforations which occurred during the reoperations for the removal of mal-positioned screws or plate. The partial tear was not repaired. The perforation which occurred during the operation was primarily sutured and didn't receive further treatment. Two perforations which occurred during the reoperations were treated by irrigation, debridement with surgical drainage, and systemic antiobiotics. One who was diagnosed later after the operation showed the poorest outcome and required longest hospital days among our series. Early detection and appropriate treatment of esophageal injury following anterior spinal surgery can only improve the prognosis by preventing secondary complications.

소뇌의 단속안구운동 조절 (Cerebellar Control of Saccades)

  • 최재환;최광동
    • Annals of Clinical Neurophysiology
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    • 제15권2호
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    • pp.37-41
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    • 2013
  • Saccades are rapid eye movements that shift the line of sight between successive points of fixation. The cerebellum calibrates saccadic amplitude (dorsal vermis and fastigial nucleus) and the saccadic pulse-step match (flocculus) for optimal visuo-ocular motor behavior. Based on electrophysiology and the pharmacological inactivation studies, early activity in one fastigial nucleus could be important for accelerating the eyes at the beginning of a saccade, and the later activity in the other fastigial nucleus could be critical for stopping the eye on target, which is controlled by inhibitory projection from the dorsal vermis. The cerebellum could monitor a corollary discharge of the saccadic command and terminate the eye movement when it is calculated to be on target. The fastigial nucleus and dorsal vermis also participate in the adaptive control of saccadic accuracy.

Dexamethasone treatment for bilateral lingual nerve injury following orotracheal intubation

  • Kim, Saeyoung;Chung, Seung-Yeon;Youn, Si-Jeong;Jeon, Younghoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제18권2호
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    • pp.115-117
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    • 2018
  • Lingual nerve injury is a rare complication of general anesthesia. The causes of lingual nerve injury following general anesthesia are multifactorial; possible mechanisms may include difficult laryngoscopy, prolonged anterior mandibular displacement, improper placement of the oropharyngeal airway, macroglossia and tongue compression. In this report, we have described a case of bilateral lingual nerve injury that was associated with orotracheal intubation for open reduction and internal fixation of the left distal radius fracture in a 61-year-old woman. In this case, early treatment with dexamethasone effectively aided the recovery of the injured lingual nerve.

외상후 발생한 성문하후두의 완전절단 치험 1례 (Subglottic transection of larynx with right pneumothorax One case Report)

  • 김학제
    • Journal of Chest Surgery
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    • 제18권4호
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    • pp.812-816
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    • 1985
  • In the past several years the popularity of the motor cycle has produced an increasing incidence of the injuries to the larynx and trachea. Most of all on accidents come to death and survivors to the hospital are rare. Early diagnosis and to keep air way are necessary to initiate proper treatment in injury of upper air way. Meticulous apposition of mucous membrane and reconstitution of laryngeal skeleton are important. We experienced a rare case of 26 year old men with cricothyroidal transection after trauma. On Oct. 17, 1985, the patient struck his neck on baggage frame of truck when dropping from his motor cycle on sudden stop. Emergency tracheal intubation on distal segment of trachea was accomplished by otolaryngologist in a local clinic. He was transferred to our hospital. Exploration 2 hours later revealed complete separation of cricoid cartilage from thyroid cartilage. The recurrent laryngeal nerve could not be identified. Anastomosis of thyroid and cricoid was accomplished and Portex endotracheal tube was inserted as splint for 10 days. No stenosis developed. The air way appeared adequate for moderate physical activity though paramedian fixation of vocal cord paralysis. Postoperative follow-up course has been good after he discharged on POD 14 days.

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가골 신연술로 치료한 제 1 중족골 단축증 (Brachymetatarsia of the First Metatarsal treated by Callotasis)

  • 이근배;김병수;박유복;문은선;최진
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.140-145
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    • 2005
  • Purpose: To analyze the outcome of metatarsal lengthening of first brachymetatarsia by callotasis using an external fixator. Materials and Methods: Between January 1998 and February 2004, 10 patients (17 cases) were reviewed. The mean age at operation was 17.3 years. Seven patients had bilateral first brachymetatarsia and eight patients had combined 4th brachymetatarsia. The operations were performed with a monoexternal fixator, and distraction was started at a rate of 0.75 mm/day after 7 days. The radiographic results were evaluated by lengthening amount and percentage, fixation time, and healing index. Complications and AOFAS score were evaluated. Results: The average lengthening amount was 17.7 mm and the average lengthening percentage was 43.4%. The external fixation time was 107 days and average healing index was 69.8 days/cm. The evaluation according to AOFAS score was excellent in 12 cases and good in 5 cases. Complications were 4 cases of hallux valgus, 4 of metatarsophalangeal joint stiffness, 3 of medial angular deformity, 3 of pes cavus, 2 of pin breakage, 2 of pin site infection, and 1 of skin hyperpigmentation. Conclusion: Callotasis for 1st brachymetatarsia is a very useful treatment method with high patient satisfaction, excellent healing rate and early ambulation without bone graft. Nevertheless, great care must be taken to minimize the various possible complications.

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Minimally Invasive Option Using Percutaneous Pedicle Screw for Instability of Metastasis Involving Thoracolumbar and Lumbar Spine : A Case Series in a Single Center

  • Park, Ho-Young;Lee, Sun-Ho;Park, Se-Jun;Kim, Eun-Sang;Lee, Chong-Suh;Eoh, Whan
    • Journal of Korean Neurosurgical Society
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    • 제57권2호
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    • pp.100-107
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    • 2015
  • Objective : To report a minimally invasive treatment option using percutaneous pedicle screw fixation with adjuvant treatment for metastatic thoraco-lumbar and lumbar spinal tumors. Methods : This is a retrospective study of charts of patients with spinal metastases. All were older than 18 years of age and were considered to have more than 3 months of life expectancy. The patients had single or two level lesions, and compression fracture or impending fracture. Exclusion criterion was metastasis showing severe epidural compression with definite neurological symptoms. Usually spinal segments from one level above to below pathology were stabilized. Visual analog scale (VAS) score for pain assessment and Frankel scale for neurological deficit were used, while pre- and post-operative performance status was evaluated using the Eastern Cooperative Oncology Group (ECOG). Results : Twelve patients (nine men, three women; median age 54.29 years) underwent surgery. All patients presented with back pain with/without radicular pain. There were no early complications and perioperative mortalities. Following surgery, a significant difference between average pre- and post-operative VAS scores was found (p=0.003). Overall, 91.8% of patients (11/12) experienced improvement in their ECOG score post-operatively. The mean ambulation time was 196.9 days [95% confidence interval (CI), 86.2-307.6 days; median, 97 days]. During follow-up, nine patients died and the mean overall survival time in enrolled twelve patients was 249.9 days (95% CI, 145.3-354.4 days; median, 176 days). Conclusion : Minimally invasive treatment using percutaneous pedicle screw fixation with adjuvant treatment is a good alternative treatment option for potential instability of the thoraco-lumbar and lumbar spinal metastasis.

Feeding Value of Urea Treated Corncobs Ensiled with or without Enzose (Corn Dextrose) for Lactating Crossbred Cows

  • Khan, M. Ajmal;Sarwa, M.;Nisa, Mahr-Un;Khan, M. Sajjad
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권8호
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    • pp.1093-1097
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    • 2004
  • This study was aimed to establish the amount of enzose (corn dextrose) for optimum N fixation in urea treated corncobs (UTC) and their dietary effect on nutrient intake, digestibility and milk yield in crossbred cows. Corncobs were treated with 5% urea and ensiled in laboratory silos with 0, 2, 4 and 6% enzose for 15 days. Total nitrogen (N), neutral detergent fiber (NDF) and neutral detergent insoluble N contents were increased in UTC with the level of enzose. Five early lactating crossbred cows (Sahiwal$\times$Holstein Frisian) were used in a 5$\times$5 Latin Square Design to see the influence of UTC ensiled with 6% enzose on nutrient intake, digestibility, milk yield and its composition. Five iso-nitrogenous and iso-caloric diets were formulated. The UTC30 (control), UTC40, UTC50, UTC60 and UTC70 diets contained 30% UTC ensiled without enzose and 40, 50, 60, 70% UTC ensiled with 6% enzose, respectively. Dry matter, NDF and ADF intakes were increased with the increasing level of UTC ensiled with enzose in the diets of cows. Dry matter, NDF and ADF digestibilities were significantly higher with diets containing UTC ensiled with enzose. Milk yield was significantly higher in cows fed UTC70 compared to those fed on other diets. The milk crude protein percentage was significantly different across treatments. However, milk fat, total solids, solid not fat, true protein and non-protein nitrogen contents of milk remained similar across all diets. Ensilation of UTC with 6% enzose improved the nitrogen retention and thus enhanced the feeding value of UTC for lactating cows.

Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials

  • Lee, Jae Jun;Park, Hyoung Joon;Choi, Hyun Gon;Shin, Dong Hyeok;Uhm, Ki Il
    • Archives of Plastic Surgery
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    • 제40권4호
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    • pp.397-402
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    • 2013
  • Background Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair. Methods We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate. Results At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications. Conclusions This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications.

견봉쇄골 관절 탈구에서 Modified Phemister와 Modified Weaver-Dunn 술식을 이용한 수술적 치료 (The Surgical Treatment of Acromioclavicular Joint Dislocation using Modified Phemister and Modified Weaver-Dunn Operation)

  • 전철홍;이성호;이병창;조용우
    • Clinics in Shoulder and Elbow
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    • 제1권2호
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    • pp.180-185
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    • 1998
  • There has been considerable controversy as to the treatment method of dislocation of the acromioclavicular joint, so various operative treatment modalities have been suggested. We analyzed the results of 40 patients with acromio­clavicular dislocation, in whom twenty patients were treated by modified Phemister method and 20 patients by modified Weaver-Dunn method above follow-up two years. The purpose of this study was to compare the clinical results of two operative methods. According to Weitzman criteriae for clinical results, 12 cases were excellent, six cases good and two cases fair in modified Phemister method. But in modified Weaver-Dunn method, ten cases were excellent, eight cases good, one case fair and one case poor. In radiological result, coracoclavicular distance was measured at preoperative, postoperative and last follow-up period. The modified Phemister method was 6.lmm, 1.5mm and 2.4mm respectively, and the modified Weaver-Dunn method 7.8mm, 2.lmm and 2.5mm respectively. The complications were two cases of heterotopic ossification, one case of inadequate fixation and one case of K-wire breakage in modified Phemister method, and two cases of early fixation loss and one case of heterotopic ossification in modified Weaver-Dunn method. We obtained that the clinical, functional and radiological results showed no significant difference in two methods. The modified Phemister method was effective treatment for old patients in acute injuries due to short operation time and simple technique. The modified Weaver-Dunn method, as a reconstructive operation that reduces various complications for young and active male patients, was also good for getting the stability of coraco­clavicular ligament through clavicular bony union.

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