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Clinical and Statistical Analysis in 452 Cases of Nasal Bone Fracture Patients (코뼈 골절 환자 452례에 대한 임상 통계학적 분석)

  • Kang, Jae-Hoon;Bang, Yoo-Hyun;Lee, Yong-Hae;Choi, Chang-Yong
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.775-782
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    • 2011
  • Purpose: Nasal bone fracture is most common facial bone fracture. The cause of fractures is mainly trauma such as fighting, automobile accident and fall down, and it commonly involves young males. Very frequently nasal bone fractures are associated with other facial injuries such as orbital bone fracture, maxillary bone fracture and nasal septal deformities. Because of various dynamic directions of power are involved, phenomenon of fractures are also various and treatment cannot be simple. Methods: We studied and analyzed retrospectively 452 cases nasal bone fractures from January 2008 to December 2010. Diagnosis were made with physical examination, Nasal bone X-rays, Facial bone CT and 3D facial bone CT. Four surgeons are involved in treatments of these patients and applied different procedure along patient's condition and deformity. We analyzed the cause of nasal bone fractures, deformities, associate injuries and applied surgical technique, and patient's satisfaction rate. In this study, old nasal bone fractures were excluded. Results: Young male group was most commonly sustained nasal bone fracture and physical violence was most common cause of injury. 64 of 452 patient was involved associate injuries of face. Closed reduction were applied 246 cases and C-arm quide reduction were 167 cases and in 20 cases lateral osteotomy were applied. Approximately, more than 80% of the Patients were satisfied with the outcomes. Conclusion: Diagnosis and treatment of nasal bone fractures are considered simple but because of various deformity and associate injuries, treatment is not always simple and universal. Time to time, we face unsatisfied patient after treatment of nasal bone fractures. For obtaining satisfactory result, cause of injury and state of deformities and associate injuries such as nasal septal deformity should be evaluated properly and proper treatment should be applied.

A Study on the Reliability of Failure Diagnosis Methods of Oil Filled Transformer using Actual Dissolved Gas Concentration (유중가스농도를 이용한 유입식 변압기 고장진단 기법의 신뢰성에 관한 연구)

  • Park, Jin-Yeub;Chin, Soo-Hwan;Park, In-Kyoo
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.60 no.3
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    • pp.114-119
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    • 2011
  • Large Power transformer is a complex and critical component of power plant and consists of cellulosic paper, insulation oil, core, coil etc. Insulation materials of transformer and related equipment break down to liberate dissolved gas due to corona, partial discharge, pyrolysis or thermal decomposition. The dissolved gas kinds can be related to the type of electrical faults, and the rate of gas generation can indicate the severity of the fault. The identities of gases being generated are using very useful to decide the condition of transformation status. Therefore dissolved gas analysis is one of the best condition monitoring methods for power transformer. Also, on-line multi-gas analyzer has been developed and installed to monitor the condition of critical transformers. Rogers method, IEC method, key gas method and Duval Triangle method are used to failure diagnosis typically, and those methods are using the ratio or kinds of dissolved gas to evaluate the condition of transformer. This paper analyzes the reliability of transformer diagnostic methods considering actual dissolved gas concentration. Fault diagnosis is performed based on the dissolved gas of five transformers which experienced various fault respectively in the field, and the diagnosis result is compared with the actual off-line fault analysis. In this comparison result, Diagnostic methods using dissolved gas ratio like Rogers method, IEC method are sometimes fall outside the ratio code and no diagnosis but Duval triangle method and Key gas method is correct comparatively.

Clinical analysis of Pediatric Blow out Fracture (소아 안와 골절의 임상 분석)

  • Pak, Chang Sik;Kim, Yong Kyu;Chung, Sung Mo
    • Archives of Plastic Surgery
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    • v.35 no.5
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    • pp.560-564
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    • 2008
  • Purpose: Because of traffic accidents and many criminal violences, the incidence of facial trauma has been increasing not only in adults but also in children. We planed this study to introduce our experience about pediatric blow out fracture and provide more information. Methods: We made retrospective study in 76 children with blow out fracture from January 2001 to September 2005 by retrospective chart review including detailed preoperative and postoperative evaluations, age, sex, cause, symptom and sign, and their post-operative complications. Results: Among our patients, 69 were male and 7 were female. The ages ranged from 7 to 18 years, which shows the greatest incidence of blow out fracture. Physical violence(46%) was the most common cause in this group and was followed by vehicle accident(28%), and fall down accident(17%). Left side(64%) showed slightly more incidence than right side(36%), but there were no statistical importance. Ecchymosis(88%) was the most common symptom and followed by periorbital swelling(68%) and diplopia(30%). 30 patients was diagnosed with another facial bone fracture and nasal bone(51%) was the most common associated facial bone fracture. Fourty four Patients(60%) got an orbital wall reconstruction in 7 days after trauma. After the operation, only 3 patients(4%) suffered from diplopia postoperative 3 month, and resolved in 4 years. Conclusion: The incidence of blow out fracture in children has been increasing every year, and violence has become more important etiology of pediatric blow out fracture and public and private education institutions were the most common place that blow out fracture originated. Accurate diagnosis and careful treatment plans are important in pediatric blow out fracture.

Cardiac Rupture after Blunt Chest Trauma (흉부 둔상에 의한 심장파열)

  • 김태이;정태은;이동협;이정철;한승세
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.255-261
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    • 1998
  • A clinical evaluation was performed on 11 cases of the cardiac rupture by blunt chest trauma at the department of thoracic and cardiovascular surgery, Yeungnam University Hospital during the period from July, 1993 to May, 1995. The results were as follows ; The sex distribution was 8 mem and one women, and mean age was 41 years old. The causes of accident was traffic accident in most cases. And then one case was cultivator accident and another one was fall down. The average times from trauma to admission was 139 minutes and the patients that transferred via other hospitals have relatively long average times to 227 minutes. The average times from admission to operation was 117 minutes and we consumed 25 minutes for the preoperative preparation. The sites of injury were 7 cases in the right heart and 3 cases in the left heart. There were symptoms and signs of the cardiac tamponade(dyspnea, chest pain, nausea/vomitus, neck vein distention & hypovolemic shock) at admission and in most of them typical symptoms and signs of a tamponade appeared. Surgical approach was performed with median sternotomy in 10 cases. Subxiphoid pericardial window was created in one case. Another case which was very difficult in surgical procedure was operated under cardiopulmonary bypass and the result was good.

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Isolated Anterior Dislocation of the Radial Head in Adult - A Case Report - (성인에서 발생된 요골 두 급성 전방 탈구 - 증례 보고 -)

  • Heo, Youn-Moo;Kim, Woo-Sik;Kim, Sung-Hun;Jeon, Teak-Soo;Kim, Sang-Bum;Oh, Byung-Hak
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.131-135
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    • 2007
  • We report an isolated anterior dislocation of the radial head in a 23-year-old man after a fall on the outstretched arm. At the time of the injury, the patient's elbow was in a position of mild flexion and pronation which was suddenly further pronated as he fell down. The radial head was incarcerated by the lateral portion of brachialis muscle, and annular ligament was interposed between capitellum and radial head. Open reduction was performed. During 12 months follow-up, reduction of radial head was well maintained without a limitation of range of motion.

Precipitation Anomalies Around King Sejong Station, Antarctica Associated with E1Niño/Southern Oscillation

  • Kwon, Tae-Yong;Lee, Bang-Yong
    • Ocean and Polar Research
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    • v.24 no.1
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    • pp.19-31
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    • 2002
  • Precipitation variability around King Sejong Station related with E1 $Ni\~{n}o$/Southern Oscillation (ENSO) is evaluated using the gauge-based monthly data of its neighboring stations. Though three Ant-arctic Stations of King Sejong (Korea), Frei (Chile), and Artigas (Uruguay) are all closely located within 10 km, their precipitation data show mostly insignificant positive or rather negative correlations among them in the annual, seasonal and monthly precipitation. This result indicates that there are locally large variations in the distribution of precipitation around King Sejong Station. The monthly data of Frei Station for 31 years (1970-2000) are analyzed for examining the ENSO signal in precipitation because of its longer precipitation record compared to other two stations. From the analysis of seasonal precipitation, it is seen that there is a tendency of less precipitation than the average during E1 $Ni\~{n}o$ events. This dryness is more distinct in fall to spring seasons, in which the precipitation decreases down to about 30% of seasonal mean precipitation. However, the precipitation signal related with La $Ni\~{n}a$ events is not significant. From the analysis of monthly precipitation, it is found that there is a strong negative correlation during 1980s and in the late 1990s, and a weak positive correlation in the early 1990s between normalized monthly precipitation at Frei Station and Sea Surface Temperature (SST) anomalies in the $Ni\~{n}o$ 3.4 region. However, this relation may be not applied over the region around King Sejong Station, but at only one station, Frei.

Rural Village Development Itemized Study on the Importance Analysis and Improvement (농촌마을종합개발 항목별 중요도 분석 및 개선방안에 관한 연구 - 인제군 용대권역을 중심으로 -)

  • An, Chung-Ho;Lee, Joo-Hyung
    • Journal of The Korean Society of Agricultural Engineers
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    • v.54 no.6
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    • pp.9-17
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    • 2012
  • In 1960's, Korea had concentrated on economic development, in the meantime the existing problem which is an avoiding rural settlement phenomenon such as a farming population decrease, an unstabel income, poor surroundings, etc. could intensify. And because of an exodus from agricultural area caused by industrialization and a fall of agricultural farm price as a result of domestic agricultural market opening in accordance with FTA, in 2004 Korean government excuted the integrated rural-village development plan as a measure to provide more support for agricultural villages. The integrated rural-village development plan means that inter-connected with villages which have potnetial and developed it as a unit of small-zone, also we can assume it a Down-up development type because residents participate and lead this plan directly. But, this plan made progress rapidly as a countmeasure of government so, it needs to evaluate for completed project area and make an improvement for a sustainable undertaking. Therefore, this study categorized project contents systematically into two parts of Hardware and Software, after that composed of 4 large-parts, 13 mid-parts and 43 small-parts from Inje-Yongdai zone which was designated for an integrated rural-village development plan in 2004. And a result of analysis for project contents priorities by hierarchy analysis method showed the Regional capability reinforcement is selected for the most important project content by 3 stakeholders who are specialists (514pts.), Korea Rural Community Corporation staffs (694pts.), local government officers (688pts.)

A Case Study of Prosthetic Ambulation Training for Upper and Both Lower Extremity Amputated Patient (상지 및 하지절단 환자의 의지보행훈련 증례연구)

  • Hong, Do-Sun;Park, Chang-Ju
    • Journal of Korean Physical Therapy Science
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    • v.7 no.1
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    • pp.367-375
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    • 2000
  • The purpose of this study is to announce the present condition, walking training, and adaptable training of a limb amputated patient. The study is a successful report of the limb amputated patient through the medical treatment of the physical therapy. A cause of the limb amputated patient, a truck driver, was that the patient was hit by a train when the driver alight from the truck. Then, the driver was surgical operated on left AK (Above Knee) amputation and left AE (Above Elbow) amputation by orthopedics at the Young Dong Severance Hospital on Dec.7, 1996. Two weeks after the operation (Dec., 22, 1996), the patient was trained at the Yonsei Medical Center Physical Therapy Hospital for the walking and temper adjust training. It was possible to do a flat surface walking and a slope surface walking without helping due to the patients optimistic personal character and motivation. However, the patient struggled to a dull surface walking and his weak endurance. the patient has several problems when the patient wears artificial legs and hands, fears on fall down, and mentally worries on noise when he walks. It is necessary to approach for this problems by many fields of the helpers, such as Rehabilitation medical doctor, physical therapist, occupational therpist, artificial limbs makers, psychologists, and etc. Therefore, in order for recovering from the amputated parts function after the surgical operation, more approved reports have to be for the amputated patients due to increasing traffic accidents, industrial disaster, cancer, diabetes, obstacles of the peripheral nervous system, and etc.

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An Analysis on Influence Area by the Simulation over Mt. Baekdu Eruption (시뮬레이션에 의한 백두산 화산분출 영향범위 분석)

  • Kim, Nam-Sin
    • Journal of the Korean association of regional geographers
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    • v.17 no.3
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    • pp.348-356
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    • 2011
  • Someday Mt. Baekdu could erupt by records of orogeny activity until today. This study is to predict influence area of lava flow and volcanic ash by simulation of volcanic eruption in the Mt. Baekdu. Simulation for eruption applied to supposing 7 grade of volcanic explosivity index, season from fall to spring. As a simulation results, lava flewed down into slope of China and volcanic ash diffused over the North Korea. Volcanic ash spreads to Ulneung area after nine hours. It was predicted that 61 cities and villages out of 27 administrative districts of Si-Gun were affected by volcanic ash in North Korea and an immense volume of volcanic ash was blown into farm lands, city areas and forests. This results expected to utilize information for disaster preparation of North Korea and joint research with South-North Korea and China.

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A Study about Transitional Modulations in Jazz Music (재즈 음악내의 일시적 전조에 관한 연구)

  • Kim, Jung-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.518-528
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    • 2016
  • It seems like many songs have the tonality of one key in jazz standards, but there are many cases in which more than one new key could be formed, despite being a short moment. Moreover, some songs contain keys of temporary changes many times in the event that keys are changed transitionally with the sequencing of cords many times, which is called 'Transitional Modulation with Sequences. The proceeding II-V-I of the major and minor keys are used as the sequencing of cords, and the most popular type in this sequencing pattern is the downward modulation in whole-steps or half-steps. The downward modulation in the interval of whole-steps is a useful technique; for example, there should be three compositions in the adjacency circumstances when it is used twice. We could express effectively a phenomenon that feelings go up to the climax and rapidly fall down. The downward modulation in half-steps must be more dramatic because a higher comparative aspect is made between the adjacent two keys.