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The Microbiological Evaluation of Environments and Facilities at Food Service Operations in Elementary School (초등학교 단체급식 소의 환경과 급식설비에 대한 미생물 평가)

  • 정동관;류은순
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.31 no.2
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    • pp.216-220
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    • 2002
  • The microbiological examinations of food service operations were conducted for the hygienic evaluation at four elementary schools in Busan, Korea. Total one hundred and seventy two swabbed samples using sponge were collected from the surface of environments, utensils and equipments of food service facilities and analyzed by measuring the total, coliform and psychrotrophic count. Sampling sites were the surfaces of floors, drains, walls, knives, cutting boards, rubber gloves, vinyl aprons, plastic containers, carriers, shelves, trays, dry shelves, electric tray dryer, food containers, soup containers, rice cookers, frying pans, boiling cookers, refrigerators, dumb waiters and dishwashers. The swabbed samples kept in an ice-parked box were transported to a laboratory and analyzed. The results demonstrated that the degree of contamination depended on the sampling sites. Averages of total counts of surface swab samples were ranged from 0.62 to 7.79 Log CFU/200 cm$^2$. The level of coliforms were ranged from not detectable to 5.26 Log CFU/200 cm$^2$, and those of psychrotrophs from not detectable to 6.15 Log CFU/200 cm$^2$. The severely contaminated sites were dumb waiters, drains, rice cookers, knives, plastic containers and floors. Also cutting boards, rubber gloves, carriers, drying shelves, vinyl aprons, boiling cookers, soup containers, frying pans and refrigerators were highly contaminated with the level of abode 3.5 Log CFU/200 cm$^2$. Therefore, those sites should be focused and controlled according to control points of sanitation standard operating procedures (SSOP). Also, periodic microbiological examination in addition to visual examination is recommended on these highly contaminated sites indicated above results at food service operations in elementary school.

CONSERVATIVE TREATMENT OF BILATERAL CONDYLAR FRACTURE BY A SIMPLIFIED TECHNIQUE OF MAXILLOMANDIBULAR FIXATION (단순악간고정법을 이용한 양측성 하악과두골절의 보존적 치료)

  • Kim, Jong-Pil;Ahn, Sang-Hun;Chang, Heon-Soo;Park, Jae-Bum;Jo, Byung-Woan;Ann, Jye-Jynn
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.2
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    • pp.171-179
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    • 1995
  • The conservative treatment of the condylar fracture has been used for a long time because of its simplicity, good prognosis and less complication. Traditionally the conservative treatment has been carried out by maxillomandibular fixation using arch bar and wire. But a simplified technique of maxillomandibular fixation introduced here is a procedure that 4 bone screws are placed above the apecies of the maxillary and mandibular canines and then ipsilaterally placed maxillary and mandibular bone screws are linked by a loop of wire each other. This procedure has several advantages compared with the traditional maxillomandibular fixation method. 1) it provides simplicity for the operators. 2) it sustains maxillomandibular fixation more rigidly compared with arch bar technique. 3) it keeps stable maxillomandibular fixation in the region of the anterior teeth so that anterior open bite tendency can be remarkably minimized. 4) it does not injure the periodontal tissue because the teeth are not engaged and causes less discomfort to the patient. 5) it decreases the possibility of operator's AIDS infection through inadvertent skin puncture. 6) it is highly recommended for the patients whose teeth are available for maxillomandibular fixation. The two male patients were diagnosed as bilateral condylar and symphyseal fracture of the mandible. They restored stable occlusion and functional mandibular movement only by a simplified technique of maxillomandibular fixation.

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Release Level of Amblyseius fallacis Garman (Acarina: Phytoseiidae) for Biological Control of Panonychus citri McGregor (Acari: Tetranychidae) on Citrus (귤응애의 생물적 방제를 위한 Amblyseius fallacis의 방사수준)

  • 김동환;김광식;현재욱;임한철
    • Korean journal of applied entomology
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    • v.42 no.3
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    • pp.233-240
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    • 2003
  • The effect of density suppression of Amblyseius fallacis (Garman) against Panonychus citri (McGregor) on citrus tree introduced with some different ratio was investigated. When it was introduced with over 16:1 (Panonychus citri: A. fallacis) ratio, Panonychus citri was suppressed very effectively. And in case of introduced once or two times with 20: 1 ratio when the density of Panonychus citri was reached 0.5 and 1.0 per leaf, the density of A. fallacis was formed highly, but the suppression effect against Panonychus citri was not effective. Also, the density changes of P. citri and A. fallacis on the citrus tree released with 10: 1 ratio (P. citri: A. fallacis) when the density of P. citri was reached about 0.1 per leaf in plastic film house were investigated. In case of released twice at the interval of 10 days, the density of A. fallacis was high and P. citri was suppressed so effectively over two month. On the inside of canopy of the citrus tree planted in plastic film house, the air temperature was much lower than on the outside of canopy, while relative humidity was much higher.

A Study on Experimental Method of Blasting Vibration in Curing Concrete (양생중인 콘크리트에서의 발파진동의 영향 시험방법에 대한 연구)

  • Kim, Jang-Deuk;Kim, Yong-Ha
    • The Journal of Engineering Geology
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    • v.19 no.3
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    • pp.417-422
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    • 2009
  • Tunnels that have recently been constructed are characterized by longer length than ever before and furthermore they frequently go through the ground area with poor conditions such as fractured zones. If ground strength is weak, plastic deformation of tunnel occurs, and occasionally a big fall may be brought about. Up to now, the construction work of tunneling has been executed as a sequential method placing the lining concrete after completion of excavation. Such a method requires a long time and much money to complete the tunnel. It is hard to ensure the stability of tunnel if tunnel is left undone for a long time after excavation in fracture zones or plastic grounds. For this reason, we tried to take simultaneous construction of tunnel excavation and lining concrete in order to not only shorten construction schedule but also stabilize the tunnel at the highly fractures zone as soon as possible. As preliminary consideration for simultaneous construction, in-situ tests are performed to calculate the isolation distance over which blasting vibration does not influence the strength of lining concrete. Improvement of ling form, placing method of concrete, ventilation using a dust collector, together with equipment arrangement, was made to assure the simultaneous construction work.

FACIAL NERVE SCHWANNOMA IN PAROTID GLAND: A CASE REPORT (이하선에 발생한 안면신경 신경초종의 치험례)

  • Choi, Se-Kyung;Choi, Jong-Myung;Kim, Hyun-Sil;Kim, Hyung-Jun;Cha, In-Ho;Nam, Woong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.1
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    • pp.68-71
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    • 2010
  • Facial nerve schwannomas (FNSs) are usually painless, slow-growing, and without specific symptoms, so that early diagnosis may be difficult. They are particularly liable to being misdiagnosed as parotid gland origin benign tumor before surgery, which can lead to unnecessary parotidectomy or unexpected facial nerve injury. To prevent these complications, it is important that the correct diagnosis is performed at least in intraoperative time. When an adhesion between the mass and the facial nerve is exist or when electrical stimulation of the mass triggers facial movement, FNS is highly suggested diagnosis. In such cases, frozen section analysis should always be performed. In this case, the pre-operative diagnosis from clinical examination and MRI was pleomorphic adenoma. However, intraoperative features led us to suspect that the mass originated from facial nerves, and intraoperative frozen section analysis yielded results consistent with a schwannoma. Based on this intraoperative diagnosis, we carried out a successful conservative treatment with preservation of facial nerve.

A clinical evaluation of botulinum toxin-A injections in the temporomandibular disorder treatment

  • Kim, Hyun-Suk;Yun, Pil-Young;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.5.1-5.5
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    • 2016
  • Background: This study clinically evaluated the effect of botulinum toxin type A (BTX-A) in the temporomandibular disorder (TMD) treatment using Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Methods: A total of 21 TMD patients were recruited to be treated with BTX-A injections on the bilateral masseter and temporalis muscles and were followed up by an oral and maxillofacial surgeon highly experienced in the TMD treatment. For each patient, diagnostic data gathering were conducted according to the RDC/TMD. Characteristic pain intensity, disability points, chronic pain grade, depression index, and grade of nonspecific physical symptoms were evaluated. Wilcoxon signed-rank test was applied for statistical analysis. Results: The results showed that more than half of the participants (85.7 %) had parafunctional oral habits such as bruxism or clenching. In comparison between pre- and post-treatment results, graded pain score, characteristic pain intensity, disability points, chronic pain grade, and grade of nonspecific physical symptoms showed statistically significant differences after the BTX-A injection therapy (p < 0.05). Most patients experienced collective decrease in clinical manifestations of TMD including pain relief and improved masticatory functions after the treatment. Conclusions: Within the limitation of our study, BTX-A injections in masticatory musculatures of TMD patients could be considered as a useful option for controlling complex TMD and helping its associated symptoms.

Mixed-reality simulation for orthognathic surgery

  • Fushima, Kenji;Kobayashi, Masaru
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.13.1-13.12
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    • 2016
  • Background: Mandibular motion tracking system (ManMoS) has been developed for orthognathic surgery. This article aimed to introduce the ManMoS and to examine the accuracy of this system. Methods: Skeletal and dental models are reconstructed in a virtual space from the DICOM data of three-dimensional computed tomography (3D-CT) recording and the STL data of 3D scanning, respectively. The ManMoS uniquely integrates the virtual dento-skeletal model with the real motion of the dental cast mounted on the simulator, using the reference splint. Positional change of the dental cast is tracked by using the 3D motion tracking equipment and reflects on the jaw position of the virtual model in real time, generating the mixed-reality surgical simulation. ManMoS was applied for two clinical cases having a facial asymmetry. In order to assess the accuracy of the ManMoS, the positional change of the lower dental arch was compared between the virtual and real models. Results: With the measurement data of the real lower dental cast as a reference, measurement error for the whole simulation system was less than 0.32 mm. In ManMoS, the skeletal and dental asymmetries were adequately diagnosed in three dimensions. Jaw repositioning was simulated with priority given to the skeletal correction rather than the occlusal correction. In two cases, facial asymmetry was successfully improved while a normal occlusal relationship was reconstructed. Positional change measured in the virtual model did not differ significantly from that in the real model. Conclusions: It was suggested that the accuracy of the ManMoS was good enough for a clinical use. This surgical simulation system appears to meet clinical demands well and is an important facilitator of communication between orthodontists and surgeons.

Investigation Into the Drilling Characteristics of Carbon Fiber Reinforced Plastic (CFRP) with Variation of the Stacking Sequence Angle (탄소섬유강화플라스틱(CFRP)의 적층 배향각에 따른 드릴링 가공 특성 고찰)

  • Kim, Tae-Young;Kim, Ho-Seok;Shin, Hyung-Gon
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.23 no.3
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    • pp.250-258
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    • 2014
  • Due to recent industrial growth and development, there has been a high demand for light and highly durable materials. Therefore, a variety of new materials has been developed. These new materials include carbon fiber reinforced plastic (CFRP or CRP), which is a wear-, fatigue-, heat-, and corrosion-resistant material. Because of its advantageous properties, CFRP is widely used in diverse fields including sporting goods, electronic parts, and medical supplies, as well as aerospace, automobile, and ship materials. However, this new material has several problems, such as delamination around the inlet and outlet holes at drilling, fiber separation, and tearing on the drilled surface. Moreover, drill chips having a fine particulate shape are harmful to the work environment and engineers' health. In fact, they deeply penetrate into machine tools, causing the reduction of lifespan and performance degradation. In this study, CFRP woven and unidirectional prepregs were formed at $45^{\circ}$ and $90^{\circ}$, respectively, in terms of orientation angle. Using a high-speed steel drill and a TiAIN-coated drill, the two materials were tested in three categories: cutting force with respect to RPM and feed speed; shape changes around the input and outlet holes; and the shape of drill chips.

Microvascular Anastomosis Using 'Continuous Suture with Interrupted Knot' Technique (연속 봉합 단속 결찰법을 이용한 미세 혈관 문합법)

  • Choi, Moon-Su;Park, Sang-Hoon
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.22-27
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    • 1999
  • While the conventional end-to-end anastomotic technique is accepted as 'the golden standard' for microvascular anastomosis, it is time-consuming and tedious. In an effort to offer faster and safer ways of performing microvascular anastomoses, numerous anastomotic techniques have been proposed, but further refinements in microvascular techniques are still necessary. A 'continuous suture with interrupted knot' technique was devised for faster and safer anastomosis. It has been successfully used in microanastomoses of both artery and vein for free tissue transfer. It is a combination of the interrupted suturing technique and the continuous suturing technique. First, a continuous suture is made with the size of loop decreasing in order, and then the sutures are tied individually from the first loop to the last one as in the conventional interrupted suturing technique. It was applied clinically to fourteen patients over the past ten months and found to be a highly efficient technique that satisfied our needs. This 'continuous suture with interrupted knot' technique has several advantages over other techniques : The operative time is reduced comparing conventional interrupted suture technique. By delaying the tie and with the vessel walls kept separated, the risk of through-stitch can be reduced. Tying all the sutures at one time not only speed up the procedures, but also reduced the surgeon's fatigue. In addition, it has no problem of anastomotic stenosis which is a disadvantage of continuous suture technique. This technique proved to be faster and safer, and has patency equal to that of the conventional end-to-end anastomosis. It is of great help to the surgeon in reducing operative time, especially in clinical situations when many anastomoses are required, or lengthy grafting procedures are undertaken.

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DECOMPRESSION TREATMENT FOR ODONTOGENIC CYST IN MANDIBLE USING SPECIFIC DECOMPRESSION APPLIANCE : CASE REPORT (특별히 고안된 감압술 장치를 이용한 하악의 치성 낭종의 치료: 증례보고)

  • Kim, Kyoung-Soo;Kim, Jin-Cheol;Oh, Hae-Soo;Choi, Bin;Kil, Yong-Kab;Hong, Yong-Jae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.2
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    • pp.182-186
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    • 2007
  • A cyst is a pathologic lesion characterized by a cavity filled with fluid, celluar products, air, or a combination of these. Dentigerous cysts were formed around the crown of unerupted teeth. The reduced enamel epithelium persists around the crown after it has formed. Proliferation of the epithelium in a fluid-filled sac may be induced by osmotic pressure. In the first decade the most frequent location is the premolar site. In each subsequent decade the largest number of cysts are in the mandibular third molar site, with the second most frequent site being the maxillary canine. The treatment of odontogenic cyst can be mostly classified into three types of cyst enucleation, marsupialization and decompression. We should consider age of patient, anatomic structure, location and size for choosing a treatment method. Advantage of cyst enucleation is fast healing, but a injury of a surrounding structure is highly. Marsupialization is conservative treatment that can reduce the damage of a adjacent structure, but it is only limited at superficial lesion. Decompression also is conservative treatment, but it has the difficulty of the oral hygiene and the troublesome of the lavage. We present the possibility that reduces the defect of decompression and cures the lesion efficiently. We report a male patient with the dentigerous cyst developed at left mandibular third molar in this study. We used the decompression for a treatment and created special appliance to treat the lesion efficiently. We report a case of the cyst treatment that is association with efficiency of decompression appliance.