• 제목/요약/키워드: IMA

검색결과 152건 처리시간 0.024초

중등도 중족골간 각을 가지는 중증도 무지외반증의 특징 (Characteristics of Severe Hallux Valgus Deformity with Moderate Intermetatarsal Angle)

  • 박철현;이우천;김정래;임승완
    • 대한족부족관절학회지
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    • 제18권4호
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    • pp.173-177
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    • 2014
  • Purpose: The purpose of this study is to evaluate the characteristics of hallux valgus with severe hallux valgus angle (HVA) and moderate intermetatarsal angle (IMA) after proximal chevron osteotomy. Materials and Methods: Between January 2008 and December 2010, 41 patients (48 feet) were treated with proximal chevron osteotomy and distal soft tissue procedure for symptomatic severe hallux valgus deformity ($HVA{\geq}40^{\circ}$). Patients were divided into two groups, group M (IMA< $18^{\circ}$) and group S ($IMA{\geq}18^{\circ}$). Mean age of patients was 55.7 years (34~70 years) in group M and 60.0 years (44~78 years) in group S. Mean duration of follow-up was 20.4 months (12~41 months) in group M and 18.5 months (12~35 months) in group S. Radiographic parameters, including HVA, IMA, sesamoid position, metatarsus adductus angle (MAA), and distal metatarsal articular angle (DMAA), were compared between groups. Clinical results were assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analogue scale (VAS). Recurrence rate at the last follow-up was compared between group M and group S. Results: Preoperative HVA and grade of sesamoid position did not differ between the groups. However, immediate postoperative HVA and grade of sesamoid position were significantly larger in group M. Preoperative MAA and DMAA were significantly larger in group M. No significant difference in AOFAS score and VAS was observed between the groups at the last follow-up. Ten of the 27 feet (37.0%) in group M and two of the 21 feet (9.5%) in group S showed hallux valgus recurrence at the last follow-up. Group M showed a significantly higher recurrence rate than group S. Conclusion: Recurrence rate for severe hallux valgus with moderate IMA is higher than that of severe hallux valgus with severe IMA.

Pyrazosulfuron - ethyl과 Imazaquin의 살초작용 비교 (Comparison of Herbicidal Action between Pyrazosulfuron - ethyl and Imazaquin)

  • 황인택;최정섭;김진석;조광연
    • 한국잡초학회지
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    • 제16권4호
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    • pp.317-326
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    • 1996
  • Sulfonylurea계 제초제 pyrazoslulfuron-ethyl과 imidazolinone계 제초제 imazaquin을 대상으로 약해발생양상, dymron에 의한 약해경감효과, butachlor와의 상호작용성, ALS에 대한 혼합작용 등을 조사한 결과는 다음과 같다. 1. 제초제에 의한 벼(동진)의 생장저해증상은 pyrazosulfuron-ehtyl 처리구에서 시간이 경과되면서 회복되었지만 imazaquin 처리구에서는 회복되지 않았다. 2. 높은 농도의 pyrazosulfuron-ehtyl에 의한 벼의 약해는 dymron 혼합처리에 의하여 크게 감소되었지만, IMA에 대해서는 약해경감효과가 나타나지 않았다. 3. 혼합처리에 의한 강피의 생장억제효과는 동시 또는 체계처리 모두 동일한 경향으로 pyrazosulfuron-ehtyl과 butachlor은 길항적이었지만 imazaquin과 butachlor은 상가적이었다. 4. Pyrazosulfuron-ehtyl과 imazaquin의 ALS 효소활성 50% 저해농도는 각각 $4{\times}10^{-7}$M, $2.8{\times}10^{-6})$M 이었고 혼합처리할 경우 butachlor은 두 제초제의 ALS 저해작용에 영향을 주지 않았다. 이상의 결과를 보면 pyrazosulfuron-ethyl과 imazaquin이 공통적으로 ALS를 저해하지만 살초기작은 서로 다른 것으로 생각되었다.

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Staged Management of a Ruptured Internal Mammary Artery Aneurysm

  • Kwon, O Young;Kim, Gun Jik;Oh, Tak Hyuk;Lee, Young Ok;Lee, Sang Cjeol;Cho, Jun Yong
    • Journal of Chest Surgery
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    • 제49권2호
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    • pp.130-133
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    • 2016
  • The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.

중복안정성 확보를 위한 항공전자 소프트웨어 설계방안 연구 (A Study on the Avionics Software Design for Redundancy)

  • 임성신;조한상;김종문;송재일
    • 항공우주시스템공학회지
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    • 제8권2호
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    • pp.21-26
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    • 2014
  • The aircraft manufacturers are constantly driving to reduce manufacturing lead times and cost at the same time as the product complexity increases and technology continues to change. Integrated Modular Avionics (IMA) is a solution that allows the aviation industry to manage their avionics complexity. IMA defines an integrated system architecture that preserves the fault containment and 'separation of concerns' properties of the federated architectures. In software side, the air transport industry has developed ARINC 653 specification as a standardized Real Time Operating System (RTOS) interface definition for IMA. It allows hosting multiple applications of different software levels on the same hardware in the context of IMA architecture. This paper describes a study that provided the avionics software design for separation of fault and backup of core function to reduce workload of pilot with cost efficiency.

Pseudo-Aneurysm in Internal Maxillary Artery Caused by Radiofrequency Ablation: Literature Review with a Case Report

  • Yang, Hyun-Woo;Oh, Ji-Hyun;Nam, Ok-Hyung;Lee, Chunui
    • Journal of Oral Medicine and Pain
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    • 제45권2호
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    • pp.44-47
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    • 2020
  • The case of pseudo-aneurysm of internal maxillary artery (IMA) in oral and maxillofacial region is known to be very rare. The etiology of this case was regarded as IMA injury by radiofrequency ablation (RFA) and such incidence was not reported previously. One case of false aneurysm in the IMA was referred from local dental clinic to our department. Left facial swelling was observed with severe trismus immediately after radiofrequency procedure for masseteric nerve block in local dental clinic. Despite of medication and surgical intervention, the swelling did not subside and there was massive bleeding and pulsation on one of the follow ups. The traumatic vascular disorder was suspected and finally diagnosed with angiography and treated by embolization procedure. RFA targeting masseteric nerve or trigeminal ganglion may cause traumatic injury to adjacent anatomic structures such as IMA, resulting in pseudo-aneurysm. Clinicians must be aware of potential damages of RFA. Angiography enables the solid diagnosis for pseudo-aneurysm, and selective embolization can be optimum treatment method.

제1 중족골 근위 반월형 절골술과 Ludloff 절골술 후 교정 각도에 따른 절골편간 접촉 면적 비교(예비보고) (A Comparison of the Contact Area between Three Different Correcting Angles after Proximal Crescentic Osteotomy and Ludloff Osteotomy of the First Metatarsal (Preliminary Report))

  • 박용욱;장근종;박상호
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.5-10
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    • 2010
  • Purpose: This study was performed to compare the contact area between three different correcting angles after the proximal crescentic and Ludloff osteotomies of the first metatarsal. Materials and Methods: We used the two sawbone models. Proximal crescentic (PCO) and Ludloff osteotomies (LO) were performed and secured using K-wires under the correcting intermetatarsal angle (IMA) $5^{\circ}$, $10^{\circ}$, and $15^{\circ}$. Then each 6 osteotomized model was scanned five times and measured the contact area using the calculating program. We excluded the highest and lowest values. Results: The mean area of cutting surface was 189 $mm^2$ in PCO, 863 $mm^2$ in LO. The mean contact area (contact ratio; contact area $\times$100/area of cutting surface) of PCO was 149 $mm^2$ (79%) in $5^{\circ}$, 139.5 $mm^2$ (74%) in $10^{\circ}$, 107 $mm^2$ (57%) in $15^{\circ}$ IMA. The mean contact area (contact ratio) of LO was 711 $mm^2$ (82%) in $5^{\circ}$, 535.5 $mm^2$ (62%) in $10^{\circ}$, 330 $mm^2$ (38%) in $15^{\circ}$ IMA. Conclusion: A significant decrease in the contact area and contact ratio according to increase in correcting IMA was noticed in LO. We recommend the PCO rather than LO, when the IMA is needed to correct over $15^{\circ}$.

악교정 수술후 근주와 자가통증조절장치(PCA)의 제통효과 비교 (A COMPARISON OF PATIENT-CONTROLLED ANALGESIA (PCA) AND INTRAMUSCULAR ANALGESIA AFTER ORTHOGNATHIC SURGERY)

  • 박미화;김재현;백상흠;차두원;이상한
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권3호
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    • pp.260-265
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    • 2005
  • Patient-controlled analgesia (PCA) has been widely used for postoperative pain control in medical surgery parts. Conventional intramuscular analgesia (IMA) is also effective in postoperative pain control, but it has some disadvantages that depend on patients' perception of pain and the anxiety that they endure caused by the delay of the injection time. This study was conducted to assess the efficacy and postoperative outcomes of intravenous PCA compared to IMA injections in 36 patients (BSSRO). Three factors were compared: amount of pain in PCA and IMA group ; amount of pain according to the sex in PCA and IMA group and the amount of pain according to the analgesia use. Results of this study did not demonstrate a statistically significant difference in any of these, using a p value of 0.05. The results of this study were as follows. : 1. There was no statistically significant difference in VAS pain score between IMA group and PCA group. 2. There was no statistically significant difference according to the sex. 3. There was no statistically significant difference according to the amount of PCA. The history of PCA is about 30 years and many literatures have reported about its effects, complications, methods, advantages and disadvantages. So, this study has some limitations of small sample size to conclude the effects of PCA. But when the decision about the method for postoperative pain control has to be made, it should be made based on patient or physician preference and cost factors rather than on the trend.

무지 외반증 각변형에 대한 디지털영상의 전산화 계측: 100%와 150% 확대영상에서의 계측비교 (Computerized Measurement on Angular Parameters for Hallux Valgus: Comparison of 100% and 150% Magnified Digital Radiography)

  • 성일훈;이두연;성창호;서우영
    • 대한족부족관절학회지
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    • 제16권1호
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    • pp.53-57
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    • 2012
  • Purpose: To study computerized measurements of angular parameters on 100% and 150% resized digital radiography of hallux valgus deformity Materials and Methods: 30 digital radiography of standing foot anteroposterior view of hallux valgus patients were included. Two observers(A, B) independently measured hallux valgus angle (HVA), 1-2 intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) in two times on both 100%-size and 150% magnified images respectively, using computerized measurement software tools. The results were interpreted with the statistical software program, Statistical Analysis System, version 9.2. Results: In repeated measurements of each observer, measurements on 150% magnified image showed no differences of all three parameters and with 100%-size image, there were differences of HVA (observer A) and 1-2 IMA (observer B) (p>0.05). When testing interobserver reliability, both observers showed differences in measurement of HVA and DMAA (p<0.05), but no differences in measurement of 1-2 IMA in both images. Within the 95% confidence interval, limits of error of measurements between two observers on HVA, IMA and DMAA were $2.7^{\circ}$ $1.4^{\circ}$ and $5.0^{\circ}$ respectively in 100%-size images, and $2.6^{\circ}$, $1.6^{\circ}$ and $4.7^{\circ}$ respectively in 150% magnified images. Conclusion: In computerized measurements for angular parameters of hallux valgus with digital radiography, 150% magnified images showed intraobserver reliability. Both 100% and 150% magnified images failed to show interobserver reliability. Measurement of 1-2 IMA in both 100% and 150% images showed less interobserver error.

차량속도배열의 누적이동평균(IMA)을 활용한 혼잡예측모형 구축에 관한 연구 (A Study on Forecasting Traffic Congestion Using IMA (Integrated Moving Average) of Speed Sequence Array)

  • 이선하;안우영;강희찬
    • 대한토목학회논문집
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    • 제30권2D호
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    • pp.113-118
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    • 2010
  • 본 연구는 연속류 도로에서 안정교통류를 유지하기 위하여 교통흐름이 불안정한 현상을 감지하기 위한 방안을 제시하였다. 연속류 도로의 안정성이론에 기초하여 안정 교통류의 임계수준을 판단할 수 있는 교통류지표들 간의 관계를 도출하였다. 안정교통류임을 판단할 수 있는 거시적인 교통류 지표들이 다양한 상황에서 적용하기 어려운 점을 감안하여 본 연구에서는 검지기를 통해 측정된 연속차량의 속도배열에 대한 누적이동평균(IMA: Integrated Moving Average)을 사용하여 연속류 도로의 불안정성을 파악하는 모형을 개발하여 혼잡상황이 발생하기 이전에 진입교통량을 감소시키거나 속도제한을 통하여 혼잡을 사전에 예방할 수 있는 모형을 제시하였다. 천안-논산고속도로의 혼잡상황 자료를 바탕으로 분석한 결과 불안정 교통류 상황을 나타내는 안정도 평가지수인 값의 변화추세가 혼잡으로 인한 속도와 점유율 등의 시계열적 변화와 유사한 것으로 분석되었다.