• Title/Summary/Keyword: Massive sized

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The Evaluation for the Usefulness of Arthroscopic Miniopen Repair which Related with Large and Massive Sized Full Thickness Rotator Cuff Tear and Clinical Results (대범위 이상의 회전근 개 파열에 대한 관절경 감시하 소절개 봉합술의 임상 결과 및 수술의 유효성)

  • Ko, Sang-Hun;Cho, Sung-Do;Choe, Seung-Wan;Park, Mun-Soo;Gwak, Chang-Youl;Kim, Sang-Woo;Jung, Kwang-Hwan;Cha, Jae-Ryong
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.83-88
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    • 2006
  • Purpose: To evaluate the usefulness of arthroscopic decompression and miniopen repair that was related with large and massive sized full thickness rotator cuff tear and assess clinical result. Materials and Methods: Twenthy-nine cases of miniopen repaired full thickness tear of rotator cuffs that arthroscopically decompressed were studied. From October 1998 to December 2004 we have analysed 29 repairs of large and massive sized FTRCT, the average age 44 ($32{\sim}71$) years old, mean follow-up was 34 ($12{\sim}84$) months. We analyzed the results statistically by paired t-test. Results: Postoperative VAS of pain improved average 7.0 to 1.7, UCLA score improved 13.7 to 31.9, ADL improved 11.3 to 25.3 respectively (all, P=0.000). Twenty five cases(82.8%) of the patients showed excellent & good results at the final follow-up. The satisfied rate was 26 cases(89.7%). Conclusions: Arthroscopic decompression and miniopen repair in large and massive sized full thickness rotator cuff tears are effective surgical methods.

The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears (회전근 개 파열에 있어서 이두근 건을 이용한 관절경하 봉합술의 유용성)

  • Ko, Sang-Hun;Rhee, Young-Girl;Jeon, Hyung-Min;Lee, Chae-Chil
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.106-111
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    • 2007
  • Purpose: The purpose of this paper is to clinically evaluate the usefulness of all arthroscopic repair with biceps incorporation in massive sized full thickness rotator cuff tears. Materials and Methods: This is a prospective comparative outcome study evaluating a series of all arthroscopic rotator cuff repairs with biceps incorporation on massive(range: $5{\sim}\;cm6$ sized) from March 2003 to May 2006. Group I was twenty two cases of arthroscopically repaired with biceps incorporation, twenty cases of group II without biceps incorporation were analyzed. The average age of the patients was 58 years(range, $41{\sim}74$ years), and mean follow-up was 24 months(range, $12{\sim}36$ months). Results were statistically compared by Mann-Whitney test. Results: Average VAS for pain, ADL, UCLA score were not significantly different between group I and group II (P>0.05 for each). Forward elevation strength was 4.3 in group I, 3.5 in group II(P<0.05). On postoperative follow up ultrasound, retear was 10 cases in the middle of 19 cases at group I, 15 cases in the middle of 17 cases at group II (P<0.05). Conclusion: This study reveals that all arthroscopic repairs with biceps incorporation in massive sized full thickness rotator cuff tears is an effective surgical method and reduced retear and enhanced strength.

False Aneurysm of Common Carotid Artery by Trauma (외상에 의한 가경동맥루 1례 보고)

  • Oh, Bong-Seok;Choi, Jong-Beom;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.14 no.1
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    • pp.67-70
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    • 1981
  • Aneurysms of the extracranial carotid artery are rare. This is a case report of the rapidly expanding false carotid aneurysm at left common carotid artery, which was repaired surgically with internal shunt This 20 year old male patient had a large pulsatile mass on left lateral aspect of neck at the time of admission. About 1 month before admission, he had received a trauma on left neck by glass piece and noted massive blood loss. And its skin of lesion was sutured simply at local clinic and well healed. 10 days before the admission, he had the sudden onset of the adult thumb sized and pulsatile mass and the mass had been enlarged more and more to the adult first-sized one. The cervical film showed a egg-sized and soft tissue mass. There was systolic bruit on the mass. The diagnosis was confirmed with the angiogram of left carotid artery and this showed the man`s thumb tip-sized extravasation at the point 2 Cm below the bifurcation of Internal and external carotid arteries. The emergency operation was performed by the internal shunt with carotid artery. The aneurysm was enclosed with the adventitia and carotid sheath, and the intima and media were Intact and had the opening of 0.5 cm in diameter. The opening was sutured by the one-hand mattress suture method and firmed with the Aron Alpha-A "Sankyo." The postoperative course was uneventful and the patient was discharged with good general condition.

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A Vestibular Schwannoma Associated with Massive Intratumoral Hemorrhage (종양내 출혈을 동반한 청신경 초종)

  • Jeong, Je Hoon;Leem, Won;Lee, Ki Taeck;Lim, Young Jin;Kim, Tae Sung;Kim, Gook Ki;Rhee, Bong Arm
    • Journal of Korean Neurosurgical Society
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    • v.30 no.8
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    • pp.1028-1032
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    • 2001
  • The report of massive intratumoral hemorrhage from vestibular schwannoma is rare. A 66-year-old female who had suffered from disturbance of hearing for one year developed severe headache and dizziness. Brain MRI showed crescent shaped mass in the left cerebellopontine angle. A left suboccipital approach revealed an $3{\times}3cm$-sized encapsulated mass. The tumor was totally extirpated together with clot. Histologically the tumor was schwannoma with massive hemorrhage. Postoperative course was uneventful. The authors report the rare case of vestibular schwannoma presenting with intratumoral hemorrhage with review of possible pathophysiology and associated factor.

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Pathological study of a infectious lymphoid organ necrosis virus infection in penaeid shrimp (Penaeus orientalis) (보리새우류(대하)의 전염성 Lymphoid organ 괴사 바이러스 감염에 대한 병리학적 연구)

  • Park, Jae-hak;Lee, Yong-soon
    • Korean Journal of Veterinary Research
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    • v.36 no.4
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    • pp.1013-1016
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    • 1996
  • Since 1993, sudden and massive death has occurred among penaeid shrimp, Penaeus orientalis cultured in Korea. We investigated the pathological characterizations on the spontaneously and experimentally infected penaeid shrimp. The major gross findings of the spontaneous cases were 2-6mm sized-white spots on the inside of the carapace and reddish discolorization. Histopathologically, massive necrosis of lymphoid organ, degeneration and necrosis of epithelia of epidermis and foregut were observed in both spontaneous and experimental cases. Amphophilic to basophilic intranuclear inclusion bodies were readly observed epithelia of epidermis, foregut and gills. Electron microscopy revealed enveloped, non-occuluded ellipsoid to rod shaped virus particles, within the nucleus, in the lymphoid organs and interstitial cells of hepatopancreas of both spontaneously and experimentally infected shrimps. The size of the virion was $375{\times}167nm$, and the nucleocapsid was $290{\times}75nm$. The causative agent causing massive death in penaeid shrimps in Korea resembles baculovirus associated with white spot syndrome (WSBV) occurred in Taiwan in virus morphology and gross and histological changes of the shrimps.

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Development of International Project Risk Index (IPRI)

  • Yoo, Wi Sung;Kim, Woo-young
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.49-50
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    • 2015
  • Since the mid-2000s, Korean large-sized construction companies have pursued in earnest to expand their business to global construction market in surroundings that domestic market have a continuous and long-term stagnation. However, during last a few years, they have experienced the serious financial loss from international projects. In the meantime, for the sound improvement of Korean construction industry, many stakeholders long for efficient early warning signals to generally monitor and track the potential risks of international projects. In this study, we introduce an International Project Risk Index (IPRI), which is derived from massive data provided by large-sized companies, and expect to provide the practitioners and decision makers as an aid to proactively cope with the change of the potential risks. The outcomes from the IPRI can be utilized to prepare a timely management strategy and to establish an appropriate government support regulation.

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Use of Massive Cuff Stitch in Arthroscopic Repair of Rotator Cuff Tears (관절경 하 회전근 개 파열의 봉합에서 광범위 근개 봉합법의 이용)

  • Ko, Sang-Hun;Cho, Sung-Do;Gwak, Chang-Youl;Eo, Jin;Yoo, Chang-Hyun;Choe, Seung-Wan
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.181-188
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    • 2006
  • Purpose: To evaluate the integrity of repair & technical tip in use of Massive Cuff Stitch at arthroscopic repair of rotator cuff tear. Materials and Methods: Twenthy-nine cases of arthroscopically repaired full thickness tear of rotator cuffs which are medium sized were evaluated. Between December 2004 to September 2005 we have studied, the average age 53($42{\sim}69$) years old, mean follow-up was 15($12{\sim}21$) months. We analyzed the results statistically by paired t-test. The integrity of repair were verified by follow up MRI which were checked 11 cases and ultrasound which were checked 10 cases. Results: VAS of pain improved preoperative average 7.1 to postoperative 0.9, ADL improved 11.2 to 25.6 respectively, UCLA improved 13.7 to 32.9(all, P<0.05). 89.7% showed excellent & good results at the final follow-up. The satisfied rate was 93.1%(27 cases). There was re-rupture of the repaired rotator cuff in one case out of 11 cases which were checked by MRI, and in one case out of 10 cases which were checked by ultrasound, and there was one case of thinning of cuff which were checked by ultrasound. Conclusion: The use of Massive Cuff Stitch in arthroscopic repair of rotator cuff tear have been reduced technical failure. It will be good surgical technique which maintain the integrity of repairs.

Evaluating the Relationship between Place Attachment, Residential Evaluations and Satisfaction in a Medium-sized Romanian City (루마니아 도시에서의 장소애착, 거주성 평가, 만족도 간에 상관성 연구)

  • Dumitru, Adina;Garcia Mira, Ricardo;Maricutoiu, Laurentiu;Ilin, Corina
    • Journal of the Korean housing association
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    • v.25 no.4
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    • pp.31-38
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    • 2014
  • The present research aimed at researching the relationships among place attachment, residential evaluations and satisfaction in a medium-sized post-communist Romanian city. Studies on post-communist cities are scarce and this research tried to fill that gap. This research is part of a government project that intended to significantly reform three medium-sized cities in the Western part of Romania and transform the urban space. Since the three of them are relatively small-sized and close spatially, the project intends to undertake massive reforms of the communications and services of the three cities. In this article, we report findings on the city of Hunedoara. A representative random sample was selected, and a total of 384 people were interviewed, with an overall reliability of the sample of 95%. The instruments used to gather the data were the Neighbourhood Perceived Environmental Quality Scale and a composite measure of place attachment was also included. The structure of each scale was checked using exploratory factor analysis. We tested alternative causal models using structural equations modelling. Our model showed a good fit to the data and explains satisfaction in the city adequately. Results show that satisfaction is directly predicted by the general evaluation of the city and by residential privacy. Residential noise and place attachment influence satisfaction indirectly. The results are discussed and some policy recommendations are formulated.