• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.32 no.1
• /
• pp.43-48
• /
• 2010

The mandibular condyle fracture occurs at 15-30% frequency of whole mandibular fracture. The treatment of choice is open reduction or closed reduction. In many cases, closed reduction is preferred for treatment of condylar fracture because it is hard to approach to condyle and there is risk of surgical complications, such as nerve damage in open reduction. Open reduction, however, has some advantages like possibility of anatomical reduction, occlusal stability and rapid functional recovery. Furthermore, it is possible to retain original ramal heights and to decrease deviation during mouth opening. There are many surgical approaches for open reduction of subcondyle fracture. At present, transoral approach using trochar device is tried for effective and minimally invasive method for open reduction of subcondyle fracture. And the authors report the cases of reduction of subcondyle fracture with transoral approach using trochar device.

• Clinical and Experimental Pediatrics
• /
• v.62 no.12
• /
• pp.433-437
• /
• 2019

Acute pyelonephritis (APN) should be detected and treated as soon as possible to reduce the risk of the development of acquired renal scarring. However, in the medical field, urine culture results are not available or considered when the prompt discrimination of APN is necessary and empirical treatment is started. Furthermore, urine culture cannot discriminate APN among children with febrile urinary tract infection (UTI) (pyelitis, lower UTI with other fever focus). Therefore, the usefulness of urine culture for diagnostic purposes is small and the sampling procedure is invasive. Congenital hypoplastic kidney is the most common cause of chronic kidney injury in children. Thus, it is desirable that a main target be detected as early as possible when imaging studies are performed in children with APN. However, if APN does not recur, no medical or surgical treatment or imaging studies would be needed because the acquired renal scar would not progress further. Therefore, the long-term prognosis of APN in young children, particularly infants, depends on the number of recurrent APN, not other febrile UTI. New methods that enable prompt, practical, and comfortable APN diagnosis in children are needed as alternatives to urinary catheterization for urine culture sampling.

• Journal of the Korean Society of Safety
• /
• v.21 no.6 s.78
• /
• pp.106-115
• /
• 2006

The purpose of this study is to provide basic data for continuing study in order to accomplish preventive countermeasures for work-related musculoskeletal disorders(WMSD) and to examine related factors in connection with each other as: the working environment, the equipment used, working method, pain symptoms of dentists. The investigation period for this study was from November 1, 2004 to February 28, 2005, and we analyzed questionnaire survey of 190 dentists who were giving medical treatment in and around the metropolitan area and Daegu City. Also, we visited 20 dental hospitals personally and examined the work posture through check lists, interviews, and field investigations on work posture using photos and videotaping. This study showed the increasing physical burdens which were related to dentists work accomplishment and attitude, recognizing pain which were affecting work related WMSD. With the access of ergonomics and improving the education and training of awkward medical treatment methods and posture, and continuous public information about WMSD, the occurrence rate of WMSD could be decreased.

• Proceedings of the Korean Society of Soil and Groundwater Environment Conference
• /
• 2005.04a
• /
• pp.42-45
• /
• 2005

Accurate prediction of the fate and transport of contaminants in soils and sediments is very Important to environmental risk assessment and effective remediation of contaminated soils and sediments. The fate and transport of contaminants in subsurface are affected by geosorbents, especially carbonaceous materials including black carbon. Various physical and chemical treatment methods have been developed to separate different kinds of carbonaceous materials from soils and sediments. However, the effects of these separation methods on the properties of remaining carbonaceous materials including sorption capacity and linearity are unclear. The objective of this study is to determine if the chemical and thermal treatment methods previously used to separate different carbonaceous material fractions affect the properties of carbonaceous materials including longer term sorption capacity of hydrophobic organic contaminants. The results indicate that treatments with hydrochloric acid (HCl)/hydrofluoric acid (HF), trifluoroacetic acid (TFA), sodium hydroxide (NaOH) may not affect the sorption capacity of black carbon reference materials such as char and soot, however, treatments with acid dichromate $(K_2Cr_2O_7/H_2SO_4)$ and heat $(375^{\circ}C)$ for 24 hours in sufficient of oxygen) decrease the sorption capacity of them. The results of longer term sorption isotherm indicate that 2 days might be enough for trichloroethene (TCE) to equilibrate apparently with treated black carbon reference materials. The results suggest that acid dichromate and heat treatments may not appropriate method to investigate sorption properties of black carbon in soils and sediments.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.14 no.1
• /
• pp.5-9
• /
• 2003

Introduction : Laryngomicrosurgery(LMS) is frequent procedure applying to benign and early malignant larygeal disease such as vocal cord polyp, nodule and early glottic cancer. LMS has been known as safe procedure and short time consuming treatment. So few reports about complications in LMS was done. In this study, complications and problems from LMS were investigated and reported. Method : From 2000, January to 2001, December, 180 patients who were treated with LMS in Asan medical center were studied by retrograde chart review. Results : In these patients, total 9 patients(5%) were suffered from complication. 4 patients (2%) had teeth injury and 4(2%) were suffered from foreign body sensation in tongue and 1(1%) had hypoglossal nerve injury. Main mechanism of complications is thought by pressure injury by laryngoscope blade. No definite correlation between procedure and complication was observed. Conclusion : There are few neural complications with LMS such as lingual and hypoglossal nerve injury. Before operation of LMS, warning and informing of complications by mechanical stress must be done. Gentle procedure and short operation time are necessary to avoid these problems. And patients who have risk factors of oral complications such as dental disease or dental prosthesis must have dental evaluation and treatment before LMS procedure.

• Journal of Korean Medicine for Obesity Research
• /
• v.19 no.2
• /
• pp.113-118
• /
• 2019

A counseling manual for the standardized management of obesity in Korean Medicine was developed. Four specialist for obesity and ten advisors participated in the development. The development process was conducted in order to investigate the needs of clinical doctors for obesity, search for related books and references, determine the contents of the manual, produce the manual, and review of the advisors. The contents of the manual were written in order of goal of obesity counseling, assessment of obesity and health risk factors, assessment of obesity-related lifestyles, counseling for weight management, and counseling for Korean Medical treatment. This manual is the first standardized counseling manual developed, and it is meaningful to provide a counseling method for comprehensive Korean Medicine obesity care. Although there were various limitations in the review of the advisory committee, it is expected that this study will be used as a basic data for the establishment of obesity-related health care policy. We hope that obesity counseling of Korean Medicine will be settled as one of the certified korean medical treatment.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.11 no.2
• /
• pp.72-75
• /
• 2015

Cerebral palsy is one of the most common disabilities of childhood, which affects movement and co-ordination. Individuals with cerebral palsy are susceptible to traumatic dental injuries. High occurrence of Class II malocclusion with prominent maxillary incisors appears to increase risk of trauma. However, due to fear of behavior management and lack of cooperation, clinicians have avoided orthodontic treatment in cerebral palsy patients. This case report demonstrates that modified rapid maxillary expansion can be used as a simple and effective method to correct ectopic eruption of maxillary incisor in cerebral palsy patient.

• Journal of Microbiology and Biotechnology
• /
• v.26 no.8
• /
• pp.1404-1408
• /
• 2016

In recent years, foot-and-mouth disease has occurred in all parts of the world. The animals with the disease are buried in the ground; therefore, their concentration could affect ground or groundwater. Moreover, the complete degradation of carcasses is not a certainty, and their disposal is important to prevent humans, livestock, and the environment from being affected with the disease. The treatment of Corynebacterium glutamicum is a feasible method to reduce the risk of carcass decomposition affecting humans or the environment. Therefore, this study aimed to investigate the effect of C. glutamicum on the soil environment with a carcass. The composition of amino acids in the soil treated with C. glutamicum was generally higher than those in the untreated soil. Moreover, the plant root in the soil samples treated with C. glutamicum had 84.0% amino acids relative to the standard value and was similar to that of the control. The results of this study suggest the possibility to reduce the toxicity of a grave land containing animals with this disease.

• Korean Journal of Radiology
• /
• v.25 no.6
• /
• pp.550-558
• /
• 2024

Hepatocellular carcinoma (HCC) is a biologically heterogeneous tumor characterized by varying degrees of aggressiveness. The current treatment strategy for HCC is predominantly determined by the overall tumor burden, and does not address the diverse prognoses of patients with HCC owing to its heterogeneity. Therefore, the prognostication of HCC using imaging data is crucial for optimizing patient management. Although some radiologic features have been demonstrated to be indicative of the biologic behavior of HCC, traditional radiologic methods for HCC prognostication are based on visually-assessed prognostic findings, and are limited by subjectivity and inter-observer variability. Consequently, artificial intelligence has emerged as a promising method for image-based prognostication of HCC. Unlike traditional radiologic image analysis, artificial intelligence based on radiomics or deep learning utilizes numerous image-derived quantitative features, potentially offering an objective, detailed, and comprehensive analysis of the tumor phenotypes. Artificial intelligence, particularly radiomics has displayed potential in a variety of applications, including the prediction of microvascular invasion, recurrence risk after locoregional treatment, and response to systemic therapy. This review highlights the potential value of artificial intelligence in the prognostication of HCC as well as its limitations and future prospects.

• Proceedings of the KOSOMBE Conference
• /
• v.1997 no.05
• /
• pp.374-378
• /
• 1997

Operative procedures such as core drilling with and without fibular bone grafting have been recognized as the treatment methods for osteonecrosis of femoral head(ONFH) by delaying or preventing the collapse of the femoral head. In addition, core drilling with cementation using polymethylmethacrylate (PMMA) has been proposed recently as another surgical method. However, no definite treatment modality has been found yet while operative procedures remain controversial to many clinicians In this study, a finite element method(FEM) was employed to analyze and compare various surgical procedures of ONFH to provide a biomechanical insight. This study was based upon biomechanical findings which suggest stress concentration within the femoral head may facilitate the progression of the necrosis and eventual collapse. For this purpose, five anatomically relevant hip models were constructed in three dimensions : they were (1) intact(Type I), (2) necrotic(Type II), (3) core drilled only(Type III), (4) core drilled with fibular bone graft(Type IV), and (5) core drilled with cementation(Type V). Physiologically relevant loading were simulated. Resulting stresses were calculated. Our results showed that the volumetric percentage subjected to high stress in the necrotic cancellous region was greatest in the core drilled only model(Type III), followed by the necrotic(Type II), the bone graft (Type IV), and the cemented(Type V) models. Von Mises stresses at the tip of the graft(Type IV) was found to be twice more than those of cemented core(Type V) indicating the likelihood of the implant failure. In addition, stresses within the cemented core(Type V) were more evenly distributed and relatively lower than within the fibular bone graft(Type IV). In conclusion, our biomechanical analyses have demonstrated that the bone graft method(Type IV) and the cementation method(Type V) are both superior to the core decompression method(Type III) by reducing the high stress regions within the necrotic cancellous bone. Also it was found that the core region filled with PMMA(Type V) provides far smoother transfer of physiological load without causing the concentration of malignant stresses which may lead to the failure than with the fibular bone graft(Type IV). Therefore, considering the above results along with the degree of difficulties and risk of infection involved with preparation of the fibular bone graft, the cementation method appears to be a promising surgical treatment for the early stage of osteonecrosis of the femoral head.