• Title/Summary/Keyword: closure method

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The Effects of Live Leech (Hirudo Medicinalis) Therapy on Diabetic Foot: a Clinical Case Report

  • Na, Hyun-Jong
    • The Journal of Korean Medicine
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    • v.24 no.4
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    • pp.136-138
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    • 2003
  • Purpose : A clinical case of diabetic foot-wound repair using Hirudo medicinalis therapy and its application is reported and discussed. Methods : The subject was a sixty-six-year-old woman diagnosed with a non-healing wound indicating the amputation of her right diabetic foot. Instead, Hirudo medicinalis therapy was performed twelve times over forty days, twice a week. The transition of wound closure was observed with the naked eye, and the plethysmogram was measured at the beginning and end of the treatment period. Results : The wound contracted with decreased exudate, collagen-like connective tissue sprouted, and then the wound gradually closed. The initial value (-0.08) of the dicrotic elastic index rose to -0.03. Conclusion : Hirudo medicinalis therapy had a positive effect on the wound repair, without a negative effect on the circulation, allowing the foot to be saved. It is necessary to investigate its wound repair mechanism for the further development of the Sahyul method.

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The Effect of SGB in Lagophthalmos Caused by Facial Nerve Palsy -A case report- (안면 신경 마비로 인한 토안에서 성상신경절 차단의 효과 -증례보고-)

  • Kim, Soo-Young;Nam, Dae-Hee
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.116-118
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    • 1998
  • Stellate ganglion block(SGB) is frequently performed in pain clinics. Facial palsy produces asymmetry of the face, lagophthalmos and incomplete eyelid closure. Exposure keratitis and eyeball pain can be induced by prolonged lagophthalmos. SGB was performed on a 51-year-old female patient who had exposure of keratitis and eyeball pain due to facial nerve palsy after an operation for chronic otitis media. After 31 stellate ganglion blocks, eyeball pain and keratitis nearly subsided. SGB is an effective method to treat lagophthalmos caused by facial nerve palsy.

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Burr Hole Drainage : Could Be Another Treatment Option for Cerebrospinal Fluid Leakage after Unidentified Dural Tear during Spinal Surgery?

  • Huh, Jisoon
    • Journal of Korean Neurosurgical Society
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    • v.53 no.1
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    • pp.59-61
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    • 2013
  • Authors report a rare case of acute intracranial subdural and intraventricular hemorrhage that were caused by intracranial hypotension resulted from cerebrospinal fluid leakage through an unidentified dural tear site during spinal surgery. The initial brain computed tomography image showed acute hemorrhages combined with preexisting asymptomatic chronic subdural hemorrhage. One burr hole was made over the right parietal skull to drain intracranial hemorrhages and subsequent drainage of cerebrospinal fluid induced by closure of the durotomy site. Among various methods to treat cerebrospinal fluid leakage through unidentified dural injury site, primary repair and spinal subarachnoid drainage are well known treatment options. The brain imaging study to diagnose intracranial hemorrhage should be taken before selecting the treatment method, especially for spinal subarachnoid drainage. Similar mechanism to its spinal counterpart, cranial cerebrospinal fluid drainage has not been mentioned in previous article and could be another treatment option to seal off an unidentified dural tear in particular case of drainage of intracranial hemorrhage is needed.

A Numerical Study on the Dynamic Characteristics of Water Hammer Arresters for Building Service Applications (건축설비용 워터햄머흡수기의 동특성에 관한 수치 연구)

  • 노승환;차동진
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.14 no.4
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    • pp.269-277
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    • 2002
  • Dynamic characteristics of water hammer arresters installed in a building water supply system have been investigated numerically by utilizing a commercial rode that employs the method of characteristics. Some preliminary results with those arresters produced in this study agree well with the previously reported. Then, the arresters have been incorporated into a water supply pipe system of a $59m^2$ apartment unit constructed by a leading construction company, and their dynamic characteristics, especially on the reduction in the water hammer pressure, are investigated. It is found that the setting of the arresters in the pipe system, which is recommended by the company, may not be proper for reducing the pressure to less than 1082.0 kPa when buick-closure valves in the pipe system are closed within 30 ms at the static pressure of 542.6 kPa. More arresters in the system may be required to meet a pressure criteria.

Congenital Esophgeal Anomaly -6 Cases- (선천성 식도 폐쇄증 -치험 6례-)

  • 최진호
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.637-639
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    • 1995
  • Congenital esophageal anomaly with or without tracheoesophageal fistula was rare congenital disease.We experienced 6 cases of congenital esophageal atresia, with tracheoesophageal fistula [5 cases and one esophageal atresia without fistula, were treated in the Department of Thoracic and Cardiovascular Surgery, Kangnam Sacred Heart Hospital, Hallym university, from May, 1992 to July, 1994. The type of four cases were upper blind pouch and lower tracheo or broncho esophageal fistula and one case H-type fistula with no esophageal atresia, and the one case was esophageal atresia without fistula. We performed modified Haight`s method, one case was primary closure with feeding gastrostomy and stomach interposition. Three were died due to respiratory failure on 7 and 9th postoperative days.Three were recovered uneventfully.

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Use of Painting Masterpieces with Physical Expression Activities : Effect on Creativity (명화를 활용한 신체표현활동이 유아의 창의성에 미치는 영향)

  • Kim, Young-Ok;Youn, Kyong-Seon
    • Korean Journal of Child Studies
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    • v.26 no.2
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    • pp.149-161
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    • 2005
  • The present study examined the effect on children's creativity of using painting masterpieces with activities of physical expression. Subjects were 32 five-year-old kindergarten children assigned to control or experimental groups. The experimental group participated in physical expression activities using painting masterpieces twice a week for six weeks. Figure paintings of such famous artists as Kim Hong Do, Kim Deek Shin, Degas and others were presented by Projection TV in connection with physical movement in the classroom. Creativity was tested by Torrance Tests of Creative Thinking(2002). Results showed that the experimental group exhibited positive change in creativity scores and the sub-areas of creativity(fluency, originality, abstractness of titles, elaboration, and resistance to premature closure).

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Management of Mediastinitis after Open Heart Surgery (개심술후 발생한 종격동염의 치료)

  • 최세영
    • Journal of Chest Surgery
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    • v.28 no.4
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    • pp.360-364
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    • 1995
  • Between January 1984 and January 1994, 13 patients developed mediastinitis after cardiac operations. There were 7 women and 6 men with a mean age of 24.2 years[range 0.7 - 61 . Initial operation included 7 valve replacements and 6 congenital cardiac repairs. The duration between initial operation and diagnosis was 13.5 days[range 4-57 . Organisms cultured from debridement material included S.aurus[n=9 , S.epidermidis[n=3 and Enterobacter[n=1 . Fever was the most frequent complaint and purulent drainage was noticed in 9 patients[69% . Seven patients were treated with radical debridement followed by closed irrigation. In other 6 patients, the wounds were managed by debridement, open granulation and delayed wound closure. Two hospital deaths [15.4% following open granulation method, resulted from sepsis. The 11 survivors were followed-up for 1-120 months, averaging 42 months and had healed wounds. One late death occurred due to massive hemorrhage.

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Orbital Floor Fracture

  • Kim, Hyo Seong;Jeong, Eui Cheol
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.111-118
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    • 2016
  • The medial wall and floor of the bony orbit are frequently fractured because of the delicate anatomy. To optimize functional and aesthetic results, reconstructive surgeons should understand the anatomy and pathophysiology of orbital fractures. Appropriate treatment involves optimal timing of intervention, proper indications for operative repair, incision and dissection, release of herniated tissue, implant material and placement, and wound closure. The following review will discuss the management of orbital floor fractures, with the operative method preferred by the author. Special considerations in operation technique and the complication are also present in this article.

Fatigue Crack shape Variations by a Residual Stress and Fatigue Life Predition (잔류응력에 의한 피로균열면 형상변화 및 수명예측)

  • 강용구;서창민;박원종
    • Journal of Ocean Engineering and Technology
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    • v.7 no.2
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    • pp.68-78
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    • 1993
  • Fatigue crack shape variation by a residual stress during crack growth and life predition are studied. An analytical method is presented to predict the influence of a residual stress due to heattreatment on crack shape variations. Computer simulation results using this me thod are graphically shown that crack growth rate to surface direction are decreased due to compressive residual stress exisiting in surface area. These results are commpared with experimental results. The fatigue life is also predicted by computer simulation of crack aspect ratio variation which is based on the surface crack length increment per unit cycle calculated from a-N diagram. Predited life is about 12 percent lower than experimental life.

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A Study on Performance Characteristics of an Axial Compressor with the Casing Groove (케이싱 그루브가 존재하는 축류압축기의 성능특성 연구)

  • Choi, Kwang-Jin;Kim, Jin-Hyuk;Kim, Kwang-Yong
    • The KSFM Journal of Fluid Machinery
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    • v.13 no.2
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    • pp.24-29
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    • 2010
  • This paper presents a study on the performance of NASA Rotor 37 with the casing grooves based on three-dimensional numerical analysis. Reynolds-averaged Navier-Stokes equations are solved on a hexahedral grid with the shear stress transport model as a turbulence closure model. The governing equations are discretized by a finite volume method. The validation of the numerical results is performed through experimental data for the total pressure ratio and the adiabatic efficiency. The investigation for an axial compressor with a smooth casing and the casing grooves is carried out to compare the performance parameters, for example, surge margin and efficiency, etc. The surge margin is improved in the case of the casing grooves while remarkable improvement of the efficiency is not produced. The result shows that the casing groove is beneficial to expand the operating range of NASA Rotor 37.