• 제목/요약/키워드: degree reduction

검색결과 1,426건 처리시간 0.031초

Efficacy of local hyaluronidase administration in guided bone regeneration surgery: a randomized controlled trial

  • Kwoen, Min-Jeong;Choi, Yong-Hoon;Kim, Keun-Suh;Chang, Na-Hee;Kim, Young-Kyun;Lee, Hyo-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권2호
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    • pp.91-98
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    • 2021
  • Objectives: Hyaluronoglucosaminidase (hyaluronidase) increases the local intercellular permeability of the peripheral lymphatic channel and capillaries, which may help reduce edema. In the present study, the effects of hyaluronidase on postoperative edema and pain reduction were evaluated. Materials and Methods: The study included 38 patients who underwent guided bone regeneration (GBR) surgery before implantation. Patients were randomly assigned to either the control group (n=20) or the test group (n=18). Hyaluronidase was injected into the GBR site of subjects in the test group. Postoperative edema was evaluated by measuring the distance between specific facial landmarks immediately after surgery (T1) and 2-4 days after surgery (T2). The degree of pain at T2 and at 10-14 days after surgery (T3) was assessed. Results: In the test group, the degree of swelling was lower than in the control group, however, only two measurements, from the tragus to the mouth corner and from the outer canthus to the mouth corner, showed statistically significant differences (P=0.012 and P=0.001, respectively). The anti-edema effect of hyaluronidase was more effective in the maxilla than in the mandible. In the maxilla, the percentage of facial swelling was significant for three measurements. However, in the mandible, the percentage of facial swelling was significant for only one measurement. Low levels of pain that were similar at T2 and T3 were reported in both groups. Conclusion: The results indicate the degree of swelling was lower in the test group and hyaluronidase appeared to be more effective in the maxilla. The degree of pain reduction was similar between groups. Further in vivo and randomized controlled trials with larger sample sizes are warranted.

수종의 구취처치법의 구치감소효과에 관한 연구 (Effect of Tongue Scraping, ZnCl2 Mouth Rinse, and Periodontal Treatment on the Reduction of Oral Malodor)

  • 박종훈;한경수;김문규
    • Journal of Oral Medicine and Pain
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    • 제25권1호
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    • pp.41-51
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    • 2000
  • This study was performed to investigate the effect of three modalities commonly used for reduction of oral malodor and to review the contributing factors for halitosis. For this study, 45 subjects of good general health in their third decades were selected, and they were divided into three groups by each modality, that is, tongue scraping, $ZnCl_2$ mouth rinse, and periodontal treatment. Subjective sense of halitosis, diets, Oral hygiene index based on tooth brushing and tongue brushing habit, resting salivary flow rate, gingival index, degree of tongue coating were recored in the Halito-Chart designed by the author. Oral malodor converted from volatile sulfur compound was measured by the Halimeter$^{(R)}$(Interscan Co., USA), and the correlation between the oral factors and pre-treatment halimeter score were analysed. Data obtained were analysed by the SPSS windows program and the results of this study were as follows : 1. There were no significant correlation between oral factors such as oral hygiene index, salivary flow rate, gingival index, degree of tongue coating and pre-treatment halimeter score. 2. Difference between pre- and post-treatment halimeter score by the three modalities were significant, but correlation between pre- and post-treatment score within group was most significant in the periodontal treatment group followed by the tongue scraping group and lowest in the $ZnCl_2$ mouth rinse group. 3. Reduction of halimeter score was significant only in subjects with relatively more tongue coating in the tongue scraping group, but in the $ZnCl_2$ mouth rinse group and in the periodontal treatment group, the modality applied to each group had same significant effects without regard to the degree of oral hygiene index or gingival index. 4. Men had more tongue coating than women, and reduction of halimeter score was significant in men, but not in women.

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수지침요법이 월경전후기 불편감 완화에 미치는 효과 (Effect of Hand Acupuncture on Easing Dysmenorrhea)

  • 조결자;문희자;박신애;강현숙;신혜숙;정숙자;이은미
    • 동서간호학연구지
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    • 제6권1호
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    • pp.37-45
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    • 2001
  • The purpose of this study was to identify the effect of hand acupuncture for reduction of dysmenorrhea. 71 female middle school and high school students were selected as subjects from April to May 2001, among which 38 students consisted of the experimental group while 22 students were the control group by convenient assignment. The experimental group participated in hand acupuncture treatment. The experimental treatment was to puncture corresponding points(A4, A5, J1, J3, J23, H2, F7) on both the palm and back of a hand with disposable acupuncture needles and to remove needles after 20-30 minutes' recess during which the subjects reposed themselves on bed. The collected data were processed using the SPSS PC Program and analyzed using $X^2test$ and The results of this study were as follows 1. The symptoms of premenstrual syndrome have decreased, but no significant differences were statistically observed between hand-acupunctured group and non-hand acupunctured group. 2. Subjective pain degree has decreased after hand acupuncture. 3. As for objective pain degree, a significant reduction in voice change was observed between two groups. Facial expressional changes and perspiration degree reduced but showed no significant statistically changes between two groups. 4. Comfort has increased after hand acupuncture. These results suggest that the hand acupuncture therapy works effectively on easing menstrual pain and symptoms as well as partially on reducing discomfort. It is particularly efficacious for a reduction in subjective pain and facial expressional changes in positive respect. Therefore the hand acupuncture therapy can be considered as an independent nursing intervention for dysmenorrhea reduction.

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반복 구조물의 모드 해석을 위한 효과적인 자유도 기반 축소 기법 (Degree-of-Freedom-Based Reduction Method for Modal Analysis of Repeated Structure)

  • 최검지;장성민
    • 한국전산구조공학회논문집
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    • 제34권2호
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    • pp.71-75
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    • 2021
  • 본 논문에서는 자유도 기반 축소법과 부구조 기법을 적용한 반복 구조물의 효율적인 해석 기법을 소개한다. 기본 구조 반복된다는 특이성을 이용해 계산 방식을 개선하였다. 기본 구조를 하나의 부구조로 가정하고 IRS 기법을 통해 행렬을 축소하였고 부구조들의 결합 위치에 따라 축소된 행렬을 배치하여 계산하였다. 이 과정에서 행렬의 크기가 크게 줄어들어 계산 시간이 감소하고 그와 동시에 해석에 필요한 메모리의 용량이 줄어든다. 행렬 축소에 Guyan 축소법이 아닌 IRS기법을 사용하였기 때문에 추가적인 반복 계산 작업없이도 정확도가 유지된다. 개선된 방식은 수치 예제인 십자가 모양의 기본 구조를 통해 검증되었다.

음성적 모음 축소 현상에 영어 자음의 유무성 환경이 미치는 효과 (Phonetic Vowel Reduction Conditioned by Voicing of Adjacent Stops in English)

  • 오은진
    • 음성과학
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    • 제14권4호
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    • pp.81-98
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    • 2007
  • This study aims to investigate whether shortened vowel duration conditioned by a following voiceless stop induces phonetic reduction of vowel space in English, and whether the reduction appears more in the height dimension than in the backness dimension (Lindblom, 1963; Flemming, 2005). Fifteen native speakers of American English read minimal pairs containing ten American English vowels in [bVd] and [bVt] syllables in a carrier phrase. All the subjects produced shorter vowels in the voiceless than in the voiced context. However, a reduction in vowel space and a raising of low vowels due to the shortened vowel duration were generally not found. To the contrary, the speakers tended to exhibit even more lowering of low vowels in the voiceless context, and vowel space was more commonly compressed in the backness dimension than in the height dimension. Many speakers, in particular, demonstrated fronting of the high back vowel [u] in the voiceless context. It was interpreted that due to a relatively large number of English vowels in the narrower low vowel space, the raising of low vowels may give rise to confusion in vowel contrasts, and therefore the degree of phonetic vowel reduction is restricted in that region. On the other hand, the high vowel region, being relatively spacious in English, allows a certain degree of phonetic vowel reduction in the F2 dimension. It is possible that heavy requirements for maintaining vowel contrasts may cause speakers to overachieve vowel target values, especially when faced with vowels which are difficult to distinguish due to shortened vowel duration, leading to an over-lowering of the low vowels.

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소형화된 헬름홀츠 공진기를 이용한 수중 반향음 감소해석 모의실험 (Simulation of underwater echo reduction using miniaturized Helmholtz resonators)

  • 박성준;김제도
    • 한국음향학회지
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    • 제38권1호
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    • pp.67-72
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    • 2019
  • 본 연구에서는 파장보다 작은 구조물로 이루어진 음향메타물질을 이용하여 소형화된 헬름홀츠 공진기의 반향음 감소 성능예측 연구를 진행하였다. 본 논문에서 제안된 헬름홀츠 공진기는 수중 환경과 임피던스 차이가 큰 공기구조물로 형성하였다. 다중물리 유한요소 시뮬레이션 패키지를 이용하여 수중 음향학적 분석을 진행한 결과 수중 반향음의 감소가 예상되었고 헬름홀츠 공진기 입구의 공간 압축(space coiling) 정도와 내부 체적의 폭에 따라 주파수 특성을 제어할 수 있었다. 기본적인 헬름홀츠 공진기는 약 10,000 Hz 이상에서 최대 7 dB의 반향음 감소 효과를 보였으나 공간 압축 메타물질을 이용한 초소형 헬름홀츠 공진기는 약 5,000 Hz 이상에서 최대 14 dB의 반향음 감소가 나타났다. 추가적으로 헬름홀츠 공진기의 내부 체적을 제어하여 주파수 특성이 변화하는 것을 확인하고 공간압축 비율이 서로 다른 공진기를 조합함으로써 광대역 반향음 감소 효과를 얻을 수 있었다. 본 연구를 통해 수중 환경에서 공기구조물을 이용한 소형화된 헬름홀츠 공진기의 성능을 연구하였으며 반향음 감소 효과는 효과적인 스텔스 기술을 구현할 수 있을 것으로 기대된다.

경골극 골절의 관절경적 치료 후 슬관절의 전방 불안정성 (Anterior Instability of the Knee after Arthroscopic Treatment for Tibial Spine Fractures)

  • 최종혁;김성환;주종환;김형식
    • 대한관절경학회지
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    • 제10권1호
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    • pp.26-32
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    • 2006
  • 목적: 경골극 골절에서 관절경을 이용한 골편의 정복 및 고정 후 골절편의 정복 정도와 전방 불안정성에 대한 결과를 알아보고자 하였다. 대상 및 방법: 경골극 골절로 관절경적 치료를 받은 32예를 대상으로 하였으며 평균 추시 기간은 18개월(12개월-48개월)이었다. 수술 후 평가는 Lachman 검사 및 회전 불안정성 검사와 KT-2000 관절측정기를 이용한 건측과의 전방전위차이(SSD)를 측정하였다. 방사선 사진 상 골편의 완전 정복, 전방 거상 및 정복 실패로 나누었고, 골편의 정복 정도에 따른 전방 불안정성 정도를 조사하였다. 결과: 골편의 완전 정복, 전방 거상, 정복 실패는 각각 23예(71%), 8예(25%), 1예(4%)였고 pull-out 방법 28예 중 8예(29%)에서 전방 거상이 있었다. 완전 정복군과 전방 거상군의 SSD는 각각 2.0 mm와 2.8mm로 의미 있는 차이는 없었으나 Lachman 0등급 비율(P=0.021)과 3 mm 미만의 SSD의 비율(P=0.048)은 의미 있게 정복군이 높았다. 결론: 심하게 전위된 골절일수록 골편의 정확한 정복이 술 후 전방 동요를 줄이는데 중요할 것으로 생각되며, 봉합사를 이용한 pull-out 방법에 의한 고정은 수술 후 골편 전방부의 거상을 유발할 수 있으므로 세심한 주의가 필요 할 것으로 생각된다.

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뚜껑문 안와저 골절에 있어서 망상 흡수성 판을 이용한 관혈적 정복술 및 내고정술 (Open Reduction and Internal Fixation (ORIF) of Trapdoor Orbital Floor Blowout Fracture with Absorbable Mesh Plate)

  • 권유진;김지훈;황재하;김광석;이삼용
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.619-625
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    • 2010
  • Purpose: Trapdoor orbital blowout fracture is most common in orbital blowout fracture. Various materials have been used to reconstruct orbital floor blowout fracture. Absorbable alloplastic implants are needed because of disadvantages of nonabsorbable alloplastic materials and donor morbidity of autogenous tissue. The aim of the study is to evaluate usefulness of absorbable mesh plate as a reconstructive material for orbital blowout fractures. Methods: From December 2008 to October 2009, 18 trapdoor orbital floor blowout fracture patients were treated using elevator fixation, depressor fixation, or elevatordepressor fixation techniques with absorbable mesh plates and screw, depending on degree of orbital floor reduction, because absorbable mesh plates are less rigid than titanium plates and other artificial substitutes. Results: Among 18 patients, 5 elevator fixation, 4 depressor fixation, and 9 elevator and depressor fixation technique were performed. In all patients, postoperative computed tomographic (CT) scan showed complete reduction of orbital contents and orbital floor, and no displacement of bony fragment and mesh plate. Mean follow-up was 10 months. There were no significant intraoperative or postoperative complications. Conclusion: Three different techniques depending on the degree of orbital floor reduction are useful for open reduction and internal fixation of trapdoor orbital floor blowout fracture with absorbable mesh plates.

제어를 위한 Lean NOx Trap의 흡장 및 환원 모델링 (Control Oriented Storage and Reduction Modeling of the Lean NOx Trap Catalyst)

  • 이병수;한만배
    • 한국자동차공학회논문집
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    • 제22권2호
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    • pp.60-66
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    • 2014
  • A control oriented model of the Lean $NO_x$ trap (LNT) was developed to determine the timing of $NO_x$ regeneration. The LNT model consists of $NO_x$ storage and reduction model. Once $NO_x$ is stored ($NO_x$ storage model), at the right timing $NO_x$ should be released and then reduced ($NO_x$ reduction model) with reductants on the catalyst active sites, called regeneration. The $NO_x$ storage model simulates the degree of stored $NO_x$ in the LNT. It is structured by an instantaneous $NO_x$ storage efficiency and the $NO_x$ storage capacity model. The $NO_x$ storge capacity model was modeled to have a Gaussian distribution with a function of exhaust gas temperature. $NO_x$ release and reduction reactions for the $NO_x$ reduction model were modeled as Arrhenius equations. The parameter identification was optimally performed by the data of the bench flow reactor test results at space velocity 50,000/hr, 80,000/hr, and temperature of $250-500^{\circ}C$. The LNT model state, storage fraction indicates the degree of stored $NO_x$ in the LNT and thus, the timing of the regeneration can be determined based on it. For practical purpose, this model will be verified more completely by engine test data which simulate the NEDC transient mode.