• 제목/요약/키워드: fixation order

검색결과 213건 처리시간 0.026초

뇌성마비자의 의복여밈 수행능력과 수지기능 (A study on the fastening performance and finger function of the cerebral palsied)

  • 김순분;함옥상;서승록
    • 대한인간공학회지
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    • 제12권2호
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    • pp.45-62
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    • 1993
  • This study was aimed to obtain the available information for the clothing constru- ction according to the traits of the cerebral palsied. For this purpose, their abilities of eleven methods seven of fastening performance and seven finger functions were tested and their correlationships were clarified. The results are as follows : 1. The length of time needed to perform each fastening method in descending order is as follows : small button > small snap > culumn button > large button > middle button > large snap > separating zipper > velcro. As the spastic has better function than the athetoid in the performance of all fastening methods, there was a significant difference between the types of handicap and between the handi- capped and the normal, except for velcro fastening style in which there was no significant differ- ence between the types of handicap. 2. In finger functions of the cerebral palsied, according to the types of handicap there was no significant difference among grip, palm fixation and hands coordination, howefer there were significant differences among pulp pinching, lateral pinching, finger rolling and lifting control. As to the correlation between the ability of fastening performance and finger function, there was a high significant correlation between the length of time needed to perform each fastenting and finger function of hands co ordination, and that of finger rolling; and there was a significant correlation between the length of time and pulp pinching, and laternal pinching.

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부정유합된 상악골 골절의 처치 (LATE TREATMENT OF MALUNITED MAXILLARY FRACTURE)

  • 장세홍;안재진;김도균;정민원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제11권1호
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    • pp.255-260
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    • 1989
  • Unfavorable healing of maxillary fractures may impose functional and esthetic burdens upon the trauma victim. Malunited maxillary fractures are generally a result of treatment delay, incomplete or inaccurate immobilization of the fracture fragments, or infection. Dysfunctions of mastication, distortions in speech, gross defects in facial contour, and related psychic changes are problems which may require secondary correction. When it is necessary to delay definitive treatment or when inadequate maxillary fracture reduction is recognized within the first week following injury, the maxilla can be mobilized by heavy handed dental manipulation under anesthesia or by elastic traction to an external fixation appliance attached to the maxilla by arch bars or an acrylic splint. But malunited maxillary fracture that have progressed to bony malunion require osteotomy procedure in order to establish normal anatomic relationships. This report parents two cases of malunited unilateral maxillary fracture surgically corrected by unilateral Le Fort I osteotomy.

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쇄골의 저형성을 동반한 신경섬유종증(증례보고) (Hypoplagia of Right Clavicle Associated with Neurofibromatosis (A Case Report))

  • 최창혁;권굉우;김신근;이상욱;윤기현;김용진
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.132-137
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    • 1998
  • 환자 및 아버지의 cafe-au-leit반점으로 유전적 소인을 인정할 수 있는, 쇄골의 저성장 및 미란성 변화를 동반한 신경섬유종증 1례를 치험한 바, 상기 환자의 골격계의 변형이 신경섬유종증의 골막침범에 의한 압박 및 그로 인한 영양효과(trophiceffect)로 인한 것임을 확인할 수 있었다.

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중성욕 고착형 반응성 염료의 제조 및 그의 염색성 (Preparation and Dyeability of Reactive Dyes Fixable at Neutral pH)

  • Choi, Chang Nam;Lee, Young Mi;Lee, Woong Eui
    • 한국염색가공학회지
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    • 제9권3호
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    • pp.42-49
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    • 1997
  • In order to study the dyeability of reactive dyes fixable at neutral pH, three reactive dyes(DYE-NC, DYE-PC, and DYE-LC) were prepared by the reaction of Cibacron Brilliant Red 3B-A with nicotinic acid, pyridine, and lutidine, respectively. FT-IR and UV/Vis spectrophometry were used to identify the dyes prepared. While the maximum absorption wavelength (&{\lambda}_{max}&) of Cibacron Brilliant Red 3B-A was 515nm, the &{\lambda}_{max}& of DYE-NC, DYE-PC, and DYE-LC were 522nm, 525nm, and 536nm, respectively. The &{\lambda}_{max}& was shifted to the longer wavelength by introducing the electron donating groups to the pyridine ring of Cibacron Brilliant Red 3B-A. All of the reactive dyes synthesized showed good exhaustion and fixation property to cotton fabric at higher temperature and neutral pH condition. It was regarded that the quaternary pyridinium ion functionated as the leaving group instead of the chloride ion. Among them, DYE-NC showed the best dyeability at the above condition. It was considered that the electron withdrawing carboxylic acid group in nicotinic acid enhanced the cationic property of nitrogn in pyridine ring, resulting the good reactivity with OH group in cellulose.

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무전극 형광램프 국내외 표준화 동향 (A Trend of the National and International Standards for Fluorescent Induction Lamps)

  • 조미령;신상욱;이세현;황명근;이도영;양승용;함중걸
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2007년도 춘계학술대회 논문집
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    • pp.145-147
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    • 2007
  • Fluorescent induction lamps are assembly of a Low Pressure Mercury discharge vessel and an inductive power coupler. A vessel containing at least a Low Pressure Mercury vapor, which will be energized by means of the Inductive Coupler. The Ultra Violet radiation from the resulting discharge is converted by a layer of fluorescent material into visible light. The discharge vessel may have means of mechanical fixation to position it to the Inductive power coupler. The component to transform High Frequency electrical energy, by means of induction, in order to energize the Low Pressure Mercury in the discharge vessel. The component includes electrical connection. Fluorescent induction lamps don't have international standards yet. So we try to correspond Korea standards to international standards.

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사선골절단술에 의한 하악 전돌증의 치험례 (A Case of Mandibular Prognathism Treated by Oblique Osteotomy)

  • 최목균;배창;이봉원
    • 대한치과의사협회지
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    • 제17권2호통권117호
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    • pp.129-135
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    • 1979
  • This 27 year-old male patient had severe mandibular prognathism (right and left mesio-occlusion were 0.4㎝ and 1.2㎝ , respectively). He had good oral health relatively exception of missing teeth. We examined all of his oral and skeletal status with full mouth x-ray taking, study model, and cephalogram. His general condition was good but above examination indicated the surgical operation for the mandibular prognathism. His laboratory tests were within normal limits. We determined surgical operation which was done by extraoral approach bilaterally. Incisions were made bilaterally 1.5㎝ beneath the inferior border of the mandible in the selected area and then the inferior border of the ascending rami was exposed. Retracting the periosteum to the lingual and buccal a slight amount, the cut in the bone was performed by use of bone drill. Avoiding T.M.J. troubles, the proximal segmant was not fixed to anterior segment, being in overlapping state buccally, in order to expect a natural healing by the environmental muscles and ligaments. We had immobilization with intermaxillary fixation by using the multiple Stout's method. He was discharged 17 days after operation. His general condition and operation results were good and satisfactory.

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Endotracheal Intubation Using Submandibular Approach for Maxillofacial Trauma Patients: Report of 2 Cases

  • Youn, Gap-Hee;Ryu, Sun-Youl;Oh, Hee-Kyun;Park, Hong-Ju;Jung, Seunggon;Jeong, Seongtae;Kook, Min-Suk
    • 대한치과마취과학회지
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    • 제14권4호
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    • pp.227-232
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    • 2014
  • The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.

Broken Mayfield Head Clamp

  • Lee, Tae-Hoon;Kim, Sang-Jin;Cho, Do-Sang
    • Journal of Korean Neurosurgical Society
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    • 제45권5호
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    • pp.306-308
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    • 2009
  • The Mayfield head clamp is the most frequently used head clamp system in the field of neurosurgery. In many cases, surgery is performed with complete reliance on the safety of the MHC. However, we experienced an extremely rare case in which the MHC accidentally broke while installing this system for immobilization of the head and neck. This is a case report with a brief review of the literature. The patient was a 58-year-old female who was scheduled to undergo cervical laminoplasty under the diagnosis of degenerative spondylotic cervical stenosis. In an attempt to install an MHC, we fixed three pins in the scalp; however, the arm of the MHC system broke when force was applied from both directions. Fortunately, the patient remained in a stable position and did not sustain an injury to the head or neck. Fixation was performed using another MHC, and the surgery was performed successfully. The patient was discharged after surgery with no specific complications related to the MHC system. The authors experienced an extremely rare case of MHC breakage during application and report the importance of properly managing and maintaining the instruments in order to prevent fatal injury.

유한요소법을 이용한 골절치료용 임플란트 시스템 형상설계에 관한 연구 (A Study On Shape Design of Implant Systems For Bone Fracture Operations By Using Finite Element Method)

  • 조지현;서금희;서태일
    • 한국생산제조학회지
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    • 제21권3호
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    • pp.425-432
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    • 2012
  • This paper investigates shape design processes of two implant systems for bone fracture treatment ; Bone plate and Interlocking nail system. These systems can directly fix fractured human bones by surgical operations. The bone plates consist of various shaped plates and implant screws for fixation of fractured human bones with various manual instruments allowing to handle them. The material corresponds to titanium alloy Ti6Al4V because it is harmless material for human body as well as significantly rigid. This system has to be suitably rigid as well as manually bended in orthopedic surgery operations. The Interlocking nail system is a kind of nail implanted inside fractured human bones. The shapes of these systems have to be suitably designed in order to endure various loads as well as avoid any damages. If various shaped prototypes would be fabricated and tested to design the optimal shapes, optimal shapes could be obtained but very long time and expensive costs must be required. In this paper finite element method was applied into these systems. Under various boundary conditions a series of structural analysis was conducted by using ANSYS. Finally important shape factors could be determined on the basis of the analysis results.

연소배가스 중 질소산화물(NOx) 제거를 위한 생물학적 기술 (Biological Removal of Nitrogen Oxides from Combustion Flue Gases)

  • 이기세
    • 공업화학
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    • 제21권3호
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    • pp.243-251
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    • 2010
  • 연소배가스에 존재하는 질소산화물의 제거를 위해서는 촉매 환원, 흡수, 흡착 등 화학적 기술이 적용되고 있는데, 장기적으로는 환경친화적이고 에너지 소모가 적은 생물학적 공정의 개발 및 이용이 필요하다. 본 논문에서는 연소 배가스에 존재하는 질소산화물을 제거하기 위한 생물학적 공정의 기술동향을 살펴보고 각각의 장단점을 고찰하였다. 질산화와 탈질 기작을 이용하는 박테리아 시스템과 광합성 미세조류를 이용하는 시스템으로 구분하여 기술의 원리와 현재의 기술 수준을 논하였다. 두 경우 모두 처리속도를 높이기 위해서는 불용성의 일산화질소를 일단 적절한 흡수제에 고농도로 포집시킨 후 미생물에 의하여 분해 또는 고정하는 방향이 바람직하며, 배가스 중 $CO_2$와 NOx를 동시에 고정이 가능하고 별도의 탄소원이 요구되지 않는 미세조류의 활용이 기대된다.