• 제목/요약/키워드: open reduction

검색결과 1,154건 처리시간 0.025초

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.

<100>방향 실리콘 단결정에서의 저 에너지 붕소 이온 주입 공정에 대한 3차원 몬테 카를로 시뮬레이션 및 마스크 효과 (Three-dimensional monte carlo simulation and mask effect of low-energy boron ion implantation into <100>single-crystal silicon)

  • 손명식;이준하;송영진;황호정
    • 전자공학회논문지A
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    • 제32A권8호
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    • pp.94-106
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    • 1995
  • A three-dimensional(3D) Monte Carlo simulator for boron ion implantation into <100>single-crystal silicon considering the mask structure has been developed to predict the mask-dependent impurity doping profiles of the implanted boron at low energies into the reduced area according to the trend of a reduction in the size of semiconductor devices. All relevant important parameters during ion implantation have been taken into account in this simulator. These are incident energy, tilt and rotation of wafer, orientation of silicon wafer, presence of native silicon dioxide layer, dose, wafer temperature, ion beam divergence, masking thickness, and size and structure of open window in the mask. The one-dimensional(1D) results obtained by using the 3D simulator have been compared with the SIMS experiments to demonstrate its capabilities and confirem its reliability, and we obtained relatively accurate 1D doping profiles. Through these 3D simulations considering the hole structure and its size, we found the mask effects during boron ion implantation process.

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Evaluation of seismic strengthening techniques for non-ductile soft-story RC frame

  • Karki, Prajwol;Oinam, Romanbabu M.;Sahoo, Dipti Ranjan
    • Advances in concrete construction
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    • 제9권4호
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    • pp.423-435
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    • 2020
  • Open ground story (OGS) reinforced concrete (RC) buildings are vulnerable to the complete collapse or severe damages under seismic actions. This study investigates the effectiveness of four different strengthening techniques representing the local and global modifications to improve the seismic performance of a non-ductile RC OGS frame. Steel caging and concrete jacketing methods of column strengthening are considered as the local modification techniques, whereas steel bracing and RC shear wall systems are selected as the global strengthening techniques in this study. Performance-based plastic design (PBPD) approach relying on energy-balance concept has been adopted to determine the required design force demand on the strengthening elements. Nonlinear static and dynamic analyses are carried out on the numerical models of study frames to assess the effectiveness of selected strengthening techniques in improving the seismic performance of OGS frame.. Strengthening techniques based on steel braces and RC shear wall significantly reduced the peak interstory drift response of the OGS frame. However, the peak floor acceleration of these strengthened frames is amplified by more than 2.5 times as compared to that of unstrengthened frame. Steel caging technique of column strengthening resulted in a reasonable reduction in the peak interstory drift response without substantial amplification in peak floor acceleration of the OSG frame.

Immunopreventive Effects against Murine H22 Hepatocellular Carcinoma in vivo by a DNA Vaccine Targeting a Gastrin-Releasing Peptide

  • Meko'o, Jean Louis Didier;Xing, Yun;Zhang, Huiyong;Lu, Yong;Wu, Jie;Cao, Rongyue
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.9039-9043
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    • 2014
  • There is a continuing need for innovative alternative therapies for liver cancer. DNA vaccines for hormone/growth factor immune deprivation represent a feasible and attractive approach for cancer treatment. We reported a preventive effect of a DNA vaccine based on six copies of the B cell epitope GRP18-27 with optimized adjuvants against H22 hepatocarcinoma. Vaccination with pCR3.1-VS-HSP65-TP-GRP6-M2 (vaccine) elicited much higher level of anti-GRP antibodies and proved efficacious in preventing growth of transplanted hepatocarcinoma cells. The tumor size and weight were significantly lower (p<0.05) in the vaccine subgroup than in the control pCR3.1-VS-TP-HSP65-TP-GRP6, pCR3.1-VS-TP-HSP65-TP-M2 or saline subgroups. In addition, significant reduction of tumor-induced angiogenesis associated with intradermal tumors of H22 cells was observed. These potent effects may open ways towards the development of new immunotherapeutic approaches in the treatment of liver cancer.

2000년대 패션에 표현된 미니멀리즘과 맥시멀리즘의 비교 미학적 연구 (A Comparative Study on Minimalism and Maximalism in the 2000s Fashion)

  • 박은경
    • 복식
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    • 제62권8호
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    • pp.100-117
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    • 2012
  • This research aims to study comparatively on the aesthetic characteristics of minimalism and maximalism in the 2000s fashion, based on the previous studies in art and design. For this purpose, literature survey and demonstrative analysis of fashion collection photographs were performed. The scope of this research is from 2000 to 2010. The results are as follows: First, the formativeness of minimalism fashion in the 2000s is analyzed as understatement, simplicity, non decorativeness. The internal meanings are reduction, purity, asceticism, transcendence and practicality. Second, the formativeness of maximalism fashion in the 2000s is analyzed as enlargement, fusion, decorativeness, luxury and avant-garde. The internal meanings are pluralism, open mind, sensibility, fun and materialism. Third, minimalism and maximalism fashion in the 2000s are opposite when compared to each other. While minimalism pursues the nature of human being by ascetic approach, maximalism does it by immersing in human affairs. Within the spectrum of these two opposing ends, there are different degrees of expressions. Also these two trends fuse with other styles. As these trends express and pursue the nature of human being, they are expected to exist incessantly in the future.

유한요소해석을 통한 컵형상 대형단조품의 성형공법 설계 (Forging process design of cup shaped large forging using finite element method)

  • 강종훈;김현준;이형우
    • Journal of Advanced Marine Engineering and Technology
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    • 제39권7호
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    • pp.729-734
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    • 2015
  • 본 연구는 내경부에 깊은 구멍이 있는 컵형상의 대형단조품을 형단조와 자유단조 공법을 복합하여 성형하기 위한 단조공법 개발에 관한 것이다. 제안된 단조공법은 형단조를 이용하여 예비성형체를 성형하고 코깅 공법을 이용하여 후방압출 형상을 성형하는 방법이다. 유한요소해석에서 제안된 공법이 후방압출공법에 비하여 낮은 성형하중으로 더 높은 유효변형율을 나타내었다. 제안된 공법으로 시제품을 제작하여 내부품질이 양호한 제품을 적은 용량을 프레스로 성형할 수 있음을 확인하여 제안 공법의 타당성을 검증하였다.

비만 여대생의 체중조절 경험 연구 (A Study on Obese Female College Students' Weight Control Experiences)

  • 황윤영
    • 여성건강간호학회지
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    • 제10권4호
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    • pp.291-300
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    • 2004
  • Purpose: This study attempted to show the implications of obese female college students' weight control experiences and to use this as primary data for developing a nursing intervention. Method: The participants were 7 obese students who had tried losing weight at C College on Jeju Island. Their average age was 22 and BMI was $25.6kg/m^2$ on average. The data were collected from May 17th to July 6th 2004, and in-depth interviews were conducted with open-ended questions. Result: The analysis was conducted by Colaizzi's phenomenological method, and the analyzed results were categorized into 9 criteria, 22 theme clusters and 50 themes. The 9 criteria include withdrawal, desperation, self-restraint, relief, satisfaction, distraction, depression, regaining self-control and negligence of health. They tended to go through a weight gain loss cycle in a repetitive manner, and were faced with great physical and mental difficulties. In addition, they often went on a severely-strict diet without taking their health condition into consideration, which, in effect, causes various health problems. Conclusion: This study gives insights into the weight control experiences of obese female college students, and it shows developing more practical and effective nursing interventions are urgently needed.

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공공도서관 소음조사 및 저감방안 연구 - 대구지역을 중심으로 - (A Study on the Noise Survey and Abatements of Public Libraries in Daegu City)

  • 윤희윤
    • 한국도서관정보학회지
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    • 제48권1호
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    • pp.1-20
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    • 2017
  • 공공도서관은 지역주민이 가장 자주 이용하는 문화인프라, 평생학습 공간, 사회적 공공시설이다. 이러한 다목적 정체성에 부응할 의도로 많은 공공도서관이 최근에 개방형, 다기능성, 연계성을 강조하는 방향으로 공간구조를 변경 또는 재구성하고 있다. 이에 따른 소음문제가 주요 환경변수의 하나로 부상함에 따라 소음관리가 이용자 친화적인 도서관인지를 판단하는 잣대로 간주될 수밖에 있다. 본 연구는 대구시 공공도서관을 대상으로 공간별 소음수준을 측정하여 국내외 기준과 비교 분석한 다음에 다양한 저감방안을 제시하였다.

Treatment of pathologic fracture following postoperative radiation therapy: clinical study

  • Kim, Chul-Man;Park, Min-Hyeog;Yun, Seong-Won;Kim, Jin-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제37권
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    • pp.31.1-31.5
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    • 2015
  • Background: Pathologic fractures are caused by diseases that lead to weakness of the bone structure. This process sometimes occurs owing to bony change after radiation therapy. Treatment of pathologic fractures may be difficult because of previous radiation therapy. Methods: In this study, we analyzed clinical and radiographic data and progress of five patients with mandibular pathological fractures who had received postoperative radiation therapy following cancer surgery. Result: Patients received an average radiation dose of 59.2 (SD, 7.2) Gy. Four of five patients exhibited bone union regardless of whether open reduction and internal fixation (OR/IF) was performed. Patients have the potential to heal after postoperative radiation therapy. Treatment of a pathologic fracture following postoperative radiation therapy, such as traditional treatment for other types of fractures, may be performed using OR/IF or CR. OR/IF may be selected in cases of significant bone deviation, small remaining bone volume, or occlusive change. Conclusion: Patients have the potential to heal after postoperative radiation therapy.

산탄총에 의한 좌측 안면부 손상 환자의 치험례 (증례보고) (REPORT OF THE MANAGEMENT OF GUNSHOT WOUNDS TO THE LEFT FACE)

  • 김일규;이상선;오성섭;최진호;김형돈;오남식
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권2호
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    • pp.224-227
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    • 2000
  • Gunshot wounds to the face are often dramatic at the time of presentation. Although care must be individualized, protocol approach helps the clinician rapidly evaluate patient and plan treatment. Early X-ray films help to determine the precise trajectory. Rapid neurologic assessment and early CT scanning based on physical examination ot trajectory will allow for identification of even occult injuries early. Lead poisoning arising from bullet lead in the synovial cavity of the hip, synovial cavity of the chest and pleural space have been reported. A combination of surgical debridement and chelation therapy with oral succimer produce a satisfactory outcome. We have managed a patient with Lt facial gunshot wound and Lt mandible angle fracture by open reduction of angle fracture and surgical removal of remnant bullet and medially advanced cheek skin flap. We have obtained good result and report this case with review of literatures.

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