• Archives of Plastic Surgery
• /
• 제38권4호
• /
• pp.543-546
• /
• 2011

Purpose: LASIK, one of the currently popular ophthalmic procedures, can sometimes result in dry eye symptoms. In the patient who had underwent LASIK operation, the periorbital surgery may be more likely to lead to such a complication as dry eye symptom. We would like to report a case of corneal abrasion occurred after transconjunctival blepharoplasty in post-LASIK state and suggest the method about preventing the complication. Methods: A 30-year-old female patient underwent transconjunctival blepharoplasty and microfat graft into the face. She had history of LASIK operation 2 years ago. Corneal protector was applied to both eye during transconjunctival operation. After the surgery, she complained of visual blurring at left side. Ophthalmic examination revealed corneal abrasion of left eye. Results: Cornea protecting lens was applied to left eye for 2 weeks. Steroid and antibiotic eye drops were applied for relieving the symptoms and the prevention from progressing of complication. After 1 week, visual power and acuity was recovered to preoperative state. No other specific complications happened. Conclusion: Post-LASIK patient may have possibility of decreased corneal sensation and tear production. Preoperative ophthalmic examination is recommended for the prevention of complication. When corneal protector is applied, we suggest Optagel$^{(R)}$ as a useful lubricant.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제29권5호
• /
• pp.265-271
• /
• 2003

Skeletal relapse is known as a complication following orthognathic surgery of mandibular prognathism and occurring during intermaxillary fixation period. Therefore relapse of teeth and skeleton during intermaxillary fixation period is considered as a important problem of orthognathic surgery. In this study, cephalolateral radiographs taken at pre-operation, immediate post-operation and after release of intermaxillary fixation were measured for evaluation of dental and skeletal relapse in 30 cases. The cases were classified as screw fixation group and plate fixation group, then we compared magnitude of dental and skeletal changes of each group. The results were as follows 1. The $\underline{1}$ SN angle increased at immediate post-operation with a mean value of $0.12^{\circ}$ and at intermaxillary fixation period with a mean value of $0.43^{\circ}$ (p>0.05). 2. The $\overline{1}$ MP angle decreased with a mean value of $0.14^{\circ} at immediate post-operation and with a mean value of $1.28^{\circ} during intermaxillary fixation period but there were not significant difference(p>0.05). 3. There were not significant difference in magnitude of dental position changes between screw fixation group and plate fixation group(p>0.05). 4. Gonial angle increased with a mean value of $0.62^{\circ} during intermaxillary fixation period. Each group showed changes of gonial angle during intermaxillary fixation period but there were not significant difference(p>0.05).

• The Korean Journal of Pain
• /
• 제9권1호
• /
• pp.135-139
• /
• 1996

Intercostal nerve blockade with local anesthetics has been used extensively in the past to provide pain relief following thoracotomy. Its popularity fell, for a period, probably due to increasing use of epidural analgesia. More recently, interest has focused on intercostal nerve block with the introduction of variously sited catheters. Two epidural catheters were placed under direct vision, in the intercostal spaces just above and below the wound by feeding the catheters posteriorly from the wound edges, superficial to the parietal pleura. Bupivacaine 0.25%. Was infused continuously at a rate of 5 ml/hour through each of the two intercostal catheters. Each catheter was primed with 10 ml/hour through each of the two intercostal catheters. Each catheter was primed with 10 ml of 0.25% bupivacaine. Postoperative vital signs resembled preoperation data. Arterial carbon dioxide pressure ($PaCO_2$) was unchanged and arterial oxygen pressure ($PaO_2$) was increased during two days after surgery because oxygen was administered at 21/min. Forced vital capacities (FVC) and forced expiratory volume in 1 second ($FEV_1$) were decreased the day of operation but restored to preoperative value from second operation day. VAS were increased on operation day but decreased from second operation day. Motion range of arms were not impaired. We concluded that continuous intercostal nerve block through catheters placed during thoracotomy in the adjacent intercostal spaces is a simple and effective method for management of the post-thoracotomy pain.

• The Korean Journal of Pain
• /
• 제8권2호
• /
• pp.244-250
• /
• 1995

Many clinical and laboratory experiments have been developed to prevent or decrease post-operative pain. One of these methods is pre-operative administration of opioid. Recently there have been differing and debatable results reported of pre-operative treatment for post-operative pain management. It was our study to determine whether pre-operative epidural fentanyl prevented central facilitation or wind up of spinal cord from nociceptive afferent input through c-fibers. We evaluated the effect of epidural fentanyl 50 mcg 10 minutes before operation and 10 minutes before the end of surgery. 28 parturient women for Cesarean Section were randomly allocated to receive the epidural fentanyl either at 10 minutes before operation (Group 1, n=14) or 10 minutes before the end of surgery (Group 2, n=14). All of the 28 parturient women were anesthetized with epidural block using (22 ml of) 2% lidocaine supplemented with light general anesthesia ($N_2O$ 2 L/min-$O_2$, 2 L/min), we controlled post-operative pain with epidural PCA(patient controlled analgesia) infusion of meperidine and 0.07% bupivacaine. The action duration of epidural fentanyl from the end of surgery to the first requirement of analgesics with epidural PCA were not significantly different between the two groups. No significant differences between two groups were observed in VAS pain score at 1, 2, 3, 6, 12, 24, and 48 hours after the operation. The number of self administration of narcotics with PCA during 48 hours after surgery were the same between the two groups. The hourly infusion rates of demerol were the same. Pre-operative administration of fentanyl was not clinically effective compared to administration just before the end of surgery for postoperative pain control.

• Clinics in Shoulder and Elbow
• /
• 제17권2호
• /
• pp.57-63
• /
• 2014

Background: To compare the effect of different starting periods of rehabilitative exercise (early or delayed passive exercise) on the rate of retear and other clinical outcomes after the arthroscopic repair of the rotator cuff. Methods: In total, 103 patients who underwent arthroscopic repair of the rotator cuff were included in the study. Determined at 2 weeks post-operation, patients who were incapable of passive forward elevation greater than $90^{\circ}$ were allotted to the early exercise group (group I: 79 patients; 42 males, 37 females), whilst those capable were allotted to the delayed exercise group (group II: 24 patients; 14 males, 10 females). The group I started passive exercise, i.e. stretching, within 2 weeks of operation, whilst group II started within 6 weeks. The results were compared on average 15.8 months (11-49 months) post-operation using the passive range of motion, the Visual Analog Scale (VAS) pain score, and the University of California at Los Angeles (UCLA) and Constant scores. Stiffness was defined as passive forward elevation or external rotation of less than $30^{\circ}C$ compared to the contralateral side. Follow-up magnetic resonance imaging (MRI) was carried out on average 1 year post-operation and the rate of retear was compared with Sugaya's criteria. Results: There were no differences between the two groups in gender, age, smoking, presence of diabetes, arm dominance, period of tear unattended, pre-operative range of motion, shape and size of tear, degree of tendon retraction, and tendon quality. There were no significant differences in clinical outcomes. Whilst stiffness was more frequent in group II (p-value 0.03), retear was more frequent in group I (p-value 0.028) according to the MRI follow-up. Conclusions: During rehabilitation after the arthroscopic repair of the rotator cuff, the delay of passive exercise seems to decrease the rate of retear but increase the risk of stiffness.

• Archives of Plastic Surgery
• /
• 제34권2호
• /
• pp.222-228
• /
• 2007

Purpose: Report of the good results of breast reconstruction using Becker permanent tissue expander that showed a short operation time and a quick post-operation recovery time, little side effects and usually superb aesthetic results without the need for additional incisions or donor site morbidity. The authors, after carrying out breast reconstruction operations using Becker permanent tissue expander on patients with appropriate indications, attempted to analyze several factors such as complication rates and patient satisfaction measurements. Methods: 11 cases of breast reconstruction using Becker expander implants were carried out on a total of 10 patients between March 2000 and February 2003. The patients were followed up at outpatient visit for an average of 6 months. Results: The most common post-operation complication was pain resulting from saline injection into the expanders, complained by 5 patients(50%). rib fractures, skin necrosis, implant removal due to infection, and breast cancer recurrence each occurred in 1 patient (9.9%). There was no occurrence of skin contracture complications which occurs frequently in case of silicone implant insertion. Patient complacency was surveyed by patient interviews made right after the operations and during outpatient follow-up periods: 5(50%) patients out of 10 showed excellent, 3(30%) good, and 2(20%) showed fair, leaving no patients who were disappointed with operation results. On routine follow-up, 80% of patients expressed satisfaction with the cosmetic outcome of their post-mastectomy beast reconstruction. Conclusion: Breast reconstruction using the Becker expander is a reliable alternative to other reconstructive methods but good patient selection is essential for satisfactory results.

• 융합정보논문지
• /
• 제12권4호
• /
• pp.177-186
• /
• 2022

본 연구의 목적은 공공데이터 포털에 공개된 성남시 도서관 강좌정보 데이터를 토대로 코로나19 발생 이전과 이후 시점의 프로그램 개설 현황을 분석해 포스트 코로나에 대비한 프로그램 운영 방안을 제안하고자 하는 것이다. 이를 위해, 성남시에서 업로드한 파일의 중복 및 오류 데이터 정제 과정을 거쳐 정리한 1,317건의 데이터를 바탕으로 ①프로그램 주제 및 형태 구분, ②프로그램 대상 이용자 분포, ③프로그램 개설 형태(온라인/오프라인), ④프로그램 개설 시기 및 운영 일수, ⑤이용자들이 선호하는 프로그램의 특성에 대한 분석을 수행하였다. 분석 결과, 코로나19 이전에는 온라인 강좌가 개설된 바 없으나, 2020년 8월 이후부터 온라인 강좌가 본격적으로 개설되었다. 또한 2019년은 영유아 및 초등학생을 대상으로 한 체험활동 강좌가 많았으나 2020년은 성인과 초등학생을 대상으로 한 독서활동 강좌가 증가했다. 온라인 강좌 형태는 온라인 화상회의 프로그램을 이용한 실시간 강의, 유튜브 영상 시청 및 라이브 방송, 네이버 밴드 및 카페 활용 등으로 다양하게 나타났다.

• 한국전산구조공학회:학술대회논문집
• /
• 한국전산구조공학회 1989년도 가을 학술발표회 논문집
• /
• pp.65-70
• /
• 1989

Until recently post-processing of finite element model has been Heavily relied on expensive graphic peripheral devices. For this reason many engineers and researchers can not afford to access to the graphics. with the aid of inexpensive personal computers very econmical post-processor graphics program called MICRO-POST has been developed in conjunction with low-cost printers and plotters. Model geometry or results of analysis for the unlimitted meshes either produced by mainframe or microcomputer can be easily and economi-call presented in a number of different graphic devices. The paper presents the procedure obtaining the device the independent graphics, and the structure and functions of the program. It also describes a new error-preventive dialogue type input technique to control the plot operation in an interactive manner. Through the post-processing examples for the general purpose finite element programs, it demonstrates the usefulness of the program.

• 대한화학회지
• /
• 제53권6호
• /
• pp.727-730
• /
• 2009

촉매로서 인 몰립덴산을 이용하여 일련의 퀸옥살린의 유도체를 높은 수율로 합성하였다. 이 방법의 장점은 실내 온도에서 간단한 조작, HPA 촉매의 재사용, 반응단계의 친환경적인 면이다.

• Journal of the Korean Institute of Landscape Architecture International Edition
• /
• 제1호
• /
• pp.183-191
• /
• 2001

The purpose of this study is to provide guidelines for planning, designing and managing neighborhood parks. Results form POE(Post-Occupancy-Evaluation) and RPOE(Re-Post-Occupancy-Evaluation) are analyzed for this study. Bundang Central Park in Bundang Newtown was selected for this study. This study compared the previous POE completed in 1996 with a RPOE conducted in 2001 to find out how the user, proximate environmental context, and the park administration changed in time and apply feedback for purposes of immediate problem solving. The results of this study showed that RPOE has to be initiated and utilized periodically as a device and the guideline for neighborhood park design, conservation, administration and operation.