• Title/Summary/Keyword: post-operation

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THE PROGNOSIS OF THE TEETH IN THE MANDIBULAR FRACTURE LINES (하악골 골절선상에 위치한 치아의 예후에 관한 연구)

  • Song, Jae-Chul;Chang, Ic-Jun;Chin, Byung-Rho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.507-513
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    • 2000
  • Objective : The purpose of this study is to evaluate the vitality of the teeth in and adjacent to the mandibular fracture line according to variable conditions of fracture and to establish the protocol of treatment of fracture line teeth. Materials and Methods : The vitality of 97 teeth in fracture line and 104 teeth adjacent to fracture line of 52 patients were invested preoperatively. Of these, 66 teeth in fracture line and 72 teeth adjacent to fracture line were monitored at least 6 months after operation. An electric pulp tester was used to measure pulpal response. The relationships between the vitality of teeth in variable time(preoperation, immediate post-operation; within 1 week after operation, and 6 months after operation) and variable conditions of fracture(horizontal, vertical gap of fracture line, the number of fracture line)were evaluated statistically. Result : The vitality of fracture line teeth in the 6 months after operation statistically differed by the vertical gap of fracture line and the number of fracture line. The vitality of fracture line adjacent teeth in the immediate post-operation only statistically differed by the vertical gap of fracture line. There were statistically differences between preoperative EPT value and vitality of fracture line teeth on 6 months after operation. There were 5 cases of complications including periapical and periodontal abscess. Of these, only one tooth was extracted and the others were well treated with endodontic treatment and subgingival curettage. Conclusion : It is recommended to retain teeth and to monitor the vitality of teeth in and adjacent to fracture line, unless there is an absolute indication for extraction.

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Evaluating performance of the post-tensioned tapered steel beams with shape memory alloy tendons

  • Hosseinnejad, Hossein;Lotfollahi-Yaghin, Mohammad Ali;Hosseinzadeh, Yousef;Maleki, Ahmad
    • Earthquakes and Structures
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    • v.23 no.3
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    • pp.221-229
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    • 2022
  • The external post-tension technique is one of the best strengthening methods for reinforcement and improvement of the various steel structures and substructure components such as beams. In the present work, the load carrying capacity of the post-tensioned tapered steel beams with external shape memory alloy (SMA) tendons are studied. 3D nonlinear finite element method with ABAQUS software is used to determine the effects of the increase in the flexural strength, and the improvement of the load carrying capacity. The effect of the different parameters, such as geometrical characteristics and the post-tension force applied to the tendons are also studied in this research. The results reveal that the external post-tension with SMA tendons in comparison with the steel tendons causes a significant improvement of the loading capacity. According to this, using SMA tendon for the reinforcement of the tapered beams causes a decrease in weight of these structures and as a consequence causes economic benefits for their application. This method can be used extensively for steel beams due to low executive costs and simplicity of the operation for post-tension.

THE EFFECTIVENESS OF POST OPERATIVE ADMINISTRATION OF ANTIBIOTICS IN ORTHOGNATHIC SURGERY: INFECTION FREQUENCY BASED ON POST-SURGICAL APPLICATION OF ANTIBIOTICS (악교정 수술후 항생제 투여의 효용성 : 술후 항생제 투여 여부에 따른 창상감염 빈도)

  • Kang, Sang-Hoon;Yoo, Jae-Ha;Yi, Choong-Kook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.206-210
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    • 2007
  • This study observed the frequency of post-surgical infection according to post-surgical application of antibiotics in order to evaluate the benefits of the use of antibiotics after the orthognathic surgery. 349 patients without any specific medical history were divided into two groups depending on whether or not antibiotics had been applied after the surgery. The mean(SD) age of the 349 patients was 22.7(${\pm}4.25$) with a male-female ratio of 168:181. 226 patients received only 1.0g of a third-generation cephalosporin(Cefpiramide) intravenously 30 minutes prior to the surgery. Likewise, 123 patients received 1.0g of Cefpiramide 30 minutes prior to the surgery and twice daily longer than the third day after surgery. The mean(SD) duration of administration was 4.75(${\pm}0.89$) day. The patients were evaluated after surgery for any postoperative infections according to the criteria: purulent drainage from a wound, spontaneous wound dehiscence accompanied by swelling, pain, and fever around the wound. However, 14 patients of 226 patients received antibiotics only prior to the surgery developed postoperative infection, 2 patients of 123 patients received antibiotics longer than postoperative 3 days developed postoperative infection. Postoperative infection frequency showed no significant difference between the two groups(p=0.094). Also, bi-maxillary operation and mandibular operation alone, showed no significant difference in the frequency of post-surgical infection when antibiotics had been continuously used after the surgery. From this study, postoperative use of antibiotics seems to be unnecessary with view of the little significance of the factors that could affect the wound infection.

The Effect of Foot Bath Therapy on Post-operation Pain, Stress, HRV in Hand Replantation Patients (족욕요법이 수지접합 환자의 수술 후 통증, 스트레스, HRV에 미치는 영향)

  • Yoon, Soon-Young;Kwon, Myoung-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.2
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    • pp.105-112
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    • 2011
  • Purpose: The purpose of this study was to investigate the effect of foot bath therapy on post-operation pain, stress, HRV of hand replantation patients. Methods: Quasi-experimental study design and non-equivalent control group pre & post test repeated measure design were employed for this experiment. 47 subjects were selected for this study. 25 subjects of experimental group participated in foot bath program had foot bath 11 times for 2 weeks; 22 subjects of control group didn't have foot bath. Pain was digitized numerically by using Visual Analogue Scale, stress was measured by stress perception questionnaire, and HRV was measured by using Cnopy9 (IEMBIO). Results: The collected data were analyzed by using SPSS 17.0 Win program. (1) The difference between experimental group and control group was shown statistically significant in aspect of pain (p<.05). (2) The difference between experimental group and control group was shown statistically significant in aspect of stress (p<.05). (3) The difference between experimental group and control group was not shown statistically significant in aspect of HRV (p>.05). Conclusion: Foot bath program was an effective intervention for pain loss and perception of stress reduction. But it wasn't effective for HRV.

A Case of Tumor Recurrence at the Tracheotomy Site in Tonsil Cancer Patient (편도암 치료 후 기관절개 부위에서 재발한 1예)

  • Baek, Seung Jae;Park, Yoon Ah;Lee, Jae Woo;Lee, Young Sub;Bong, Jeong Pyo
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.1
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    • pp.21-23
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    • 2016
  • The aim of this report was to present a rare case of a tracheotomy site recurrence after operation and post-operative radiotherapy in head and neck squamous cell carcinoma patient. Tracheotomy site recurrence other than subglottic cancer is very rare in head and neck cancer patient. The granulation tissue around tracheotomy was a fertile "soil" for tumor cell implantation. Midline mucosal sparing block which was used to decreased acute toxicity during post-operative radiotherapy could be facilitating the tumor cell implantation. The head and neck surgeon should try every effort to reduce contamination of cancer cells during operation and consider the entire operative field should be included in post-operative radiation portals.

A Study on the Online Media Usage Strategies of Anyang Municipal Library for the Post-Covid-19 Era (포스트 코로나 시대 안양시 도서관의 온라인 미디어 활용 방안 연구)

  • Song, Min Sun
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.499-512
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    • 2022
  • The purpose of this study is to propose effective plans for Anyang municipal library to use online media in preparation for the post-covid-19 era. For this purpose, the main implications were summarized by analyzing the operation cases of 5 excellent libraries that received government awards in the libraries' operation evaluation in 2021. And based on the analysis, strategies that can help Anyang municipal library use online media to operate library effectively even after COVID-19 were derived. This study is meaningful in that it is an empirical study that summarizes the online media usage strategy of the Anyang municipal library in preparation for the post-COVID-19 era based on actual cases of excellent libraries in the COVID-19 period.

Analysis of Pre and Post-Operative Speech In Combined Operation of Type I Thyroplasty and Arytenoid Adduction for Unilateral Vocal Cord Palsy (편측성대마비에 대한 제 1형 갑상성형술과 피열연골내전술의 동시수술시 술전 및 술후 음성언어분석비교)

  • 최홍식;정유삼;김성국;김영호;김광문
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.1
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    • pp.66-70
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    • 1998
  • Background and Objectives : The managements of unilateral vocal cord palsy include type Ⅰ thyroplasty and arytenoid adduction. One type operation has been shown no satisfactory effect. We evaluated preoperative and postoperative speech of unilateral vocal cord palsy patients who received combined operation of type Ⅰ thyroplasty and arytenoid adduction to help for the management plan of unilateral vocal cord palsy patients. Materials and Methods : We reviewed the postoperative results and complication of 17 surgically treated patients of unilateral vocal cord palsy at Severance hospital from Nov. 1996 to Dec. 1997 retrospectively. They were received combined operation of type Ⅰ thyroplasty and arytenoid adduction. Their pre and post-operative speech were analyzed with MDVP(Multi-Dimension-Voice analysis Program) of CSL(Computerized Speech Lab). Results : After the operation, MPT(Maximal Phonation Time) was increased and MFR(Mean Flow Rate) was decreased in all patients. NHR(Noise to Harmonic Ratio) and VTI(Voice Turbulence Index) were decreased : liner, RAP(Relative Average Perturbation Quotient), PPQ(Pitch Period Perturbation Quotient), sPPQ(smoothed Pitch Period Perturbation Quotient), vFo(fundamental frequency Variation) were decreased : Shimmer, APQ(Amplitude Perturbation Quotient), sAPQ(Smoothed Amplitude Perturbation Qoutient), vAm(Peak Amplitude Variation) were decreased in all the patients. Conclusions : In unilateral vocal cord pals), combined operation of type Ⅰ thyroplasty and arytenoid adduction could obtain satisfactory postoperative voice. MDVP has many parameters and good method for evaluation of voice surgery.

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Development of Parameters on Depth of Anesthesia using Power Spectrum Density Analysis during General Anesthesia (전신 마취 중 전력스펙트럼 분석을 이용한 마취심도 파라미터 개발)

  • Baik, Seong-Wan;Ye, Soo-Young;Park, Jun-Mo;Jeon, Gye-Rok
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.22 no.6
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    • pp.537-545
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    • 2009
  • In this paper, new parameters were developed to estimate the depth of anesthesia during a general anesthesia using EEG. Power spectral density(PSD) analysis was used for these parameters because EEG became slow wave during anesthesia. The new parameters were DTR, ATR, TDR, ADR, BTR and BDR applied to PSD. These parameters were compared with SEF which is conventionally used at clinic and confirmed clinical value. As the results, DTR, ATR, TDR, ADR among parameters were not useful compared with SEF but BTR and BDR is valuable for clinic. 15 patents, at pre-operation BDR the value is $265.36{\pm}25.29$, at induction the value is $129.23{\pm}34.92$, at operation the value is $154.99{\pm}38.34$, at awaked the value is $283.83{\pm}39.80$ and at post-operation the value is $234.80{\pm}23.46$. Also at pre-operation BTR value is $183.38{\pm}13.59$, at induction the value is $104.09{\pm}25.11$, at operation the value is $115.38{\pm}23.42$, at awaked the value is $190.33{\pm}23.31$ and at post-operation the value is $172.38{\pm}19.08$. Trend of BDR and BTR is similar to change of SEF, so two parameters are useful. to estimate the depth of anesthesia.

Investigations on the emergency operation status of existing medical facilities to prepare for emerging infectious diseases in the post-COVID-19 era (포스트 코로나 시대 신종 감염병 대비를 위한 기존 의료시설의 비상시 운영사례 조사 및 분석)

  • Lee, Sejin;Lee, Wonseok;Kim, Eunseok;Yeo, Myoungsouk
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.1
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    • pp.43-51
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    • 2023
  • Purpose: To accommodate the increasing number of patients during the COVID-19 pandemic, numerous portable HEPA filter units (PHUs) were installed in the general wards of existing medical facilities(EMFs) to convert them into emergency conversion facilities (ECFs). The purpose of this study was to build a dataset in preparation for emerging infectious diseases in the post-COVID-19 era by analyzing the construction and operation of ECFs. Methods: Field investigations were conducted during ECF operation periods based on the analysis of heating, ventilation, and air conditioning (HAVC) system design documents for six ECFs across Korea. Interviews were conducted with facility managers during the field investigations. Results: When constructing an ECF within an EMF, the installation status and characteristics of the existing system should be considered. Field investigations and verifications of the operation of HAVC systems must be conducted beforehand for smooth ECF operations. If heating and cooling are required with indoor air circulation type equipment in an ECF zone, the implementation of a heating and cooling method that can satisfy the comfort requirements of the occupants while minimizing cross-contamination is essential. When using PHUs that do not meet the performance standards required by medical equipment, the noise level resulting from such equipment operation must be evaluated and improved. Implications: For EMFs, various guidelines that can be referred to for the construction and operation of ECFs must be developed to prepare for emerging infectious diseases in the future.

Analysis of Auxiliary Device in a Gas-solid Cyclone by Experimental and Computational Approaches

  • Lee, Ju-Yeol;Park, Duck-Shin;Jo, Young-Min
    • Journal of Korean Society for Atmospheric Environment
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    • v.19 no.E1
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    • pp.21-28
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    • 2003
  • An auxiliary device, called Post Cyclone (PoC). had been introduced and primarily examined in earlier works which proved the reduction of the emission of fine dust from the gas-solid cyclones without incurring significant increase of cost and pressure drop. It has been known that the PoC has some advantages over other secondary dust treatment devices such as (a) simple design, (b) low cost of manufacture, (c) minimum additional pressure drop, (d) high recoverbility of the product dust, and (e) simplicity of operation. Despite the potential advantage, however, lack of practical data confined its plausible application in wide areas. Thus, in this work, a few serial experiments were conducted in terms of a few operation conditions, and the particle trajectories throughout the cyclone set-up were visually analyzed by using a commercial computer simulation program (FLUENT).