• 제목/요약/키워드: sequential treatment

검색결과 380건 처리시간 0.028초

치과용 CT영상의 3차원 Visualization을 위한 Segmentation에 관한 연구 (A Study of Segmentation for 3D Visualization In Dental Computed Tomography image)

  • 민상기;채옥삼
    • 대한전자공학회:학술대회논문집
    • /
    • 대한전자공학회 2000년도 추계종합학술대회 논문집(3)
    • /
    • pp.177-180
    • /
    • 2000
  • CT images are sequential images that provide medical doctors helpful information for treatment and surgical operation. It is also widely used for the 3D reconstruction of human bone and organs. In the 3D reconstruction, the quality of the reconstructed 3D model heavily depends on the segmentation results. In this paper, we propose an algorithm suitable for the segmentation of teeth and the maxilofacial bone.

  • PDF

The sequential management of recurrent temporomandibular joint ankylosis in a growing child: a case report

  • Cho, Jung-Won;Park, Jung-Hyun;Kim, Jin-Woo;Kim, Sun-Jong
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제38권
    • /
    • pp.39.1-39.6
    • /
    • 2016
  • Background: Temporomandibular joint (TMJ) ankylosis in children often leads to facial deformity, functional deficit, and negative influence of the psychosocial development, which worsens with growth. The treatment of TMJ ankylosis in the pediatric patient is much more challenging than in adults because of a high incidence of recurrence and unfavorable growth of the mandible. Case report: This is a case report describing sequential management of the left TMJ ankylosis resulted from trauma in early childhood. The multiple surgeries including a costochondral graft and gap arthroplasty using interpositional silicone block were performed, but re-ankylosis of the TMJ occurred after surgery. Alloplastic TMJ prosthesis was conducted to prevent another ankylosis, and signs or symptoms of re-ankylosis were not found. Additional reconstruction surgery was performed to compensate mandibular growth after confirming growth completion. During the first 3 years of long-term follow-up, satisfactory functional and esthetic results were observed. Conclusions: This is to review the sequential management for the recurrent TMJ ankylosis in a growing child. Even though proper healing was expected after reconstruction of the left TMJ with costal cartilage graft, additional surgical interventions, including interpositional arthroplasty, were performed due to re-ankylosis of the affected site. In this case, alloplastic prosthesis could be an option to prevent TMJ re-ankylosis for growing pediatric patients with TMJ ankylosis in the beginning.

Change of Sludge Consortium in Response to Sequential Adaptation to Benzene, Toluene, and o-Xylene

  • Park, Jae-Yeon;Sang, Byoung-In
    • Journal of Microbiology and Biotechnology
    • /
    • 제17권11호
    • /
    • pp.1772-1781
    • /
    • 2007
  • Activated sludge was sequentially adapted to benzene, toluene, and o-xylene (BTX) to study the effects on the change of microbial community. Sludge adapted to BTX separately degraded each by various rates in the following order; toluene>o-xylene>benzene. Degradation rates were increased after exposure to repeated spikes of substrates. Eleven different kinds of sludge were prepared by the combination of BTX sequential adaptations. Clustering analyses (Jaccard, Dice, Pearson, and cosine product coefficient and dimensional analysis of MDS and PCA for DGGE patterns) revealed that acclimated sludge had different features from nonacclimated sludge and could be grouped together according to their prior treatment. Benzene- and xylene-adapted sludge communities showed similar profiles. The sludge profile was affected from the point of the final adaptation substrate regardless of the adaptation sequence followed. In the sludge adapted to 50 ppm toluene, Nitrosomonas sp. and bacterium were dominant, but these bands were not dominant in benzene and benzene after toluene adaptations. Instead, Flexibacter sp. was dominant in these cultures. Dechloromonas sp. was dominant in the culture adapted to 50 ppm benzene. Thauera sp. was the main band in the sludge adapted to 50 ppm xylene, but became vaguer as the xylene concentration was increased. Rather, Flexibacter sp. dominated in the sludge adapted to 100 ppm xylene, although not in the culture adapted to 250 ppm xylene. Two bacterial species dominated in the sludge adapted to 250 ppm xylene, and they also existed in the sludge adapted to 250 ppm xylene after toluene and benzene.

상피성 임파부종 환자의 치료 -증례보고- (Treatment of Patients With Elephantiasis Lymphedema - Case Report -)

  • 김성중
    • 한국전문물리치료학회지
    • /
    • 제6권3호
    • /
    • pp.110-120
    • /
    • 1999
  • Lymphedema, regardless of etiology, is essentially incurable but different treatment approaches which serve to contain swelling exist. The objectives of treatment are to reduce swelling, restore shape, educate about the self-maintenance methods, and prevent inflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to provide therapists and other medical staff with a general guideline through the example treatment procedure of two patients with lymphedema admitted to Samsung Medical Center. This study demonstrates the effects of the various treatments used and how they helped to achieve improvement in mobility and reduction in swelling of the lower limbs. The basic conservative treatments were sequential intermittent pneumatic pumps, elevation, and CDP (complex decongestive physiotherapy). The surgical procedures (Homan's operation) were carried out after maximal volume reduction through conservative programs. In these cases, we can see greater than 50% reduction in the lymphedema in those treated by conservative and surgical procedures. This presents a simple, reliable, variable method yielding satisfactory cosmetic and functional results for patients suffering from chronic both-leg lymphedema. Futhermore, I suggest that the outcomes are best when treatment is administered by a multidisciplinary team including a physiotherapist, surgeon, nurse, et al.

  • PDF

가종피가 부착된 안동대목 종자의 발아율 향상을 위한 파종전 종자처리 (Pre-sowing Treatments to Improve Germination of Intact Seeds in Burcucumber (Sicyos angulatus L.))

  • 강진호;전병삼;윤수영;이상우;정종일
    • 한국작물학회지
    • /
    • 제48권3호
    • /
    • pp.169-172
    • /
    • 2003
  • 약용 또는 잡초로 취급되어 왔으나 최근에는 박과접목묘의 대목으로 이용되고 있는 안동대목의 종자는 가종피 제거 또는 종자처리를 하지 않을 경우 발아가 아주 불량하다. 본 연구는 안동대목 종자 파종시 가종피 제거에 투입되는 노력을 줄일 수 있는가를 검토하고자 노화, NaOH, 세척, 저온 및 질산화 물 혼용처리 및 건조 등 순차적으로 가하여지는 물리$.$화학적 처리가 안동대목 종자의 발아 및 처리종자의 유묘출현율을 조사하였던 바 그 결과를 요약하면 다음과 같다. 1. 가종피를 제거하지 않은 채종 당년의 안동대목 종자의 발아율은 화학제를 이용한 종피연화 처리시 10% NaOH 처리시 가장 높았으나 노화처리를 통한 휴면타파 후에 처리할 경우 발아율은 더욱 향상되었다. 2. NaOH를 이용한 종피연화 처리 후의 세척을 통한 종피표면의 점액질 제거와 세척 후에 가하여지는 저온처리는 안동대목 종자의 발아율을 향상시키는 것으로 나타났다. 3. 1주간 저온처리와 동시에 가하여지는 화학제와 혼용처리로는 증류수를 공급하는 것보다는 0.2% KNO$_3$ 용액을 관주할 경우 발아율이 향상되는 것으로 나타났다. 4. 처리종자의 건조는 무건조보다는 건조시, 건조할 경우 암 상태보다는 적색광을 처리하면서 건조할 경우 발아율이 향상되었다. 5. 가종피를 제거하지 않은 안동대목 종자의 발아율은 일련의 종자처리를 통하여 80% 정도에 이르렀던 반면, 포장출현율은 60% 정도로 나타났다.

캄보디아산 케이폭 섬유의 소수성에 영향을 미치는 성분규명 (Identification of Hydrophobic Components in Cambodian Kapok Fiber)

  • 성용주;윤수영;오성훈;신수정
    • 펄프종이기술
    • /
    • 제45권5호
    • /
    • pp.30-36
    • /
    • 2013
  • Hydrophobic property of Kapok fiber was investigated by sequential removal of its components by different extraction methods. Acetone extraction for the removal of the hydrophobic extractives, holo-cel-lulose preparation after the removal of lignin and xylan extraction by potassium hydroxide was applied. The degree of hydrophobicity of each samples were measured by the water sorption ability. The water sorption ability of Kapok fiber was increased by the sequential treatment of acetone extraction, holocellulose preparation and xylan removal. Based on holocellulose compositional analysis by $^1H$-NMR spectroscopic method, the unusual high amount of the acetyl groups in the holocellulose of Kapok partially contributed to the hydrophobicity of Kapok holocellulose fiber.

Sequential adsorption - photocatalytic oxidation process for wastewater treatment using a composite material TiO2/activated carbon

  • Andriantsiferana, Caroline;Mohamed, Elham Farouk;Delmas, Henri
    • Environmental Engineering Research
    • /
    • 제20권2호
    • /
    • pp.181-189
    • /
    • 2015
  • A composite material was tested to eliminate phenol in aqueous solution combining adsorption on activated carbon and photocatalysis with $TiO_2$ in two different ways. A first implementation involved a sequential process with a loop reactor. The aim was to reuse this material as adsorbent several times with in situ photocatalytic regeneration. This process alternated a step of adsorption in the dark and a step of photocatalytic oxidation under UV irradiation with or without $H_2O_2$. Without $H_2O_2$, the composite material was poorly regenerated due to the accumulation of phenol and intermediates in the solution and on $TiO_2$ particles. In presence of $H_2O_2$, the regeneration of the composite material was clearly enhanced. After five consecutive adsorption runs, the amount of eliminated phenol was twice the maximum adsorption capacity. The phenol degradation could be described by a pseudo first-order kinetic model where constants were much higher with $H_2O_2$ (about tenfold) due to additional ${\bullet}OH$ radicals. The second implementation was in a continuous process as with a fixed bed reactor where adsorption and photocatalysis occurred simultaneously. The results were promising as a steady state was reached indicating stabilized behavior for both adsorption and photocatalysis.

Multidisciplinary team approach for the management of patients with locally advanced non-small cell lung cancer: searching the evidence to guide the decision

  • Oh, In-Jae;Ahn, Sung-Ja
    • Radiation Oncology Journal
    • /
    • 제35권1호
    • /
    • pp.16-24
    • /
    • 2017
  • Locally advanced non-small cell lung cancer (LA-NSCLC) is composed of heterogeneous subgroups that require a multidisciplinary team approach in order to ensure optimal therapy for each patient. Since 2010, the National Comprehensive Cancer Network has recommended chemoradiation therapy (CRT) for bulky mediastinal disease and surgical combination for those patients with single-station N2 involvement who respond to neoadjuvant therapy. According to lung cancer tumor boards, thoracic surgeons make a decision on the resectability of the tumor, if it is determined to be unresectable, concurrent CRT (CCRT) is considered the next choice. However, the survival benefit of CCRT over sequential CRT or radiotherapy alone carries the risk of additional toxicity. Considering severe adverse events that may lead to death, fit patients who are able to tolerate CCRT must be identified by multidisciplinary tumor board. Decelerated approaches, such as sequential CRT or high-dose radiation alone may be a valuable alternative for patients who are not eligible for CCRT. As a new treatment strategy, investigators are interested in the application of the innovative radiation techniques, trimodality therapy combining surgery after high-dose definitive CCRT, and the combination of radiation with targeted or immunotherapy agents. The updated results and on-going studies are thoroughly reviewed in this article.

하악 유견치 조기탈락은 무엇을 의미할까? (Clinical Implications of the Premature Loss of the Mandibular Primary Canine)

  • 이상호
    • 대한소아치과학회지
    • /
    • 제42권1호
    • /
    • pp.87-101
    • /
    • 2015
  • 하악 유견치의 조기탈락은 임상에서 흔히 관찰되는 현상으로 후에 영구치열에서 총생의 징후라 할 수 있으며 향후 영구 전치의 배열상의 문제점이나 부정교합을 유발할 수 있다. 영구 측절치가 맹출될 때 맹출 공간이 부족할 경우 인접해 있는 유견치 치근을 흡수시키면서 맹출하게 되고 그 결과 유견치가 조기에 탈락하게 되는데, 이 경우 영구 하악 영구 절치들이 설측으로 경사지게 되면 상악 절치들과 교합 접촉이 상실되어 상악 절치들이 과맹출됨으로써 수직피개교합 및 수평피개교합이 깊어지며 악궁둘레길이는 감소된다. 유견치가 편측으로 상실된 경우는 상기 현상 이외에, 영구 절치들이 조기 상실된 부위의 공간으로 경사지게 되어 정중선이 틀어지게 된다. 보통 4 mm 이하의 공간부족은 순차적인 유치의 disking과 passive lingual arch를 사용하여 leeway space를 보호하는 것만으로도 해결이 가능하며 4~6 mm 공간부족은 상기 술식과 함께 악궁의 전후방 및 측방확장으로 어느정도 해소할 수 있다.

폐수처리 슬럿지와 퇴비 및 목탄의 화학적 특성과 구조에 관한 연구 (A Study on the Chemical Composition and Structure of Sludge, Compost and Charcoal)

  • 임기표;위승곤
    • 펄프종이기술
    • /
    • 제35권1호
    • /
    • pp.27-32
    • /
    • 2003
  • To understand the chemical structure of sewer sludge in comparison with commercial compost and charcoal used as a soil improver, it was carried out to analyse their ash contents and metal ions, and to elucidate the chemical structure of their residuals after a sequential treatment of alcohol-benzene(1:2) extraction in Soxhlet, 3% HCl reflux and 79% H₂SO₄ hydrolysis, using CHNS analyzer and solid C-13 NMR spectrometer. The results obtained were as follows: 1. Ash content of sludge was about 46% that is higher than those of compost (17%) and charcoal (4%). 2. The residual of sludge after a sequential treatment of HCl and H₂SO₄ hydrolyses had high ash content about 23%, too. 3. The sludge seems to be suitable to the soil improver because the content of heavy metal ions in sludge was near the compost and below the organic fertilizer standard. 4. Elemental composition of sludge residual after HCl-H₂SO₄ hydrolyes was C/sub 56/H/sub 91/O/sub 12/N₂S = (C/sub 6/H/sub 10/O/sub 5/)/sub 7/(C/sub 6/H₄)/sub 7/C₂H/sub 43/O₂N₂S, similar to C/sub 103/H/sub 122/O/sub 33/N/sub 6/S = (C/sub 6/H/sub 10/O/sub 5/)/sub 6/(C/sub 6/H₄)/sub 10/C/sub 7/H/sub 22/O₃N/sub 6/S of compost. 5. The sludge residual had proved to have both considerable aliphatic and aromatic groups, but the compost residual to have mainly aliphatic groups and the charcoal to have mainly aromatic groups, through the peak analysis of solid C-13 NMR charts. 6. So, the sewer sludge is proved to have a considerable amount of aromaticity like in woody biomass containing lignin.