• Title/Summary/Keyword: 절개지

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Immediate Connection of Customized Zirconia Abutment Using Flapless Guided Surgery: A Clinical Report (무절개 수술을 이용한 맞춤형 지르코니아 지대주의 즉시 장착 증례)

  • Lee, Gyeong-Je;Choi, Byung-Ho;Kim, Hee-Jun;Jung, Seng-Mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.201-212
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    • 2012
  • There are some similar aspects at histological and morphological characteristics between the peri-implant tissue and periodontal tissue and the direct attachment between the titanium and soft tissue around the implant called as "Functional ankylosis" can prevent the apical infiltration of inflammatory and bone resorption around implant. But, the repeated connection and disconnection of the abutment can destroy the mucosal barrier of soft tissue around the implant and can cause the marginal bone resorption. The amount of marginal bone resorption may reduced if the prosthetic abutment is placed at that time of surgery. Connection of the prosthetic abutment at surgery was limited because the low accuracy of conventional method, but by using of Cone Beam Computed Tomography(CBCT) and guide surgery, the 3-dimensional accuracy of implant placement became much higher than before and it became possible. This is a clinical case of immediate connection of prosthetic abutment and provisional restoration by using of precise CBCT diagnosis and pre-fabricated zirconia customized abutment at surgery and the alternative method is described in this article because of the clinically contentable results.

A Study on the Restoration Effects of Vegetation Restoration Types (식생복원 유형별 복원효과 연구)

  • Kang, Hyun-Mi;Choi, Song-Hyun;Kim, Dong-Hyo;Song, Jae-Tak
    • Korean Journal of Environment and Ecology
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    • v.31 no.2
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    • pp.174-187
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    • 2017
  • For the purpose of evaluating the restoration effect of vegetation, in this study, the areas where vegetation was restored had been monitored for 6 years, from 2008 to 2013. The areas were restored through some techniques by utilizing forest resources and nearby forest resources: biotope restoration method, forest topsoil paving method and small diameter trees planting method. Biotope restoration method is indicated the most similar properties to the existing natural forest just after they were restored because the forest likely to be deteriorated was transplanted. Forest topsoil paving method is expected that long-time will be taken for plants to grow to form the tree layer. However, the method is expected to acquire high restore the places of empty lands such as cutting areas. Community planting method is coverage can be increased for short time, relying on the sizes of planted trees, and the tree layer can be formed. Consequently, this method is expected to create high effect if the sizes of trees are considered after the right judgement of candidate site for restoration. This study is meaningful in that each type of restoration is monitored to observe the change of triggered by the succession process to forest. The study results can play as the reference data which can be utilized and applied to the area requiring vegetation restoration or to the area facing the damage of forest resources.

The Result of Ventilating Bronchoscopy for the Air Way Foreign Bodies (Ventilating bronchoscopy로 치유시도된 기도이물의 치료성과)

  • 우훈영;고건성;이희배;윤태현;안회영;백만기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.4.3-5
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    • 1978
  • The foreign bodies in air way require the emergent managements in the otolaryngolagic field, and if the diagnosis and treatment were delayed, unexperted catastrophic situations may occur. The authors had analysed the airway foreign bodies of 50 cases which had been ventilating bronchoscopy. 1. In sex distribution, male to female ratio was 2.8 : 1. 2. In the age incidence, 58% were 1∼5 yrs. 3. Frequent symptoms, were coughing (68%), dyspnea (52%) and cyanosis (18%) in the oder. 4. The significant foreign body histories were noticed in 33 cases (66%). The initial misdignosis were 28%, and af which 57.1% were URI 5. In auscultation, decreased breathing sounds were noticed in 46%, wheezing were 24% and 26% were with in normal limit. 6, In duration af lodgement, 68% were removed within 24 hours. 7. Tracheostomy were performed in 24%, and foreign bodies were removed by ventilating bronchoscope in 72%. 8. The foreign bodies were vegetable (46%), metal (28%), plastic (18%) and fish bone (8%). 9. The prevalent site of foreign body were right main bronchus, left main bronchus, and trachea in the order mentioned.

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A Clinical Study of the Foreign Body in the Air Passage (기도이물의 임상적 고찰)

  • 조진규;안회영;홍남표;이익재
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.13.3-14
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    • 1983
  • A clinical study was done on 24 cases with foreign body in the air passage, who were treated at the department of otolaryngology of Kyung Hee university hospital during the period from Apr. 1973 to Feb. 1983. The obtained results were as follows : 1) The incidence of sex was much higher in male than female and children under 4 years old were predominant. 2) Almost of all patients came in the hospital within 3 days after onset. However one patient came in hospital 5 months later. 3) The variety of foreign body was numerous, among which vegetables and plastic materials were most frequently found. 4) The most common sites of lodgement were trachea and right main bronchus. 5) The common clinical manifestations were dyspnea, decreasing breathing sound and cough. Negative X-ray findings did not exclude a foreign body in the air passage. 6) The important pulmonary complications due to foreign body were atelectasis, emphysema and pneumonia. 7) Foreign body was successfully removed by use of peroral or inferior endoscopy in all cases except one case, on whom thorachotomy was done. 8) The important complications due to the surgical procedure were decannulation difficulty and pneumothorax.

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A Study on Protection Depending on Mesh Size of Expanded Metal for Slope Reinforcement (사면보강용 Expanded Metal 격자크기에 따른 인발 특성 연구)

  • Ji, Younghwan;Kim, Kihwan;Kim, Sungho;Hwang, Yeongcheol;Lee, Seungho
    • Journal of the Korean GEO-environmental Society
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    • v.11 no.12
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    • pp.47-56
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    • 2010
  • The construction of new roads and the consistent extension of already-existing roads or the line-shape revision of those roads are increased with the governmental investment to SOC facilities currently. Accordingly, the road cut slopes are in the trend of rapidly increasing. As the road slope has increased, a lot of human and property damages has entailed consequently and in the local case, numerous studies have carried out aiming at minimizing this damages caused by the rockfall and landslide. In general, standard falling rock prevention facility has employed for most of the local road slope based on "Guide for Installation and Management of Road Safety Facilities" published by MLTM(the Ministry of Land, Transport, and Maritime Affairs) but profound doubt has raised as to whether this rockfall prevention facility would function properly enough to prevent rockfall efficiently without any damages in case of actual occurrence of rockfall. In addition, it is a reality that in most cases, such work is relied on overseas technology as a whole as the local technical level is low and in case of rockfall prevention net, it is judged that a study on rockfall prevention net that is able to endure more powerful rockfall energy is required as the problem including net bursting is taken place as a result of enough bearing force being failed to be demonstrated due to its partial weak point(not uniformly made). Under this background, in this study, three kinds of model depending on mesh size of expanded metal that is considered to have an adoptability as rockfall prevention net, as target are selected and characteristics depending on mesh size of expanded metal is intended to be researched through a pull-out test performance by using pull-out test equipment rockfall prevention net.

Manufacturing Techniques and Provenance of Earthen Wares in Daecheonri Prehistory Site of Okcheon County, Korea (옥천 대천리 유적지 토기의 제작기법 및 원료산지 분석)

  • Lee, Hyo-Min;Yang, Dong-Yun;Gu, Ja-Jin;Kim, Ju-Yong;Han, Chang-Gyun;Choe, Seok-Won
    • The Korean Journal of Quaternary Research
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    • v.18 no.1 s.22
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    • pp.1-20
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    • 2004
  • A geoscientific research was performed on 12 samples of comb-pattern potteries which were excavated at Daecheonri neolithic site, Korea. The texture and compositions of 12 potteries and surrounding metrix of soil and rocks were compared with the help of petrographic microscope, XRD and REE data. As to the manufacturing techniques thick potteries are caused by the amount and number of coarse grains which are assumed to be added shards when their distributional pattern are considered. DC1, DC3, DC 7 and DC11 samples have clearly oriented textures, and the orientation of vesicles in DC3 and DC11 samples arranged in the same direction with those on the pottery surface. This indicates the use potter's wheel technique in manufacturing potteries. Burning temperature is assumed over $800^{/circ}C$, particularly under reduction environment. As to the source, raw materials of pottery matrix are derived from the bottom of excavation site, or in an extracted outcrop of the northwestern foothill from site, while the shard materials are very similar with those extracted from sandy loams near sites. Finally any use pattern of pottery may control the pottery thickness, shard addition, and matrix selection.

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Extracorporeal Membrane Oxygenation in the Patient with Cardiopulmonary Resuscitation Failure after Open Heart Surgery. - A case report - (개심술 후 심폐소생술 실패환아에서의 체외막산소화 치험 1례)

  • 전희재;성시찬;우종수;이혜경
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.53-57
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    • 1999
  • We describe a case of successful extracorporeal membrane oxygenation(ECMO) in a small infant with cardiopulmonary resuscitation(CPR) failure after an open heart surgery. A 35-day-old male infant weighing 4.4 kg who had congestive heart failure and pulmonary hypertension underwent patch closure of ventricular septal defect without any intraoperative event. Postoperative course was unremarkable in the intensive care uint for about 5 hours before the junctional ectopic tachycardia developed. Sudden cardiac decompensation with bradycardia occurred about 50 minutes after the development of junctional ectopic tachycardia. He was put on ECMO by arterial cannulation at the ascending aorta and by venous cannulation at the right atrial appendage after 4 hours' CPR. The hemodynamics were stable with enough urine output during ECMO. He was weaned from ECMO 38.5 hours after initiation. Delayed sternal closure was attempted. He was extubated on postoperative day 7 and discharged home on postoperative day 21 without any neurologic sequelae.

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Surgical Treatment for Multivalvular Heart Disease (중복 심장판막 질환의 외과적 치료)

  • Kim, Jin; Jo, Jung-Ku;Kim, Kong-Soo
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.875-882
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    • 1996
  • Multlvalvular heart surgery was performed In 78 cases, in the Department of Thoracic & Cardiovascu far Surgery of Chonbuk national University Hospital from november 1983 to March 1994. There Where 31 men and 47 women. whose ranged from 14 to 63 years. The causes of the valvular lesions were 57 rheumatic origin, 18 degenerative, 1 previous endocarditls, 1 prosthetic valve mal-function. There were 25 double valve replacement with or wit out tricuspid valve repair, i M VR and aortic valve repair, 18 MVR and tricuspid valve repair, 1 MVR and aortic and tricuspid valve repair, 10 AVR and mi- tral valve repair, 1 AVR and tricuspid valve repair, 8 mitral aortic valve repair, 13 mitral and tricuspid valve repair. They were improved mean New York Heart Association functional cldss, from 2.72% 121 Early deaths were 5 cases(6.4%). The cause of death wet'e low cArdiac output syndrome. veritricular tachycardia, massive bleeding and cerebral thromboembolism. All the survivors belonged to New York Heart Association functional class I or ll at discharge. The patients who had had valve replacement operation were medicated with warfarin to maintain the level of 30∼ 50% of normal prothrombin time. During follow-up(93.6%, mean 49.9 months), 2 late deaths were developed. One was due to intracranial hemorrhage and the other congestive heart failure. The pre-operative New York Heart Association Functional class IV was statistically sig ificant operat- ive risk factors(p< 0.05).

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Surgical Treatment of the Aortic Dissection (대동맥박리증의 외과적 치료)

  • Jung, Jong-Pil;Song, Hyun;Cho, You-Won;Kim, Chang-Hoi;Lee, Jay-Won;Song, Meong-Gun
    • Journal of Chest Surgery
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    • v.29 no.12
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    • pp.1360-1365
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    • 1996
  • From September 1992 to May 1996, 38 patients ranging in age from 23 to 78, were operated for aortic dissection at Asan medical center There were 21 men and 17 women. The underlying aortic pathology were acute aortic dissection in 23, chronic aortic dissection in 15. Eight patients had Martian syndrome. In 34 cases of DeBakey type I, II patients, femoral artery and vein and/or right atrial auricle were used as cannulation site. With deep hypothermic c rculatory arrest (esophageal temperature 12 $\pm$ 2.5$^{\circ}C$) and retrograde cerebral perfusion of cold oxygenated blood through SVC, we replaced the ascending aorta and the part of arch if necessary. The mean duration of the total circulatory arrest time was 25 $\pm$ 1.7 mintstuts. In 4 cases of DeBakey type III patients, we replaced descending thoracic aorta or thoracoabdomlnal aorta without shunt or bypass under normothermia with an average 30: 1.5 minutesaortic cross clamp time. One death(2.6%) occurred on the twenty-second postoperative day owing to asphyxia related to ulcer bleeding. Postoperative complications were myocardial infarction with transient left peroneal palsy in 1 case, transient lower extremity weakness in 1 case and prolonged ventilatory support in 1 case. Two patients required reoperation due to retrograde extended dissection and aortic insufuciency. There was no late death with an average 25 months follow-up period.

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The relationship among nursing student's knowledge, nursing skill and perceived performance of tracheostomy care (간호대학생의 기관절개관 관리에 대한 지식, 술기 및 지각된 수행정도와의 관계)

  • Lee, Sun Hee;Kim, Soon Hee
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.463-475
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    • 2016
  • This study was to search the relationship among knowledge, nursing skill, perceived performance in graduating nursing class. The participants were 90 members of to graduating nursing class in D city. Data were collected from September 4, 2014 to September 22, 2014 using a questionnaire and core nursing skills checklists. Data analysis was done with SPSS/WIN 23.0 using descriptive statistics and Pearson correlation. It found that knowledge of hand washing had a positive correlation between the nursing skill and perceived performance. The most vulnerablenursing skill was hand washing. The best nursing skill was sterilization and withdrawing contaminated products from the patient (Place the inner tube immersed in a solution of hydrogen peroxide). Based on the findings of this study, activating prior knowledge needs to be stressed. Thus, it would be necessary to include more effective motivation in designing experiential education program for cognitive performance.