• 제목/요약/키워드: Head fracture

검색결과 341건 처리시간 0.028초

Galvani전류가 백서의 하악골 성장에 미치는 영향에 관한 실험적 연구 (AN EXPERIMENTAL STUDY ON THE EFFECT OF THE GALVANIC CURRENT ON THE MANDIBULAR GROWTH IN RAT)

  • 양상덕;서정훈
    • 대한치과교정학회지
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    • 제18권1호
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    • pp.189-207
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    • 1988
  • In almost all biologic systems, mechanically induced electric charge separation is a fundamental phenomenon. Since the hypothesis was established that the generation of electric potentials in bone by mechanical stress including muscular force might control the activity in bone by mechanical stress including muscular force might control the activity of osseous cells and their biopolymeric byproduct, the concept of electrically mediate growth mechanism, which involves biological growth and bone remodeling by any means, in living systems has been applied clinically and experimentally to orthopedic fracture repair, the regulation of orthodontic tooth movement, epiphyseal cartilage regeneration, etc. On the other hand, recent numerous research data available show apparently that the mandibular condyle has the characteristics of growth center as well as growth site. In addition, there exists a considerable difference of opinion as to the role of external pterygoid muscle in condylar growth. In view of these evidences, this. experiment was performed to investigate the effect of the galavic current on the growth of the mandible and condyle for elucidating the nature of condylar growth. The bimetallic device was composed of silver and platinum electrode connected with resistor (3.9 Mohm), which was expected to produce galvanic current of 23.6 nA according to the galvanic principle. The 25 Sprague-Dawley rats were divided into two group, 2 week group comprising 8 animals exposed to satanic current for 2 weeks and 3 control animals not exposed for 2 weeks, 4 week group comprising 10 animals in experimental group and 4 animals in control group applied for 4 weeks respectively. The experimental rats were subjected to application of the galvanic current invasively to codylar head surface and the control groups with sham electrode. On the basis of anatomic and histologic data from the mandibular condyle of experimental and control group, the following results were obtained. 1. After 2 weeks, there was no increase of mandibular size in experimental group over that of the control group. 2. After 4 weeks, the size of the condylar head was larger in experimental group than that of the control. 3. In 2 week group, the thickness of the mitotic compartment and hypertrophic chondroblastic layer was increased in experimental group. 4. In 4 week group, the number and the size of the hypertrophic chondroblasts were increased significantly on experimental group over that of the control group. 5. The application of the satanic current caused an increase in chondrocytic hypertrophy and intercellular matrix in both groups.

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프리캐스트 철근콘크리트 중공 말뚝과 기초 접합부 반복가력 거동 (Pile-cap Connection Behavior between Hollow-Head Precast Reinforced Concrete Pile and Foundation)

  • 방진욱;조영재;안경철;김윤용
    • 한국구조물진단유지관리공학회 논문집
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    • 제23권1호
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    • pp.71-77
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    • 2019
  • 지지력이 큰 하부지반에 구조물의 하중을 전달하기 위한 방안으로 말뚝기초가 대부분 적용되고 있다. 이 연구에서는 접합부에 보강되는 철근량에 따라 반복하중 하에서 프리캐스트공법과 철근 및 속채움 콘크리트로 말뚝머리부를 보강한 철근콘크리트 말뚝(HPC)과 기초 접합부 거동을 실험을 통해 평가하였다. 철근량에 변화에 따라 제작된 두 종류의 접합부 실험체의 균열패턴과 파괴거동은 유사한 수준으로 평가되었다. 철근량 1.77배 증가에 기인하여 BS-H25 실험체는 BS-H19 실험체에 비해 최고하중은 약 1.47배 증가하였지만 연성비는 정가력시 76%, 부가력시 70% 수준을 나타내었다. 강성감소는 접합부 철근 항복 이후 BS-H19 실험체와 BS-H25 실험체는 정가력시 초기강성의 약 66% ~ 71% 수준으로 부가력시 54% ~ 57% 수준으로 감소되었고 BS-H25 실험체가 평균 13% 높은 강성값을 나타내었다. 극한하중 상태에서의 BS-H19와 BS-H25 실험체의 누적 에너지 소산량은 사용하중 상태에 비해 약 5.5배 및 6.6배 큰 값으로 측정되었다.

A discrete element simulation of a punch-through shear test to investigate the confining pressure effects on the shear behaviour of concrete cracks

  • Shemirani, Alireza Bagher;Sarfarazi, Vahab;Haeri, Hadi;Marji, Mohammad Fatehi;Hosseini, Seyed shahin
    • Computers and Concrete
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    • 제21권2호
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    • pp.189-197
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    • 2018
  • A discrete element approach is used to investigate the effects of confining stress on the shear behaviour of joint's bridge area. A punch-through shear test is used to model the concrete cracks under different shear and confining stresses. Assuming a plane strain condition, special rectangular models are prepared with dimension of $75mm{\times}100mm$. Within the specimen model and near its four corners, four equally spaced vertical notches of the same depths are provided so that the central portion of the model remains intact. The lengths of notches are 35 mm. and these models are sequentially subjected to different confining pressures ranging from 2.5 to 15 MPa. The axial load is applied to the punch through the central portion of the model. This testing and models show that the failure process is mostly governed by the confining pressure. The shear strengths of the specimens are related to the fracture pattern and failure mechanism of the discontinuities. The shear behaviour of discontinuities is related to the number of induced shear bands which are increased by increasing the confining pressure while the cracks propagation lengths are decreased. The failure stress and the crack initiation stress both are increased due to confining pressure increase. As a whole, the mechanisms of brittle shear failure changes to that of the progressive failure by increasing the confining pressure.

두부둔상 후 내경동맥손상으로 인한 뇌경색의 지연진단: 증례보고 (Delayed Diagnosis of Cerebral Infarction after Complete Occlusion of ICA due to Blunt Head Trauma: A Case of Report)

  • 윤정호;고정호;조준성
    • Journal of Trauma and Injury
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    • 제28권3호
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    • pp.190-194
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    • 2015
  • Blunt cerebrovascular injury is defined as a vertebral or carotid arterial structural wall injury resulting from nonpenetrating trauma. Complete traumatic internal carotid artery occlusion is very rare condition accounting for 0.08~0.4 0f all trauma patients and believed to be associated with the greatest risk of ischemic stroke reported in 50~90% in a few small series. A 55-year-male was admitted with drowsy mentality and severe headache after a fall down accident. Brain computed tomography showed a subdural hematoma at the both frontal area with a fracture of the occipital skull bone. Two days after admission, he suddenly complained with a right side hemiparesis of motor grade 2. Brain magnetic resonance diffusion demonstrated multiple high flow signal changes from the left frontal and parietal lesion. Computed tomographic angiogram (CTA) revealed absence of the left ICA flow. Trans femoral cerebral angiography (TFCA) showed complete occlusion of the left internal carotid artery (ICA) at ophthalmic segment in the left ICA angiogram and flows on the left whole hemispheric lesions through the anterior communicating artery in the right ICA angiogram. We decided to conduct close observations as a treatment for the patient because of acute subdural hematoma and sufficient contralateral cerebral flow by perfusion SPECT scan. Two weeks after the accident, he was treated with heparin anticoagulation within INR 2~4 ranges. He recovered as the motor grade 4 without another neurologic deficit after 3 months.

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생체 역학적 분석에 의한 Compression Hip Screw의 디자인 요소에 대한 평가 (Mechanical Response of Changes in Design of Compression Hip Screws with Biomechanical Analysis)

  • 문수정;이희성;권순영;이성재;안세영;이훈
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2004년도 추계학술대회 논문집
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    • pp.1172-1175
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    • 2004
  • At present, CHS(Compression Hip Screw) is one of the best prosthesis for the intertrochanteric fracture. There is nothing to evaluate the CHS itself with the finite element analysis and mechanical tests. They have same ways of the experimental test of the ASTM standards. The purpose of this study is to evaluate the existing CHS and the new CHS which have transformational design factors with finite element analysis and mechanical tests. The mechanical tests are divided into compression tests and fatigue test for evaluating the failure load, strength and fatigue life. This finite element method is same as the experimental test of the ASTM standards. Under 300N of compression load at the lag screw head. There are less differences between Group (5H, basic type) and Group which has 8 screw holes. However, there are lots of big differences between Group and Group which is reinforced about thickness of the neck range. Moreover, the comparison of Group and Group shows similar tendency of the comparison of Group and Group . The Group is reinforced the neck range from Group. After the experimental tests and the finite element analysis, the most effective design factor of the compression hip screws is the reinforcement of the thickness, even though, there are lots of design factors. Moreover, to unite the lag screw with the plate and to analyze by static analysis, the result of this method can be used with experimental test or instead of it.

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열간가압소결한 $Al_2O_3$/Cu 나노복합재료의 미세조직 및 파괴강도에 미치는 소결분위기의 영향 (Influence of Sintering Atmosphere on Microstructure and Fracture Strength of Hot-pressed $Al_2O_3$/Cu Nanocomposites)

  • 오승탁;강계명;최종운
    • 한국재료학회:학술대회논문집
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    • 한국재료학회 2003년도 춘계학술발표강연 및 논문개요집
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    • pp.222-222
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    • 2003
  • 나노크기 금속입자가 분산된 세라믹 나노복합재료는 향상된 기계적 특성과 함께 독특한 전기적, 자기적 특성을 보여주어 새로운 기능성 재료로의 응용가능성을 갖고 있다. 그러나 소결 중의 반응이나 입자성장 등으로 형성된 반응상 또는 조대한 입자상이 세라믹 기지의 입계 등에 존재한다면, 나노크기 금속상 분산에 의한 기계적 특성의 향상과 독특한 기능성 부여라는 장점들이 없어지게 된다. 따라서 요구되는 특성을 구현할 수 있는 금속분산 나노복합재료의 제조를 위해서는 미세조직 제어를 위한 최적의 제조공정 확립과 미세조직과 특성 등의 관계에 대한 연구가 요구된다. 본 연구에서는 기지상으로 A1$_2$O$_3$를, 분산상으로는 저융점 금속이며 일반적인 A1$_2$O$_3$의 가압소결시에 (약 140$0^{\circ}C$) 액상으로 존재하는 금속 Cu를 선택하여 조성이 5 vol% Cu가 되도록 복합재료를 제조하였다. $Al_2$O$_3$와 CuO 원료분말들은 습식 및 건식 볼 밀링을 통하여 균일한 분말혼합체로 제조되었다. 혼합분말은 열간가압소결기 내에 장입한 후 35$0^{\circ}C$에서 30분 동안 H$_2$가스를 흘려주며 CuO를 Cu로 환원 처리하였다. 계속해서 H$_2$분위기를 유지하며 승온한 후, 각각 1000-145$0^{\circ}C$에서 분위기를 Ar 으로 치환하였다. 소결은 145$0^{\circ}C$에서 30 ㎫의 압력으로 1시간동안 행하였다 소결한 시편들은 직사각형 형태로 가공하였으며 표면은 0.5$\mu\textrm{m}$의 다이아몬드 입자로 연마하였다. XRD, SEM 및 TEM을 이용하여 상분석 및 미세조직관찰을 행하였다. 파괴강도는 3중점 굽힘 법으로 (3-point bending test) 측정하였다. 이때 시편 하부의 지지 점간의 거리는 30mm, cross-head 속도는 0.5 mm/min으로 하였고 5개의 시편을 측정하여 평균값을 구하였다.

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두부외상 후 발생한 지주막하 출혈에 대한 임상분석 (A Clinical Analysis on Traumatic Subarachnoid Hemorrhage)

  • 구태헌;김한식;목진호;이규춘;박용석;이영배
    • Journal of Korean Neurosurgical Society
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    • 제29권1호
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    • pp.108-112
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    • 2000
  • Objective : Many authors suggest that patients with traumatic subarachnoid hemorrhage(tSAH) visible on first CT after heve injury had a significantly worse prognosis than patients who do not. The aim of this study is to identify patients with tSAH who present with a bad prognosis by reviewing their clinicoradiological features and plan appropriate treatments. Patients and Methods : We reviewed and analysed the factors that influenced discharge outcomes in 172 patients with tSAH for a 3-year period. The outcome was divided into good(good recovery and moderate disability of glasgow outcome scale) and good(severe disability, vegetative state and death). Results : A regression analysis of statistical significant factors(p<0.05) among the clinical and CT features ranked them by descending order of contribution to Glasgow Outcome Scale(GOS) scores at the time of discharge from acute hospitalization as follows 1) clinical : admission Glasgow Coma Scale(GCS), hypotension, CT grade, abnormal APTT, skull fracture, hyperglycemia(>160mg/dl), hypoxia, operation, 2) CT : basal cistern effacement(BCE), mass lesion, cortical sulcal effacement(CSE), midline shift. Conclusion : We have also experienced that the CT grading scale proposed by Green et al is a simple and useful prognostic factor. The authors believe that the patients with high CT grade need adjuvant therapies as of well surgery but it seems mandatory to consider early identification and correction of hypotension, hyperglycemia, and hypoxia in emergency setting.

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Management of Unilateral Facet Dislocation of the Cervical Spine

  • Baek, Geum-Seong;Lee, Woo-Jong;Koh, Eun-Jeong;Choi, Ha-Young;Eun, Jong-Pil
    • Journal of Korean Neurosurgical Society
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    • 제41권5호
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    • pp.295-300
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    • 2007
  • Objective : Unilateral facet dislocation of the cervical spine occurs by flexion and rotation injuries and cannot be easily reduced by axial traction. We analyzed 14 consecutive patients with unilateral facet dislocation of the cervical spine to increase knowledge about anatomical reduction of locked facet and factors for successful reduction. Methods : Fourteen patients [10 men and 4 women] with unilateral facet dislocation of the cervical spine were retrospectively analyzed. Plain X-ray, computerized tomography scan, and magnetic resonance imaging were performed. All patients underwent manual reduction and surgery with anterior interbody fusion and plate fixation. The manual reduction was performed by neck flexion and rotation to the opposite side of dislocation, followed by rotation and flexion of the head toward the side of dislocation and extension with relaxation of traction. Mean follow-up period was 17 months. The level of spine, amount of subluxation, combined facet fracture, and time from injury to initial reduction were analyzed using the data obtained from medical records. Results : Thirteen [93%] patients were reduced successfully. Immediate reduction was achieved in 7 patients but failed in 7 patients. Seven patients underwent delayed closed reduction under general anesthesia, and successful reduction was achieved in 6 patients. Only one patient with bone chips between articular facets failed to achieve anatomical reduction. Conclusion : In order to reduce the locked facet more easily and safely, we recommend manipulative traction with anterior interbody fusion and plate fixation under general anesthesia after being aware of spinal cord injury with magnetic resonance imaging.

Influence of various metal oxides on mechanical and physical properties of heat-cured polymethyl methacrylate denture base resins

  • Asar, Neset Volkan;Albayrak, Hamdi;Korkmaz, Turan;Turkyilmaz, Ilser
    • The Journal of Advanced Prosthodontics
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    • 제5권3호
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    • pp.241-247
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    • 2013
  • PURPOSE. To evaluate the effect of various metal oxides on impact strength (IS), fracture toughness (FT), water sorption (WSP) and solubility (WSL) of heat-cured acrylic resin. MATERIALS AND METHODS. Fifty acrylic resin specimens were fabricated for each test and divided into five groups. Group 1 was the control group and Group 2, 3, 4 and 5 (test groups) included a mixture of 1% $TiO_2$ and 1% $ZrO_2$, 2% $Al_2O_3$, 2% $TiO_2$, and 2% $ZrO_2$ by volume, respectively. Rectangular unnotched specimens ($50mm{\times}6.0mm{\times}4.0mm$) were fabricated and drop-tower impact testing machine was used to determine IS. For FT, compact test specimens were fabricated and tests were done with a universal testing machine with a cross-head speed of 5 mm/min. For WSP and WSL, disc-shaped specimens were fabricated and tests were performed in accordance to ISO 1567. ANOVA and Kruskal-Wallis tests were used for statistical analyses. RESULTS. IS and FT values were significantly higher and WSP and WSL values were significantly lower in test groups than in control group (P<.05). Group 5 had significantly higher IS and FT values and significantly lower WSP values than other groups (P<.05) and provided 40% and 30% increase in IS and FT, respectively, compared to control group. Significantly lower WSL values were detected for Group 2 and 5 (P<.05). CONCLUSION. Modification of heat-cured acrylic resin with metal oxides, especially with $ZrO_2$, may be useful in preventing denture fractures and undesirable physical changes resulting from oral fluids clinically.

시효처리와 thermal cycling이 치관전장용 복합레진의 2축굽힘강도에 미치는 영향 (EFFECTS OF AGING AND THERMAL CYCLING ON THE BIAXIAL FLEXURE STRENGTH OF VENEERING RESIN COMPOSITES FOR CROWN)

  • 정관호;하일수;송광엽
    • 대한치과보철학회지
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    • 제37권5호
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    • pp.597-606
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    • 1999
  • This study was performed to evaluate the effect of aging and thermal cycling on the biaxial flexure strength of low commercially available veneering resin composites for crown(Dentacolor : DC, Artglass : AG, Esternia : ET and Targis : TG). Disc specimens were fabricated in a teflon mold giving 12mm in diameter and 1mm in thickness. All samples were divided into 4 groups. Group 1 was dried in a dessicator at $25^{\circ}C$ for 30 days. Group 2 was immersed in distilled water at $37^{\circ}C$ for 30 days. Group 3 was immersed in distilled water at $65^{\circ}C$ for 30 days. Group 4 was subjected to 10,000 thermal cycles between $5^{\circ}C\;and\;55^{\circ}C$, and the immersion time in each bath was 15 seconds per cycle. Biaxial flexure test was conducted using the ball-on-three-ball method at the cross head speed of 0.5mm/min and fracture surfaces were observed with scanning electoron microscope. The results obtained were summarized as follows; 1. Weibull modulus values, except for the AG group, decreased after thermal cycling treatment. 2. Biaxial flexure strength values of aging group at $37^{\circ}C$ were the lowest in all sample groups. Except for the DC group, strength values were significantly decreased for the drying group. 3. After thermal cycling test, the highest value of biaxial flexure strength of 188.8 MPa was observed in the ET group and the lowest value of 73.2 MPa was observed in the DC group. The strength values showed the significant differences in each group (p<0.05). 4. Observation of surfaces after thermal cycling test revealed the ditching in the part of surrounding large fillers.

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