• Title/Summary/Keyword: Hospital guide

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The Obturator Guiding Technique in Percutaneous Endoscopic Lumbar Discectomy

  • Han, In-Ho;Choi, Byung-Kwan;Cho, Won-Ho;Nam, Kyoung-Hyup
    • Journal of Korean Neurosurgical Society
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    • v.51 no.3
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    • pp.182-186
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    • 2012
  • In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an optimal position on the annular target. Obturator guiding technique is a modification of standard endoscopic lumbar discectomy, in which, obturator is used to access triangular working zone instead of a guide needle. Obturator guiding technique provides more vivid feedback and easy manipulation. This technique decreases the steps of inserting instruments and takes safer route from the peritoneum.

Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an in vivo study in a porcine model

  • Dong Seok Lee;Jeong-Sik Byeon;Sang Gyun Kim;Ji Won Kim;Kook Lae Lee;Ji Bong Jeong;Yong Jin Jung;Hyoun Woo Kang
    • Clinical Endoscopy
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    • v.57 no.1
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    • pp.82-88
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    • 2024
  • Background/Aims: Guide tube-assisted endoscopy for procedures that require repeated endoscopic access is safer and more effective than conventional endoscopy. However, its effectiveness has not been confirmed in animal studies. We assessed the usefulness of guide tube-assisted endoscopic procedures in an in vivo porcine model. Methods: Five different guide tube-assisted endoscopic procedures were performed by experienced endoscopists on a pig weighing 32 kg. To evaluate the efficacy of these procedures, we compared the endoscopic approach time when a guide tube was used to that when it was not. Additional endoscopic procedures using a guide tube were performed, including multiple foreign body extractions, multiple polypectomies, and multiple submucosal dissections. To evaluate safety, we compared the insertion force into the proximal esophagus between the guide tube and conventional overtube methods. Results: Using the endoscopic approach with a guide tube required a shorter average approach time to reach the three target lesions than when using the endoscopic approach without a guide tube (p<0.001). Compared to the conventional overtube method, the guide tube method produced a lower average resistance during insertion into the upper esophagus (p<0.001). Conclusions: Guide tube-assisted endoscopic procedures are effective and safe for repeated endoscopic access in an in vivo porcine model.

The Evaluation of Usefulness for Liver RF Ablation Which was being guide by CT (CT 유도하에 시행하는 Liver RF Ablation의 유용성 평가)

  • Kim Dong Soo;Lee Won Kyun;Lee Kang Woo
    • Journal of The Korean Radiological Technologist Association
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    • v.28 no.1
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    • pp.145-152
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    • 2002
  • Purpose : Radiofrequency(RF) ablation has known effective treatment in patient with hepatocellular carcinoma(HCC) or hepatic metastases tumor(HMT). The purpose of this study was to evaluate the usefulness of performed patient liver RF ablation guide by CT

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Single-tooth dento-osseous osteotomy with a computer-aided design/computer-aided manufacturing surgical guide

  • Kang, Sang-Hoon;Kim, Moon-Key;Lee, Ji-Yeon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.2
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    • pp.127-130
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    • 2016
  • This clinical note introduces a method to assist surgeons in performing single-tooth dento-osseous osteotomy. For use in this method, a surgical guide was manufactured using computer-aided design/computer-aided manufacturing technology and was based on preoperative surgical simulation data. This method was highly conducive to successful single-tooth dento-osseous segmental osteotomy.

Restoration of Upper Anterior Dentition using Customized Anterior Guide Table (Customized Anterior Guide Table을 이용한 상악 전치부 수복증례)

  • Oh, Woo-Shik;Jeong, Seung-Mi;Kim, Hyeong-Seob
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.4
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    • pp.317-323
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    • 2003
  • When making crown and bridges on anterior regions, many practitioners consider the esthetics the most. For this reason functional aspect are not considered as much as the esthetics. If the occlusion on the anterior region are not formed correctly, movement of the temporomandibular joint can be disturbed and excessive stress can be occur that pathologic condition can be under lied. On this case presentation will show the importance of the anterior guidance and suggest the appropriate protocol of using customized anterior guide table. A 45years old male had to remake both of the upper central and lateral PFM because of the porcelain fracture. The new PFM crowns were made conventional methods without considering the anterior guidance. After the temporary setting, the patient complained of discomfort and short looking upper anteriors. To solve these problems we had to restore the palatal contour and length of the new crowns by making customized anterior guide table using temporary crowns that contains patient's old anterior guidance. This procedure which is copying the pt's comfortable anterior guidance to the final prosthesis made them to be esthetic and patients to feel comfortable.

THE STUDY OF THE EFFECT OF DENTAL ARCH FORM ON CHEWING MOVEMENT III. THE RELATIONSHIP BETWEEN THE DENIAL ARCH FORM AND THE CHEWING MOVEMENT (저작운동에 미치는 치열궁형태의 영향에 관한 연구 III. 치열궁형태와 저작운동과의 관련성에 대하여)

  • Jo Byung-Woan;Kim Jong-Pil;Chang Heun-Soo;Aha Sang-Hun;Ahn Jae-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.4
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    • pp.565-572
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    • 1994
  • According to the classification of dental arch form and the analysis of patterns of chewing movement, the patterns of chewing movement in each group were evaluated and compared with those of the normal group. Results were summarized as follows ; 1. Opening phase in chewing movement In the group which the maxillary second molar positionsbuccal side, the chewing patterns which have the Vertical Guide Openings in frontal plane, the Posterior Guide Openings in hjorizontal plane were observed. In the group which the maxillary premolars position lingual side, the chewing paterns which have the Protrusive Shift Openings in horizontal plane and sagittal plane were observed. 2. Closing phase in chewing movement. In each group except for the normal group, the chewing patterns which have the Concave Closure in frontal plane and in Horizontal plane were observed. In the group which the maxillary premolars position buccal side, the chewing patterns which have the Lateral Guide Closure in frontal plane and in horizontal plane, the Vertical Guide Closre in sagittal plane were observed: From the results, as the characteristics of the dental arch form have appeared in chewing movement, the close relationships were found between dental arch form and chewing movement. It is suggested that the evaluation of dental arch form is effective in the diagnosis of function of stomatognathic system.

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THE STUDY OF THE EFFECT OF DENTAL ARCH FORM ON CHEWING MOVEMENT II. THE ANALYSIS OF CHEWING MOVEMENT (저작운동에 미치는 치열궁형태의 영향에 관한 연구 II. 저작운동의 분석에 대하여)

  • Jo Byung-Woan
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.4
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    • pp.553-564
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    • 1994
  • Using Sirognathograph Analyzing System, the patterns of chewing movement were analyzed into opening phase and closing phase, each phase to frontal plane, horizontal plane, and sagittal plane by maruyama's classification. In opening phase, the chewing patterns of frontal plane were classifed into Chopping Opening, Grinding Opening, Concave Opening, Lateral Shift Opening, Vertical Guide Opening, Convergence Opening. Those of horizontal plane were classified into Chopping Opening, Grinding Opening, Concave Opening, Protrusive Shift Opening, Posterior Guide Opening, Convergence Opening. Those of sagittal plane were classified into Normal Opening, Protrusive Shift Opening, Vertical Guide Opening, Convergence Opening. In closing phase, the chewing patterns of frontal plane were classified into Normal Closure, Concave Closure, Lateral Shift Closure, Lateral Guide Closure, Vertical Guide Closure, Convergence Closure, Those of horzontal plane were classified into Normal Closure, Concave Closure, Lateral Shift Closure, Protrusive Shift Closure, Lateral Guide closure, Posterior Guide Closure, Convergence Closure. Those of sagittal plane were classified into Normal Closure, Protrusive Shift Closure, Vertical Guide. Closure, Convergence Closure. Results were summarized as follows : 1. Opening phase in chewing movement The Normal Openings in 3 planes(frontal, horizontal, sagittal), the Concave Openings in frontal plane and horizontal plane, the Vertical Guide Opening in frontal plane and the Posterior Guide Opening in horizontal plane were many observed. 2. Closing phase in chewing movement The Concave Closure in frontal and horizontal plane, the Normal Closure in 3 planes (frontal, horizontal, sagittal), the Concave Closure in horizontal plane were many observed.

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ACL Reconstruction using Transtibial Femoral Tunnel at 10 or 2 O'clock Position - Technical Note - (10시 혹은 2시 방향의 경경골 대퇴 터널을 이용한 전방 십자 인대 재건술 - 수술 수기 -)

  • Cho, Sung-Do;Ko, Sang-Hun;Park, Mun-Soo;Jung, Kwang-Hwan;Cha, Jae-Ryong;Gwak, Chang-Youl;Kim, Sang-Woo
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.209-213
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    • 2006
  • Purpose: Conventional transtibial approach for the anterior cruciate ligament (ACL) reconstruction tended to place the femoral tunnel in too vertical position (11 or 1 o'clock), which could provide the postoperative anteroposterior (AP) stability but not provided the rotational stability. Therefore we present a surgical technique to make the transtibial femoral tunnel at 10 or 2 o'clock position. Surgical approach: To make a transtibial femoral tunnel at the 10 or 2 o'clock position, the direction and position of the tibial drill guide was important. We set the tibial drill guide at $40{\sim}45$ degrees and the intraarticular guide tip was 1 mm anterior and medial to the conventional site. The starting point for the guide pin on the proximal tibia was proximal to the pes anserinus and anterior to the medial collateral ligament. The tibial tunnel was initially drilled 1mm less than the diameter of the graft. Then femoral offset guide could be easily placed at 10 or 2 o'clock position through the tibial tunnel. The tibial tunnel and the femoral tunnel of 30 mm in length were made with the reamer that was same size with the graft. Conclusion: We report a surgical technique to create a transtibial femoral tunnel at 10 or 2 o'clock position in ACL reconstruction to provide the rotational stability as well as the AP stability.

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A Preliminary Evaluation of NeuroGuide and IVA + Plus as Diagnostic Tools for Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애의 진단 보조도구로 뉴로가이드와 IVA + Plus의 유용성에 관한 예비연구)

  • Yang, Jung-In;Kim, So-Yul;Kim, Young-Sung;Lee, Jae-Won
    • Korean Journal of Biological Psychiatry
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    • v.19 no.1
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    • pp.45-52
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    • 2012
  • Objectives : This study was designed to investigate the usability of IVA + Plus (Continuous Performance Test) and Neuro-Guide [Quantitative electroencephalography (EEG) normative database] as an auxiliary diagnostic tools for attention-deficit hyperactivity disorder (ADHD). Methods : The scores of IVA + Plus and resting EEG were obtained from 34 elementary school-aged children. Also, the Korean ADHD Rating Scale (K-ARS) and the Diagnostic Interview Schedule for Children version IV (DISC-IV) was done for the parent of them. From the result of the DISC-IV, we divided them into three groups, ADHD Not Otherwise Specified (NOS), and Normal Control (NC). Using NeuroGuide, the z-scores of relative power for delta (1-4 Hz), theta (4-8 Hz), alpha (8-12 Hz), and beta (12-25 Hz) were calculated. Then the correlation and variance analysis were done to investigate the differences between three groups. Results : The scores of IVA + Plus were negatively correlated with the K-ARS. IVA + Plus have successfully discriminated the ADHD from NC and NOS. The z-scores of relative power of delta and theta were positively correlated with the K-ARS. The z-scores of relative power of alpha and beta were negatively correlated with the K-ARS. Conclusions : The IVA + Plus and NeuroGuide QEEG test are expected to be used as the valuable tools for diagnosing ADHD accurately.

Development of an autonomous mobile robot for an Exhibition guide (전시장 안내용 로보트 개발)

  • 정연기;한민홍
    • 제어로봇시스템학회:학술대회논문집
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    • 1992.10a
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    • pp.1-6
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    • 1992
  • An autonomous mobile robot has been developed which can follow a travel map drawn on a monitor screen using a software. The robot works as an exhbition guide making announcement regrading the events to take place or introducing the products on display. This mobile robot computes the world position and heading direction through camera image, ultrasonic and infrared sensors in real time using specially designed algorithm. This mobile robot will be exhibited at '93 Tae-Jeon EXPO for an exhibition guide, and will be used in a plant or a hospital for materials handling purposes.

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