• 제목/요약/키워드: Jones procedure

검색결과 13건 처리시간 0.021초

변형된 Jones 술식 후에 발생한 단무지 신전건의 연장을 치료하기 위한 제2 장족지 신전건의 분리 이전술 (Split Transfer of Extensor Digitorum Longus of the Second Toe for Elongation of EHB after Modified Jones' Procedure)

  • 김정래;이우천
    • 대한족부족관절학회지
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    • 제15권3호
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    • pp.183-186
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    • 2011
  • Extensor hallucis brevis (EHB) is only extensor of the first metatarsophalangeal (MTP) joint after modified Jones procedure. Therefore preserving the normal insertion of the EHB has been emphasized during that procedure. We experienced a case of EHB rupture after modified Jones procedure and had satisfied surgical outcome by partial transfer of extensor digitorum longus (EDL) of second toe.

Evaluation of the Excess Free Energy for Two-Center-Lennard-Jones Liquids Using the Vent Effective Acceptance Ratio

  • 홍성도
    • Bulletin of the Korean Chemical Society
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    • 제21권7호
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    • pp.697-700
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    • 2000
  • A method of calculating the excess Helmholtz free energy from the average of the bent effective acceptance ratio for two-center-Lennard-Jones liquids has been presented. The bent effective acceptance ratio has been newly composed from the acceptan ce ratio for the potential energy difference between a configuration in the Metropolis Monte Carlo procedure and random virtual configuration generated by the separate parallel Monte Carlo procedure and the Boltzmann factor for half the potential energy difference. The excess Helmholtz free energy was calculated directly from the average of the bent effective acceptance ratio through a single Metropolis Monte Carlo run. Because the separate parallel Monte Carlo procedure was used, this method can be applied to molecular dynamics simulations. For two-center-Lennard-Jones liquids, the average of the bent effective acceptance ratio gave better results than use of the modified effective acceptance ratio in the previous work.

Relevance of the Watson-Jones anterolateral approach in the management of Pipkin type II fracture-dislocation: a case report and literature review

  • Nazim Sifi;Ryad Bouguenna
    • Journal of Trauma and Injury
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    • 제37권2호
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    • pp.161-165
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    • 2024
  • Femoral head fractures with associated hip dislocations substantially impact the functional prognosis of the hip joint and present a surgical challenge. The surgeon must select a safe approach that enables osteosynthesis of the fracture while also preserving the vascularization of the femoral head. The optimal surgical approach for these injuries remains a topic of debate. A 44-year-old woman was involved in a road traffic accident, which resulted in a posterior iliac dislocation of the hip associated with a Pipkin type II fracture of the femoral head. Given the size of the detached fragment and the risk of incarceration preventing reduction, we opted against attempting external orthopedic reduction maneuvers. Instead, we chose to perform open reduction and internal fixation using the Watson-Jones anterolateral approach. This involved navigating between the retracted tensor fascia lata muscle, positioned medially, and the gluteus medius and minimus muscles, situated laterally. During radiological and clinical follow-up visits extending to postoperative month 15, the patient showed no signs of avascular necrosis of the femoral head, progression toward coxarthrosis, or heterotopic ossification. The Watson-Jones anterolateral approach is a straightforward intermuscular and internervous surgical procedure. This method provides excellent exposure of the femoral head, preserves its primary vascularization, allows for anterior dislocation, and facilitates the anatomical reduction and fixation of the fracture.

Endometrial fluid associated with Essure implants placed before in vitro fertilization: Considerations for patient counseling and surgical management

  • Sills, E Scott;Walsh, David J;Jones, Christopher A;Wood, Samuel H
    • Clinical and Experimental Reproductive Medicine
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    • 제42권3호
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    • pp.126-129
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    • 2015
  • Essure (Bayer) received approval from the U.S. Food and Drugs Administration as a permanent non-hormonal contraceptive implant in November 2002. While the use of Essure in the management of hydrosalpinx prior to in vitro fertilization (IVF) remains off-label, it has been used specifically for this purpose since at least 2007. Although most published reports on Essure placement before IVF have been reassuring, clinical experience remains limited, and no randomized studies have demonstrated the safety or efficacy of Essure in this context. In fact, no published guidelines deal with patient selection or counseling regarding the Essure procedure specifically in the context of IVF. Although Essure is an irreversible birth control option, some patients request the surgical removal of the implants for various reasons. While these patients could eventually undergo hysterectomy, at present no standardized technique exists for simple Essure removal with conservation of the uterus. This article emphasizes new aspects of the Essure procedure, as we describe the first known association between the placement of Essure implants and the subsequent development of fluid within the uterine cavity, which resolved after the surgical removal of both devices.

개 심실 형질막의 분리 및 그 방향성에 관한 연구 (Purification and Sidedness of Sarcolemma from Canine Ventricle)

  • 이신웅;구정옥;이정수
    • 약학회지
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    • 제30권1호
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    • pp.31-41
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    • 1986
  • Sarcolemmal membrane fraction from canine ventricle was isolated from the discarded pellet after the first homogenization in the isolation procedure of sarcoplasmic reticulum (Method 1) and the protein yield, purity, and sidedness of this preparation were compared to those of sarcolemmal fraction prepared by method of Lee et al. (Method 2) and a slight modification of original protocol of Jones et al. (Method 3). Method 1 differed from Method 2 essentially only in that vigorous homogenization was carried out by omnimixer and homogenization medium containing 30mM Tris-maleate was used in the first step. The sarcolemmal fraction was enriched from 45 to 50 and 29-fold in [$^3H$] ouabain, [$^3H$] DHA, [$^3H$] QNB binding and $Na^+$, $K^+$-ATPase activity, respectively, compared to homogenate. Total $Na^+$, $K^+$-ATPase activity of highly sarcolemma enriched fraction was 144.6$\pm$16.4$\mu\textrm{mol}$ Pi/mg protein/hr, which was about 85%, of total ATPase activity, and the yield of the preparation was 15.7 mg protein per 100g of starting ventricular tissue. The sarcolemmal preparation supported $^{45}Ca^{2+}$-uptake in the presence of ATP but this uptake was not dependent on oxalate. Sarcolemmal $Na^+$, $K^+$-ATPase activity and detectable [$^3H$] ouabain binding were increased about 32% and 35%, respectively, by pretreatment of sarcolemmal fraction with optimal concentration of sodium dodecylsulfate (0.3-0.4mg/mg protein), suggesting that this preparation contained about 24% of sealed rightside-out vesicles, 26% of sealed inside-out vesicles, and 5001o of freely permeable (leaky) form. This procedure showed the highest protein yield and leaky population, compared to Method 2 and 3. On the other hand, sarcolemmal fraction prepared by Method 2 and 3 showed low value in protein yield but comtained high population of inside-out (46%) and rightside-out (49%) vesicles, respectively, compared to present procedure (Method 1). The results indicate that vigorous homogenization decreases the population of sealed sarcolemmal vesicles but increases the sarcolemmal protein yield per gram tissue and that this procedure is available for further purification of sarcolemmal fraction and for the receptor binding study of sarcolemma.

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On Practical Efficiency of Locally Parametric Nonparametric Density Estimation Based on Local Likelihood Function

  • Kang, Kee-Hoon;Han, Jung-Hoon
    • Communications for Statistical Applications and Methods
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    • 제10권2호
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    • pp.607-617
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    • 2003
  • This paper offers a practical comparison of efficiency between local likelihood approach and conventional kernel approach in density estimation. The local likelihood estimation procedure maximizes a kernel smoothed log-likelihood function with respect to a polynomial approximation of the log likelihood function. We use two types of data driven bandwidths for each method and compare the mean integrated squares for several densities. Numerical results reveal that local log-linear approach with simple plug-in bandwidth shows better performance comparing to the standard kernel approach in heavy tailed distribution. For normal mixture density cases, standard kernel estimator with the bandwidth in Sheather and Jones(1991) dominates the others in moderately large sample size.

탕그스텐의 용량분석법에 관하여 -Pb 아말감법 (Volumetric Determination of Tungsten Lead Amalgam Method)

  • 최규원;민경록
    • 대한화학회지
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    • 제7권2호
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    • pp.186-188
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    • 1963
  • An attempt to improve the method of volumetric determination of tungsten developed by Luke has been made successfully. Using amalgam coated lead instead of pure metallic lead in the reduction procedure. W(VI)-W(III) reduction has been found to be quantitative in rather concentrated hydrochloric acid. Since there was no excessive dissolution of lead via reduction of hydrogen ion, lead surface was totally accessible for the reduction of tungsten and no trouble was caused by dereposition of $PbCl_2$ crystals at the nozzle of Jones reductor. Furthermore, it has been confirmed that almost 100 mg. of $WO_3$ can be handled easily if the chloride concentration of the HCl is increased by adding solid $NH_4Cl$.

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Software for adaptable eccentric analysis of confined concrete circular columns

  • Rasheed, Hayder A.;El-Fattah, Ahmed M. Abd;Esmaeily, Asad;Jones, John P.;Hurst, Kenneth F.
    • Computers and Concrete
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    • 제10권4호
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    • pp.331-347
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    • 2012
  • This paper describes the varying material model, the analysis method and the software development for reinforced concrete circular columns confined by spiral or hoop transverse steel reinforcement and subjected to eccentric loading. The widely used Mander model of concentric loading is adapted here to eccentric loading by developing an auto-adjustable stress-strain curve based on the eccentricity of the axial load or the size of the compression zone to generate more accurate interaction diagrams. The prediction of the ultimate unconfined capacity is straight forward. On the other hand, the prediction of the actual ultimate capacity of confined concrete columns requires specialized nonlinear analysis. This nonlinear procedure is programmed using C-Sharp to build efficient software that can be used for design, analysis, extreme event evaluation and forensic engineering. The software is equipped with an elegant graphics interface that assimilates input data, detail drawings, capacity diagrams and demand point mapping in a single sheet. Options for preliminary design, section and reinforcement selection are seamlessly integrated as well. Improvements to KDOT Bridge Design Manual using this software with reference to AASHTO LRFD are made.

Pollicization of the Middle Finger

  • Bahk, Sujin;Eo, Su Rak;Cho, Sang Hun;Jones, Neil Ford
    • Archives of Reconstructive Microsurgery
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    • 제24권2호
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    • pp.62-67
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    • 2015
  • Purpose: Pollicization typically involves surgical migration of the index finger to the position of the thumb. This procedure facilitates the conversion of a useless hand into a well-functioning one in patients who are not amenable to the toe-to-hand transfer. However, middle finger pollicization has been rarely reported. Materials and Methods: We reconstructed a thumb by immediate pollicization of the remnants of the middle finger in two patients who sustained a tumor and a trauma, respectively. The former, after cancer ablation was performed, has not been reported literally, and the latter involved free devitalized pollicization of the middle finger using a microsurgical anastomosis. The distal third extensor communis tendon was sutured to the proximal extensor pollicis longus tendon and the distal flexor digitorum superficialis and profundus were sutured to the proximal flexor pollicis longus. The abductor pollicis brevis tendon was sutured to the distal end of the first palmar interosseous muscle. Coaptation of the third digital nerve and the superficial radial nerve branch was performed. Results: Patients showed uneventful postoperative courses without complication such as infection or finger necrosis. Based on the principles of pollicization, a wide range of pinch and grasp movements was successfully restored. They were pleased with the functional and cosmetic results. Conclusion: Although the index finger has been the digit of choice for pollicization, we could also use the middle finger on specific occasions. This procedure provides an excellent option for the reconstruction of a mutilated thumb and could be performed advantageously in a single step.

입자 동역학 시뮬레이션과 선적분 볼륨 렌더링을 이용한 실시간 유체 애니메이션 (Real-time Fluid Animation using Particle Dynamics Simulation and Pre-integrated Volume Rendering)

  • 이정진;강문구;김동호;신영길
    • 한국정보과학회논문지:시스템및이론
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    • 제32권1호
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    • pp.29-38
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    • 2005
  • 유체 애니메이션은 물리적 시뮬레이션과 시각적 렌더링으로 구성된다. 물리적 시뮬레이션은 입자 동역학을 이용한 해석 방법과 나비어-스토크스(Navier-Stokes) 방정식을 이용한 연속체 유동해석 방법이 많이 사용된다. 입자 동역학을 이용한 시뮬레이션은 연산 속도는 빠르나 유체의 움직임이 경우에 따라 부자연스러우며, 나비어-스토크스 방정식을 이용한 방법은 적절한 조건 하에서 사실적인 유체의 움직임을 표현할 수 있으나 방대한 연산량과 계산의 복잡성으로 인하여 실시간 응용이 어렵다. 우수한 품질의 렌더링 영상은 주로 전역적 조명 방법을 사용하여 얻을 수 있는데, 이 역시 실시간 응용에 적합한 속도론 내기에는 부적합하다. 본 논문에서는 개선된 입자 동역학 시뮬레이션과 선적분 볼륨 렌더링을 이용한 고속유체 애니메이션 방법을 제안한다 레나드-존스(Lennard-Jones) 모턴을 이용한 입자동역학 해석기법을 이용하여 유체의 움직임을 고속으로 시뮬레이션 하였으며, 적은 수의 입자만으로도 충분한 유체의 부피를 표현할 수 있도록 연산효율을 개선하였다. 또한 실시간 렌더링을 위하여 적은 수의 슬라이스로도 우수한 품질의 영상을 빠르게 얻을 수 있는 선적분 볼륨 렌더링 방식을 사용하였다. 본 제안 방법을 사용하여 실시간 응용에 적절한 속도와 화질을 보여주는 유체 애니메이션이 가능하다.