• 제목/요약/키워드: Neck-base

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Modified Graded Repair of Cerebrospinal Fluid Leaks in Endoscopic Endonasal Transsphenoidal Surgery

  • Park, Jae-Hyun;Choi, Jai Ho;Kim, Young-Il;Kim, Sung Won;Hong, Yong-Kil
    • Journal of Korean Neurosurgical Society
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    • 제58권1호
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    • pp.36-42
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    • 2015
  • Objective : Complete sellar floor reconstruction is critical to avoid postoperative cerebrospinal fluid (CSF) leakage during transsphenoidal surgery. Recently, the pedicled nasoseptal flap has undergone many modifications and eventually proved to be valuable and efficient. However, using these nasoseptal flaps in all patients who undergo transsphenoidal surgery, including those who had none or only minor CSF leakage, appears to be overly invasive and time-consuming. Methods : Patients undergoing endoscopic endonasal transsphenoidal tumor surgery within a 5 year-period were reviewed. Since 2009, we classified the intraoperative CSF leakage into grades from 0 to 3. Sellar floor reconstruction was tailored to each leak grade. We did not use any tissue grafts such as abdominal fat and did not include any procedures of CSF diversions such as lumbar drainage. Results : Among 200 cases in 188 patients (147 pituitary adenoma and 41 other pathologies), intraoperative CSF leakage was observed in 27.4% of 197 cases : 14.7% Grade 1, 4.6% Grade 2a, 3.0% Grade 2b, and 5.1% Grade 3. Postoperative CSF leakage was observed in none of the cases. Septal bone buttress was used for Grade 1 to 3 leakages instead of any other foreign materials. Pedicled nasoseptal flap was used for Grades 2b and 3 leakages. Unused septal bones and nasoseptal flaps were repositioned. Conclusion : Modified classification of intraoperative CSF leaks and tailored repair technique in a multilayered fashion using an en-bloc harvested septal bone and vascularized nasoseptal flaps is an effective and reliable method for the prevention of postoperative CSF leaks.

Review of Acute Traumatic Closed Mallet Finger Injuries in Adults

  • Botero, Santiago Salazar;Diaz, Juan Jose Hidalgo;Benaida, Anissa;Collon, Sylvie;Facca, Sybille;Liverneaux, Philippe Andre
    • Archives of Plastic Surgery
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    • 제43권2호
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    • pp.134-144
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    • 2016
  • In adults, mallet finger is a traumatic zone I lesion of the extensor tendon with either tendon rupture or bony avulsion at the base of the distal phalanx. High-energy mechanisms of injury generally occur in young men, whereas lower energy mechanisms are observed in elderly women. The mechanism of injury is an axial load applied to a straight digit tip, which is then followed by passive extreme distal interphalangeal joint (DIPJ) hyperextension or hyperflexion. Mallet finger is diagnosed clinically, but an X-ray should always be performed. Tubiana's classification takes into account the size of the bony articular fragment and DIPJ subluxation. We propose to stage subluxated fractures as stage III if the subluxation is reducible with a splint and as stage IV if not. Left untreated, mallet finger becomes chronic and leads to a swan-neck deformity and DIPJ osteoarthritis. The goal of treatment is to restore active DIPJ extension. The results of a six- to eight-week conservative course of treatment with a DIPJ splint in slight hyperextension for tendon lesions or straight for bony avulsions depends on patient compliance. Surgical treatments vary in terms of the approach, the reduction technique, and the means of fixation. The risks involved are stiffness, septic arthritis, and osteoarthritis. Given the lack of consensus regarding indications for treatment, we propose to treat all cases of mallet finger with a dorsal glued splint except for stage IV mallet finger, which we treat with extra-articular pinning.

대학생의 자아분화와 동적 집-나무-사람 그림 반응특성 연구 (Self-differentiation of University Students and their Responses to Kinetic House-Tree-Person Drawings)

  • 정윤정;최외선
    • 가정과삶의질연구
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    • 제22권4호
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    • pp.43-61
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    • 2004
  • The purpose of this study was to verify the usefulness of kinetic House- Tree- Person drawing as a diagnostic measure for the degree of self-differentiation, which is an essential part of college students' development. Participants for the study were four hundred thirty five(272 male and 163 female) university freshmen enrolled in 4-year colleges located in Pusan. The Participants completed a scale of self-differentiation and a Kinetic House- Tree-Person drawings test. The evaluation system for kinetic House-Tree-Person drawings was established based on the indexes of Buck(1948) and Bums(1972) and used exiting literatures as reference. The data were analyzed using means, standard deviations, t-test, one-way ANOVA, and Scheffe's test. The results obtained from the study are as follows: First, the mean level of college students' self-differentiation was 2.81, which is about average. Some significant gender differences were found in the areas of self-intergration, family projection, and emotional separation. Male students scored higher on self-intergration, whereas female students score higher on family projection and emotional separation. Second. self-differentiation was higher when the student drew a house with smoke coming out of the chimney, a single-story house with flat roof, or with detailed description of curtains, roof and roof tiles. Third, self-differentiation seemed to be higher when branches and fruits were included, when there was no expression of roots, when large crowns and branch openings were presented, and when no slant lines or base lines appeared. Forth, self-differentiation showed ㅁ higher level when the portrait shows eyes, mouth and neck without omission, when it included the whole body instead of face only, and when there was no person with just a profile, a back, or with a stiff posture, and when there was no weak and thin lines. Individuality also marked higher if a person was in motion and than one person was added. Finally, self-differentiation showed significant difference according to the overall harmony of the drawing, ordering of contents, hand pressure, the kind and shape of tree, and presence of other persons. The more harmonious the picture was, and the more family members are added, the higher the level of self-differentiation was.

학령중기 남아의 상지동작에 따른 상반신 체표변화 연구 (A Study on the Variation of the Upper Body Surface according to Arm-movements for Middle Elementary Schoolboys)

  • 김미영;여혜린;권영숙
    • 한국의류산업학회지
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    • 제4권2호
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    • pp.137-144
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    • 2002
  • This study was to provide the fundamental data for a scientific and rational clothing construction by investigating the variation of the upper body surface with the use of the method of Surgical tape. The subject were 3 middle elementary schoolboys classified standard somatotype, and arm-movements were consisted of 6 types. The statistical analyses used in this study were mean, standard deviation and the ANOVA and LSD procedure. Shoulder point was moved to be the inside or upside and the shape of the armhole-line was differently changed as the arm-movement become larger. By moving to upside of the anterior armpit point, posterior armpit point and armpit point, the increase of the side seam length and the ascent of the line of width between armpits were distinct. And by arm-movements, in the items of horizontal, front neck base girth, back upper bust girth, back bust girth and back waist girth were increased and the other standard lines were apt to be decreased. In the items of vertical, all standard lines of front side and side seam length showed increased, back waist length and back length showed decreased. The variation of armhole was indefinite. In the rate of the variation, the shoulder length showed the maximum rate of contraction by 41.3%, decreasing 3.7 cm in $180^{\circ}$ degrees, and the side seam length showed the maximum rate of expansion by 60.6%, increasing 8.97 cm in the same degrees.

정압기의 임계유동 특성과 배관망해석 모델링에 관한 연구 (I) - 압력비 영향 - (A Study About Critical Flow Characteristics and the Pipeline Network Modeling of a Pressure Regulator (I) - The Influence of a Pressure Ratio -)

  • 신창훈;하종만;이철구;허재영;임지현;주원구
    • 대한기계학회논문집B
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    • 제29권12호
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    • pp.1291-1298
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    • 2005
  • Since the interior shape of a pressure regulator is complex and the change of fluid resistance at each operation condition is rapid and big, the pressure regulator can become the major factor that causes big loss in pipelines. So the suitable pressure regulator modeling by each operation condition is important to obtain reliable results especially in small scale pipeline network analysis. And in order to prevent the condensation and freezing problems, it is needed to confirm both whether temperature recovery is achieved after passing by the pressure regulator's narrow neck and how much amount of low temperature area that can cause condensate accumulation is distributed by various PCV models at every inlet-outlet pressure ratio. In this research, the numerical model resembling P company pressure regulator that is used widely for high pressure range in commercial, is adopted as the base model of CFD analysis to investigate pressure regulator's flow characteristics at each pressure ratio. Additionally it is also introduced to examine pressure regulator's critical flow characteristics and possibility of condensation or freezing at each pressure ratio. Furthermore, the comparison between the results of CFD analysis and the results of analytic solution obtained by compressible fluid-dynamics theory is attempted to validate the results of CFD modeling in this study and to estimate the accuracy of theoretical approach at each pressure ratio too.

정압기의 임계유동 특성과 배관망해석 모델링에 관한 연구 (II) - 개도비 영향 - (A Study About Critical Flow Characteristics and the Pipeline Network Modeling of a Pressure Regulator (II) - The Influence of a Opening Ratio -)

  • 신창훈;하종만;이철구;허재영;임지현;주원구
    • 대한기계학회논문집B
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    • 제29권12호
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    • pp.1299-1306
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    • 2005
  • The suitable pressure regulator modeling at each opening ratio and pressure ratio is very important to obtain reliable results, especially in small scale pipeline network analysis such as a pressure regulator system. And it is needed to confirm both whether temperature recovery is achieved after passing by the pressure regulator's narrow neck and how much amount of low temperature area that can cause condensate accumulation is distributed by various PCV models and driving conditions. In this research, the numerical model resembling P company pressure regulator that is used widely for high pressure range in commercial, is adopted as the base model of CFD analysis to investigate pressure regulator's flow characteristics at each pressure ratio and opening ratio. And it is also introduced to examine pressure regulator's critical flow characteristics and possibility of condensation or freezing at each pressure ratio and opening ratio. Additionally, the comparison between the results of CFD analysis and the results of analytic solution obtained by compressible fluid-dynamics theory is attempted to validate the results of CFD modeling in this study and to estimate the accuracy of theoretical approach at each pressure ratio and opening ratio too.

Corky Root of Tomato Caused by Pyrenochaeta lycopersici in Korea

  • Kim, Jong-Tae;Park, In-Hee;Ryu, Kyoung-Yul;Cheon, Jeong-Uk;Yu, Seung-Hun
    • The Plant Pathology Journal
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    • 제19권3호
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    • pp.181-183
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    • 2003
  • Corky root symptoms caused by Pyrenochaeta lycopersici were observed on the roots and stem base of tomato plants in Korea. Symptoms on infected plants typically appeared as stunting and generally lacking vigor, and infected plants die back from the foliage tips after fruits have set. Brown lesions appearing with bands around the roots were characteristic symptoms of the disease. The lesions become swollen and cracked along the length of the root with corky appearance. Based on cultural and morphological characteristics, the fungus from the diseased plants was identified as Pyrenochaeta lycopersici. Pycnidia were solitary, globose to subglobose, brown to black, darker around the neck region, and measured 173-215 $\mu\textrm{m}$ in diameter with septate setae up to 102-132$\times$6.5 $\mu\textrm{m}$. Conidia were hyaline, unicellular, and 4.2-4.7$\times$l.5-2.0 $\mu\textrm{m}$ long. Optimum temperature for mycelial growth of the p. lycopersici isolates ranged from $20^{\circ}C$ to $25^{\circ}C$. Fifteen isolates off lycopersici were tested for pathogenicity to susceptible and tolerant cultivars of tomato plants by artificial inoculation. Three isolates of P. lycopersici induced typical corky root discoloration on susceptible tomato cultivars but not on tolerant tomato. This is the Erst report in Korea of tomato corky root disease caused by P. lycopersici.

직접 측정한 인체치수의 기술적 오차 분석 (Analysis of Technical Error of Manual Measurements)

  • 박진희;남윤자
    • 한국의류학회지
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    • 제40권4호
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    • pp.641-649
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    • 2016
  • Highly precision body measurements represent basic data required by industry and researches who wish to utilize information about the human body. The proficiency and expertise of the measurers have a significant influence on the error and accuracy of data when various parts from multiple subjects' bodies are measured. Therefore, in order to measure accurate body measurements (when measuring bodies directly), it is necessary to conduct objective analyses on errors. This study calculated the Relative Technical Error of Measurement (%TEM) using data that measured each of 24 subjects and discussed errors and methods to reduce errors by conducting comparison analysis based on measured items and objects. The result of analysis indicated that the errors based on age and gender of the objects of measurement were minor; however, there were comparatively distinct differences in measured errors based on measured items. 'Right and left Shoulder Angle' for all measured subjects displayed the greatest errors and standard deviations. 'Height' dimension, Lateral Malleolus Height and Head Height had big errors; in addition, 'Circumference', Neck Base Circumference and Armscye Circumference also had big errors. More careful measurements of such items with big errors require additional educational plan such as a proposal for more objective and detailed measurement methods. Items with small errors but big standard deviations such as Waist Circumference, Calf Circumference, Minimum Leg Circumference, Chest Circumference, Hip Circumference and Waist Circumference confirmed that errors for them greatly decreased with repeated experiments and resultant measurers increased proficiency; consequently, repeated measuring experiments for these items greatly enhance accuracy.

한국 여고생의 표준치수 설정을 위한 연구 (II) (A Study of Establishment of the Standard Sizes for the High School Girls (II))

  • 손원교
    • 대한가정학회지
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    • 제12권2호
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    • pp.621-631
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    • 1974
  • The objective of the study was to obtain standard sizes of body of the high school girls for designing clothes and developing pattern grading of clothes. In 1972, 342 students, selected by the stratified cluster random sampling method, at three high schools in Seoul were measured on forty-one items by the R. Martin method. Statistical techniques of mean, standard deviation, coefficient variable, maximum and minimum, range, t-test were utilized to analyze the data. The findings of the study were as follows ; 1. No differences were found among the age groups in the all measured variables. 2. Stature, bust girth, hip girth, acromion width, posterior waist girth/stature ratio of the high school girls were significantly smaller than those sizes of adult women. This result implies that those sizes will be increased as the students grow up. But upper arm girth, upper arm girth/bust girth ratio, and thigh girth/bust girth ratio were bigger than those sizes of adult women. Waist girth, thigh girth, total head height/stature ratio, acromion width/stature ratio, and foot length/stature ratio were nearly similiar to those of adult women. 3. According to the result of t-test, waist breadth, spinailiaca anterior height/stature ratio, thigh girth/bust girth ratio, and thigh/hip girth ratio of the 15 year old group were significantly different from those of the 16 year old group at the level of 0.05. Bust girth, weight, foot breadth, posterior croth length, and cervical height/stature ratio of the 16 year old group were significantly different from those of the 17 year old group at the level of 0.01. Hip girth, upper arm girth, waist breadth/stature ratio, and neck base girth/bust girth ratio of the 16 year old group were significantly different from those of the 17 year old group at the level of 0.05.

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Fine Ceramics의 Casting공정을 위한 다공질 알루미나 몰드의 제조 (Fabrication of Porous Alumina Mold for the Casting Process of Fine Ceramics)

  • 박한수
    • 한국세라믹학회지
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    • 제36권1호
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    • pp.89-96
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    • 1999
  • 석고몰드의 단점을 극복할 수 있는 다공질 알루미나 몰드의 제조저건을 확립하였다. 다공질 알루미나 몰드의 제조를 위해 활성탄의 질량비에 따라 조성비를 달리하여 첨가한 후, ESA와 유동특성 등을 조하삼으로써 안정된 이상 슬러리를 제조하였으며, 이를 석고몰드에 캐스팅하여 얻은 원통형 알루미나 몰드를 사용하여 활성탄의 양과 소결온도에 따른 수축율 변화와 마모에 대한 저항성을 측정하였다. 다공질 알루미나 몰드의 소결에서는 비수축 소결구인 표면확산에 의해 입자간 넥 강도의 증진을 통한 몰드의 강도 증진을 도모하는 것이 바람직하며, 이를 위해 1,00$0^{\circ}C$이하에서 유지시간의 변화에 따른 열역학적 방법, 1,00$0^{\circ}C$이상의 온도에서 알루미나의 수축을 억제하면서 빠른 승온속도를 열처리온도에 따른 동역학적 방법과 이 두가지 방법을 혼합하는 방법 등으로 구분하여 다동질 알루미나 몰드의 소결조건을 분석하였다. 위 방법들에 대한 다공질 알루미나 몰드의 캐스팅 특성을 분석한 결과, 복합 소결법이 최적임을 알수 있었다. 제조된 다공질 알루미나 몰드의 비교적 높은 강도를 보였으며, 석고몰드레 비해 빠른 건조시간, 산, 염기에 대한 내식성 및 캐스팅 특성이 우수하였다.

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