• Title/Summary/Keyword: Post-Examination

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POST-OPERATIVE SKELETAL STABILITY OF THE MAXILLA TREATED WITH LE FORT I AND U-SHAPED OSTEOTOMIES IN SIMULTANEOUS MAXILLOMANDIBULAR ORTHOGNATHIC SURGERY (양악 악교정 수술에서 르포트 I형과 U-자형 복합 골절단술 후 상악골의 안정성에 관한 임상적 연구)

  • Kim, Min-Keun;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.6
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    • pp.485-491
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    • 2009
  • Postoperative skeletal stability was evaluated in combination of Le Fort I and U-shaped osteotomies for superior repositioning of maxilla in bi-maxillary surgeries in 30 consecutive patients. The fifteen patients underwent Le Fort I osteotomy alone and the other fifteen patients underwent Le Fort I and U-shaped osteotomies. In all patients, the maxilla was first osteomized and fixed with absorbable plates system. A bilateral sagittal split ramus osteotomy (BSSRO) of the mandible was then carried out and fixation was performed using absorbable plates. Maxillo-mandibular fixation with rubber ring was used for two weeks post-operatively in all patients. Lateral cephalograms were obtained pre-operatively, 1 day post-operatively, 6 months after surgery. The changes in anterior nasal spine (ANS), point A, upper incisior (U1), and point of maxillary tuberosity (PMT) were examined. The maxillas in the fifteen patients of both examination group were repositioned nearly in their planned positions during surgery and no significant post-operative changes in the examined points of the maxilla were found. These results suggest that a combination of a Le Fort I and U-shaped osteotomy is a useful technique for reliable superior repositioning of the maxilla. The post-operative change in the maxilla using this combination osteotomy was comparatively stable.

An Unusual Case of Post-Operative Spondylitis Caused by $Mycobacterium$ $Intracellulare$ in an Immunosuppressed Patient

  • Kim, Sung-Hoon;Son, Dong-Wuk;Lee, Sang-Weon;Song, Geun-Sung
    • Journal of Korean Neurosurgical Society
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    • v.50 no.5
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    • pp.460-463
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    • 2011
  • There are few reported cases of post-operative spondylitis caused by $Mycobacterium$ $Intracellulare$. A 75-year-old female presented to our hospital with low back pain and paraparesis after a fall. The radiologic examination revealed compression fractures of L1, L3 and L4 and an epidural hematoma compressing the spinal cord. The dark-red epidural hematoma was urgently evacuated. Four weeks post-operatively, neurologic deficits recurred with fever. On magnetic resonance image, an epidural abscess and osteomyelitis were detected in the previous operative site. Five weeks post-operatively, revision was performed with multiple biopsies. The specimen were positive for acid-fast bacilli and traditional anti-tuberculous medications were started. Because the Polymerase Chain Reaction for non-tuberculous mycobacterium (NTM) was positive, the anti-tuberculous medications were changed to anti-NTM drugs. However, the neurologic deficits did not improve and persistent elevation of erythrocyte sedimentation rate and C-reactive protein were noted. Eight weeks after the revision, $Mycobacterium$ $Intracellulare$ was detected in the specimen cultures. Despite supportive care with medication, the patient died due to multiple organ failure.

A Study on Emotional Tendency within Space Design - Focused on human body and movement - (공간디자인에서의 감성적 경향에 관한 연구 - 인간의 '몸'과 '움직임'을 중심으로 -)

  • 오영근
    • Korean Institute of Interior Design Journal
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    • v.13 no.2
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    • pp.192-199
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    • 2004
  • This study is to understand the emotional tendency through out the history of architecture and interior design. In this process, a broad range of analysis of the period between Romanticism and Post Modernism will be done to collect historical data and the influence of the social situation. A thorough review and close examination of the 90's architectural trend will reveal the foundation of the concept behind GSD not just as the post-structuralism as a value system of digitalism but also makes easy to understand GSD in space design. In particular, the study will reveal how the ideas of post-structural philosophy has effected the formation of its movement as well as its influence to become the theoretical nutrition for digital architecture. The result of the study will be used as the valuable reference to define 'Emotional Design'(So call 'Gam-Sung Design = GSD) and become the foundation for further investigation on GSD space design in the near future.

Pressure Effects on Zircaloy-4 Steamside Corrosion and Hydrogen Pick-up

  • Ok, Young-kil;Kim, Yong-soo
    • Nuclear Engineering and Technology
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    • v.30 no.5
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    • pp.396-402
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    • 1998
  • Experiments on the steamside corrosion and hydrogen pick-up of Zircaloy-4 under high pressure up to 10.3MPa are carried out to estimate the pressure effects on the kinetics. Temperature and reaction time are determined to be 37$0^{\circ}C$ and 72hours for the pre-transition test and $700^{\circ}C$ and 210minutes for the post-transition test, respectively. Results show that under 10.3MPa pressure the oxidation reaction is 50% and 100% enhanced in the pre-and the post-transition regime, respectively. Total amount of hydrogen uptake in the reaction is proportionally increased as corrosion weight gain is elevated. However, pick-up fraction is not affected by the high pressure. The fraction is almost twice greater than that in the waterside corrosion. Edges in the specimens play a certain role in the enhancement, especially in the post-transition regime. To identify physical property changes of oxide film such as micro-cracks or micro-pores, careful and thorough examination must be needed with some special techniques.

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Factors Affecting Period of weared and Post Management of Denture of the Elderly (Rural areas in Gyoungbook Province) (노인들의 의치 장착 기간과 의치 사후 관리에 영향을 주는 요인 - 경북 농촌지역을 중심으로 -)

  • Han, Sok-Yoon;Bae, Bong-Jin;Lee, Hwa-Sik
    • Journal of Technologic Dentistry
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    • v.34 no.4
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    • pp.433-445
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    • 2012
  • Purpose: In order to validate empirically the theoretical model of this study subjects, who were limited in Andong gun, Youngyang gun, Uiseong gun, Bonghwa gun, Chilgok gun, Cheongsong gun according to residence-specified distribution and over aged 65, were focused to the elderly in rural areas with geographical characteristics where they have difficulties in accessibility of dental facilities and dental care. Methods: The collected data were analyzed by the SPSS 19.0 program. First, the frequency analysis was performed for each independent variable and the dependent variable. Second, reliability analysis and correlation analysis were conducted for daily living skills and Biomedical Vigilance. Third, multivariate analysis was performed in terms of and the post-administration management. Fourth, multiple regression analysis was performed to identify the factors affecting the post-management of dentures and the period of using dentures. Results: By results of the multiple regression analysis, the elder the subjects are(${\beta}$ = 0.03), the lower their income activities are(${\beta}$ = -0.18), the smaller their monthly allowances are(${\beta}$ = -0.16), the worse their daily activity skills are(${\beta}$ = -0.12), the more they were mounted their dentures by an unlicensed contractor(${\beta}$ = 0.07), and the more they cost to their dentures(${\beta}$ = 0.14), the longer the period of use dentures are. And the beneficiaries of Basic Livelihood Security(${\beta}$ = -0.14) who got free denture business are shorten the period of using dentures. According to multiple regression analysis for post management of dentures, the independent variables like the health education(${\beta}$ = 0.24), smoking(${\beta}$ = -0.18), periodic oral examination(${\beta}$ = 0.13), dentures mounted by an unlicensed contractor(${\beta}$ = -0.13) are shown statistically significant results. In that study subjects are taking part in health education and non-smokers, they are likely to have more chances to post management for their dentures like periodic oral examination. However the subjects who were weared their denture by an unlicensed contractor get less chance to post management for their dentures. Conclusion: As the elderly who want to wear denture are increasing due to the denture insurance for the elderly, the need for oral health education for the elderly is an urgent request, especially continuos education for the way of use their dentures and follow-up management for the elderly who were already mounted their dentures. And also, the need for more systematic researches is requested for securing objective data.

Pre-Equalization Techniques for Mitigating Rain Attenuation Channels in a Broadband Fixed Wireless Uplink System

  • Lee, Yeon-Woo;Cho, Choon-Geun;Hur, Kyeong;Cho, Kwang-Moon;Alsusa, Emad
    • International Journal of Contents
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    • v.2 no.4
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    • pp.19-24
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    • 2006
  • In this paper, the performance of pre-equalization technique which can be applicable for the B-WLL uplink is evaluated and compared to post-equalization technique under three kinds of rain attenuation channels such as rain, intermittent light rain and thundershower. The BER performance comparisons of two algorithms (LMS and RLS) are investigated in the context of channel models and the length of training sequence. From the simulation results, it is shown that the post-equalization outperforms only at quite good channel conditions such as AWGN, while the pre-equalization can guarantee better BER performance at every channel conditions, especially performance gain increases as the severity of channel increases. It is concluded that the pre-equalizer using LMS algorithm is preferable at delay-tolerant situation where the complexity of algorithm is not a strict factor, while one using RLS is suitable for fast burst transmission with a relatively short training sequence.

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Cervical Fibrous Dysplasia Presenting as a Pathologic Fracture in an Older Patient

  • Lee, Su-Heon;Han, In-Ho;Kang, Dong-Wan;Choi, Byung-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.50 no.2
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    • pp.139-142
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    • 2011
  • Vertebral involvement of fibrous dysplasia (FD) is rare, especially in the cervical spine. Moreover, cervical FD presenting as a pathologic fracture in older patients is extremely rare. We report a case of symptomatic cervical FD associated with pathologic fracture in a 63-year-old man. The patient presented with progressive weakness of the left arm and pain in the shoulder and arm. Radiologic studies revealed a collapsed and typical 'ground glass' radiolucency of C4. Multiple lytic lesions involved the odontoid process of C2 and the body, left pedicle, and posterior elements of C4. Combined anterior and posterior decompression and reconstruction were performed. Post-operatively, the histopathologic examination confirmed FD. On the post-operative follow-up examination, the neurologic deficits had completely resolved.

A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy

  • Mun, Sang Wook;Lim, Taek-Jin;Hwang, Eun Ha;Lee, Yeoun Joo;Jeon, Ung Bae;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.4
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    • pp.276-279
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    • 2015
  • This report details a case of post-traumatic pseudocyst in the spleen that was successfully treated with sclerotherapy using ethanol. A sixteen-year-old boy visited our hospital for a follow-up examination of a splenic cyst. He had experienced blunt trauma to the abdomen three years prior to presentation. An abdominal computed tomography scan revealed a large cyst of the lower pole of the spleen. The cyst was $6.8{\times}9.5{\times}7.0cm$ and conservative management was tried. A follow-up ultrasonographic examination three years later revealed that the size of the cyst was unchanged and another treatment was needed to prevent complications. One session of sclerosis with ethanol (90 mL of 99% ethanol) percutaneously was applied to the cyst. A follow-up after four months revealed that the cyst had completely resolved.

Corneal Abrasion Occurred during Transconjunctival Blepharoplasty in a Patient with History of LASIK Operation (라식수술을 시행한 환자에서 결막절개를 통한 하안검성형술 시 발생한 각막손상)

  • Shin, Jong-In;Kwon, In-Oh;Kim, Chang-Yeon
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.543-546
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    • 2011
  • Purpose: LASIK, one of the currently popular ophthalmic procedures, can sometimes result in dry eye symptoms. In the patient who had underwent LASIK operation, the periorbital surgery may be more likely to lead to such a complication as dry eye symptom. We would like to report a case of corneal abrasion occurred after transconjunctival blepharoplasty in post-LASIK state and suggest the method about preventing the complication. Methods: A 30-year-old female patient underwent transconjunctival blepharoplasty and microfat graft into the face. She had history of LASIK operation 2 years ago. Corneal protector was applied to both eye during transconjunctival operation. After the surgery, she complained of visual blurring at left side. Ophthalmic examination revealed corneal abrasion of left eye. Results: Cornea protecting lens was applied to left eye for 2 weeks. Steroid and antibiotic eye drops were applied for relieving the symptoms and the prevention from progressing of complication. After 1 week, visual power and acuity was recovered to preoperative state. No other specific complications happened. Conclusion: Post-LASIK patient may have possibility of decreased corneal sensation and tear production. Preoperative ophthalmic examination is recommended for the prevention of complication. When corneal protector is applied, we suggest Optagel$^{(R)}$ as a useful lubricant.

A Huge Intra-Abdominal Mass Associated with Long-Term Surgical Gauze Retention in a Toy Breed Dog

  • Lee, Sung-Jun;Jeong, Soon-Wuk;Eom, Ki-Dong;Shin, Jong-Il;Yoon, Hun-Young
    • Journal of Veterinary Clinics
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    • v.33 no.2
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    • pp.116-121
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    • 2016
  • A 1.83 kg, 9-year-old, spayed female Yorkshire Terrier was referred to the Veterinary Medical Teaching Hospital of Konkuk University for evaluation of an intra-abdominal mass with a week history of vomiting and diarrhea. On physical examination, survey radiography, abdominal ultrasonography, and computed tomography, a huge firm mass was identified in the mid-caudal abdomen. Surgical exploration of the abdominal cavity was performed to remove the mass. The encapsulated mass adhered to the mesentery, tail of the spleen, small intestine, omentum, and right lobe of the pancreas was removed using blunt dissection with dry gauze and cotton swabs. Macroscopic and histopathological examination revealed that the mass was foreign-body granuloma consistent with gauze fiber. Plain abdominal radiography demonstrated no remarkable findings 8 months post-operatively. There was no evidence of vomiting, diarrhea, coughing, difficulty breathing, and cyanosis on exertion 13 months post-operatively.