• Title/Summary/Keyword: Repair technique

검색결과 674건 처리시간 0.03초

상지에서의 증식치료 (Prolotherapy for the Upper Extremity)

  • 신근만
    • 대한정형외과 초음파학회지
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    • 제1권2호
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    • pp.117-121
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    • 2008
  • 증식치료는 정상세포나 조직을 성장시키기 위해 성장인자 또는 성장인자 생성 자극제를 주사하는 것이다. 비록 수십 년 동안 논쟁이 되어 오고 있지만 갈수록 더 많은 의사들이 증식치료를 시술하고 있다. 증식치료라는 단어는 1950년 대에 Hacket에 의해 기술되었는데 인대나 근건에 있는 정상조직의 증식을 의미 하였다. 인대 염좌 등의 불완전한 치료는 만성 통증뿐만 아니라 관절불안 등을 초래하고 골관절염의 진행을 촉진할 수 있다. 증식치료는 통상적인 치료에 불응하는 이러한 근골격계 질환에 사용된다. 사용되는 증식제나 수기는 의사마다 수련과정 또는 선호도에 따라 차이가 있을 수 있지만 최근 가장 많이 사용되는 증식제는 10~25%의 포도당이다. 고해상도 초음파기기의 발전에 따라 인대나 근건 등을 실시간으로 볼 수 있게 됨에 따라 이를 증식치료에 접목하여 수기의 정밀도를 높이고 주입되는 약의 확산을 확인 할 수 있게 되었고 그 치료 결과를 기록할 수 있게 되었다.

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일제강점기 이후 석탑(石塔) 조사연구사 (A Study on the Research History of Stone Pagoda after Japanese Colonial)

  • 지성진;서치상
    • 건축역사연구
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    • 제20권1호
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    • pp.61-75
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    • 2011
  • This study aims to investigate the changing aspects about research methodology of stone pagoda from the period of Japanese colonial to now. There were the differences in purpose, method and analysis of the research according to each period. In Japanese colonial period, the purpose of research was to make lists of almost stone pagodas in Korea. Following this, Japanese researchers conducted detailed research for academic purpose. They took measurements of stone pagodas and made drawings. After liberation the research was focused on the relics contained in pagodas. They proceeded to investigate the inner relics in order to attract the attention of the people. In the late 1900's, the repair works of cultural heritages were increased. Many reports of the repair works were released and sent to administration offices. The reports contained the change aspects of situation between before work and after with drawings or simple investigation documents. In the 1990's, the restoration works for important stone pagodas were started by the National Research Institute of Cultural Heritage. Since then, researches from various way - architectural and conservational researches about historical interpretation, shape, structure, proportion, technique, etc. - progressed for careful restoration and accurate study. In Recent years, various professional organizations(in the field of structure, physics, chemistry, biology, lithology, etc.) started to join the researches. Researches conducted studies directly with the stone pagodas, as well as conducting indirect studies with the stone pagodas, such as the structural stability of stone pagodas, the characteristics of rock, and conservation chemicals. Today the research project 'The preservation project of stone cultural property' is being conducted by the National Research Institute of Cultural Heritage. The purpose of this project is to gain more detailed and accurate investigation documents to be provided for the people. In conclusion, researches from various fields must be included in the research. Furthermore, a synthetic study should be done through comparing similar characteristics or different characteristics among many research results.

Bond Strength of Carbon Fiber Sheet on Concrete Substrate Processed by Vacuum Assisted Resin Transfer Molding

  • Uddin, N.;Shohel, M.;Vaidya, U.K.;Serrano-Perez, J.C.
    • Advanced Composite Materials
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    • 제17권3호
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    • pp.277-299
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    • 2008
  • High quality and expedient processing repair methods are necessary to enhance the service life of bridge structures. Deterioration of concrete can occur as a result of structural cracks, corrosion of reinforcement, and freeze.thaw cycles. Cost effective methods with potential for field implementation are necessary to address the issue of the vulnerability of bridge structures and how to repair them. Most infrastructure related applications of fiber-reinforced plastics (FRPs) use traditional hand lay-up technology. The hand lay-up is tedious, labor-intensive and relies upon personnel skill level. An alternative to traditional hand lay-up of FRP for infrastructure applications is Vacuum Assisted Resin Transfer Molding (VARTM). VARTM uses single sided molding technology to infuse resin over fabrics wrapping large structures, such as bridge girders and columns. There is no work currently available in understanding the interface developed, when VARTM processing is adopted to wrap fibers such as carbon and/or glass over concrete structures. This paper investigates the interface formed by carbon fiber processed on to a concrete surface using the VARTM technique. Various surface treatments, including sandblasting, were performed to study the pull-off tensile test to find a potential prepared surface. A single-lap shear test was used to study the bond strength of CFRP fabric/epoxy composite adhered to concrete. Carbon fiber wraps incorporating Sikadur HEX 103C and low viscosity epoxy resin Sikadur 300 were considered in VARTM processing of concrete specimens.

구순열 환자의 이차 구순 성형술 (CORRECTION OF SECONDARY LIP DEFORMITIES IN CLEFT PATIENTS)

  • 김종렬;변준호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권4호
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    • pp.401-406
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    • 1999
  • 편측성 혹은 양측성 구순구개열환자에서 일차 구순 성형술후 나타나는 이차 구순 기형은 세심한 관찰을 통한 문제점에 대한 정확한 인식을 통해 상순, 홍순부, 피부와 근육등의 적절한 교정술로 심미성, 기능적 회복을 이룰 수 있다. 저자들은 이차 구순 기형으로 나타난 구륜근의 부정유합, 휘파람 변형과 부족한 입술등에 대해 적절한 성형술로 심미적, 기능적으로 양호한 결과를 얻었기에 보고하는 바이다.

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Repair of Pre-cracked Reinforced Concrete (RC) Beams with Openings Strengthened Using FRP Sheets Under Sustained Load

  • Osman, Bashir H.;Wu, Erjun;Ji, Bohai;Abdulhameed, Suhaib S.
    • International Journal of Concrete Structures and Materials
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    • 제11권1호
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    • pp.171-183
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    • 2017
  • Strengthening reinforced concrete (RC) beams with openings by using aramid fiber reinforcement polymers (AFRP) on the beams' surfaces offers a useful solution for upgrading concrete structures to carry heavy loads. This paper presents a repairing technique of the AFRP sheets that effectively strengthens RC beams, controls both the failure modes and the stress distribution around the beam chords and enhances the serviceability (deflection produced under working loads be sufficiently small and cracking be controlled) of pre-cracked RC beams with openings. To investigate the possible damage that was caused by the service load and to simulate the structure behavior in the site, a comprehensive experimental study was performed. Two unstrengthened control beams, four beams that were pre-cracked before the application of the AFRP sheets and one beam that was strengthened without pre-cracking were tested. Cracking was first induced, followed by repair using various orientations of AFRP sheets, and then the beams were tested to failure. This load was kept constant during the strengthening process. The results show that both the preexisting damage level and the FRP orientation have a significant effect on strengthening effectiveness and failure mode. All of the strengthened specimens exhibited higher capacities with capacity enhancements ranging from 21.8 to 66.4%, and the crack width reduced by 25.6-82.7% at failure load compared to the control beam. Finally, the authors present a comparison between the experimental results and the predictions using the ACI 440.2R-08 guidelines.

Modified Fisher method for unilateral cleft lip-report of cases

  • Kim, Hui Young;Park, Joonhyoung;Chang, Ming-Chih;Song, In Seok;Seo, Byoung Moo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.12.1-12.5
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    • 2017
  • Background: Rehabilitation of normal function and form is essential in cleft lip repair. In 2005, Dr. David M. Fisher introduced an innovative method, named "an anatomical subunit approximation technique" in unilateral cleft lip repair. According to this method, circumferential incision along the columella on cleft side of the medial flap is continued to the planned top of the Cupid's bow in straight manner, which runs parallel to the unaffected philtral ridge. Usually, small inlet incision is needed to lengthen the medial flap. On lateral flap, small triangle just above the cutaneous roll is used to prevent unesthetic shortening of upper lip. This allows better continuity of the Cupid's bow and ideal distribution of tension. Case presentation: As a modification to original method, orbicularis oris muscle overlapping suture is applied to make the elevated philtral ridge. Concomitant primary rhinoplasty also results in good esthetic outcome with symmetric nostrils and correction of alar web. As satisfactory results were obtained in three incomplete and one complete unilateral cleft lip patients, indicating Fisher's method can be useful in cleft lip surgery with functional and esthetic outcome. Conclusions: Clinically applied Fisher's method in unilateral cleft lip patients proved the effectiveness in improving the esthetic results with good symmetry. This method also applied with primary rhinoplasty.

편측구순열 1차수술 (Functional Primary Surgery in Unilateral Complete Cleft Lip)

  • NISHIO Juntaro;ADACHI Tadafumi;KASHIMA Yukiko
    • 대한구순구개열학회지
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    • 제3권2호
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    • pp.41-50
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    • 2000
  • The alar base on the cleft side in unilateral complete cleft lip, alveolus and palate is markedly displaced laterally, caudally and dorsally, By incising the pyriform margin from the cleft margin of the alveolar process, including mucosa of the anterior part of the inferior turbinate, to the upper end of the postnasal vestibular fold, the alar base is released from the maxilla, A physiological correction of nasal deformity can be accomplished by careful reconstruction of nasolabial muscle integrity, functional repair of the orbicular muscle, raising and rotating the displaced alar cartilage, and finally by lining the lateral nasal vestibule, The inferior maxillary head of the nasal muscle complex is identified as the deeper muscle just below the web of the nostril, The muscle is repositioned inframedially, so that it is sutured to the periosteum that overlies the facial aspect of the premaxilla in the region of the developing lateral incisor tooth, And then, the deep superior part of the orbicular muscle is sutured to the periosteum and the fibrous tissue at the base of the septum, just in front of the anterior nasal spine, The nasal floor is surgically created by insertions of the nasal muscle complex in deep plane and of the orbicular muscle in superficial one, The upper part of the lateral nasal vestibular defect is sutured by shifting the alar flap cephalically, The middle and lower parts of this defect are closed by use of cleft margin flaps of the philtral and lateral segments, respectively, Authors stress the importance of nasal floor reconstruction at primary surgery and report the technique and postoperative results.

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교량 자산관리의 서비스수준 결정을 위한 성능척도 개발에 관한 기초연구 (A Study on Development of Performance Measures for Level of Service(LOS) of Bridge Asset Management)

  • 선종완;박경훈;이민재;박철우
    • 한국건설관리학회논문집
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    • 제12권2호
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    • pp.101-110
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    • 2011
  • 사회기반시설물 중 교량은 다른 시설물보다 열악한 환경에 노출되며, 파손 등이 발생할 경우 훨씬 심각한 결과를 야기할 수 있으므로 일정 수준 이상의 안전에 관한 성능을 반드시 유지하여야 한다. 하지만 향후 교량의 유지관리를 위한 예산 및 인적자원은 더욱 한정되어 갈 것이다. 자산관리기법은 이러한 한정된 자원으로 효율적인 교량의 유지관리를 위한 중요한 대안이 될 수 있다. 자산관리기법을 적용하기 위해서는 교량이 제공하는 서비스의 수준(Level of Service; LOS)을 평가하기 위한 방법이 결정되어야 하며, LOS는 성능척도(Performance Measures; PM)를 통해 정량적으로 결정될 수 있다. 본 논문은 교량 자산관리를 위한 PM을 개발하였으며, PM을 활용한 LOS 평가 방법을 정립하였다. 이러한 LOS 평가 결과를 활용하여 자산관리 대상, 항목 등을 결정할 수 있으며, 효율적이고 합리적인 교량의 자산관리관련 의사결정을 도울 수 있을 것으로 판단된다.

Reduction in post extraction waiting period for dental implant patients using plasma rich in growth factors: an in vivo study using cone-beam computed tomography

  • Arya, Varun;Malhotra, Vijay Laxmy;Rao, JK Dayashankara;Kirti, Shruti;Malhotra, Siddharth;Sharma, Radhey Shyam
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제45권5호
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    • pp.285-293
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    • 2019
  • Objectives: This study examined the effects of plasma-rich growth factors (PRGF) on accelerating bone regeneration/repair in fresh extraction sockets, and determined the quality and quantity of bone by assessing the bone density using cone-beam computed tomography (CBCT). Materials and Methods: Twenty patients, who had undergone bilateral extractions, were included in this study. In one extraction socket, PRGF was used and covered with an autologous fibrin plug. Nothing was used in the opposite side extraction socket. Thirteen weeks post extraction, the level of bone regeneration was evaluated on both sides with CBCT. Results: At the end of the study, the mean bone density according to the Hounsfield units (HU) in the control group and PRGF group was 500.05 HU (type III bone type) and 647.95 HU (type II bone type), respectively. Conclusion: This study recommends the use of PRGF in post extraction sites to accelerate the rate of bone regeneration and improve the quality of regenerated bone. The technique to process PRGF was simple compared to previously mentioned techniques used for platelet-rich plasma (PRP) preparation. PRP preparation requires a two-cycle centrifugation procedure, leading to a longer processing time.

IMPROVING RELIABILITY OF BRIDGE DETERIORATION MODEL USING GENERATED MISSING CONDITION RATINGS

  • Jung Baeg Son;Jaeho Lee;Michael Blumenstein;Yew-Chaye Loo;Hong Guan;Kriengsak Panuwatwanich
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.700-706
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    • 2009
  • Bridges are vital components of any road network which demand crucial and timely decision-making for Maintenance, Repair and Rehabilitation (MR&R) activities. Bridge Management Systems (BMSs) as a decision support system (DSS), have been developed since the early 1990's to assist in the management of a large bridge network. Historical condition ratings obtained from biennial bridge inspections are major resources for predicting future bridge deteriorations via BMSs. Available historical condition ratings in most bridge agencies, however, are very limited, and thus posing a major barrier for obtaining reliable future structural performances. To alleviate this problem, the verified Backward Prediction Model (BPM) technique has been developed to help generate missing historical condition ratings. This is achieved through establishing the correlation between known condition ratings and such non-bridge factors as climate and environmental conditions, traffic volumes and population growth. Such correlations can then be used to obtain the bridge condition ratings of the missing years. With the help of these generated datasets, the currently available bridge deterioration model can be utilized to more reliably forecast future bridge conditions. In this paper, the prediction accuracy based on 4 and 9 BPM-generated historical condition ratings as input data are compared, using deterministic and stochastic bridge deterioration models. The comparison outcomes indicate that the prediction error decreases as more historical condition ratings obtained. This implies that the BPM can be utilised to generate unavailable historical data, which is crucial for bridge deterioration models to achieve more accurate prediction results. Nevertheless, there are considerable limitations in the existing bridge deterioration models. Thus, further research is essential to improve the prediction accuracy of bridge deterioration models.

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