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Extended Epitympanotomy for Facial Nerve Decompression as a Minimally Invasive Approach

  • Chao, Janet Ren;Chang, Jiwon;Lee, Jun Ho
    • Journal of Audiology & Otology
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    • v.23 no.4
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    • pp.204-209
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    • 2019
  • For a minimally invasive approach to access the facial nerve, we designed an extended epitympanotomy via a transmastoid approach that has proven useful in cases of traumatic facial nerve palsy and pre-cholesteatoma. To evaluate the surgical exposure through an extended epitympanotomy, six patients with traumatic facial nerve palsy were enrolled in this study. The same surgical technique was used in all patients. Patients were assessed and the degree of facial nerve paralysis was determined prior to surgery, 1-week post-operatively, and 6-months post-operatively using the House-Brackmann grading system. In all cases, surgical exposure was adequate. All patients with traumatic facial nerve palsy were male and the age range was 13 to 83 years. In all cases, the location of the facial nerve damage was limited to the area between the first and second genu. Symptoms of all the patients improved by 6 months post-operation (p=0.024). There were no complications in any of the patients. Extended epitympanotomy is useful for safe, rapid surgical exposure of the attic area, sparing the patient post-operative dimpling, skin incision complications, and lengthy exposure to anesthesia. We suggest that surgery for patients with facial nerve palsy secondary to trauma be performed using this described technique.

Extended Epitympanotomy for Facial Nerve Decompression as a Minimally Invasive Approach

  • Chao, Janet Ren;Chang, Jiwon;Lee, Jun Ho
    • Korean Journal of Audiology
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    • v.23 no.4
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    • pp.204-209
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    • 2019
  • For a minimally invasive approach to access the facial nerve, we designed an extended epitympanotomy via a transmastoid approach that has proven useful in cases of traumatic facial nerve palsy and pre-cholesteatoma. To evaluate the surgical exposure through an extended epitympanotomy, six patients with traumatic facial nerve palsy were enrolled in this study. The same surgical technique was used in all patients. Patients were assessed and the degree of facial nerve paralysis was determined prior to surgery, 1-week post-operatively, and 6-months post-operatively using the House-Brackmann grading system. In all cases, surgical exposure was adequate. All patients with traumatic facial nerve palsy were male and the age range was 13 to 83 years. In all cases, the location of the facial nerve damage was limited to the area between the first and second genu. Symptoms of all the patients improved by 6 months post-operation (p=0.024). There were no complications in any of the patients. Extended epitympanotomy is useful for safe, rapid surgical exposure of the attic area, sparing the patient post-operative dimpling, skin incision complications, and lengthy exposure to anesthesia. We suggest that surgery for patients with facial nerve palsy secondary to trauma be performed using this described technique.

Rock Slope Stability Investigations Conducted on the Road Cut in Samrangjin-Miryang Area (삼량진-밀양 지역에 위치한 도로 절취사면에 대한 사면안정 연구)

  • Um Jeong-Gi;Kang Taeseung;Hwang Jin Yeon
    • Economic and Environmental Geology
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    • v.38 no.3 s.172
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    • pp.305-317
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    • 2005
  • This study addresses the preliminary results of rock slope stability analyses including hazard assessments for slope failure conducted on the selected sections of rural road cut slope which are about 4 km long. The study area is located in the Mt. Chuntae northeast of Busan and mainly composed of Cretaceous rhyolitic ash-flow tuff', fallout tuff, rhyolitc and andesite. The volcanic rock mass in the area has a number of discontinuities that produce a potentially unstable slope, as the present cut slope is more than 70 degrees in most of the slope sections. Discontinuity geometry data were collected at selected 8 scanline sections and analyzed to estimate important discontinuity geometry parameters to perform rock slope kinematic and block theory analyses. Kinematic analysis for plane sliding has resulted in maximum safe slope angles greater than $65^{\circ}$ for most of the discontinuities. For most of the wedges, maximum safe cut slope angles greater than $45^{\circ}$ were obtained. Maximum safe slope angles greater than 80" were obtained fur most of the discontinuities in the toppling case. The block theory analysis resulted in the identification of potential key blocks (type II) in the SL4, SL5, SL6 and SL8 sections. The chance of sliding taking place through a type ll block under a combined gravitational and external loading is quite high in the investigated area. The results support in-field observations of a potentially unstable slope that could become hazardous under external forces. The results obtained through limit equilibrium slope stability analyses show how a stable slope can become an unstable slope as the water pressure acting on joints increases and how a stable slope under Barton's shear strength criterion can fail as the worst case scenario of using Mohr-Coulomb criterion.

Manufacturing and Antibacterial Characteristics of Non-woven Fabrics Including Nano-silver Particles (은나노 입자를 함유한 부직포 제조와 항균특성)

  • No, Deok-Gil
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2008.04a
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    • pp.63-65
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    • 2008
  • The functional non-woven fabrics have been applied in various industry fields, such as clothing, hygiene, environment, medical and so forth. The functional non-woven fabrics were manufactured by meltblown and finishing processes. These functional non-woven fabrics were made of 2,000ppm nano-silver resin composite and polypropylene resin. Silver is one of the most universal antimicrobial substances. Nano-technology enables us to expand the surface area of silver particles markedly. Nano-silver particles were successfully produced less than 10nm in size. The functional non-woven fabrics including nano-silver particles showed excellent antibacterial activities against Staphylococcus aureus(ATCC 6538) and Klebsieila pneumoniae (ATCC 4352). From the results, nano-silver particels probably will be available as a good and safe antibiotic alternative.

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A Study of Structural Stability of HDPE Pipe during Installation (고밀도 폴리에틸렌 파이프의 설치중 구조안정성에 대한 연구)

  • Song, Hyun-Bae;Kim, Do-Kyun;Choi, Han-Suk;Park, Kyu-Sik
    • Journal of the Korean Society for Advanced Composite Structures
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    • v.6 no.1
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    • pp.59-66
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    • 2015
  • In this study, structural stability of large diameter high density polyethylene (HDPE) pipe during installation was numerically investigated in order to investigate the effect of concrete collar dimension, water depth and tension (pulling force). From the numerical simulation results, the total stress of HDPE pipe with designed concrete collar was within 2.5%, so the total weight of concrete collar for sinking of HDPE is important rather than concrete collar dimension. Furthermore, the tension area for possible installation is decreased as the air filling rate is increased. Therefore, it is important to calculate the reasonable tension range before actual installation for safe installation of HDPE pipe.

Study on Characteristics of Displacement and Stress of Piers under Adjacent load

  • Song, Bo;Zhang, Jingxing;Zhang, Zunke;Wang, Yanxuc;Kim, Taehwan
    • Journal of the Society of Disaster Information
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    • v.12 no.1
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    • pp.40-46
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    • 2016
  • Nowdays, adjacent loading bringing enormous harm to the existing bridge in engineering construction. In this paper, the influencing mechanism of adjacent loading to pier and Law of displacement of pier is researched through living examples, and the safe influence area has been defined. Research shows that: the main damages to piers is caused by the side loading; lateral displacement index of pier top surface is more conservative than the pier additional stress index; it is secure when the distance of adjacent load is 0.5 times of the height of accumulation or 6m, otherwise it would be very scary, and the monitoring measure is necessary.

A study of Mesoscale Convective Systems(MCSs) event impacts on the safe operation of aircraft(I) (항공기 안전 운항에 영향을 미치는 중규모 대류계 사례 연구(I))

  • Kim, Young-Chul
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.22 no.1
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    • pp.76-84
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    • 2014
  • Heavy Rainfall event accompanying with Mesoscale Convective Systems(MCSs) inducing flash flooding and Kimpo and Inchon International Airport closing over Seoul metropolitan area was investigated this study. This heavy rainfall event was occurred through the synoptic scale boundary of North Pacific Subtropical high, Typhoon and also can predicted by proper analysis of various forecasting parameters such as abundant moisture, instabilities, and synoptic/mesoscale forcing.

Current Opinions on the Radioiodine Treatment of Graves' Hyperthyroidism (Graves병 갑상선 기능항진증에서 방사성 옥소 치료의 지견)

  • Lee, Sang-Woo;Lee, Jae-Tae
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.6
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    • pp.341-354
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    • 2003
  • Radioactive iodine therapy using I-131 for hyperthyroidism has been used for more than 50 years, and generally considered safe and devoid of major side effects. Appropriate patient selection criteria and clinical judgement concerning patient preparation should be employed for its optimal use. It has not been possible to resolve the trade-off between efficient definite cure of hyperthyroidism and the high incidence of post-therapy hypothyroidism. The dose of the I-131 needed to maintain euthyroid state remains an area of uncertainity and debate. Early side effects are uncommon and readily managable. Other than the need for long-term monitoring and, in most cases, lifelong thyroid hormone treatment for late adverse consequences of this treatment remains only conjectural. We have reviewed general principles and recent advances in radioiodine treatment for Graves' hyperthyroidism, specially regarding to several controversies.

A Development of Street Lighting Fixtures and Operation Plan in Residential Areas (주거단지의 가로조명기구 개발 및 운용방안)

  • Chong, Soo-Jung;Oh, Eun-Suk;Choi, An-Seop
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.19 no.4
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    • pp.17-23
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    • 2005
  • The street lighting needs to provide safe and comfortable environment together with producing good atmosphere suitable for the pedestrian's various needs. Thus, the choice of the street lighting futures should be based on the needs of the them and the needs of the street rather than the precedences or appearances. This study proposes street lighting futures based on the need of the street lighting and their operation plan, and also analyzes the problems of current fixtures.

Critical Issues on Health Risk of Asbestos (석면과 건강에 대한 이슈)

  • Yoon, Chung-Sik
    • Journal of Environmental Health Sciences
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    • v.35 no.5
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    • pp.426-432
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    • 2009
  • Asbestos is a commercial term of natural occurring silicated minerals and forms long, thin fibers. Chrysotile, the serpentine asbestos, accounts for most use in commercial use. Asbestos is well known health hazard material and it is proved that inhalation of asbestos fibers leads to increased risk of developing several diseases such as lung cancer, mesothelioma, asbestosis. In these days, people most at risk for exposure are maintenance and construction workers and general citizens who are working on and close to the work area at which asbestos containing material is disturbing. Non asbestiform, though its chemical composition is same with regulated asbestos, is known to be less hazardous than asbestiform. Exposure guideline, 0.01 f/ml, is not safe level in terms of health risk. It is reasonable to take preventable action when asbestos is suspicious. In Korea, it is necessary to clarify the concept between hazard and risk, to differentiate asbestiform from non asbestiform, to make regulations for compensation for asbestos related patients, to manage future exposure for general citizens.