• 제목/요약/키워드: Total head

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Long-Term Experiences of the Provox Voice Prosthesis at Snuh (서울대학교병원에서의 Provox 장기간 사용경험)

  • Jung, Young-Ho;Park, Jun-Beom;Won, Tae-Bin;Lee, Seung-Shin;Mo, Ji-Hun;Park, Seok-Won;Sung, Myung-Whun;Kim, Kwang-Hyun
    • Korean Journal of Bronchoesophagology
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    • 제5권2호
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    • pp.130-137
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    • 1999
  • Background and Objectives : Provox, a recently developed tracheoesophageal prosthesis, had been widely used for voice rehabilitation after total laryngectomy for its low resistance and easiness of speech ability. But, long-term use of Provox resulted in many complications and resulted in cessation of Provox as a primary method of vocal rehabilitation. The aim of this study is to report Provox-related problems and the long-term results of Provox voice prosthesis. Materials and Methods : Medical records from patients who had undergone total laryngectomy with Provox insertion at seoul National University Hospital between January 1993 and December 1998 were reviewed retrospectively. Results : 36 patients had used 79 Provox voice prostheses during the observed period. The most common complication causing prosthesis change or removal was leakage and/or aspiration, followed by granulation formation, crusting and/or obstruction, and non-function. Median in situ lifetime of Provox was 274 days and 1-year-in situ rate was 31.0% Among 36 patients, 17 patients had undergone tracheoesophageal shunt closure at the last follow-up visit. 10 patients had complications but got along without further treatments, and 1 patient changed to Blom-Singer voice prosthesis. Only 8 patients experienced no complication, and 5 out of whom had several times of Provox change. Conclusion : long-term use of Provox resulted in discontinuation of its use due to complications in many cases. A better voice prosthesis with lower complication rate and longer in situ lifetime is needed.

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Early Growth and Development of Eye in Dotted Gizzard Shad, Konosirus punctatus (전어, Konosirus punctatus의 초기 성장 및 눈 발달)

  • Park, In-Seok;Im, Soo-Yeon;Seol, Dong-Won;Lee, Jin-Hwan;Hur, Jun-Wook;Jeong, Gwan-Sik
    • Development and Reproduction
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    • 제10권2호
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    • pp.93-96
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    • 2006
  • The total length, head length, head height, eye diameter, retina thickness, and lens diameter of the dotted gizzard shad, Konosirus punctatus, showed positive allometric relationships between hatching and 30 days post-hatching (dph). The increase in total length relative to head length and head height, head length growth relative to eye and lens diameter, head height growth relative to eye diameter and lens diameter, and thickness of the retina relative to eye diameter, lens diameter, head length, and head height were showed allometric relationships. The eyes were formed completely at 9 dph. At this age, the eye has a lens, an optic nerve fiber layer, a ganglion cell layer, an inner plexiform layer, an inner nuclear layer, an outer plexiform layer, an outer nuclear layer, an outer limiting membrane, a rod and cone layer, and an epithelial layer. The essential demands that must be met by the retina in this species pertain to light sensitivity and spatial resolution.

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Extracting 3D Geometry Parameters of Hip Joint for Designing a Custom-Made Hip Implant (맞춤형 인공관절 설계를 위한 인체 고관절의 3차원 형상 정보 추출)

  • Seo, Jeong-Woo;Jun, Yong-Tae
    • Korean Journal of Computational Design and Engineering
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    • 제13권3호
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    • pp.200-208
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    • 2008
  • Total Hip Replacement(THR) is a surgical procedure that replaces a diseased hip joint with a prosthesis. A plastic or metal cup forms the socket, and the head of the femur is replaced by a metal ball on a stem placed inside the femur. Due to the various types and shapes of human hip joint of every individual, a selected commercial implant sometimes may not be the best-fit to a patient, or it cannot be applied because of its discrepancy. Hence extracting geometry parameters of hip joint is one of the most crucial processes in designing custom-made implants. This paper describes the framework of a methodology to extract the geometric parameters of the hip joint. The parameters include anatomical axis, femoral head, head offset length, femoral neck, neck shaft angle, anteversion, acetabulum, and canal flare index. The proposed system automatically recommends the size and shape of a custom-made hip implant with respect to the patient's individual anatomy from 3D models of hip structures. The proposed procedure creating these custom-made implants with some typical examples is precisely presented and discussed in this paper.

Physico-chemical Properties of Milt and Fine Structure of Cryopreserved Spermatozoa in Tiger Puffer (Takifugu rubripes) (자주복(Takifugu rubripes) 정액의 물리$\cdot$화학적 성상과 냉동보존 전후 정자의 미세구조)

  • CHANG Yun Jeong;CHANG Young Jin;LIM Han Kyu
    • Korean Journal of Fisheries and Aquatic Sciences
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    • 제31권3호
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    • pp.353-358
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    • 1998
  • Experiments were performed to find out the physico-chemical properties of milt, and morphological changes of cryopreserved spermatozoa in tiger puffer, Takifugu rubripes. The average number of sperm and spermatocrit in milt stripped were $9.81{\pm}0.34{\times}10^{10}/m{\ell}$ and $97.8{\pm}0.8$, respectively. While total lipid concentration from seminal fluid was higher than that from sperm, total protein concentration from sperm was higher than that from seminal fluid, Na and K concentrations in sperm and those in seminal fluid were similar each other, However, glucose from sperm and seminal fluid were not detectable. Spermatozoon of tiger puffer was consisted of head, middle Piece and tail. Size of head showing horseshoe shape was $0.65{\pm}0.10{\mu}m$ in diameter and $1.35{\pm}0.30{\mu}m$ in length. The head fully containing chromatin did not have acrosome. Mitochondrion in middle piece was $0.2{\mu}m$ in average diameter and flagellum showed 9+2 structure. A few of cryopreserved spermatozoa showed morphologically loose or swollen plasma membranes.

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RADIOGRAPHIC STUDY ON TEMPOROMANDIBULAR JOINT ARTHROSIS (악관절증에 관한 방사선학적 연구)

  • You Dong Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • 제10권1호
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    • pp.47-55
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    • 1980
  • The author analysed the routine radiographic changes and clinical symptoms of 205 cases of temporomandibular joint arthrosis. The clinical symptoms of the patients were classified and the morphological ylar head, articular eminence, and articular fossa were analized and discussed view point. The positional changes of condylar head and articular fossa relatation in TMJ arthrosis were observed. The frequencies of coincidence between the site of complaints and the site of the abnormal images which could be detected were examined. The results were obtained as follows; 1. Bone erosion, deformity, marginal proliferation and sclerosis were selected from many abnormal images as the radiographic diagnostic criteria of TMJ arthrotic lesions. 2. Abnormal radiographic findings were revealed in 150 cases (73.9%) of 205 total TMJ arthrosis cases and site with abnormal findings coincided with the site of complaints in 106 cases (70.7%) of 150 cases and coincidence rates were higher above fourth decades than below third decades. 3. Sclerosis of the abnormal radiographic findings could be found more often below third decades than above fourth decades. 4. The positional changes of condylar head were revealed in 176 cases (85.9%) of 205 total cases. 5. Pain complaints were revealed in 170 cases(82.9%) and clicking sounds were revealed in 120 cases (58.6%) of clinical symptoms of TMJ arthrosis. 6. No tendency was found so far the differential diagnosis between pain dysfunction syndrom and osteoarthrosis of TMJ.

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A Case of False Negativity With COVID-19 Diagnostic Test in Total Laryngectomee (코로나바이러스 감염증-19 진단검사에 위음성을 보인 후두전절제 환자 1예)

  • Beag, Moon Seung;Kwon, Hyeok Ro;Kim, Seung Woo
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • 제33권1호
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    • pp.54-57
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    • 2022
  • The coronavirus disease (COVID-19) by severe acute syndrome coronavirus-2 (SARS-CoV-2) occurs the unprecedented pandemic during recent two years and the WHO declared a global pandemic of COVID-19 in March 2020. The most common sampling sites in COVID-19 test are the oropharynx and nasopharynx. We recently encountered a total laryngectomee who had a positivity COVID-19 diagnostic test from the tracheostoma, on the other hand, false negativity from the nasal cavity. The meaning of this case is that accurate screening test could be achieved by performing a test through the tracheostoma as well as nasal cavity or oropharynx. We also would like to discuss the accurate testing methods of patients whose airflow has distorted due to surgery, the management method of these patients, and the need of further research in the COVID-19 pandemic period with relevant literature reviews.

Effect of Lower Trapezius Strengthening Exercise Program on Unstable Support Surface for Neck Pain Patients with Forward Head Posture: A Randomized Controlled Trial

  • Park, Sam-Ho;Lee, Myung-Mo
    • Physical Therapy Rehabilitation Science
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    • 제11권2호
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    • pp.189-197
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of a lower trapezius strengthening exercise program on an unstable support surface on pain, neck dysfunction, psychosocial factors, and postural alignment in neck pain patients with forward head posture. Design: A randomized controlled trial Methods: A total of 36 neck pain patients participated in this study. Screening tests were performed and assigned to experimental group (n=18) and control group (n=18) using randomization program. Both groups performed the lower trapezius strengthening exercise program. In addition, in the experimental group, an exercise program for lower trapezius muscle strengthening was performed on an unstable support surface. All interventions were performed 3 times a week, for a total of 5 weeks. quadruple visual analogue scale (QVAS), neck disability index (NDI), short form (SF)-12, and postural alignment were measured before and after the intervention to compare their effectiveness. Results: Both groups showed significant differences in QVAS, NDI, SF-12, and postural alignment before and after intervention (p<0.05). In addition, the experimental group showed significant differences in NDI and postural alignment compared to the control group (p<0.05). Conclusions: The lower trapezius strengthening exercise program on unstable support surfaces is an effective intervention method with clinical significance in improving neck disability and postural alignment in patients with neck pain with forward head posture.

A Numerical Study on the Improvement of Performance for the 2 Vane Pump Impeller (2 Vane 펌프 임펠러의 성능 개선에 관한 수치해석적 연구)

  • KIM, SUNG;MA, SANG-BUM;CHOI, YOUNG-SEOK;KIM, JIN-HYUK
    • Transactions of the Korean hydrogen and new energy society
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    • 제31권3호
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    • pp.293-301
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    • 2020
  • This paper describes a numerical study on the improvement of performance of the 2 vane pump impellers. The design of these impellers was optimized using a commercial computation fluid dynamics code and design of experiments. Geometric design variables were defined by the impeller blade angle distribution. The objective functions were defined as the total head, total efficiency and solid material size of the impellers. The importance of the geometric design variables was analyzed using 2k factorial designs. The interaction between the total head, total efficiency and solid material size, according to the impeller blade angle distribution, is discussed by analyzing the 2k factorial design results.

Testing and Modification of an Axial Flow Irrigation Pump manufactured in Vietnam

  • V.M.Salokhe;Khanh, Vu-Tuan
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 한국농업기계학회 1996년도 International Conference on Agricultural Machinery Engineering Proceedings
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    • pp.247-256
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    • 1996
  • The performance of a commonly used, inclined shaft, axial flow pump manufactured in Vietnam was evaluated . The pump tested had a 37 cm diameter thrust impeller and 40 cm outlet diameter. This pump was initially evaluated to establish the base performance curves for three total static heads of 1.45 m, 1.75m and 2.15 m at a constant recommended speed of 980 rpm. In the field survey, brass sleeve , impeller and lubricating system. These parts of the pump were modified and then it was tested again at the same test conditions used for the original one. Maximum efficiency of the original pump varied from 56.11% to 53.15% , and that of the modified pump from 57.63% to 54.52% when the total static head varied from 1.45 m to 2.15m . At these total static heads, the discharge, the total head and the power input varied from 387 to 347l/s, 4.25 to 4.60m and 28.72 to 29.38kW, respectively, for the original pump and from 388 to 346l/s , 4.29 to 4.63 m and 28.23 to 28.91 kw, respectivel , for the modified pump. The efficiency of the pump after modification increased by more than 1.5% and the power input decreased by 1.7%.

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New Family of Monoglucosylglyceride Diacyl Glycerol Lipids Containing Very Long Chain bifunctional Acyl Chains in Sarcina ventriculi

  • Jung, Seun-Ho;Chi, Yong-Hoon;Chang, Yoon-Seok;Yi, Dong-Heui;Kwon, Tae-Jong;Hollingsworth, Rawle I.
    • Journal of Microbiology and Biotechnology
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    • 제10권3호
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    • pp.386-393
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    • 2000
  • Recent research on the fatty acyl chains in the membrane lipids in Sarcina ventriculi has shown that unusually long chain bifunctional fatty acyl components are the major components of the total lipid. However, these studies did not yield any information on the complete structures of the lipid species containing these fatty acids. In this study, the structures of a new family of glucolipids containing bifunctional acyl chains are described. These structures were determined using NMR(Nuclear Magnetic Resonance) Spectroscopy, GC (Gas Chromatography)/MS (Mass Spectrometry), FTIR (Fourier Transform Infrared) spectroscopy, and FAB (Fast Atom Bombardment) mass spectrometric studies. One of the major bifunctional acyl components of the $\alpha$-glucolipids was an $\omega$-formylmethyl ester indicating the presence of plasmalogen. The general structure of the lipid components was one in which the two head groups were separated by a membrane-spanning acyl species. One head group component is a glycerol moiety of each head group, and the other is a glyceryl clucoside. Two regular chain fatty acids, one on the glycerol moiety of each head group, are also present and meet in the middle of the membrane, roughly equidistant from each head group.

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