• Title/Summary/Keyword: closed reduction

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The Complication of the Talar Neck Fracture (거골 경부 골절의 합병증)

  • Seong, Byeong-Yeon;Park, Wan-Soo;Lee, Seung-Ki;Park, Chan-Ji;Kim, Dong-Won
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.119-125
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    • 2003
  • Purpose: The purpose of this study fracture. Materials and Methods: The clinical and radiological analysis were performed on 19 cases of the talus neck fractures who had been treated with conservative treatment or variable methods of operative treatment. Each cases followed up more than 1 year and 6 months from May 1989 to June 2001. The clinical results were analyzed according to the age, cause of injury, fracture type of Hawkins classification, associated soft tissue injury, method of treatments, complications, and Hawkins scoring system. Results: According to Hawkins classification, type I was 6 cases(32%), type II was 5 cases(26%), typeIII was 7 cases(37%), and typeIV was 1 case(5%). In all cases, complete bony union was obtained. According to the Hawkins scoring system, 8 cases(42%) were excellent and good. Avascular necrosis was 4 cases(25%). Traumatic arthritis was 10 cases which were occurred in type II, III and IV. An ankle fusion was 1 case. Conclusion: In talar neck fractures, non-displaced fracture treated by the cast immobilization and displaced fracture treated by early open reduction and internal fixation were expected good results. The complications were 77% of traumatic arthritis and 31% of avascular necrosis in type II, III and IV. We should preoperatively explain to the patient for high complication rates of traumatic osteoarthritis and avascular necrosis in the talus neck fractures.

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Altered Electrophysiological Properties of Coronary Artery in Iso-prenaline-Induced Cardiac Hypertrophy

  • Kim, Na-Ri;Han, Jin;Kim, Eui-Yong
    • The Korean Journal of Physiology and Pharmacology
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    • v.5 no.5
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    • pp.413-421
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    • 2001
  • An impaired smooth muscle cell (SMC) relaxation of coronary artery by alteration of $K^+$ channels would be the most potential explanation for reduced coronary reserve in left ventricular hypertrophy (LVH), however, this possibility has not been investigated. We performed morphometrical analysis of the coronary artery under electron microscopy and measured $Ca^{2+}-activated\;K\;(K_{Ca})$ currents and delayed rectifier K $(K_{dr})$ currents by whole-cell and inside-out patch-clamp technique in single coronary arterial SMCs from rabbits subjected to isoprenaline-induced cardiac hypertrophy. Coronary arterial SMCs underwent significant changes in ultrastructure. The unitary current amplitude and the open-state probability of $K_{Ca}$ channel were significantly reduced in hypertrophy without open-time and closed-time kinetic. The concentration-response curve of $K_{Ca}$ channel to $Ca^{2+}$ is shifted to the right in hypertrophy. The reduction in the mean single channel current and increase in the open channel noise of $K_{Ca}$ channel by TEA were more sensitive in hypertrophy. $K_{dr}$ current density is significantly reduced in hypertrophy without activation and inactivation kinetics. The sensitivity of $K_{dr}$ current on 4-AP is significantly increased in hypertrophy. This is the first study to report evidence for alterations of $K_{Ca}$ channels and $K_{dr}$ channels in coronary SMCs with LVH. The findings may provide some insight into mechanism of the reduced coronary reserve in LVH.

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Effects of Freezing of Gait and Visual Information on the Static Postural Control Ability in Patients with Parkinson's Disease

  • Kim, Jung Yee;Son, Min Ji;Kim, You Kyung;Lee, Meoung Gon;Kim, Jin Hee;Youm, Chang Hong
    • Korean Journal of Applied Biomechanics
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    • v.26 no.3
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    • pp.293-301
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    • 2016
  • Objective: The purpose of this study was to analyze the effects of freezing of gait and visual information on the static postural control ability in patients with Parkinson's Disease (PD) during the bipedal stance with feet together. Method: This study included a total of 36 patients with PD; the freezer group included 17 PD patients (age: $69.3{\pm}6.2yrs$, height: $159.6{\pm}9.0cm$, weight: $63.4{\pm}9.78kg$) and the nonfreezer group included 19 PD patients (age: $71.4{\pm}5.6yrs$, height: $155.8{\pm}7.1cm$, weight: $57.7{\pm}8.6kg$). Static postural control ability was analyzed using variables of center of pressure (COP) and dividing by mediolateral, anteroposterior, and integration factors during a bipedal stance with the eyes open and closed. Results: Freezers and nonfreezers showed increases in anteroposterior velocity, mediolateral velocity, averaged velocity, and mediolateral 95% edge frequency when visual information was blocked. Additionally, freezers had greater anteroposterior range, 95% confidence ellipse area, and COP anteroposterior mean position than nonfreezers. Conclusion: Freezers and nonfreezers showed a reduction in static postural control ability when visual information was blocked. Additionally, the results of this study found a significant difference in static postural control ability between freezers and nonfreezers with PD. In particular, anteroposterior range, 95% confidence ellipse area, and COP anteroposterior mean position might be used to distinguish between freezers and nonfreezers with PD.

Characteristics of Power Generation and Organic Matter Removal in Air-Cathode MFC with respect to Microbial Concentration (미생물 농도에 따르는 Air-Cathode MFC의 전력발생과 유기물질제거 특성)

  • Kim, Doyoung;Lim, Bongsu;Choi, Chansoo;Kim, Daehyun
    • Journal of Korean Society on Water Environment
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    • v.28 no.6
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    • pp.917-922
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    • 2012
  • In order to improve applicability of a microbial fuel cell the laboratory-scaled study has been performed by adopting an air-cathode MFC system with high concentrated anaerobic slugies in this study. The concentrations of microbes are grouped into three types, Type A (TS 1.7%), Type B (TS 1.1%) and Type C (TS 0.51%). The open circuit voltage $(V_{oc})$ characteristics showed that the medium microbes concentration of 1.10% (Type B) kept a constant voltage of 1.0 V for 150 hours, which showed the longest time among three types (Type A and Type C). The discharge charge curves for a closed circuit with $500 \Omega$ also showed that Type B generated a stable discharge voltage of 0.8 V for a longer time as in the open circuit voltage case. This could be explained by the relatively large amount of the attached microbes. Under the $V_{oc}$condition the COD removal efficiency of Type B was found to be low for a long time, but those of Type A and C were found to be high for a short period of time. Therefore, the suspended microbes could decrease the coulombic efficiency. It was concluded that the high $V_{oc}$ was caused by low COD and the $V_{oc}$ became low after the COD removal. The COD reduction resulted in an unstable and low working voltage. From the polarization characteristics Type A was found to show the highest power density of $193\;mW/m^2$ with a fill factor of 0.127 due to the relatively high remaining COD even after the MFC reaction.

Assessment of Inundation Rainfall Using Past Inundation Records and CCTV Images (CCTV영상과 과거침수기록을 활용한 침수 강우량 평가 - 강남역을 중심으로 -)

  • Kim, Min Seok;Lee, Mi Ran;Choi, Woo Jung;Lee, Jong Kook
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.30 no.6_1
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    • pp.567-574
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    • 2012
  • For the past few years, the video surveillance market has shown a rapid growth due to the increasing demand for Closed Circuit Television(CCTV) by the public sector and the private security industry. While the overall utilization of CCTV in the public and private sectors is expanding, its usage in the field of disaster management is less than sufficient. Therefore, the authors of this study, in an effort to revisit the role of CCTV in disaster situations, have carried out a case analysis in the vicinity of the Gangnam Station which has been designated as a natural disaster-prone area. First, the CCTV images around the target location are collected and the time and depth of inundation are measured through field surveys and image analyses. Next, a rainfall analysis was conducted using the Automatic Weather Station(AWS) data and the past inundation records. Lastly, the authors provide an estimate of rainfall for the areas around the station and suggest viable warning systems and countermeasures. The results from this study are expected to make positive contributions towards a significant reduction of the damages caused by the floods around the Gangnam Station.

Light-weight Design and Simulation of Automotive Rear Bumper Impact Beam Using Boron Steels (보론강을 이용한 리어 범퍼 임팩트빔의 경량 설계 및 해석)

  • Kim, Kee-Joo;Han, Chang-Pyung;Lim, Jong-Han;Lee, Young-Suk;Won, Si-Tae;Lee, Jae-Woong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.20 no.2
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    • pp.98-102
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    • 2012
  • Increasing the fuel economy has been an inevitable issue for the development of new cars, and one of the important measures to improve the fuel economy is to decrease the vehicle weight. In order to obtain this goal, the researches about lighter, stronger and the well impact absorbing bumper impact beam have been studied without sacrificing bumper safety. In this study, the overall weight reduction possibility of rear bumper impact beam could be examined based on the variation of frontal, offset and corner impact crash capability by substituting a ultra high strength steel material (boron steel ) having tensile strength of 1.5 GPa grade instead of conventional steels. In addition, the section variations (open section, closed section, open section with 5 stays) of the bumper impact beam structure were examined carefully. It could be reached that this analysis could be well established and be contributed for design guide and the optimum design conditions of the automotive rear bumper impact beam development.

A Case Study on Disaster and Characteristics of Debris Flows by Heavy Localized Rainfall of Gangwon Areas in July, 2006 (2006년 강원지역 토석류의 특성과 피해현황분석)

  • Song, Pyung-Hyun;You, Byung-Ok;Jung, Chan-Gyu;Ahn, Kwang-kuk;Lee, Cheo-kun
    • 기술발표회
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    • s.2006
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    • pp.146-155
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    • 2006
  • A study for damage degree and reduction programs of disaster was performed after collecting and analyzing the damage data by the type of flood damage resulting from the localized rainfall Gangwon area has been damaged by heavy localized rainfall between July 15 and 17 in 2006 Specially, a number of people was killed and much properties were lost in Inje, Yangyang and Pyeongchang area Recently, the damages by debris flow has been increased more than any other disaster causes, because heavy rainfall closed to about 100mm/hr by global warming in short time has been developed frequently. In other words, an area forming a highland has a potential debris flow Therefore, in this study, the damages data by debris flow in the area of Inje and Yangyang were collected and analyzed to consider the type of flood damage In future, it must be tried to find a complementary solution and establishing management system for debris flow when the civil construction begins

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Full mouth rehabilitation of a panfacial fracture patient with bilateral condylar fracture (다발성 안면골절환자의 교합회복 증례)

  • Park, Go-Woon;Cha, Min-Sang;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.159-169
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    • 2014
  • Panfacial fractures require complex multidisciplinary approaches for treatment. Functional stability of bilateral condylar-disc complex should be the goal of the treatment. A patient with complex clinical panfacial fractures, including a bilateral condylar fractures visited our clinic. Facial asymmetry, insufficient vertical space and multiple missing teeth of the patient were major problems. Closed reduction and splint treatment were tried for stable condylar position. A functional and esthetic rehabilitation was accomplished by using implants and full mouth rehabilitaion. Potential possibilities of unstable occlusion should be prevented with night guard and periodic occlusal adjustment.

Bone remodeling after conservative treatment of nasal bone fracture in pediatric patients

  • Kang, Won Ki;Han, Dong Gil;Kim, Sung-Eun;Lee, Yong Jig;Shim, Jeong Su
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.166-170
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    • 2020
  • Background: The standard treatment of nasal bone fractures in pediatric patients is closed reduction. Conservative treatment is sometimes performed, but poses a risk of nasal deformity. The aim of this study was to evaluate the outcomes of bone remodeling in pediatric nasal fractures. Methods: Information was extracted from the medical records of patients under 12 years of age who received conservative treatment for a nasal bone fracture and underwent follow-up computed tomography (CT) examinations. The initial fracture and its outcomes over time were graded as excellent, good, or fair according to the malalignment, displacement, or irregularity of the fractured segments. The outcomes of remodeling were evaluated through changes in the grade of the fracture between initial and subsequent CT scans. Results: The review identified 16 patients between March 2015 and December 2019. Their mean age was 6.2 years, and the average follow-up period was 4.9 months. Three of the five patients with a plane I frontal impact showed improved outcomes of remodeling from good to excellent, and the remaining two patients, improved from fair to good. Eight of the 11 patients with plane I lateral impacts showed improved outcomes, from good to excellent, while one patient, improved from fair to good, one patient, improved from fair to excellent, and one patient showed no interval changes. Conclusion: In 15 of these 16 patients with non-severe fractures, the bony contour improved through remodeling, without surgical intervention. Therefore, we suggest that conservative treatment is a feasible option for mild pediatric nasal fractures.

Chemical and Physical Influence Factors on Performance of Bentonite Grouts for Backfilling Ground Heat Exchanger (지중 열교환기용 벤토나이트 그라우트의 시공성에 대한 화학적, 물리적 영향 요소에 관한 연구)

  • Lee, Chul-Ho;Gil, Hu-Jeong;Lee, Kang-Ja;Choi, Hang-Seok;Choi, Hyo-Pum
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.10a
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    • pp.1475-1486
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    • 2008
  • Bentonite-based grouting has been popularly used to seal a borehole installed for a closed-loop vertical ground heat exchanger in a geothermal heat pump system (GHP) because its high swelling potential. However, if the bentonite-based grouting is conducted in coastal areas, the salinity of groundwater changes in the mineral fabric of bentontie. In order words, an increase of cation concentration in groundwater leads to a reduction in the diffuse double-layer thickness in the bentonite mineral structure, and thus the volume of bentointe-based grouts will decrease proportional to the salinity of groundwater. In this paper, the effect of salinity (i.e., NaCl 0.5M, 0.25M, and 0.1M) on the change of swelling potential for bentonite-based grouts has been quantitatively evaluated for seven bentonite grouts from different product sources. In addition, in case of using addictives such as a silica sand to increase the thermal conductivity of bentonite-based grouts, the possibility of particle segregation has been studied considering the viscosity of grouts and salinity of groundwater.

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