• 제목/요약/키워드: internal reduction

검색결과 1,589건 처리시간 0.034초

Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture

  • Yi, Chang Ryul;Kim, Young Joon;Kim, Hoon;Nam, Sang Hyun;Choi, Young Woong
    • Archives of Plastic Surgery
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    • 제41권4호
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    • pp.350-354
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    • 2014
  • Background The authors sought to compare the use of the nonabsorbable polyvinyl alcohol sponge (PVA, Merocel) and absorbable synthetic polyurethane foam (SPF, Nasopore Forte plus) as intranasal splints after closed reduction of fractured nasal bones during the hospitalization period. Methods The medical records of 111 patients who underwent closed reduction for nasal bone fracture at Sanggye Paik Hospital, Inje University College of Medicine, from 2012 to 2013 were reviewed retrospectively. PVA (group A) or SPF (group B) was packed as an internal splint after closed reduction. The efficacy of the materials was compared and statistically analyzed. Results PVA was used in 82 patients, and SPF was used in 29 patients. The patients in group B complained significantly more of nasal pain on the first day after operation than the patients in group A. Headaches on the operation day were significantly more painful in group B than in group A. Bleeding on the fourth postoperative day was significantly reduced in group B as compared to group A. The patients in group B exhibited significantly more intensive nasal obstruction on the operation day and the following day than the patients in group A. However, on the third and fourth postoperative days, the nasal obstruction in group B was less than that in group A. The pain and bleeding related to the packing material was significantly reduced in group B as compared to group A. Conclusions The use of SPF as an absorbable packing material is a reasonable substitute for the traditional nonabsorbable material.

전이성 혈관주위세포종 환자에서 발생한 저혈당을 프레드니솔론으로 치료한 1예 (Treatment of Hemangiopericytoma-Associated Hypoglycemia with Glucocorticoid Therapy)

  • 박성우;김동근;김명진;장효진;손세훈;고성애;이하영;김민경;이경희;현명수
    • Journal of Yeungnam Medical Science
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    • 제28권1호
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    • pp.77-83
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    • 2011
  • Non-islet cell tumor-induced hypoglycemia (NICTH) is associated with mesenchymal tumor types, including hemangiopericytoma, fibrosarcoma, mesothelioma, and neurofibroma, as well as carcinoma of the liver, adrenal glands, and kidneys. Non- islet cell tumors induce hypoglycemia by overproducing an abnormal form of insulin-like growth factor II (IGF m. Complete removal of the tumor or reduction of the tumor mass is a successful therapeutic strategy in cases of NICTH. However, if the tumor re-grows, curative resection is nearly impossible, and hypoglycemia occurs repeatedly. Glucocorticoids are effective in terms of long-term relief from hypoglycemia through promotion of gluconeogenesis in the liver, tumor suppression, production of 'big'-IGF-II, and correction of the attendant biochemical abnormalities involving the growth hormone (GH)-IGF axis. We found that administration of corticosteroid therapy to a patient suffering from NICTH resulted in improvement of hypoglycemia associated symptoms.

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A study on the working mechanism of internal pressure of super-large cooling towers based on two-way coupling between wind and rain

  • Ke, Shitang;Yu, Wenlin;Ge, Yaojun
    • Structural Engineering and Mechanics
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    • 제70권4호
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    • pp.479-497
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    • 2019
  • In the current code design, the use of a uniform internal pressure coefficient of cooling towers as internal suction cannot reflect the 3D characteristics of flow field inside the tower body with different ventilation rate of shutters. Moreover, extreme weather such as heavy rain also has a direct impact on aerodynamic force on the internal surface and changes the turbulence effect of pulsating wind. In this study, the world's tallest cooling tower under construction, which stands 210m, is taken as the research object. The algorithm for two-way coupling between wind and rain is adopted. Simulation of wind field and raindrops is performed iteratively using continuous phase and discrete phase models, respectively, under the general principles of computational fluid dynamics (CFD). Firstly, the rule of influence of 9 combinations of wind speed and rainfall intensity on the volume of wind-driven rain, additional action force of raindrops and equivalent internal pressure coefficient of the tower body is analyzed. The combination of wind velocity and rainfall intensity that is most unfavorable to the cooling tower in terms of distribution of internal pressure coefficient is identified. On this basis, the wind/rain loads, distribution of aerodynamic force and working mechanism of internal pressures of the cooling tower under the most unfavorable working condition are compared between the four ventilation rates of shutters (0%, 15%, 30% and 100%). The results show that the amount of raindrops captured by the internal surface of the tower decreases as the wind velocity increases, and increases along with the rainfall intensity and ventilation rate of the shutters. The maximum value of rain-induced pressure coefficient is 0.013. The research findings lay the basis for determining the precise values of internal surface loads of cooling tower under extreme weather conditions.

Efficacy and safety of intragastric balloon for obesity in Korea

  • Kwang Gyun Lee;Seung-Joo Nam;Hyuk Soon Choi;Hang Lak Lee;Jai Hoon Yoon;Chan Hyuk Park;Kyoung Oh Kim;Do Hoon Kim;Jung-Wook Kim;Won Sohn;Sung Hoon Jung
    • Clinical Endoscopy
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    • 제56권3호
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    • pp.333-339
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    • 2023
  • Background/Aims: Intragastric balloon (IGB) is the only available endoscopic bariatric and metabolic therapy in Korea. End-ball (Endalis) has the longest history of clinical use among the IGBs available in Korea. However, little clinical data on this system have been reported. In this study, we aimed to evaluate the efficacy and safety of End-ball in Korea. Methods: We performed a retrospective cohort study of patients who underwent IGB insertion (End-ball) from 2013 to 2019. Demographic and anthropometric data were collected. The efficacy and safety of IGB treatment were analyzed. Results: In total, 80 patients were included. Mean age was 33.7 years and 83.8% were female. Initial body mass index was 34.48±4.69 kg/m2. Body mass index reduction was 3.72±2.63 kg/m2 at the time of IGB removal. Percent of total body weight loss (%TBWL) was 10.76%±6.76%. Percentage excess body weight loss was 43.67%±27.59%. Most adverse events were minor, and 71.4% of participants showed nausea, vomiting, or abdominal pain. Conclusions: IGB treatment showed good efficacy and safety profile in Korean patients with obesity. In terms of %TBWL and percentage excess body weight loss, the efficacy was similar to that in the Western population.

노후 학교건물의 창호 교체에 따른 부하분석 (Analysis of Heating and Cooling Load Profile According to the Window Retrofit in an Old School Building)

  • 이예지;김주욱;송두삼
    • 설비공학논문집
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    • 제29권9호
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    • pp.455-462
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    • 2017
  • The purpose of this study is to analyze heating and cooling load variation due to envelope retrofits in an old school building. In a previous study, envelope retrofit of an old school building resulted in annual energy consumption reduction. However, cooling energy consumption increased with the envelope retrofit. This is because of high internal heat generation rates in school buildings and internal heat cannot escape through windows or walls when the envelope's thermal performance improves. To clarify this assumption, thermal performance changes due to envelope retrofits were analyzed by simulation. Results revealed indoor temperature and inner window surface temperature increased with high insulation level of windows. Indoor heat loss through windows by conduction, convection and radiation decreased and resulted in an increase of cooling load in an old school building. From results of this study, energy saving impact of envelope retrofits in an old school building may not be significant because of high internal heat gain level in school buildings. In case of replacing windows in school buildings, local climate and internal heat gain level should be considered.

비알코올성 지방간 환자의 간기능 개선 (A Case Report of a Non-Alcoholic Fatty Liver Disease Patient Treated With Chunggan-tang)

  • 권기현;오서혜;송금주;김상범;이형우;신현수
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.740-744
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    • 2020
  • Objective: The aim of this study was to report on the effectiveness of Chunggan-tang in a patient with non-alcoholic fatty liver disease. Methods: A 57-year-old woman diagnosed with non-alcoholic fatty liver disease took Chunggan-tang from March 27. 2019 to April 3. 2019. We observed her laboratory findings. Results: After treatment, her laboratory findings showed a reduction in liver enzyme levels. Conclusion: This study shows that Chunggan-tang may be an effective treatment for non-alcoholic fatty liver disease.

공작기계용 볼 베어링의 억지끼워맞춤과 내부틈새변화에 관한 해석적 연구 (FE-analysis of Shrink Fits and Internal Clearance for Ball Bearing of Machine Tool)

  • 김웅;이춘만;황영국
    • 한국정밀공학회지
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    • 제26권5호
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    • pp.135-141
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    • 2009
  • The bearing clearance is influenced by shrink fit and thermal expansion during operation. The designer must take into account the reduction of clearance after installation to the interference fits, and thermal expansion must be considered. The purpose of this study is to grasp the internal clearance variation and behavior of a bearing which is a deep connected with fatigue life of bearing and performance of spindle through FEM(Finite Element Method). Finite element analysis is performed by using commercial code ANSYS according to variation of thermal condition and rotational speeds. This paper presents correct negative internal clearance according to temperature during operation. Furthermore, interrelation between thermal expansion and contraction are presented to maintain adequate contact force for three type of spindle system (HSK-A60, HSK-40E, HSK-32E). The influence of the centrifugal force and Internal clearance variation of bearing is studied to operating rotational speed.

복수를 동반한 알코올성 간경변증 환자 치험 1례 (Case Report of Ascites in Alcoholic Liver Cirrhosis)

  • 최가영;김수연;김병우;지현철;선승호;이선구
    • 동의생리병리학회지
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    • 제23권5호
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    • pp.1161-1165
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    • 2009
  • Daekumeumja is a herb-medication which has been used for alcoholic damage. This is a report about the effect of Daekumeumja on Ascites in alcoholic liver cirrhosis. The study of abdominal CT and ultrasonography were performed to evaluate the volume change of ascites. And blood tests were done to measure the liver's and kidney's functions. Reduction of ascites is proved by abdominal CT & ultrasonography. And lab findings of liver functions showed improvement. This study suggests that Daekumeumja is probably effective in the treatment of ascites in alcoholic liver cirrhosis.

Effects of Fine LWA and SAP as Internal Water Curing Agents

  • de Sensale, Gemma Rodriguez;Goncalves, Arlindo Freitas
    • International Journal of Concrete Structures and Materials
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    • 제8권3호
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    • pp.229-238
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    • 2014
  • Typical high-performance concrete (HPC) mixtures are characterized by low water-cementitious material ratios, high cement contents, and the incorporation of admixtures. In spite of its superior properties in the hardened state, HPC suffers from many practical difficulties such as its sensitivity to early-age cracking (which is associated with self-desiccation and autogenous shrinkage). In this context, conventional curing procedures are not sufficiently effective to address these limitations. In order to overcome this issue, two strategies,which are based on the use of internal reservoirs of water, have been recently developed.One of these strategies is based on the use of lightweight aggregates (LWA), while the other is based on the use of superabsorbent polymers (SAP). This paper studies and compares the efficiency of the LWA and SAP approaches.Moreover, some of the theoretical aspects that should be taken into account to optimize their application for internal curing of HPC are also discussed. Two fine LWA's and one SAP are studied in terms of autogenous deformation and compressive strength. Increasing the amounts of LWAor SAP can lead to a reduction of the autogenous deformation and compressive strength (especially when adding large amounts). By selecting appropriate materials and controlling their amount, size, and porosity, highly efficient internal water curing can be ensured.

혈청(血淸) ferritin 측정(測定)의 정도관리(精度管理)에 관(關)한 고찰(考察) (A Study on the Quality Control of 2-site Immunoradiometric Assay of Serum Ferritin)

  • 김병국;서일택;김광원;조보연;고창순;이문호
    • 대한핵의학회지
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    • 제14권1호
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    • pp.9-16
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    • 1980
  • A 2-site immunoradiometric assay for serum ferritin was evaluated with commercially available kit. The assay required 6 hours. The slope of the standard curve kept up ideal range with the calculation of maxium binding instead of total dose until expire date. The stage II washing was more important than the stage I washing on the modified washing procedure as the bead keeping to remain in the tube. With this modified mothod, three times of tube. washing was sufficient to reduce the significant errors The measured values of serially diluted sample with standard diluting buffer was proportional to the predicted values. In the experiment of serum effect on the assay. a linear relationship from 5 to 50% serum, but beyond 50% there was reduction in measured ferritin concentration. It has a sensitivity of 2.77 ng/ml, within-assay precision (CV) of 8.0%, and between-assay reproducibility(CV) of 7.4% (mean 174.8 ng/ml).

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