• Title/Summary/Keyword: internal reduction

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Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures

  • Lee, Yewon;Choi, Hyun Gon;Shin, Dong Hyeok;Uhm, Ki Il;Kim, Soon Heum;Kim, Cheol Keun;Jo, Dong In
    • Archives of Plastic Surgery
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    • v.41 no.6
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    • pp.679-685
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    • 2014
  • Background Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures. Methods Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws. Results Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed. Conclusions The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture.

RELATIONSHIP BETWEEN HISTOLOGIC FEATURES OF THE RETRODISKAL TISSUES AND MAGNETIC RESONANCE IMAGING FINDINGS IN TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT (악관절 내장증 환자에서 자기공명영상 소견과 관절원판 후조직의 조직학적 소견과의 연관성)

  • Huh, Jong-Ki;Kim, Hyung-Gon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.4
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    • pp.373-382
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    • 2000
  • Temporomandibular disorders arised from joint itself was caused by inflammation or mechanical irritation of the retrodiskal tissues. Histologic changes of the retrodiskal tissues of temporomandibular joint(TMJ) internal derangement, such as inflammatory cell infiltration, hyalinization, myxoid change, fatty change, arterial obliteration, and so on, were reported, but relationships between magnetic resonance imaging(MRI) findings and histologic findings of the retrodiskal tissue were few reported. The purpose of this study was to find histologic changes of the retrodiskal tissues for status of joint and joint effusion in MRI of the temporomandibular joint which had surgical treatment. Materials were surgically treated 52 temporomandibular joints with internal derangement or osteoarthritis in TMJ clinic, Yongdong Severance Hospital. All joints were confirmed by magnetic resonance T1- and T2-weighted imagings bofere surgery. Status of joint was categorized by normal position, disc displacement with reduction, disc displacement without reduction, disc displacement without reduction associated with osteoarthrosis using preoperative MR T1-weighted images. Magnetic resonance evidence of joint effusion was observed in T2-weighted images and classified by its amount; degree 0(not observed), degree 1(small amount), degree 2(moderate amount), degree 3(large amount). Histologic features were observed whether the retrodiskal tissue has inflammatory cell infiltration, myxoid change, hyalinization, chondroid metaplasia and arterial obliteration. The distribution of elastic fibers were also observed. The results were as follows; 1. Inflammatory cell infiltration was not observed in any retrodiskal tissues. 2. MRI findings such as status of joint and evidence of joint effusion did not have significant relationship with myxoid change, hyalinization, chondroid metaplasia, arterial obliteration of the retrodiskal tissues. 3. Hyalinization and chondroid metaplasia were found in 8 joints(15.4%) and 5 joints(9.6%). All of them were found in disc displacement without reduction and disc displacement without reduction associated with osteoarthrosis. 4. Arterial obliteration was observed more frequently in disc displacement without reduction(55.6%) than disc displacement without reduction associated with osteoarthrosis(28.6%). Further studies with proper controls and more materials will be necessary.

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A study on the Mechanical Characteristics by the Internal Quality of Connecting Rod Materials for Trucks (트럭용 커넥팅 로드 소재의 내부 품질에 따른 기계적 특성 연구)

  • 김동현
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.7 no.1
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    • pp.75-81
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    • 1998
  • We have studied internal quality including chemical compositions, microscopic structure and nonmetallic inclusion of test materials. We have analyzed tensile strength value, hardness value, impact value etc. In analyzing internal quality, all of the test materials showed typical ferrite+pearlite structure. But nonmetallic inclusion showed oxide and sulfide inclusions in medium carbon steels, and sulfide inclusion is S-free cutting steels. In ca+ S-free cutting steels, the calcium aluminate and sulfide complex inclusion had low-melting points as deformation of sulfide and oxide inclusion is existed. It was found that tensile strength and hardness give maximum value in medium carbon steels, where as minimum in Ca + -free cutting steels. But values of elongation, reduction of area impact are reverse. Fracture surface of impact specimen is ductile in free cutting steels but brittle in medium cabon steels.

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Lipid-lowering and Antioxidant Effects of Curcuma Radix in Poloxamer 407-induced Hyperlipidemia Model Rat Models

  • Park, So-Ae;Jo, Hyun-Kyung;Yoo, Ho-Ryong;Kim, Yoon-Sik;Seol, In-Chon;An, Joung-Jo
    • The Journal of Internal Korean Medicine
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    • v.32 no.2
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    • pp.243-258
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    • 2011
  • Objectives : This study investigated the hypolipidemic and antioxidant effects of Curcuma radix using a rat model induced by poloxamer 407 injection. Methods : Serum lipid parameters and oxidative stress-associated biomarkers were determined. Additionally, hepatic cholesterol and triglyceride as well as lipid metabolism-associated gene expressions were observed in hepatic tissue. Results : 1. Curcuma radix ameliorated elevation of serum cholesterol, triglyceride, LDL-cholesterol, MDA, hepatic cholesterol level, and reduction of serum TAC, SOD, GSH, GSH-reductase level. 2. Curcuma radix augmented up-regulated ACAT gene expression. 3. Curcuma radix almost completely ameliorated down-regulated CYP-7A1 but up-regulated HMG-CoA gene expression. Conclusions : The hypolipidemic and antioxidant properties of Curcuma radix were evidenced. This study provides a scientific basis for the clinical application of Curcuma radix and development of hypolipidemics using this herb in the future.

Pulmonary thromboembolism combined with intracardiac thrombus occurred during the steroid reduction in nephrotic syndrome patient (미세변화신증에서 스테로이드 감량 중 발생한 심장내 혈전을 동반한 폐색전증)

  • Lee, Se Jin;Park, Ji Young;Ryu, Sung Kee;Choi, Jae Woong;Chae, Won Young;Ryu, Hee Yun;Yoo, Min Seok;Bak, Yoon Suk
    • Journal of Yeungnam Medical Science
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    • v.33 no.1
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    • pp.25-28
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    • 2016
  • Nephrotic syndrome is associated with a hypercoagulable state, which results in thromboembolism as one of its main complications. Various pathogenetic factors that cause the hypercoagulable state in nephrotic syndrome have been recognized. We report on a 19-year-old female with a minimal-change disease who developed pulmonary thromboembolism combined with intracardiac thrombus while on tapering steroid. Our patient showed hypoalbuminemia with an episode of shock, and was successfully treated with thrombolysis and anticoagulation therapy.

A STUDY OF THE POSTERIOR SLOPE OF THE ARTICULAR EMINENCE IN PATIENTS WITH INTERNAL DERANGEMENT (악관절 내장증환자에서 관절돌기의 후방경사에 관한 연구)

  • Lee Geon-Ill;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.2
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    • pp.225-234
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    • 1991
  • This study was designed to investigate the effects of the posterior slope of the articular eminence and the condylar angulation to the posterior slope of the articular eminence on internal derangement of TMJ. The materials consisted of 78 transcranial oblique lateral projections of 31 normal subjects and 47 internal derangement patients. The results were as follows: 1. The posterior slope of the articular eminences in normal group were larger than that in abnormal group, but there were not significant differences between each group about the condylar angulation to the posterior slope of the articular eminences. 2. The differences between in the right and left sides in patients who were affected unilaterally and bilaterally were larger than that in normal groups. 3, In patients affected unilaterally, there were not significant differences between affected joints and unaffected joints about the posterior slope of the articular eminence and the condylar angulation to the posterior slope of the articular eminence. 4. In abnormal group, there were significant differences between each group about condylar angulation to the post, slope of the articular eminence (ant. disk displacement without reduction > fibrous adhesion > ant. disk displacement with reduction), but not about the post, slope of the articular eminence.

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Study to detect bond degradation in reinforced concrete beams using ultrasonic pulse velocity test method

  • Saleem, Muhammad
    • Structural Engineering and Mechanics
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    • v.64 no.4
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    • pp.427-436
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    • 2017
  • Concrete technologists have used ultrasonic pulse velocity test for decades to evaluate the properties of concrete. However, the presented research work focuses on the use of ultrasonic pulse velocity test to study the degradation in steel-concrete bond subjected to increasing loading. A detailed experimental investigation was conducted by testing five identical beam specimens under increasing loading. The loading was increased from zero till failure in equal increments. From the experimentation, it was found that as the reinforced concrete beams were stressed from control unloaded condition till complete failure, the propagating ultrasonic wave velocity reduced. This reduction in wave velocity is attributed to the initiation, development, and propagation of internal cracking in the concrete surrounding the steel reinforcement. Using both direct and semidirect methods of testing, results of reduction in wave velocity with evidence of internal cracking at steel-concrete interface are presented. From the presented results and discussion, it can be concluded that the UPV test method can be successfully employed to identify zones of poor bonding along the length of reinforced concrete beam. The information gathered by such testing can be used by engineers for localizing repairs thereby leading to saving of time, labor and cost of repairs. Furthermore, the implementation strategy along with real-world challenges associated with the application of the proposed technique and area of future development have also been presented.

A study on Greenhouse gas Emission Characteristics of Conventional Passenger and Hybrid Electric Vehicles (승용 및 하이브리드 자동차 온실가스 배출특성 연구)

  • Lim, Yun Sung;Mun, Sun Hee;Chung, Taek Ho;Lee, Jong Tae;Dong, Jong In
    • Journal of ILASS-Korea
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    • v.25 no.1
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    • pp.34-39
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    • 2020
  • Automotive manufacturers are applying technologies for greenhouse gas reduction such as vehicle weight reduction, engine downsizing, direct injection technology, variable valves and transmission performance improvement to achieve the targets for enhanced greenhouse gas and fuel consumption efficiency. In this paper, compared and analyzed greenhouse emissions according to engine capacity, engine displacement, curb weight and sales volume of hybrid and internal combustion engine passenger vehicles. Hybrid emit 32~39% less greenhouse gas than internal combustion engines through the combined mode test method. Hybrid electric vehicle's curb weight was about 7% heavier on average for the same engine displacement, while greenhouse gas was about 36% lower. It was confirmed that in order to reduce the emission of pollutants of greenhouse gases as well as the air pollutants, it is necessary to expand the supply of eco-friendly vehicles.

Effect of Radial Parameters in Cogging Process on Void Closure for Large Forged Products (단강품 기공의 압착성 향상을 위한 레이디얼 단련변수의 영향)

  • Choi, H.J.;Choi, S.;Yoon, D.J.;Jung, J.H.;Baek, D.K.;Choi, S.K.;Park, H.J.;Lim, S.J.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2008.05a
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    • pp.67-70
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    • 2008
  • This paper deals with the effect of radial parameters in cogging process such as reduction in height (Rh) and rotational angle ($\theta$) of a billet on a void closure for large forged products. Usually closing and consolidation of internal void defects in a ingot is a vital matter when utilized as large forged products, using a press with limited capacity and the sizes of the ingots becoming larger. Consequently, it is important to develop cogging process for improvement of internal soundness without a void defect and cost reduction by solid forging alone with limited press capacity. For experiments of cogging process, hydraulic press with a capacity of 800 ton was used together with a small manipulator which was made for rotation and overlapping of a billet. Size of a void was categorized into two types; $\emptyset$ 6.0 mm and $\emptyset$ 9.0 mm to investigate the change of closing and consolidation of void defects existed in the large ingot during the cogging process. Also open void and closed void in the ingot were tackled to show the differentiation of closing process of internal voids with respect to void sizes. In this paper systematic configuration for closing process of void defects were expressed based on this experiment results in the cogging process.

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Effect of Program for Pain Reduction in Patients with Rheumatoid Arthritis: A Systematic Review (류마티스 관절염 환자의 통증 감소를 위한 프로그램의 효과: 체계적 문헌고찰)

  • Jeon, Byeonghyeon;Lee, Chang Hoon;Chung, Chong Hyuk;Lee, Myeung Su
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.200-208
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    • 2021
  • Purpose: The purpose of this study was to establish the foundations for the application of appropriate programs for pain reduction in patients with rheumatoid arthritis. Methods: The literature on patients with rheumatoid arthritis were found on an electronic search site for South Korean academic papers. The search terms "rheumatism" and "rheumatoid arthritis" were used independently. The combined terms "rheumatism and pain" and "rheumatoid arthritis and pain" were also used. For the meta-analysis, the R version 3.5.1 program was utilized. Results: The meta-analysis of eight papers showed a large effect size of -4.11. The programs were most effective in the order of aquatic exercise, aromatherapy, self-help education, muscle strength exercises, and tai chi. Conclusion: This study could provide the basis for presenting appropriate programs for pain management in patients with rheumatoid arthritis.