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The Efficacy of Bioabsorbable Mesh in Craniofacial Trauma Surgery

  • Choi, Won Chul;Choi, Hyun Gon;Kim, Jee Nam;Lee, Myung Cheol;Shin, Dong Hyeok;Kim, Soon Heum;Kim, Cheol Keun;Jo, Dong In
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.135-139
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    • 2016
  • Background: The ultimate goal of craniofacial reconstructive surgery is to achieve the most complete restoration of facial functions. A bioabsorbable fixation system which does not need secondary operation for implant removal has been developed in the last decade. The purpose of this study is to share the experience of authors and to demonstrate the efficacy of bioabsorbable mesh in a variety of craniofacial trauma operations. Methods: Between October 2008 and February 2015, bioabsorbable meshes were used to reconstruct various types of craniofacial bone fractures in 611 patients. Any displaced bone fragments were detached from the fracture site and fixed to the mesh. The resulting bone-mesh complex was designed and molded into an appropriate shape by the immersion in warm saline. The mesh was molded once again under simultaneous warm saline irrigation and suction. Results: In all patients, contour deformities were restored completely, and bone segments were fixed properly. The authors found that the bioabsorbable mesh provided rigid fixation without any evidence of integrity loss on postoperative computed tomography scans. Conclusion: Because bioabsorbable meshes are more flexible than bioabsorbable plates, they can be molded and could easily reconstruct the facial bone in three dimensions. Additionally, it is easy to attach bone fragments to the mesh. Bioabsorbable mesh and screws is effective and can be easily applied for fixation in various craniofacial trauma reconstructive scenarios.

A Study on the Child Welfare Activities in the Korean Women's Organizations (한국 여성단체의 아동복사활동의 실태에 관한 연구)

  • 이소희
    • Journal of the Korean Home Economics Association
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    • v.17 no.4
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    • pp.117-127
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    • 1979
  • This study attempts to shed additional light on the national diffusion process and interaction of welfare services for children and mothers. The central hypothesis examined is the following : In general, the implant of social welfare system is first considered on the characteristics of their own socio-economics , and diffusion prodess of welfare services tends to occur faster in countries with open sicieties than in countries where entry barriers are high and society ranking rigid. The scope of the study is limited in several ways. Attention is concentrated on the agency of woman in the belief that an in-depth case study of one field can yield more insight than a less detailed investigation embracing a number of social welfare systems. The angency of woman is selected for several reasons. a) It is important the agency of woman alone produce more effective than services affecting both the child welfare and women's libertion bradually. Moreover, these services will form the heart of mother's welfare. b) The services of women's agency is gradually wide spread, since a role of government is still negligible before a full realization of economic income. c) The services of women agency is a prime example of a social welfare. d) statistical data and other information are more readily available. One of major findings of our study is the existence of the barriers inhibiting child welfare form " motherhood cult". Despite all the distinct advantages for mother and child , social attitudes appear to be some resistant on child welfare system among men and women even the agenices of women. What is surprised is the extent of the awareness that strategies of women's agency to liberate woman and to increate activities of women involve the strategies to liberate child. The conviction that solving application problems for child welfare in line with the activities of agency by women offer greater freedom and more advantage to mother are not apparent on the data collected from 18 of multi-functional agencies in our country. there are little sign that such agencies cooperate toward attainment of common goals. The intensive early focus of the movement on consciousness raising is a necessary beginning and such efforts by women's organizations would help both in the continuous evolution of women and child. Some of the agencies offer a variety of services to women and children, others are specialized in that they offer fewer services or even only one. Social welfare agenices giving service to children and their families are identified by various names usually women service and child welfare from govern , mental agency and voluntary public agency to foreign aided. What is totally missing , however, is an integrated synthesis of child welfare program Through women's agency. Social changes to occur, but delineation of appropriate and comprehensive social policy is also necessary at this point at this point since efforts, social changes and polices must be well coordianted and focused, as well as mutually supprotive and reinforcing.

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Survey on Menstruation of Middle & High School Girls in an Urban Area (일부 도시지역에 있어서 중, 고교생의 월경에 관한 조사연구)

  • 김명엽;강현숙
    • Journal of Korean Academy of Nursing
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    • v.2 no.1
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    • pp.63-72
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    • 1971
  • The conclusions were obtained from the detailed survey of 1,285 students experiencing menstruation, who were chosen among 1,717 students in middle & high school girls in Seoul. The survey was conducted during July 20-July 24, 1971. 1. Age of Menarche An average age of menarche was 13.3$\pm$1.07. The earliest age of menarche was 9 and the latest age 18. Ages of menarche were between 12 and 14 in 84.3 percent of the students surveyed. a. By present age distribution, the aged students were lower, than younger students in the average age of menarche. b. By father′s educational levels, among the students whose fathers were graduated from high schools, college & ever the earliest average age of menarche was found with 13.2, and among the students whose fathers were graduated from primary schools that wag latest with 13.6. c. By father′s occupations, among the students whose fathom engaged in "workers not classifiable"the earliest age of menarche was found with 12.5$\pm$0.27, among the students whose fathers were in "service business"the second was 12.9$\pm$1.07, and among the students whose fathers were in "miners, quarrymen and related workers"that was latest with 13.8$\pm$1.14. d. By economic status, among the students of "wealthy"families the age of menarche was 13.1$\pm$0.25, the among the students of "ordinary"families the lags of menarche 13.3$\pm$1.06. and the among the students of "poor" families that was 13.8$\pm$0.31. e. By home discipline, among the students being treated "rigid" the age of menarche was 13.5$\pm$1.13, among the students being treated "moderate"the age of menarche was 13.3$\pm$0.22, and those being treated "indifferent" that was 13.0$\pm$0.26. f. By students physical condition, among the students of "good" condition the average of menarche was 13.3$\pm$0.16, and among the students "poor" that was 13.5$\pm$0.31. 2. Menstruation a. For the six months after the average of menarche 39.0 percent of the students had normal menstruations, and 61.3 percent of them had abnormal ones. Of the students with abnormal menstruation 21.7 percent had abnormal menstruation from time to time, 25.4 percent had no menstruation for one month to three months, 7.2 percent had menstruation for four to six months and 6.7 per cent had no menstruation for more than sin months. Most students became to have normal menstruations a few months later the age of menarche. b. At the time interviewed, the percentile of cycle of menstruation as following: 23 days types: 46.8 percent 30 days types: 40.6 percent others : 12.6 percent The average cycle of menstruation was every 28.9 days. c. The average duration of menstruation is 4.69 days. d. The subjective symptoms during menstruation period: Out of the total 89.7 per cent had some pains, while 10.3 percent had no symptom. Among the symptoms, abdominal pain occupied 29.9 percent, neurotic symptoms 19.0 percent and lumbago 15.1 percent. e. By attitude or Action at first physical change, "Treated it by own experience" : 30.0 percent "Don′t know what to do because of ignorance" : 20.1 percent "Asked others about it" : 43.0 percent

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THE EFFECT OF DENIAL ORTHOPEDIC FORCE TO IMPLANTS ON BONE TISSUE BEFORE COMPLETE OSSEOINTEGRATION (골유착 이전에 악정형력이 임프란트 주위조직에 미치는 영향)

  • Kim, Young-Ho;Lee, Cheol Won
    • The korean journal of orthodontics
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    • v.28 no.3 s.68
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    • pp.453-459
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    • 1998
  • The dental implants for edentulous Patients have been used for more than 20 years. After the introduction of osseointegration by $Br{\aa}nemark$, the commercially pure titanium implants were accepted by most practitioners. Recently dental implants are used for orthodontic anchorages as well as prosthetic abutment. Many researchers have reported implants as a good orthodontic anchorage through basic research and clinical evaluation. But previous researches were done after the healing time for osseointegration of inserted implants. If dental implants are to be used for prosthetic abutment the healing time for osseointegration is necessary, but orthodontic forces to implants are different from bite force regarding its amount of force, duration and direction. The authors evaluated the effect of orthopedic force to implants on bone tissue before osseointegration. 48 implants were placed at 12 rabbits. 2 implants into left side and 2 implants into right side were inserted along the long axis of femur respectively 2 weeks (2 weeks group), 4 weeks (4 weeks group) and 6 weeks (6 weeks group) after implants placement, 300g force had been applied to the implants at left side femur by Ni-Ti close coil spring for 4 weeks (experimental group) and no force applied to implants at right side femur (control group). After the force application for 4weeks, rabbits were sacrificed and microscopic evaluation was done by hematoxylin-eosin stain and Masson trichrome stain. The result3 were followed. 1. All implants in experimental group remained rigid after the force application for 4 weeks. 2. More fibrous tissue between bone and implants were noticed at 2 weeks experimental group than 2 weeks control group 3. More bone remodeling was noticed at 4weeks group than 2 weeks group and it was difficult to find out fibrous tissue between bone and implants at both experimental and control group of 4 weeks group. 4. It was hard to distinguish experimental group from control group at 6 weeks group. Therefore if initial stability can be obtained on implant insertion, it can be possible to use implants as a orthodontic anchorage before the healing time for osseointegration.

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Comparison of insertion torque regarding changes in shape, diameter, and length of orthodontic miniscrews (교정용 미니스크류의 형상에 따른 식립 토오크의 비교)

  • Lim, Seon-A;Cha, Jung-Yul;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.37 no.2 s.121
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    • pp.89-97
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    • 2007
  • Objective: The purpose of this study was to measure the insertion torque of orthodontic miniscrews regarding changes in their shape, diameter, and length. Methods: Torque values were measured during continuous insertion of the miniscrews into solid rigid polyurethane foam, using a torque tester of driving motor type with a regular speed of 3 rpm. Orthodontic miniscrews (Biomaterials Korea, Seoul, Korea) of cylindrical type and taper type were used. Results: Increasing the length and diameter of the miniscrews increased the maximum insertion torque value in both cylindrical and taper type screws. Insertion torque was increased at the incomplete head of the cylindrical type screw, and at the tapered part of the taper type screw. The insertion torque value of miniscrews was influenced most by diameter, then shape and length. As a result, it was shown that the diameter of the screw had the most influence on insertion torque, and the taper type screw had a higher torque value than the cylindrical type screw. Conclusion: Therefore, a large diameter or taper type screw are adequate for areas of thin cortical bone with a large interdental space, and a small diameter or cylindrical type screw are adequate in the mandibular molar area or the midpalatal area having thick cortical bone.

The Effect of Low Back Pain Education Program on the Nurses in a General Hospital (요통교육프로그램이 간호사의 요통감소에 미치는 효과)

  • Kwon Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.1
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    • pp.108-127
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    • 1996
  • The purpose of this research was to determine whether or not a education program of low back pain would have benificial effect on nurses. Nonequivalent control group pre-post test research was designed. Subjects for this study were 50 selected from nurses who work at a general hospital in Taegu. Of them, twenty seven were assigned to experimental group, twenty-three to control group. The data were collected during the period from June 27 to August 31, 1994. The instruments used in this study were Visual Analog Scale for low back pain, Sit-and-reach test for trunk flexibility, and 1 min sit up test for abdominal muscle endurance. Data related to general chracteristics and factors of low back pain were collected with questionnaire developed by this reseacher. The data were analyzed by $X^2-test$, t-test and paired t-test, using the SAS package program. The results of this study are summerized as follows : 1. The numbers of the experimental group with low back pain were not a statistically significant difference from pre to posttesting($X^2=0.77$, p=.379), and the numbers of the control group with low back pain were also not a statistically significant difference from pre to posttesting($X^2=0.09$, p=.767). 2. The severity of low back pain of the experimental group was not a statistically significant difference from pre to posttesting(t=-0.55, p=.5857), and the severity of low back pain of the control group was also not a statistically significant difference from pre to posttesting(t=-0.70, p=.3101). 3. The trunk flexibility of the experimental group was not a statistically significant difference from pre to posttesting(t= 1.08, p=.2835), and the control group's trunk flexibility was also not a statistically significant difference from pre to posttesting(t=0.85, p=.4026). 4. The abdominal muscle endurance of the experimental group was a statistically significant difference from pre to posttesting(t=-2.42, p=.0190), but the control group's abdominal muscle endurance was not a statistically significant difference from pre to posttesting(t=-0.06, p=.9556) This study suggest that replication of study with more sample and more rigid treatment should be needed. And furthermore, the longitudinal research is needed to determine the effectiveness of education program.

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Motives for Moonlighting and Its Policy Implications (부업동기분석(副業動機分析)과 그 시사점(示唆點))

  • Park, Jin
    • KDI Journal of Economic Policy
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    • v.14 no.4
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    • pp.107-121
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    • 1992
  • Moonlighting or second-jobs will increase shirking of the primary job. This paper analyzes the motives for moonlighting so that the means of reducing these motives could be explored. The traditional theory claims that a worker who cannot fully realize his work potential will look to moonlighting. In a two-period model, however, the following motives are more important. The precautionary savings motive : A worker has an incentive to save for fear of losing his job and his income in the second period. The worker could save more by working more during the first period, and this additional motive for working is the precautionary savings motive. The insurance motive : When a worker is unemployed, he cannot expand his moonlighting hours according to his needs since the moonlighting hour is upward rigid. Therefore, a worker has an incentive to secure additional moonlighting hours in the first period so that quick adjustment can be made during the unemployment in the second period. Two policy measures to remove those motives for moonlighting are recommended, for these measures will enhance the productivity in the primary job. First, a firm should guarantee that there will be no layoffs in a downturn in the economy and that the employment level is adjusted to the economic states by work sharing among workers. Second, as unemployment insurance benefits compensate a portion of the income in case of unemployment, it substitutes the motives for moonlighting. A generalization of this argument can be found in Ehrlich and Becker(1972) where self-insurance(moonlighting) and market insurance(in this case, unemployment insurance) serves as substitutes. The two policy measures in the above have a spill-over effect : A decrease of labor supply in the moonlighting market will ease job search, and therefore will help those who have their primary job in the moonlighting sector.

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A Study on the Sound Absorption Properties of Cellular Concrete with Continuous voids (연속공극을 갖는 기포콘크리트의 흡음특성에 관한 연구)

  • Lee, Seung-Han;Jung, Yong-Wook;Park, Jung-Jun
    • Journal of the Korea Concrete Institute
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    • v.15 no.4
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    • pp.566-573
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    • 2003
  • This study was performed to manufacture a rigid sound absorbing material by increasing the continuous void ratio of cellular concrete, thereby achieving an increase in sound absorption ratio and an enhancement in strength of the cellular concrete. By the experiments, it was determined that an increase in sound absorption ratio is achieved by increasing the added amount of air voids, thereby increasing the continuous void ratio. When the material had a thickness of 5 cm, a satisfactory average sound absorption ratio of 70% was obtained at a continuous void ratio of 40% or more. An increase in the thickness of the sound absorbing material resulted in an increase in sound absorption ratio in a super bass range. The specific gravity of cellular concrete meeting an average sound absorption ratio of 70% was 0.4 at a material thickness of 5 cm, and 0.6 or less at a material thickness of 7 cm. The compressive strength of the cellular concrete having a specific gravity of 0.4 meeting an average sound absorption ratio of 70% or more was 1.37 Mpa at a cement fineness of 3,000. This compressive strength was increased to 3.34 MPa at a cement fineness of 8,000. Accordingly, it was determined that the compressive strength of cellular concrete having continuous voids increases with a higher cement fineness.

Reduction Factor of the Site Coefficient due to the Foundation Embedment in the Soft Soil Layer for the Seismic Analysis of a Building (건축물의 지진해석을 위한 연약지반에 묻힌 기초로 인한 지반증폭계수에 대한 저감계수)

  • Kim, Yong-Seok
    • Journal of the Earthquake Engineering Society of Korea
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    • v.14 no.4
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    • pp.1-15
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    • 2010
  • In this study, the reduction factor of the code-defined site coefficient due to the embedment of a foundation was estimated for the seismic analysis of a building built on a soft soil site. This was done by utilizing the in-house finite element software P3DASS, which has the capability of pseudo 3D seismic analysis with nonlinear soil layers. A 30m thick soft soil site laid on the rock was assumed to be homogeneous, elastic, viscous and isotropic, and equivalent circular rigid foundations with radii of 10-70m were considered to be embedded at 0, 10, 20 and 30m in the soil layer. Seismic analyses were performed with 7 bedrock earthquake records deconvoluted from the outcrop records of which the effective ground acceleration was scaled to 0.1g. The study results showed that the site coefficients are gradually reduced except in the case of a small foundation embedded deeply in the weak soil layer, and it was estimated that the deviation of the site coefficients due to the foundation size was not significant. The standard reduction factor due to the foundation embedment were calculated adding the standard deviation to the average of 5 reduction factors calculated for 5 different foundation radii. Standard reduction factors for the site amplification factor were proposed for the practical amplification and the codes of KBC, etc., in accordance with the average shear wave velocity of the site, and the site class.

Surface Modification of Nafion by Layer-by-Layer Self-Assembled Films of Polyaniline and Sulfonated Poly(ether sulfone) for Direct Methanol Fuel Cell (직접 메탄올 연료전지용 나피온 막의 폴리아닐린/Sulfonated Poly(ether sulfone) 다층 자기조립 박막에 의한 표면 개질)

  • Ok, Jeong-Rim;Kim, Dong-Wook;Lee, Chang-Jin;Kang, Yong-Ku
    • Journal of the Korean Electrochemical Society
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    • v.11 no.4
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    • pp.256-261
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    • 2008
  • In this study, Nafion membrane was modified to prevent methanol crossover by layer-by-layer self assembly using polyaniline (PANi) as a polycation and sulfonated poly(ether sulfone) (SPES) as a polyanion onto the Nafion surface. Since PANi and SPES possess thermal and chemical stability and rigid backbone, their layer-by-layer self-assembled films on the Nafion are expected to reduce methanol permeability and to increase mechanical stability. UV-Vis absorption spectroscopy verified a linear build-up of the multilayers of PANi and SPES. We found that the thickness per bilayer was about 10 nm by TEM measurement. Although modified Nafion membrane exhibited 15% decrease of proton conductivity, it reduceded 67% of methanol permeability compared to that of the pristine Nafion membrane, resulting in 2.5 times larger selectivity. At the performance test of the fuel cell using 5M methanol as a fuel, the modified Nafion membrane showed 2.4 times higher maximum power density at $30^{\circ}C$ and 1.4 times larger at $60^{\circ}C$ than the pristine Nafion.